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游泳训练对压迫性损伤后神经形态恢复的影响。

Effect of swimming training on nerve morphological recovery after compressive injury.

作者信息

de Moraes Alexa Alves, de Almeida Cayo Antônio Soares, Lucas Guilherme, Thomazini José Antonio, DeMaman Aline Santos

机构信息

a Department of Physiotherapy, Center of Biological and Health Sciences , Paraíba State University , Campina Grande , Brazil.

b Center of Mathematics, Computing Sciences and Cognition , Federal University of ABC , São Paulo , Brazil.

出版信息

Neurol Res. 2018 Nov;40(11):955-962. doi: 10.1080/01616412.2018.1504180. Epub 2018 Aug 9.

Abstract

OBJECTIVE

This study aims to investigate morphological alterations caused by partial sciatic nerve ligation (PNL) and the efficacy of a moderate-intensity swimming training as therapeutic strategy for nerve regeneration.

METHODS

A number of 30 male adult mice were equally divided in control, 14 days after PNL (PNL 14 days), 42 days after PNL (PNL 42 days), 70 days after PNL (PNL 70 days) and 5-week exercise training after 7 days post-lesion (PNL trained 35 days) groups. PNL trained 35 days group began with a 10-min session for 3 days and this time was gradually increased by 10 min every three sessions until the animals had swum for 50 min per session. Morphoquantitative analysis was carried out to assess nerve regeneration in each group.

RESULTS

PNL 14 days group exhibited less degenerating signs than PNL 42 days group, where most post-lesion alterations were visualized. Nerve area and minimum diameter were significantly lower (p < 0.05) than control group. PNL 70 days group showed a greater degree of regenerating fibers and similar morphometric parameters to control group. PNL trained 35 days demonstrated signs of regeneration, reaching control group values in the morphometric analysis.

DISCUSSION

PNL promotes great histopathological changes, which became more visible at 42 post-injury days. A natural nerve-regeneration tendency was observed throughout time, as observed in PNL 70 days group; nevertheless, moderate swimming training was found to be a therapeutic resource for nerve regeneration, accelerating such process from a morphoquantitative perspective.

ABBREVIATIONS

ANOVA: One-way analysis of variance; BDNF: Brain-derived neurotrophic factor; FGF-2: Fibroblast growth factor 2; GDNF: Glial cell line derived neurotrophic factor; IGF: Insulin-link growth factor; IL-1β: Interleukin-1β; NGF: Neural growth factor; PBS: Phosphate-buffered saline; PNL: Partial sciatic nerve ligation.

摘要

目的

本研究旨在探究坐骨神经部分结扎(PNL)所引起的形态学改变,以及中等强度游泳训练作为神经再生治疗策略的疗效。

方法

将30只成年雄性小鼠平均分为对照组、PNL术后14天组(PNL 14天)、PNL术后42天组(PNL 42天)、PNL术后70天组(PNL 70天)以及损伤后7天进行5周运动训练组(PNL训练35天)。PNL训练35天组最初进行为期3天、每次10分钟的训练,此后每3次训练时间逐渐增加10分钟,直至动物每次游泳50分钟。对每组进行形态定量分析以评估神经再生情况。

结果

PNL 14天组的退变迹象少于PNL 42天组,后者可见大多数损伤后的改变。神经面积和最小直径显著低于(p < 0.05)对照组。PNL 70天组显示出更大程度的再生纤维,且形态学参数与对照组相似。PNL训练35天组表现出再生迹象,在形态定量分析中达到了对照组的值。

讨论

PNL会引发显著的组织病理学变化,在损伤后42天更为明显。如PNL 70天组所示,随着时间推移观察到了自然的神经再生趋势;然而,发现中等强度游泳训练是神经再生的一种治疗手段,从形态定量角度加速了这一过程。

缩写

ANOVA:单因素方差分析;BDNF:脑源性神经营养因子;FGF-2:成纤维细胞生长因子2;GDNF:胶质细胞源性神经营养因子;IGF:胰岛素样生长因子;IL-1β:白细胞介素-1β;NGF:神经生长因子;PBS:磷酸盐缓冲液;PNL:坐骨神经部分结扎

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