Abstract

Objective To investigate the impact of immediate graft rear of transected nerve root on expression of C-Jun and Bcl-2 mRNA in proximal neurons in young rots.Methods Twenty-four 18-day-old SD rats were divided into two groups.In the nerve root resection group a 0.3 cm segment of C5 nerve root was resected.In the graft repair group resection of a 0.3 cm segment of C5 nerve root was followed by sural nerve grafting.C5 level spihal cord and dorsal root ganglion were harvested 4 weeks postoperatively.Real time reverse transcription polymerase chain reaction(RT-PCR)was carried out to measure the expression of C-Jun and Bcl-2 mRNA in the proximal neurons.Differences between the two groups were compared. Results Compared with C5 resection group,C-Jun mRNA in the proximal motor and sensory neurons of C5 graft repair group was significantly lower while Bcl-2 mRNA was significantly higher. Conclusion The difference in apoptotie gene expression in proximal neurons is likely the molecular mechanism for the neuronal protective effect of nerve grafting in brachial plexus birth palsy. Key words: Brachial plexus; Neurons; Apoptosis; Real time quantitative RT-PCR

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