2003, Number 1
<< Back Next >>
Rev Mex Pediatr 2003; 70 (1)
Effect of the direct administration of hyaluronic acid in the regeneration of a sectioned peripheral nerve
Silva CA, Soriano RRE, Beatriz E Pérez Guillé, Sicilia AG, Vigueras VRM, Reyes TG
Language: Spanish
References: 21
Page: 14-18
PDF size: 152.00 Kb.
ABSTRACT
Previous studies have shown the re-establishment of the function of a sectioned sciatic nerve by the application of nerve growth factors that increase the number of axonal connections and the thickness of the myelin sheath. The aim of this study was to assess the regeneration of the sectioned sciatic nerve and its function by the direct application of hyaluronic acid. A total of 45 Wistar rats weighing 250-300 g were used and divided into three groups of 15 rats each. Group 1 was used as the healthy control group, group 2 was administered physiologic saline solution at the plasty site and group 3 received 20% hyaluronic acid on the sectioned area. All groups were subjected to gait tests at 5 weeks. Group 1 showed differences in: sensitivity, tarsal movement, finger opening and grasping compared to groups 2 and 3. The histologic analysis showed that the animals in group 3 had a greater number of axons connected compared with group 2. We believe the direct use of injected hyaluronic acid improves the regeneration process of the sectioned sciatic nerve in the rat.
REFERENCES
Kontoleon-Vakalopoulou E, Apostolakis M, Bountzioukas S, Stergiou MV. Effects of growth hormone and triodothyronine administration of the localization of C-Dglucose. J End Invest 1985; 8: 121-125.
Kanje M, Skottner A, Lundborg G. Effects of growth hormone treatment on the regeneration of rat sciatic nerve. Brain Res 1988; 475: 254-258.
Zamboni WA, Brown RE, Roth AC, Mathur A, Stephenson LL. Functional evaluation of peripheral-nerve repair and the effect of hyperbaric oxygen. J Reconst Microsurg 1995; 11(1): 27-30.
Santos PM, Zamboni WA, Williams SL, Covey JF, Kienstra MA. Hyperbaric oxygen treatment after rat peroneal nerve transection and entubulation. Otolaryng-head and Neck Surg 1996; 114(3): 424-434.
Kanje M, Lundborg G, Edström A. A new method for studies of the effects of locally applied drugs on peripheral nerve regeneration in vivo. Brain Res 1988; 439: 116-121.
Seckel BR, Jones D, Hekimian KJ, Wang KK, Chakalis DP, Costas PD. Hyaluronic acid through a new injectable nerve guide delivery system enhances peripheral nerve regeneration in the rat. J Neur Res 1995; 40: 318-324.
Mast BA, Haynes JH, Kummel TM, Diegelman RF, Cohen K. In vivo degradation of fetal wound hyaluronic acid results in increased fibroplasia, collagen deposition, and neovascularization. Plast Recons Surg 1992; 89(3): 503-509.
Klüver H, Barrera EJ. Neuropath Exp. Neurol 1953; 12: 400-403.
Kujawa MJ, Pechak DG, Fiszman MY, Caplan AL. Hyaluronic acid bonded to cell culture surfaces inhibits the program of myogenesis. Develop Biol 1986; 113: 10-16.
Sawai T, Usui N, Sando K, Fukui Y, Kamata S, Okada A, Taniguchi N, Itano N, Kimata K. Hyaluronic acid of wound fluid in adult and fetal rabbits. J Pediat Surg 1997; 32(1): 41-43.
Wagner R, Deleo JA, Heckman HM, Myers RR. Peripheral nerve pathology following sciatic cryoneurolysis: Relationship to neuropathic behaviors in the rat. Exp Neurol 1995; 1335, 256-264.
Yoneda M, Suzuki S, Kimata K. Hyaluronic acid associated with the surfaces of cultured fibroblasts is linked to a serum-derived 85-kDa protein. J Biol Chem 1990; 265(9): 5247-5257.
Pascoe MK, Silbert PL, Stolp-Smith KA. Stimulus-induced repetitive discharges of long latency: axonal loop reflexes. Muscle & Nerve 1995; 18(8): 927-928.
Coderre TJ, Grimes RW, Melzack R. Deafferentation and chronic pain in animals: an evaluation of evidence suggesting autotomy is related to pain. Pain 1986; 26: 61-84.
DeLeo JA, Coombs DW, Willenbring S, Colburn RW, Fromm C, Wagner R, Twitcchell BB. Characterization of a neuropathic pain model: sciatic cryoneurolysis in the rat. Pain 1994; 56: 9-16.
Politis MJ, Ederle K, Spencer PS. Tropism in nerve regeneration in vivo. Attraction of regenerating axons by diffusible factors derived from cells in distal nerve stumps of transected peripheral nerves. Brain Res 1982; 253: 1-2.
Decker M, Chiu ES, Dollbaum C, Moiin A, Hall J, Spendlove R, Longaker MT, Stern R. Hyaluronic acid- stimulation activity in sera from the bovine fetus and from breast cancer patients. Cancer Res 1989; 49: 3499-3505.
Hooker GD, Taylor BM, Facs F, Driman DK. Prevention of adhesion formation with use of sodium hyaluronate-based bioreabsorbable membrane in rat model of ventral hernia repair with polypropylene mesh-A randomized, controlled study. Surg 1999; 125(2): 211-216.
Mohammad JA, Warnke PH, Pan YC. Increased axonal regeneration through a biodegradable amniotic tube nerve conduit: Effect of local delivery and incorporation of nerve growth factor/hyaluronic acid media. Ann Plast Surg 2000; 44(1): 59-64.
Collier JH, Camp JP, Hudson TW. Synthesis and characterization of polypyrole-hyaluronic acid composite biomaterials for tissue engineering applications. J Biomed Mater Res 2000; 50(4): 574-84.
Wang KK, Nemeth IR, Seckel BR. Hyaluronic acid enhances peripheral nerved regeneration in vivo. Microsurgery 1998; 18(4): 270-5.