Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (49): 7982-7987.doi: 10.3969/j.issn.2095-4344.2015.49.019

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Establishing rat models of sciatic nerve injury: repair effect of spinal cord electrical stimulation versus local nerve electrical stimulation

Pei Bao-an1, Zi Jin-hua1, Wu Li-sheng1, Zhang Cun-hua1, Chen Yun-zhen2   

  1. 1Second Department of Trauma, Linyi People’s Hospital, Linyi 276000, Shandong Province, China; 2Qilu Hospital of Shandong University, Jinan 250012, Shandong Province, China
  • Received:2015-09-07 Online:2015-11-30 Published:2015-11-30
  • Contact: Wu Li-sheng, Master, Chief physician, Master’s supervisor, Second Department of Trauma, Linyi People’s Hospital, Linyi 276000, Shandong Province, China
  • About author:Pei Bao-an, Studying for doctorate, Attending physician, Second Department of Trauma, Linyi People’s Hospital, Linyi 276000, Shandong Province, China
  • Supported by:

    the Science and Technology Research Project of Linyi City, China, No.201313026

Abstract:

BACKGROUND: After peripheral nerve injury, the nerve fibers distal to the injury site exhibited Wallerian degeneration, and neuronal apoptosis also appeared in the spinal cord segments proximal to the injury site, which inhibit axonal regeneration and affect the repair effect of nerve injury. At present, most researches of peripheral nerve injury are limited to the repair and stimulation of local injured nerve, and little is reported on neuron cell body in the nerve fibers proximal to the injury site.
OBJECTIVE: To compare the efficacy on the treatment of peripheral nerve injury between spinal cord electrical 
 
stimulation and local nerve electrical stimulation, and investigate the mechanisms of promoting peripheral nerve injury repair by spinal cord electrical stimulation.
METHODS: Rats were divided into 3 groups according to the random number table: spinal cord electricalstimulation, local nerve electrical stimulation and control groups (n=15 rats/group). Rat models of sciatic nerve injury were established in three groups. Sciatic functional index, triceps wet weight, spinal cord neuron count and ultrastructure, myelin sheath thickness of regenerating nerve fibers and conduction velocity of rats in three groups were measured at different time points after modeling.
RESULTS AND CONCLUSION: At 2 weeks after modeling, rat sciatic functional index was significantly higher in the spinal cord electrical stimulation group or local nerve electrical stimulation group than in the control group (P < 0.05). At 4, 6 and 8 weeks after modeling, rat sciatic functional index was highest in the spinal cord electrical stimulation group, followed by the local nerve electrical stimulation group, and lowest in the control group (P < 0.05). At 2 weeks after modeling, rat triceps wet weight was significantly greater in the spinal cord electrical stimulation group or local nerve electrical stimulation group than in the control group (P < 0.05). At 4 and 8 weeks after modeling, rat triceps wet weight was highest in the spinal cord electrical stimulation group, followed by the local nerve electrical stimulation group, and lowest in the control group (P < 0.05). At 2, 4 and 8 weeks after modeling, spinal cord anterior horn neuron counts were highest in the spinal cord stimulation group, followed by the local nerve electrical stimulation group, and lowest in the control group (P < 0.05). At 4 and 8 weeks after modeling, myelin sheath thickness of regenerating nerve fibers and conduction velocity of sciatic nerve were highest in the spinal cord electrical stimulation group, followed by the local nerve electrical stimulation group, and lowest in the control group (all P < 0.05). These results suggest that electrical stimulation to the corresponding spinal cord segments after peripheral nerve injury can effectively prevent neuronal apoptosis in the central nervous system, promote axonal regeneration and neurological function recovery, and the results are better than those produced by local nerve electrical stimulation.  

 

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