短时间电刺激诱导轴突再生和恢复效率的类型:在横断损伤修复的坐骨神经及其分支胫神经的大鼠模型中的体内比较研究。
Types of Short-Duration Electrical Stimulation-Induced Efficiency in the Axonal Regeneration and Recovery: Comparative in Vivo Study in Rat Model of Repaired Sciatic Nerve and its Tibial Branch after Transection Injury.
机构信息
Electrical Engineering Department, Faculty of Engineering, Ferdowsi University of Mashhad, Azadi Square, Mashhad, Razavi Khorasan Province, 9177948374, Iran.
Biology Department, Faculty of Sciences, Ferdowsi University of Mashhad, Mashhad, Iran.
出版信息
Neurochem Res. 2024 Sep;49(9):2469-2479. doi: 10.1007/s11064-024-04154-4. Epub 2024 Jun 10.
The restoration of adequate function and sensation in nerves following an injury is often insufficient. Electrical stimulation (ES) applied during nerve repair can promote axon regeneration, which may enhance the likelihood of successful functional recovery. However, increasing operation time and complexity are associated with limited clinical use of ES. This study aims to better assess whether short-duration ES types (voltage mode vs. current mode) are able to produce enhanced regenerative activity following peripheral nerve repair in rat models. Wistar rats were randomly divided into 3 groups: no ES (control), 30-minute ES with a current pulse, and 30-minute ES with a voltage pulse. All groups underwent sciatic nerve transection and repair using a silicone tube to bridge the 6-mm gap between the stumps. In the 2 groups other than the control, ES was applied after the surgical repair. Outcomes were evaluated using electrophysiology, histology, and serial walking track analysis. Biweekly walking tracks test over 12 weeks revealed that subjects that underwent ES experienced more rapid functional improvement than subjects that underwent repair alone. Electrophysiological analysis of the newly intratubular sciatic nerve at week 12 revealed strong motor function recovery in rats that underwent 30-minute ES. Histologic analysis of the sciatic nerve and its tibial branch at 12 weeks demonstrated robust axon regrowth in all groups. Both types of short-duration ES applied during nerve repair can promote axon regrowth and enhance the chances of successful functional recovery.
神经损伤后的功能和感觉恢复往往不足。在神经修复过程中施加电刺激 (ES) 可以促进轴突再生,从而提高成功恢复功能的可能性。然而,增加操作时间和复杂性会限制 ES 的临床应用。本研究旨在更好地评估短时间 ES 类型(电压模式与电流模式)是否能够在大鼠模型中促进周围神经修复后的再生活性增强。Wistar 大鼠随机分为 3 组:无 ES(对照组)、电流脉冲 30 分钟 ES 组和电压脉冲 30 分钟 ES 组。所有组均采用硅胶管进行坐骨神经横断和修复,以桥接残端之间 6mm 的间隙。在除对照组之外的 2 组中,在手术后施加 ES。使用电生理学、组织学和连续行走轨迹分析来评估结果。在 12 周的双周行走轨迹测试中,接受 ES 的受试者比单独接受修复的受试者经历了更快的功能改善。在第 12 周对新的管内坐骨神经进行电生理分析表明,接受 30 分钟 ES 的大鼠运动功能恢复强劲。12 周时对坐骨神经及其胫骨分支的组织学分析表明,所有组的轴突均有明显再生。神经修复过程中施加的这两种短时间 ES 都可以促进轴突再生,增加成功恢复功能的机会。