Abstract

BackgroundThe most commonly used experimental model for preclinical studies on peripheral nerve regeneration is the sciatic nerve injury model. However, no experimental study has been conducted to evaluate acute injury modes at the same time.ObjectiveWe conducted sciatic nerve transverse injury, clamp injury, keep epineurium and axon cutting injury, and chemical damage injury in rats to evaluate the degree of damage of the four different injury modes and the degree of self-repair after injury.MethodsThe sciatic nerve transverse injury model, clamp injury model, keep epineurium injury model, and chemical damage injury model were constructed. Then, the sciatic nerve function was assessed using clinical evaluation methods and electrophysiological examinations, as well as immunofluorescence and axonal counting assessments of the reconstructed nerve pathways.ResultsThe evaluations showed that the transverse group had the lowest muscle action potential, sciatic functional index, nociceptive threshold, mechanical threshold, rate of wet gastrocnemius muscle weight, area of muscle fiber, and numbers of myelinated nerve fibers. The chemical group had the highest, while the clamp group and the keep epineurium group had medium.ConclusionTransverse injury models have the most stable effect among all damage models; chemical injury models self-recover quickly and damage incompletely with poor stability of effect; and clamp injury models and keep epineurium injury models have no significant differences in many ways with medium stability.

Highlights

  • Peripheral nerves are nerve tissues which are present outside the brain and the spinal cord

  • Transverse injury models have the most stable effect among all damage models; chemical injury models self-recover quickly and damage incompletely with poor stability of effect; and clamp injury models and keep epineurium injury models have no significant differences in many ways with medium stability

  • Rats were randomly divided into the following five groups (n = 10 each): injury without sciatic nerve; sciatic nerve was transected; sciatic nerve was clamped by a microneedle holder; sciatic nerve epineurium was retained and the tissue within it was transected; and sciatic nerve was injected with lysophosphatidylcholine (LPC)

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Summary

Introduction

Peripheral nerves are nerve tissues which are present outside the brain and the spinal cord. Peripheral nerve injury is a common and potentially harmful clinical injury, with an average of 13–23 cases per 100,000 people per year [1]. Traumatic causes of peripheral nerve injury include penetrating injury, traction or compression, ischemia, shock, and vibration injury. Traction-related injuries, sharp object lacerations, or long bone fractures caused by motor vehicle accidents are the most common causes of injury in life [2]. Many patients treated for peripheral nerve injury still show incomplete recovery during long-term follow-up, often accompanied by partial or total loss of motor, sensory, and autonomic nerve function, as well as intractable neuropathic pain [3]. Peripheral nerve injury brings great physical defects and psychological pressure to patients and causes a serious economic burden to society [4,5]. It is meaningful to focus on exploring the mechanism of nerve tissue regeneration and developing effective treatments for peripheral nerve injury

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