Defining the relative impact of muscle versus Schwann cell denervation on functional recovery after delayed nerve repair

2021 ◽  
Vol 339 ◽  
pp. 113650
Author(s):  
Karim A. Sarhane ◽  
Benjamin R. Slavin ◽  
Nicholas Hricz ◽  
Harsha Malapati ◽  
Yi-nan Guo ◽  
...  
2017 ◽  
Vol 127 (4) ◽  
pp. 843-856 ◽  
Author(s):  
Giulia Ronchi ◽  
Michele Cillino ◽  
Giovanna Gambarotta ◽  
Benedetta Elena Fornasari ◽  
Stefania Raimondo ◽  
...  

OBJECTIVEMultiple factors may affect functional recovery after peripheral nerve injury, among them the lesion site and the interval between the injury and the surgical repair. When the nerve segment distal to the lesion site undergoes chronic degeneration, the ensuing regeneration (when allowed) is often poor. The aims of the current study were as follows: 1) to examine the expression changes of the neuregulin 1/ErbB system during long-term nerve degeneration; and 2) to investigate whether a chronically denervated distal nerve stump can sustain nerve regeneration of freshly axotomized axons.METHODSThis study used a rat surgical model of delayed nerve repair consisting of a cross suture between the chronically degenerated median nerve distal stump and the freshly axotomized ulnar proximal stump. Before the suture, a segment of long-term degenerated median nerve stump was harvested for analysis. Functional, morphological, morphometric, and biomolecular analyses were performed.RESULTSThe results showed that neuregulin 1 is highly downregulated after chronic degeneration, as well as some Schwann cell markers, demonstrating that these cells undergo atrophy, which was also confirmed by ultrastructural analysis. After delayed nerve repair, it was observed that chronic degeneration of the distal nerve stump compromises nerve regeneration in terms of functional recovery, as well as the number and size of regenerated myelinated fibers. Moreover, neuregulin 1 is still downregulated after delayed regeneration.CONCLUSIONSThe poor outcome after delayed nerve regeneration might be explained by Schwann cell impairment and the consequent ineffective support for nerve regeneration. Understanding the molecular and biological changes occurring both in the chronically degenerating nerve and in the delayed nerve repair may be useful to the development of new strategies to promote nerve regeneration. The results suggest that neuregulin 1 has an important role in Schwann cell activity after denervation, indicating that its manipulation might be a good strategy for improving outcome after delayed nerve repair.


2018 ◽  
Vol 64 (4) ◽  
pp. 601-610 ◽  
Author(s):  
Po-Yen Ko ◽  
Cheng-Chang Yang ◽  
Yao-Lung Kuo ◽  
Fong-Chin Su ◽  
Tai-I Hsu ◽  
...  

1987 ◽  
Vol 12 (2) ◽  
pp. 211-217
Author(s):  
MARIE A. BADALAMENTE ◽  
L. C. HURST ◽  
S. B. PAUL ◽  
A. STRACHER

This investigation describes the use of the calcium-activated protease inhibitor, leupeptin, as an adjunctive therapy to the microsurgical repair of median nerves in a primate model. Our results indicate that leupeptin facilitates morphological recovery in denervated thenar muscles and in distal sensory and mixed motor-sensory nerve trunks and functional recovery measured by motor nerve conduction velocity. Toxicological testing of leupeptin showed that, when administered at a dose of 12mg/kg, intramuscularly, once daily, haematological and clotting profiles were not adversely affected.


2020 ◽  
Vol 231 (4) ◽  
pp. e182
Author(s):  
Karim A. Sarhane ◽  
Benjamin R. Slavin ◽  
Nicholas W. Hricz ◽  
Harsha Malapati ◽  
Yi-nan Guo ◽  
...  

2005 ◽  
Vol 489 (2) ◽  
pp. 249-259 ◽  
Author(s):  
Stefania Raimondo ◽  
Silvia Nicolino ◽  
Pierluigi Tos ◽  
Bruno Battiston ◽  
Maria G. Giacobini-Robecchi ◽  
...  

2006 ◽  
Vol 198 (2) ◽  
pp. 500-510 ◽  
Author(s):  
Kirsten A. Eberhardt ◽  
Andrey Irintchev ◽  
Abdulhakeem A. Al-Majed ◽  
Olga Simova ◽  
Thomas M. Brushart ◽  
...  

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Dayu Pan ◽  
Yongjin Li ◽  
Fuhan Yang ◽  
Zenghui Lv ◽  
Shibo Zhu ◽  
...  

Abstract Background Traumatic spinal cord injury (SCI) is a severely disabling disease that leads to loss of sensation, motor, and autonomic function. As exosomes have great potential in diagnosis, prognosis, and treatment of SCI because of their ability to easily cross the blood–brain barrier, the function of Schwann cell-derived exosomes (SCDEs) is still largely unknown. Methods A T10 spinal cord contusion was established in adult female mice. SCDEs were injected into the tail veins of mice three times a week for 4 weeks after the induction of SCI, and the control group was injected with PBS. High-resolution transmission electron microscope and western blot were used to characterize the SCDEs. Toll-like receptor 2 (TLR2) expression on astrocytes, chondroitin sulfate proteoglycans (CSPGs) deposition and neurological function recovery were measured in the spinal cord tissues of each group by immunofluorescence staining of TLR2, GFAP, CS56, 5-HT, and β-III-tublin, respectively. TLR2f/f mice were crossed to the GFAP-Cre strain to generate astrocyte specific TLR2 knockout mice (TLR2−/−). Finally, western blot analysis was used to determine the expression of signaling proteins and IKKβ inhibitor SC-514 was used to validate the involved signaling pathway. Results Here, we found that TLR2 increased significantly on astrocytes post-SCI. SCDEs treatment can promote functional recovery and induce the expression of TLR2 on astrocytes accompanied with decreased CSPGs deposition. The specific knockout of TLR2 on astrocytes abolished the decreasing CSPGs deposition and neurological functional recovery post-SCI. In addition, the signaling pathway of NF-κB/PI3K involved in the TLR2 activation was validated by western blot. Furthermore, IKKβ inhibitor SC-514 was also used to validate this signaling pathway. Conclusion Thus, our results uncovered that SCDEs can promote functional recovery of mice post-SCI by decreasing the CSPGs deposition via increasing the TLR2 expression on astrocytes through NF-κB/PI3K signaling pathway.


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