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血管内皮细胞联合同种异体神经移植修复长距离大鼠坐骨神经缺损

Role of vascular endothelial cells in repair of rat sciatic nerve defect using acellular nerve allograft

  • 摘要: 目的:探讨血管内皮细胞(EC)联合去细胞同种异体神经移植修复长距离大鼠坐骨神经缺损的效果。方法:80只雌性Sprague-Dawley大鼠,20只取双侧1.5 cm长坐骨神经,Hudson优化法制备去细胞同种异体神经(ANA);60只均于右侧建立1.5 cm长坐骨神经缺损模型,随机分为反转吻合坐骨神经的自体神经(ANG)移植组、ANA移植组及ANA+EC移植组(n=20)。术后1、2、4、12周,每组各取5只进行测试,指标包括:坐骨神经功能指数(SFI)、电生理检查[动作电位潜伏延迟率(LDR)、神经传导速度恢复率(NCVRR)和复合肌动作电位恢复率(CMAPRR)]、最大强直收缩力恢复率(MTFRR)、腓肠肌湿重恢复率(MWRR)、微血管增生率(MVDPR),术后12周甲苯胺蓝染色下测量神经纤维数量、髓鞘厚度、G ratio,并行电镜观察。结果:术后早期,ANA+EC移植组大鼠SFI、MVDPR较ANA移植组改善明显(P<0.05);术后晚期,ANA+EC移植组大鼠CMAPRR、MTFRR、MWRR较ANA移植组恢复更佳(P<0.05);术后12周时,ANA+EC移植组再生神经数量和形态更接近ANG移植组。结论:对于长距离坐骨神经缺损的大鼠模型,使用载血管内皮细胞的去细胞同种异体神经进行神经移植修复,早期肌肉功能优于单独使用去细胞同种异体神经,晚期神经纤维的数量和质量更接近于自体神经移植。

     

    Abstract: Objective:To explore the effect of vascular endothelial cells (EC) in the repair of long sciatic nerve defect in rats using acellular nerve allograft (ANA). Methods:Totally 80 female Sprague. Dawley rats were used in this study, of which 20 rats were sacrificed for the harvest of bilateral sciatic nerves as acellular nerve allograft and prepared according to Hudson's method. The remaining 60 rats were transected on the right sciatic nerve a 1.5 cm defect and evenly divided into three groups, ANG for autologous nerve graft using flipped sciatic nerve, ANA for acellular nerve graft alone, and ANA+EC for ANA loaded with EC. At 1, 2, 4 and 12 weeks after operation, 5 rats from each group were selected for tests including sciatic functional index (SFI), LDR, nerve conduction velocity recovery rate (NCVRR), complex muscle action potential recovery rate (CMAPRR), max traction force recovery rate (MTFRR), gastrocnemius muscle wet weight recovery rate (MWRR) and microvessel density proliferation rate (MVDPR). The nerve fibers, myelin thickness, G ratio and electron microscopic examination were performed at 12 weeks after operation. Results:At early stage after surgery, ANA+EC group showed an increase in SFI and MVDPR compared to ANA group (P<0.05). At later stage after surgery, ANA+EC group showed an increase in CMAPRR, MTFRR, MWRR compared to ANA group (P<0.05). ANA+EC also exhibited more similar morphology to ANG in the long term. Conclusions:In the treatment of long sciatic nerve defect rat model, muscle function is superior in the short term when using ANA+EC compared to using ANA alone. In the long term, the amount and quality of nerve fibers in ANA+EC is more comparable to that in ANG. Thus indicates the possible effect of improvement of nerve regeneration in vascular endothelial cells.

     

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