Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats

Exogenous discharge can positively promote nerve repair. We, therefore, hypothesized that endogenous discharges may have similar effects. The phrenic nerve and intercostal nerve, controlled by the respiratory center, can emit regular nerve impulses; therefore these endogenous automatically dischargi...

Full description

Bibliographic Details
Main Authors: Jing Rui, Ya-Li Xu, Xin Zhao, Ji-Feng Li, Yu-Dong Gu, Jie Lao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Neural Regeneration Research
Subjects:
Online Access:http://www.nrronline.org/article.asp?issn=1673-5374;year=2018;volume=13;issue=5;spage=862;epage=868;aulast=Rui
_version_ 1828530489416220672
author Jing Rui
Ya-Li Xu
Xin Zhao
Ji-Feng Li
Yu-Dong Gu
Jie Lao
author_facet Jing Rui
Ya-Li Xu
Xin Zhao
Ji-Feng Li
Yu-Dong Gu
Jie Lao
author_sort Jing Rui
collection DOAJ
description Exogenous discharge can positively promote nerve repair. We, therefore, hypothesized that endogenous discharges may have similar effects. The phrenic nerve and intercostal nerve, controlled by the respiratory center, can emit regular nerve impulses; therefore these endogenous automatically discharging nerves might promote nerve regeneration. Action potential discharge patterns were examined in the diaphragm, external intercostal and latissimus dorsi muscles of rats. The phrenic and intercostal nerves showed rhythmic clusters of discharge, which were consistent with breathing frequency. From the first to the third intercostal nerves, spontaneous discharge amplitude was gradually increased. There was no obvious rhythmic discharge in the thoracodorsal nerve. Four animal groups were performed in rats as the musculocutaneous nerve cut and repaired was bland control. The other three groups were followed by a side-to-side anastomosis with the phrenic nerve, intercostal nerve and thoracodorsal nerve. Compound muscle action potentials in the biceps muscle innervated by the musculocutaneous nerve were recorded with electrodes. The tetanic forces of ipsilateral and contralateral biceps muscles were detected by a force displacement transducer. Wet muscle weight recovery rate was measured and pathological changes were observed using hematoxylin-eosin staining. The number of nerve fibers was observed using toluidine blue staining and changes in nerve ultrastructure were observed using transmission electron microscopy. The compound muscle action potential amplitude was significantly higher at 1 month after surgery in phrenic and intercostal nerve groups compared with the thoracodorsal nerve and blank control groups. The recovery rate of tetanic tension and wet weight of the right biceps were significantly lower at 2 months after surgery in the phrenic nerve, intercostal nerve, and thoracodorsal nerve groups compared with the negative control group. The number of myelinated axons distal to the coaptation site of the musculocutaneous nerve at 1 month after surgery was significantly higher in phrenic and intercostal nerve groups than in thoracodorsal nerve and negative control groups. These results indicate that endogenous autonomic discharge from phrenic and intercostal nerves can promote nerve regeneration in early stages after brachial plexus injury.
first_indexed 2024-12-11T22:23:54Z
format Article
id doaj.art-1ae44cddc6ed4f5aa973c24f783aad66
institution Directory Open Access Journal
issn 1673-5374
language English
last_indexed 2024-12-11T22:23:54Z
publishDate 2018-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Neural Regeneration Research
spelling doaj.art-1ae44cddc6ed4f5aa973c24f783aad662022-12-22T00:48:21ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53742018-01-0113586286810.4103/1673-5374.232482Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in ratsJing RuiYa-Li XuXin ZhaoJi-Feng LiYu-Dong GuJie LaoExogenous discharge can positively promote nerve repair. We, therefore, hypothesized that endogenous discharges may have similar effects. The phrenic nerve and intercostal nerve, controlled by the respiratory center, can emit regular nerve impulses; therefore these endogenous automatically discharging nerves might promote nerve regeneration. Action potential discharge patterns were examined in the diaphragm, external intercostal and latissimus dorsi muscles of rats. The phrenic and intercostal nerves showed rhythmic clusters of discharge, which were consistent with breathing frequency. From the first to the third intercostal nerves, spontaneous discharge amplitude was gradually increased. There was no obvious rhythmic discharge in the thoracodorsal nerve. Four animal groups were performed in rats as the musculocutaneous nerve cut and repaired was bland control. The other three groups were followed by a side-to-side anastomosis with the phrenic nerve, intercostal nerve and thoracodorsal nerve. Compound muscle action potentials in the biceps muscle innervated by the musculocutaneous nerve were recorded with electrodes. The tetanic forces of ipsilateral and contralateral biceps muscles were detected by a force displacement transducer. Wet muscle weight recovery rate was measured and pathological changes were observed using hematoxylin-eosin staining. The number of nerve fibers was observed using toluidine blue staining and changes in nerve ultrastructure were observed using transmission electron microscopy. The compound muscle action potential amplitude was significantly higher at 1 month after surgery in phrenic and intercostal nerve groups compared with the thoracodorsal nerve and blank control groups. The recovery rate of tetanic tension and wet weight of the right biceps were significantly lower at 2 months after surgery in the phrenic nerve, intercostal nerve, and thoracodorsal nerve groups compared with the negative control group. The number of myelinated axons distal to the coaptation site of the musculocutaneous nerve at 1 month after surgery was significantly higher in phrenic and intercostal nerve groups than in thoracodorsal nerve and negative control groups. These results indicate that endogenous autonomic discharge from phrenic and intercostal nerves can promote nerve regeneration in early stages after brachial plexus injury.http://www.nrronline.org/article.asp?issn=1673-5374;year=2018;volume=13;issue=5;spage=862;epage=868;aulast=Ruinerve regeneration; endogenous automatic discharge; side-to-side nerve anastomosis; peripheral nerve regeneration; phrenic nerve; intercostal nerve; peripheral nerve injury; neural regeneration
spellingShingle Jing Rui
Ya-Li Xu
Xin Zhao
Ji-Feng Li
Yu-Dong Gu
Jie Lao
Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
Neural Regeneration Research
nerve regeneration; endogenous automatic discharge; side-to-side nerve anastomosis; peripheral nerve regeneration; phrenic nerve; intercostal nerve; peripheral nerve injury; neural regeneration
title Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
title_full Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
title_fullStr Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
title_full_unstemmed Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
title_short Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
title_sort phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats
topic nerve regeneration; endogenous automatic discharge; side-to-side nerve anastomosis; peripheral nerve regeneration; phrenic nerve; intercostal nerve; peripheral nerve injury; neural regeneration
url http://www.nrronline.org/article.asp?issn=1673-5374;year=2018;volume=13;issue=5;spage=862;epage=868;aulast=Rui
work_keys_str_mv AT jingrui phrenicandintercostalnerveswithrhythmicdischargecanpromoteearlynerveregenerationafterbrachialplexusrepairinrats
AT yalixu phrenicandintercostalnerveswithrhythmicdischargecanpromoteearlynerveregenerationafterbrachialplexusrepairinrats
AT xinzhao phrenicandintercostalnerveswithrhythmicdischargecanpromoteearlynerveregenerationafterbrachialplexusrepairinrats
AT jifengli phrenicandintercostalnerveswithrhythmicdischargecanpromoteearlynerveregenerationafterbrachialplexusrepairinrats
AT yudonggu phrenicandintercostalnerveswithrhythmicdischargecanpromoteearlynerveregenerationafterbrachialplexusrepairinrats
AT jielao phrenicandintercostalnerveswithrhythmicdischargecanpromoteearlynerveregenerationafterbrachialplexusrepairinrats