Neuroregenerative effects of preinjury FK-506 administration.
Neuroregenerative effects of preinjury FK-506 administration.
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损伤前 FK-506 给药的神经再生作用。
DOI:
10.1097/01.prs.0000227628.43867.5b
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发表时间:
2006
影响因子:
3.6
通讯作者:
Mackinnon,SusanE
中科院分区:
文献类型:
--
作者:
Snyder,AlisonK;Fox,IdaK;Nichols,ChrisM;Rickman,SusanR;Hunter,DanielA;Tung,ThomasHH;Mackinnon,SusanE
Background:FK-506 is used in organ transplantation because it promotes neurite outgrowth in vitro and enhances neuroregeneration in peripheral nerve injury transection models. Immunosuppressive mechanisms of FK-506 are well defined, with demonstration of decreased neuroregenerative effects with delayed administration. The purpose of this study was to describe the effects of preinjury administration of FK-506 in rats with tibial nerve transection injury.Methods:Eight inbred male Lewis rats per group in three separate groups underwent tibial nerve transection with primary repair. Group I received placebo, group II received FK-506 treatment at 1 day before surgery, and group III received FK-506 preloading 3 days before surgery.Results:Histologic and histomorphometric results demonstrated the preload FK-506 group had superior results compared with the immediate FK-506 group. Both FK-506 groups were superior to the placebo group. The preload FK-506 demonstrated superior regeneration in mean total nerve fiber counts (p< 0.05), greater percentage neural tissue (p< 0.05), greater mean nerve fiber density (p< 0.05), and lower percentage of debris (p> 0.05). Mean nerve fiber widths were similar in the preload and immediate FK-506 groups but superior to the placebo group.Conclusion:These data suggest that enhancement of FK-506’s neuroregenerative effect is enhanced when administered before nerve injury such as when performing elective surgery.