Department of Neurosurgery, University of Health Sciences, Bilkent City Hospital, Ankara-Turke.
Department of Neurosurgery, Selcuk University Faculty of Medicine, Ankara-Turkey.
Ulus Travma Acil Cerrahi Derg. 2022 Mar;28(3):242-248. doi: 10.14744/tjtes.2020.56573.
Galantamine is well-known for its neuroprotective effects and is currently used in the treatment of individuals with Alzheimer's disease. In this study, we induced experimental sciatic nerve injury (SCI) in rats to test the beneficial effects of galantamine.
Thirty male Wistar albino rats were divided into three groups, as follows: sham, SCI + saline, and SCI + galantamine. After the administration of an intraperitoneal ketamine and xylazine mixture, which was used for anesthesia, SCI was induced by sur-gical clip compression at the midthigh region of the rats. After surgery, a single daily intraperitoneal dose of galantamine was adminis-tered for 7 days, and nerve tissue sections were obtained 1 week after injury. Histopathology studies were performed to assess neural thickness and apoptotic cell counts, and light microscopic morphological examination was used to determine a potential beneficial effect of galantamine on peripheral nerve degeneration.
We observed a markedly increased microvasculature, increased nerve fiber thickness, and a statistically significant increase in apoptotic cell counts distal to the level of injury in the saline group compared with the sham group. However, the increases in nerve fiber thickness and apoptotic cell counts were less in the galantamine group compared with the saline group.
In our experimental model, pharmacological intervention with galantamine demonstrated a protective effect on degeneration after peripheral nerve injury.
加兰他敏以其神经保护作用而闻名,目前用于治疗阿尔茨海默病患者。在这项研究中,我们诱导大鼠实验性坐骨神经损伤(SCI),以测试加兰他敏的有益效果。
30 只雄性 Wistar 白化大鼠分为三组:假手术组、SCI+盐水组和 SCI+加兰他敏组。在腹腔注射氯胺酮和甲苯噻嗪混合物麻醉后,通过手术夹在大鼠大腿中段区域压迫诱导 SCI。手术后,每天给予大鼠单次腹腔内加兰他敏剂量,损伤后 1 周获取神经组织切片。进行组织病理学研究以评估神经厚度和凋亡细胞计数,并使用光镜形态学检查来确定加兰他敏对周围神经变性的潜在有益作用。
与假手术组相比,盐水组损伤远端的微血管明显增加,神经纤维厚度增加,凋亡细胞计数也有统计学意义增加。然而,与盐水组相比,加兰他敏组的神经纤维厚度和凋亡细胞计数增加较少。
在我们的实验模型中,加兰他敏的药物干预对周围神经损伤后的变性表现出保护作用。