Jafaripoor M, Delaviz H, Torabi S, Mohammadi J, Gheitasi I. The Effect of Muscle Graft With Nerve Growth Factor and Laminin on Sciatic Nerve Repair in Rats. BCN 2019; 10 (4) :333-344
URL:
http://bcn.iums.ac.ir/article-1-940-en.html
1- Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
2- Herbal Medicine Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
Abstract:
Introduction: Peripheral nerve injury is one of the most common damages that lead to physical disability. Considering the similarity between the coatings of skeletal muscles and nerve fibers, we conducted this research to determine the effect of muscle graft with Nerve Growth Factor (NGF) and Laminin (L) on nerve repair.
Methods: We cut a 10-mm length of the sciatic nerve from 42 female Wistar rats (Weight: 200±250 g) and equally divided the rats into three groups. In the muscle graft+NGF+laminin group, the degenerated skeletal muscle was sutured with proximal and distal ends of the transected sciatic nerve. Then, NGF (100 ng) and laminin (1.28 mg/mL) were injected into the muscle graft. In the muscle graft group, normal saline was injected into the muscle graft. In the control group, 10 mm of the sciatic nerve was removed without any treatment. Functional recovery was assessed based on Sciatic Functional Index (SFI). Also, tracing motor neurons and histological studies were performed to evaluate nerve repair. The obtained data were analyzed by ANOVA test.
Results: The Mean±SD SFI value significantly increased in the muscle graft+NGF+laminin (-76.6±2.9) and muscle graft (-82.1±3.5) groups 60 days after the injury compared to the control group. The Mean±SD number of labeled motor neurons significantly increased in the muscle graft+NGF+laminin (78.6±3.1) and muscle graft (61.3±6.1) groups compared to the control group (P<0.001). The mean number of myelinated axons in the distal segments of the muscle graft+NGF+laminin increased significantly compared to the muscle graft group.
Conclusion: These findings suggest that muscle graft followed by NGF and laminin administration have therapeutic effects on nerve repair.
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Highlights
• Functional or sensory loss may follow peripheral nerve injury.
• Surgical techniques and stimulating nerve growth are necessary to protect nerve regeneration.
• The oriented basement membrane and extracellular matrix component of the autologous degenerated skeletal muscle could conduit the regenerating nerve fibers.
• Nerve growth factor (NGF) has a vital role in the nerve growth and survival of neurons and increase nerve regeneration and remyelination after nerve defect.
• Combination of autologous degenerated skeletal muscle with NGF and laminin has promising treatment in the peripheral nerve injury
Plain Language Summary
Peripheral nerve injury results in disability, limitation of daily living, and higher expenses for the family. This lesion requires a comprehensive treatment that provides both a conduit for nerve conduction and essential materials for nerve growth. Epimysium around the muscle fiber and epineurium around the nerve fiber have the same structure. Both of them are necessary for nerve and muscle survival and their function. In this study, the muscle fiber was removed from the autologous degenerated skeletal muscle and basement membrane, and epimysium was used as a conduit for the interrupted nerve. NGF is a neuropeptide that participated in the regulation of nerve growth, adhesion, migration, neuronal proliferation, and regeneration and remyelination of nerve fiber. Laminin is a component of the basement membrane and act as a surface substrate for nerve repair and produced mainly by Schwann cells. Histological of the distal segment after the transplantation in the region demonstrated that axons could grow and reach the distal part. The study results indicate autologous degenerated skeletal muscle along with NGF and Laminin could provide a useful environment for axonal regeneration and functional recovery.
Type of Study:
Original |
Subject:
Behavioral Neuroscience Received: 2017/04/13 | Accepted: 2018/03/3 | Published: 2019/07/1