Abstract | OBJECT: Local administration of insulin-like growth factor-I ( IGF-I) has been shown to increase the rate of axon regeneration in crush-injured and freeze-injured rat sciatic nerves. Local administration of platelet-rich plasma (PRP) has been also shown to have a measurable effect on facial nerve regeneration after transection in a rat model. The objective of the study was to compare the effects of locally administered IGF-I and PRP on the parameters of the Sciatic Function Index (SFI), sensory function (SF), axon count, and myelin thickness/axon diameter ratio (G-ratio) in a rat model of crush-injured sciatic nerves. METHODS: The right sciatic nerve of Wistar albino rats (24 animals) was crushed using a Yasargil- Phynox aneurysm clip for 45 minutes. All animals were randomly divided into 3 groups: Group 1 (control group) was treated with saline, Group 2 was treated with IGF-I, and Group 3 was treated with PRP. Injections were performed using the tissue expander's injection port with a connecting tube directed at the crush-injured site. Functional recovery was assessed with improvement in the SFI. Recovery of sensory function was using the pinch test. Histopathological examination was performed 3 months after the injury. RESULTS: The SFI showed an improved functional recovery in the IGF-I-treated animals (Group 2) compared with the saline-treated animals (Group 1) 30 days after the injury. In IGF-I-treated rats, sensory function returned to the baseline level significantly faster than in saline-treated and PRP-treated rats as shown in values between SF-2 and SF-7. The G-ratios were found to be significantly higher in both experimental groups than in the control group. CONCLUSIONS: This study suggests that the application of IGF-I to the crush-injured site may expedite the functional recovery of paralyzed muscle by increasing the rate of axon regeneration.
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Authors | Erhan Emel, Selma Sönmez Ergün, Dilcan Kotan, Esra Başar Gürsoy, Yeşim Parman, Asli Zengin, Asiye Nurten |
Journal | Journal of neurosurgery
(J Neurosurg)
Vol. 114
Issue 2
Pg. 522-8
(Feb 2011)
ISSN: 1933-0693 [Electronic] United States |
PMID | 21029038
(Publication Type: Journal Article)
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Chemical References |
- Insulin-Like Growth Factor I
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Topics |
- Animals
- Axons
(drug effects, pathology)
- Insulin-Like Growth Factor I
(pharmacology, therapeutic use)
- Motor Activity
(drug effects, physiology)
- Nerve Crush
- Nerve Regeneration
(drug effects, physiology)
- Platelet-Rich Plasma
- Random Allocation
- Rats
- Rats, Wistar
- Recovery of Function
- Sciatic Nerve
(drug effects, injuries, pathology, physiopathology)
- Sciatic Neuropathy
(pathology, physiopathology, therapy)
- Statistics, Nonparametric
- Treatment Outcome
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