Department of Biology, Faculty of Science, Ferdowsi University of Mashhad, Iran
Curr Neuropharmacol. 2020;18(11):1154-1163. doi: 10.2174/1570159X18666200507084024.
Peripheral nerve injuries (PNIs) are accompanied with neuropathic pain and functional disability. Despite improvements in surgical repair techniques in recent years, the functional recovery is yet unsatisfied. Indeed a successful nerve repair depends not only on the surgical strategy but also on the cellular and molecular mechanisms involved in traumatic nerve injury. In contrast to all strategies suggested for nerve repair, pharmacotherapy is a cheap, accessible and non-invasive treatment that can be used immediately after nerve injury. This study aimed to review the effects of some pharmacological agents on the nerve regeneration after traumatic PNI evaluated by functional, histological and electrophysiological assessments. In addition, some cellular and molecular mechanisms responsible for their therapeutic actions, restricted to neural tissue, are suggested. These findings can not only help to find better strategies for peripheral nerve repair, but also to identify the neuropathic effects of various medications and their mechanisms of action.
周围神经损伤 (PNI) 伴随着神经病理性疼痛和功能障碍。尽管近年来手术修复技术有所提高,但功能恢复仍不尽如人意。事实上,成功的神经修复不仅取决于手术策略,还取决于创伤性神经损伤涉及的细胞和分子机制。与所有建议的神经修复策略不同,药物治疗是一种廉价、可及和非侵入性的治疗方法,可在神经损伤后立即使用。本研究旨在通过功能、组织学和电生理学评估,综述一些药理学药物对创伤性 PNI 后神经再生的影响。此外,还提出了一些负责其治疗作用的细胞和分子机制,这些机制仅限于神经组织。这些发现不仅有助于找到更好的周围神经修复策略,还可以确定各种药物的神经病变作用及其作用机制。