Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair

Aims and Objectives: To investigate and compare the effects of hyaluronic acid (HA), tacrolimus (FK-506) and saline on peripheral nerve regeneration in vivo after topical application at the site of nerve repair. Materials and Methods: In the present study, 48 adult male European rabbits (Oryctolagus...

Full description

Bibliographic Details
Main Authors: Agon Y Mekaj, Arsim A Morina, Suzana Manxhuka-Kerliu, Burim Neziri, Shkelzen B Duci, Vera Kukaj, Iliriana Miftari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Nigerian Postgraduate Medical Journal
Subjects:
Online Access:http://www.npmj.org/article.asp?issn=1117-1936;year=2015;volume=22;issue=3;spage=179;epage=184;aulast=Mekaj
_version_ 1828430181466898432
author Agon Y Mekaj
Arsim A Morina
Suzana Manxhuka-Kerliu
Burim Neziri
Shkelzen B Duci
Vera Kukaj
Iliriana Miftari
author_facet Agon Y Mekaj
Arsim A Morina
Suzana Manxhuka-Kerliu
Burim Neziri
Shkelzen B Duci
Vera Kukaj
Iliriana Miftari
author_sort Agon Y Mekaj
collection DOAJ
description Aims and Objectives: To investigate and compare the effects of hyaluronic acid (HA), tacrolimus (FK-506) and saline on peripheral nerve regeneration in vivo after topical application at the site of nerve repair. Materials and Methods: In the present study, 48 adult male European rabbits (Oryctolagus cuniculus), ranging in weight from 2.5 to 3 kg, were randomly assigned to three experimental groups: Group I (saline), Group II (HA) and Group III (FK-506). After transection and immediate repair of the right sciatic nerve of each rabbit, the nerve repair sites were wrapped with an absorbable gelatin sponge soaked that contained saline, HA and FK-506 in Groups I, II and III, respectively. The left hind leg was used as a control. To evaluate the effects of HA and FK-506 on nerve regeneration, electrophysiological measurements were acquired at 6 and 12 weeks after nerve repair and toe-spreading index (TSI) experiments were conducted at 4, 8 and 12 weeks after nerve repair. Results: Motor nerve conduction velocity (MNCV) was improved in Groups II and III compared to Group I, but no differences between Groups II and III were observed. After 12 weeks, however, the MNCV in Groups I, II and III was 40.04%, 51.16% and 50.42%, respectively, of that in the control group (100%). In addition, at 12 weeks, Grade 4 TSI scores were observed in Groups II and III. Conclusion: Electrophysiological analyses and functional evaluations based on the TSI indicate that HA and FK-506 exert similar, positive effects on nerve regeneration that are superior to those observed in response to saline treatment.
first_indexed 2024-12-10T17:44:50Z
format Article
id doaj.art-913089d95b8844f583ef3aafb11f45f2
institution Directory Open Access Journal
issn 1117-1936
2468-6875
language English
last_indexed 2024-12-10T17:44:50Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Nigerian Postgraduate Medical Journal
spelling doaj.art-913089d95b8844f583ef3aafb11f45f22022-12-22T01:39:16ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752015-01-0122317918410.4103/1117-1936.170738Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repairAgon Y MekajArsim A MorinaSuzana Manxhuka-KerliuBurim NeziriShkelzen B DuciVera KukajIliriana MiftariAims and Objectives: To investigate and compare the effects of hyaluronic acid (HA), tacrolimus (FK-506) and saline on peripheral nerve regeneration in vivo after topical application at the site of nerve repair. Materials and Methods: In the present study, 48 adult male European rabbits (Oryctolagus cuniculus), ranging in weight from 2.5 to 3 kg, were randomly assigned to three experimental groups: Group I (saline), Group II (HA) and Group III (FK-506). After transection and immediate repair of the right sciatic nerve of each rabbit, the nerve repair sites were wrapped with an absorbable gelatin sponge soaked that contained saline, HA and FK-506 in Groups I, II and III, respectively. The left hind leg was used as a control. To evaluate the effects of HA and FK-506 on nerve regeneration, electrophysiological measurements were acquired at 6 and 12 weeks after nerve repair and toe-spreading index (TSI) experiments were conducted at 4, 8 and 12 weeks after nerve repair. Results: Motor nerve conduction velocity (MNCV) was improved in Groups II and III compared to Group I, but no differences between Groups II and III were observed. After 12 weeks, however, the MNCV in Groups I, II and III was 40.04%, 51.16% and 50.42%, respectively, of that in the control group (100%). In addition, at 12 weeks, Grade 4 TSI scores were observed in Groups II and III. Conclusion: Electrophysiological analyses and functional evaluations based on the TSI indicate that HA and FK-506 exert similar, positive effects on nerve regeneration that are superior to those observed in response to saline treatment.http://www.npmj.org/article.asp?issn=1117-1936;year=2015;volume=22;issue=3;spage=179;epage=184;aulast=Mekajhyaluronic acidnerve injuryperoneal nerve regenerationrabbitstacrolimus
spellingShingle Agon Y Mekaj
Arsim A Morina
Suzana Manxhuka-Kerliu
Burim Neziri
Shkelzen B Duci
Vera Kukaj
Iliriana Miftari
Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
Nigerian Postgraduate Medical Journal
hyaluronic acid
nerve injury
peroneal nerve regeneration
rabbits
tacrolimus
title Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
title_full Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
title_fullStr Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
title_full_unstemmed Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
title_short Electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
title_sort electrophysiological and functional evaluation of peroneal nerve regeneration in rabbit following topical hyaluronic acid or tacrolimus application after nerve repair
topic hyaluronic acid
nerve injury
peroneal nerve regeneration
rabbits
tacrolimus
url http://www.npmj.org/article.asp?issn=1117-1936;year=2015;volume=22;issue=3;spage=179;epage=184;aulast=Mekaj
work_keys_str_mv AT agonymekaj electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair
AT arsimamorina electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair
AT suzanamanxhukakerliu electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair
AT burimneziri electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair
AT shkelzenbduci electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair
AT verakukaj electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair
AT ilirianamiftari electrophysiologicalandfunctionalevaluationofperonealnerveregenerationinrabbitfollowingtopicalhyaluronicacidortacrolimusapplicationafternerverepair