Gurkan Gokhan, Erdogan Mumin Alper, Yigitturk Gurkan, Erbas Oytun
Department of Neurosurgery, Katip Celebi University Atatürk Training and Research Hospital, Izmir, Turkey.
Department of Physiology, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
J Korean Neurosurg Soc. 2021 Nov;64(6):873-881. doi: 10.3340/jkns.2021.0078. Epub 2021 Aug 11.
Peripheral nerve injuries occur mostly as a result of mechanical trauma. Due to the microvascular deterioration in peripheral nerve damage, it becomes challenging to remove free oxygen radicals. Gallic acid is a powerful antioxidant with anti-inflammatory effects and a free radical scavenger. The purpose of the study is to show that gallic acid contributes to the restorative effect in mechanical nerve damage, considering its antioxidant and anti-inflammatory effects.
Thirty male Sprague Dawley albino mature rats were included in the study. Ten of them constituted the control group, 10 out of 20 rats for which sciatic nerve damage was caused, constituted the saline group, and 10 formed the gallic acid group. Post-treatment motor functions, histological, immunohistochemical, and biochemical parameters of the rats were evaluated.
Compared to the surgery+saline group, lower compound muscle action potential (CMAP) latency, higher CMAP amplitude, and higher inclined plane test values were found in the surgery+gallic acid group. Similarly, a higher nerve growth factor (NGF) percentage, a higher number of axons, and a lower percentage of fibrosis scores were observed in the surgery+gallic acid group. Finally, lower tissue malondialdehyde (MDA) and higher heat shock protein-70 (HSP-70) values were determined in the surgery+gallic acid group.
Gallic acid positively affects peripheral nerve injury healing due to its anti-inflammatory and antioxidant effects. It has been thought that gallic acid can be used as a supportive treatment in peripheral nerve damage.
周围神经损伤大多由机械性创伤所致。由于周围神经损伤时微血管退化,清除游离氧自由基变得具有挑战性。没食子酸是一种具有抗炎作用的强效抗氧化剂和自由基清除剂。本研究的目的是鉴于其抗氧化和抗炎作用,表明没食子酸有助于机械性神经损伤的修复。
30只雄性斯普拉格 - 道利白化成熟大鼠纳入研究。其中10只构成对照组,20只造成坐骨神经损伤的大鼠中有10只构成生理盐水组,另外10只构成没食子酸组。评估大鼠治疗后的运动功能、组织学、免疫组化和生化参数。
与手术 + 生理盐水组相比,手术 + 没食子酸组的复合肌肉动作电位(CMAP)潜伏期更短、CMAP波幅更高、斜面试验值更高。同样,手术 + 没食子酸组观察到神经生长因子(NGF)百分比更高、轴突数量更多、纤维化评分百分比更低。最后,手术 + 没食子酸组的组织丙二醛(MDA)更低、热休克蛋白 - 70(HSP - 70)值更高。
没食子酸因其抗炎和抗氧化作用对周围神经损伤愈合产生积极影响。人们认为没食子酸可用于周围神经损伤的辅助治疗。