Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury

This study was designed to compare the effects of various doses of botulinum neurotoxin A (BoNT/A) on nerve regeneration. Sixty-five six-week-old rats with sciatic nerve injury were randomly allocated to three experimental groups, a control group, and a sham group. The experimental groups received a...

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Main Authors: Seokjoon Hwang, Minsu Seo, Tae Heon Lee, Ho Jun Lee, Jin-woo Park, Bum Sun Kwon, Kiyeun Nam
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/15/12/691
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author Seokjoon Hwang
Minsu Seo
Tae Heon Lee
Ho Jun Lee
Jin-woo Park
Bum Sun Kwon
Kiyeun Nam
author_facet Seokjoon Hwang
Minsu Seo
Tae Heon Lee
Ho Jun Lee
Jin-woo Park
Bum Sun Kwon
Kiyeun Nam
author_sort Seokjoon Hwang
collection DOAJ
description This study was designed to compare the effects of various doses of botulinum neurotoxin A (BoNT/A) on nerve regeneration. Sixty-five six-week-old rats with sciatic nerve injury were randomly allocated to three experimental groups, a control group, and a sham group. The experimental groups received a single session of intraneural BoNT/A (3.5, 7.0, or 14 U/kg) injection immediately after nerve-crushing injury. The control group received normal intraneural saline injections after sciatic nerve injury. At three, six, and nine weeks after nerve damage, immunofluorescence staining, an ELISA, and toluidine blue staining was used to evaluate the regenerated nerves. Serial sciatic functional index analyses and electrophysiological tests were performed every week for nine weeks. A higher expression of GFAP, S100β, GAP43, NF200, BDNF, and NGF was seen in the 3.5 U/kg and 7.0 U/kg BoNT/A groups. The average area and myelin thickness were significantly greater in the 3.5 U/kg and 7.0 U/kg BoNT/A groups. The sciatic functional index and compound muscle action potential amplitudes exhibited similar trends. These findings indicate that the 3.5 U/kg and 7.0 U/kg BoNT/A groups exhibited better nerve regeneration than the 14 U/kg BoNT/A and control group. As the 3.5 U/kg and the 7.0 U/kg BoNT/A groups exhibited no statistical difference, we recommend using 3.5 U/kg BoNT/A for its cost-effectiveness.
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spelling doaj.art-24fd592b00854cd2bbfee317522103b42023-12-22T14:46:17ZengMDPI AGToxins2072-66512023-12-01151269110.3390/toxins15120691Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve InjurySeokjoon Hwang0Minsu Seo1Tae Heon Lee2Ho Jun Lee3Jin-woo Park4Bum Sun Kwon5Kiyeun Nam6Department of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaDepartment of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaDepartment of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaDepartment of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaDepartment of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaDepartment of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaDepartment of Physical Medicine & Rehabilitation, Dongguk University College of Medicine, Goyang 10326, Republic of KoreaThis study was designed to compare the effects of various doses of botulinum neurotoxin A (BoNT/A) on nerve regeneration. Sixty-five six-week-old rats with sciatic nerve injury were randomly allocated to three experimental groups, a control group, and a sham group. The experimental groups received a single session of intraneural BoNT/A (3.5, 7.0, or 14 U/kg) injection immediately after nerve-crushing injury. The control group received normal intraneural saline injections after sciatic nerve injury. At three, six, and nine weeks after nerve damage, immunofluorescence staining, an ELISA, and toluidine blue staining was used to evaluate the regenerated nerves. Serial sciatic functional index analyses and electrophysiological tests were performed every week for nine weeks. A higher expression of GFAP, S100β, GAP43, NF200, BDNF, and NGF was seen in the 3.5 U/kg and 7.0 U/kg BoNT/A groups. The average area and myelin thickness were significantly greater in the 3.5 U/kg and 7.0 U/kg BoNT/A groups. The sciatic functional index and compound muscle action potential amplitudes exhibited similar trends. These findings indicate that the 3.5 U/kg and 7.0 U/kg BoNT/A groups exhibited better nerve regeneration than the 14 U/kg BoNT/A and control group. As the 3.5 U/kg and the 7.0 U/kg BoNT/A groups exhibited no statistical difference, we recommend using 3.5 U/kg BoNT/A for its cost-effectiveness.https://www.mdpi.com/2072-6651/15/12/691botulinum toxinperipheral nerve injuryneural regenerationfunctional recovery
spellingShingle Seokjoon Hwang
Minsu Seo
Tae Heon Lee
Ho Jun Lee
Jin-woo Park
Bum Sun Kwon
Kiyeun Nam
Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury
Toxins
botulinum toxin
peripheral nerve injury
neural regeneration
functional recovery
title Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury
title_full Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury
title_fullStr Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury
title_full_unstemmed Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury
title_short Comparison of the Effects of Botulinum Toxin Doses on Nerve Regeneration in Rats with Experimentally Induced Sciatic Nerve Injury
title_sort comparison of the effects of botulinum toxin doses on nerve regeneration in rats with experimentally induced sciatic nerve injury
topic botulinum toxin
peripheral nerve injury
neural regeneration
functional recovery
url https://www.mdpi.com/2072-6651/15/12/691
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