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常山酮是否影响周围神经损伤后的再生?

Does halofuginone influence regeneration after peripheral nerve injury?

作者信息

Çaydere Muzaffer, Şahin Ömer

机构信息

Department of Pathology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.

Department of Neurosurgery, Bestepe State Hospital, Ankara, 06560, Turkey.

出版信息

J Orthop Surg Res. 2025 Apr 1;20(1):331. doi: 10.1186/s13018-025-05758-4.

DOI:10.1186/s13018-025-05758-4
PMID:40170030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11959954/
Abstract

BACKGROUND

Halofuginone is an antiprotozoal drug with antifibrotic and anti-inflammatory properties. The aim of our study was to determine the effects of halofuginone on nerve recovery in sciatic nerve injury and compare it with steroid treatment.

METHODS

The left sciatic nerves of Sham subjects were exposed without intervention. The nerves of trauma animals were transected and sutured. In the methylprednisolone group and in the trauma group, after nerve transection and repair, 1 mg/kg methylprednisolone per day was administered intraperitoneally for seven days; in the halofuginone group and in the trauma group, after nerve transection and repair, 0.2 mg/kg halofuginone per day was administered orally by gavage for seven days. The rats were functionally evaluated at 4 and 8 weeks through walking path analysis. Pathological-morphometric, immunostaining-quantitative, and muscle weight measurements were performed at 8 weeks.

RESULTS

Compared with the trauma group, the methylprednisolone and the halofuginone groups had better functional outcomes (p < 0.001). Statistically significant difference was found in comparisons of the pathological and immunostaining results of the methylprednisolone and halofuginone groups (Respectively, nerve diameter (p = 0.007) and edema (P = 0.009)).

CONCLUSION

Halofuginone positively contributed to recovery after sciatic nerve injury.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

常山酮是一种具有抗纤维化和抗炎特性的抗原虫药物。我们研究的目的是确定常山酮对坐骨神经损伤后神经恢复的影响,并将其与类固醇治疗进行比较。

方法

假手术组动物的左侧坐骨神经暴露但不进行干预。创伤组动物的神经被切断并缝合。在甲基泼尼松龙组和创伤组中,神经切断并修复后,每天腹腔注射1mg/kg甲基泼尼松龙,持续7天;在常山酮组和创伤组中,神经切断并修复后,每天经口灌胃给予0.2mg/kg常山酮,持续7天。在4周和8周时通过行走路径分析对大鼠进行功能评估。在8周时进行病理形态学、免疫染色定量和肌肉重量测量。

结果

与创伤组相比,甲基泼尼松龙组和常山酮组的功能结局更好(p < 0.001)。甲基泼尼松龙组和常山酮组的病理和免疫染色结果比较存在统计学显著差异(分别为神经直径(p = 0.007)和水肿(P = 0.009))。

结论

常山酮对坐骨神经损伤后的恢复有积极作用。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/49a190bac623/13018_2025_5758_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/f48def411d8c/13018_2025_5758_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/2118bd9a94a4/13018_2025_5758_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/49a190bac623/13018_2025_5758_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/f48def411d8c/13018_2025_5758_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/462c057d630c/13018_2025_5758_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/8e290a25d869/13018_2025_5758_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/381e72320373/13018_2025_5758_Fig4_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/2118bd9a94a4/13018_2025_5758_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad62/11959954/49a190bac623/13018_2025_5758_Fig7_HTML.jpg

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本文引用的文献

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Turk Neurosurg. 2023;33(3):437-446. doi: 10.5137/1019-5149.JTN.40989-22.2.
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Evaluation of the effects of berberine in the prevention of epidural fibrosis in rats: An experimental research.评价小檗碱在预防大鼠硬膜外纤维化中的作用:一项实验研究。
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Effects of Theranekron and alpha-lipoic acid combined treatment on GAP-43 and Krox-20 gene expressions and inflammation markers in peripheral nerve injury.
塞来昔布联合α-硫辛酸对周围神经损伤 GAP-43 和 Krox-20 基因表达及炎症标志物的影响。
Ultrastruct Pathol. 2021 May 4;45(3):167-181. doi: 10.1080/01913123.2021.1923600. Epub 2021 Jun 29.
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Current Status of Therapeutic Approaches against Peripheral Nerve Injuries: A Detailed Story from Injury to Recovery.外周神经损伤治疗方法的现状:从损伤到恢复的详细故事。
Int J Biol Sci. 2020 Jan 1;16(1):116-134. doi: 10.7150/ijbs.35653. eCollection 2020.
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Sciatic nerve injury following analgesic drug injection in rats: A histopathological examination.大鼠镇痛药物注射后坐骨神经损伤:组织病理学检查
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Peripheral nerve injury, scarring, and recovery.周围神经损伤、瘢痕和恢复。
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Possible effects of some agents on the injured nerve in obese rats: A stereological and electron microscopic study.一些药物对肥胖大鼠受损神经的可能影响:一项立体学和电子显微镜研究。
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Halofuginone - the multifaceted molecule.常山酮——具有多种功能的分子。
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Points of significance: Nonparametric tests.重要要点:非参数检验。
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