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古巴狼蛛提取物(Theranekron)对大鼠实验性坐骨神经损伤模型中周围神经愈合的影响。

Effect of Tarantula Cubensis Extract (Theranekron) on Peripheral Nerve Healing in an Experimental Sciatic Nerve Injury Model in Rats.

作者信息

Kizilay Zahir, Aktas Serdar, Cetin Nesibe Kahraman, Kilic Mahmut Alp, Ozturk Hakan

机构信息

Aydin Adnan Menderes University, School of Medicine, Department of Neurosurgery, Aydin, Turkey.

出版信息

Turk Neurosurg. 2019;29(5):743-749. doi: 10.5137/1019-5149.JTN.26162-19.2.

Abstract

AIM

To investigate the effects of systemic application of Theranekron on peripheral nerve healing after compression type peripheral nerve injury.

MATERIAL AND METHODS

Twenty-one female Wistar albino rats were randomly divided into 3 groups (n=7): Control (C), injury (I), and Theranekron (T). The right sciatic nerves of rats in the I and T groups were compressed via an aneurysm clip for 5 minutes and 0.3 ml Theranekron D6 was applied via subcutaneous administration once a week in the T group for a total period of four weeks. Nerve conduction velocity and proximal and distal latency of the rats were measured at the end of day 30. The right sciatic nerves of the rats were then removed and myelin damage grading, axon counting, fibrosis assessment, caspase-3, and NF-kB immunochemical staining were performed. The data were analysed statistically and a p value of less than 0.05 was considered to be significant.

RESULTS

Axonal degeneration, vacuolization and myelin destruction were found to be markedly greater in group T. Fibrosis and caspase-3 immunoreactivity were less intense in group T. There was a statistically significant difference in the electrophysiological results of groups I and T. However, there were no statistically significant differences in axon number and NF-kB immunochemical evaluation of groups I and T.

CONCLUSION

The findings of this study show that Theranekron decreases axonal and myelin damage after sciatic nerve injury and that this neuroprotective effect of Theranekron can be attributed to its anti-inflammatory effect on pro-inflammatory cytokine levels.

摘要

目的

研究全身应用Theranekron对压迫型周围神经损伤后周围神经愈合的影响。

材料与方法

将21只雌性Wistar白化大鼠随机分为3组(n = 7):对照组(C)、损伤组(I)和Theranekron组(T)。I组和T组大鼠的右侧坐骨神经用动脉瘤夹压迫5分钟,T组每周皮下注射一次0.3 ml Theranekron D6,共四周。在第30天结束时测量大鼠的神经传导速度以及近端和远端潜伏期。然后取出大鼠的右侧坐骨神经,进行髓鞘损伤分级、轴突计数、纤维化评估、半胱天冬酶-3和核因子-κB免疫化学染色。对数据进行统计学分析,p值小于0.05被认为具有统计学意义。

结果

发现T组的轴突变性、空泡化和髓鞘破坏明显更严重。T组的纤维化和半胱天冬酶-3免疫反应性较弱。I组和T组的电生理结果存在统计学显著差异。然而,I组和T组在轴突数量和核因子-κB免疫化学评估方面没有统计学显著差异。

结论

本研究结果表明,Theranekron可减少坐骨神经损伤后的轴突和髓鞘损伤,Theranekron的这种神经保护作用可归因于其对促炎细胞因子水平的抗炎作用。

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