Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis

Lúcio Ricardo Leite Diniz,1 Viviane Gomes Portella,2 Kerly Shamira da Silva Alves,2 Pâmella Cristina da Costa Araújo,2 Ricardo Luiz Cavalcanti de Albuquerque Júnior,3 Aline Alice Cavalcante de Albuquerque,2 Andrelina Noronha Coelho-de-Souza,2 Jos&eacute...

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Main Authors: Diniz LR, Portella VG, Silva Alves KS, Araújo PCC, Albuquerque Júnior RL, Cavalcante de Albuquerque AA, Coelho-de-Souza AN, Leal-Cardoso JH
Format: Article
Language:English
Published: Dove Medical Press 2018-04-01
Series:Journal of Pain Research
Subjects:
Online Access:https://www.dovepress.com/electrophysiologic-alterations-in-the-excitability-of-the-sciatic-and--peer-reviewed-article-JPR
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author Diniz LR
Portella VG
Silva Alves KS
Araújo PCC
Albuquerque Júnior RL
Cavalcante de Albuquerque AA
Coelho-de-Souza AN
Leal-Cardoso JH
author_facet Diniz LR
Portella VG
Silva Alves KS
Araújo PCC
Albuquerque Júnior RL
Cavalcante de Albuquerque AA
Coelho-de-Souza AN
Leal-Cardoso JH
author_sort Diniz LR
collection DOAJ
description Lúcio Ricardo Leite Diniz,1 Viviane Gomes Portella,2 Kerly Shamira da Silva Alves,2 Pâmella Cristina da Costa Araújo,2 Ricardo Luiz Cavalcanti de Albuquerque Júnior,3 Aline Alice Cavalcante de Albuquerque,2 Andrelina Noronha Coelho-de-Souza,2 José Henrique Leal-Cardoso2 1Department of Physiology, Federal University of Sergipe, São Cristóvão, Brazil; 2Department of Physiology, Superior Institute of Biomedical Sciences, State University of Ceará, Fortaleza, Brazil; 3Laboratory of Morphology and Structural Biology, Science and Technology Institute – ITP, Aracaju, Brazil Background: Nonspecific and delayed diagnosis of neurologic damage contributes to the development of neuropathies in patients with severe sepsis. The present study assessed the electrophysiologic parameters related to the excitability and conductibility of sciatic and vagus nerves during early stages of sepsis.Materials and methods: Twenty-four hours after sepsis induced by cecal ligation and puncture (CLP) model, sciatic and vagus nerves of septic (CLP group) and control (sham group) rats were removed, and selected electric stimulations were applied to measure the parameters of the first and second components of the compound action potential. The first component originated from fibers with motor and sensory functions (Types Aα and Aβ fibers) with a large conduction velocity (70–120 m/s), and the second component originated from fibers (Type Aγ) with sensorial function. To evaluate the presence of sensorial alterations, the sensitivity to non-noxious mechanical stimuli was measured by using the von Frey test. Hematoxylin and eosin staining of the nerves was performed. Results: We observed an increase of rheobase followed by a decrease in the first component amplitude and a higher paw withdrawal threshold in response to the application of von Frey filaments in sciatic nerves from the CLP group compared to the sham group. Differently, a decrease in rheobase and an increase in the first component amplitude of vagal C fibers from CLP group were registered. No significant morphologic alteration was observed. Conclusion: Our data showed that the electrophysiologic alterations in peripheral nerves vary with the fiber type and might be identified in the first 24 h of sepsis, before clinical signs of neuromuscular disorders. Keywords: sepsis, sciatic nerve, vagus nerve, neuronal excitability, neuropathy, peripheral nerves
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spelling doaj.art-bcc99fe1401247b18d93ba8e458242562022-12-21T18:13:06ZengDove Medical PressJournal of Pain Research1178-70902018-04-01Volume 1178379137973Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsisDiniz LRPortella VGSilva Alves KSAraújo PCCAlbuquerque Júnior RLCavalcante de Albuquerque AACoelho-de-Souza ANLeal-Cardoso JHLúcio Ricardo Leite Diniz,1 Viviane Gomes Portella,2 Kerly Shamira da Silva Alves,2 Pâmella Cristina da Costa Araújo,2 Ricardo Luiz Cavalcanti de Albuquerque Júnior,3 Aline Alice Cavalcante de Albuquerque,2 Andrelina Noronha Coelho-de-Souza,2 José Henrique Leal-Cardoso2 1Department of Physiology, Federal University of Sergipe, São Cristóvão, Brazil; 2Department of Physiology, Superior Institute of Biomedical Sciences, State University of Ceará, Fortaleza, Brazil; 3Laboratory of Morphology and Structural Biology, Science and Technology Institute – ITP, Aracaju, Brazil Background: Nonspecific and delayed diagnosis of neurologic damage contributes to the development of neuropathies in patients with severe sepsis. The present study assessed the electrophysiologic parameters related to the excitability and conductibility of sciatic and vagus nerves during early stages of sepsis.Materials and methods: Twenty-four hours after sepsis induced by cecal ligation and puncture (CLP) model, sciatic and vagus nerves of septic (CLP group) and control (sham group) rats were removed, and selected electric stimulations were applied to measure the parameters of the first and second components of the compound action potential. The first component originated from fibers with motor and sensory functions (Types Aα and Aβ fibers) with a large conduction velocity (70–120 m/s), and the second component originated from fibers (Type Aγ) with sensorial function. To evaluate the presence of sensorial alterations, the sensitivity to non-noxious mechanical stimuli was measured by using the von Frey test. Hematoxylin and eosin staining of the nerves was performed. Results: We observed an increase of rheobase followed by a decrease in the first component amplitude and a higher paw withdrawal threshold in response to the application of von Frey filaments in sciatic nerves from the CLP group compared to the sham group. Differently, a decrease in rheobase and an increase in the first component amplitude of vagal C fibers from CLP group were registered. No significant morphologic alteration was observed. Conclusion: Our data showed that the electrophysiologic alterations in peripheral nerves vary with the fiber type and might be identified in the first 24 h of sepsis, before clinical signs of neuromuscular disorders. Keywords: sepsis, sciatic nerve, vagus nerve, neuronal excitability, neuropathy, peripheral nerveshttps://www.dovepress.com/electrophysiologic-alterations-in-the-excitability-of-the-sciatic-and--peer-reviewed-article-JPRSepsisSciatic nerveVagus nerveNeuronal excitabilityNeuropathy
spellingShingle Diniz LR
Portella VG
Silva Alves KS
Araújo PCC
Albuquerque Júnior RL
Cavalcante de Albuquerque AA
Coelho-de-Souza AN
Leal-Cardoso JH
Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
Journal of Pain Research
Sepsis
Sciatic nerve
Vagus nerve
Neuronal excitability
Neuropathy
title Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
title_full Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
title_fullStr Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
title_full_unstemmed Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
title_short Electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
title_sort electrophysiologic alterations in the excitability of the sciatic and vagus nerves during early stages of sepsis
topic Sepsis
Sciatic nerve
Vagus nerve
Neuronal excitability
Neuropathy
url https://www.dovepress.com/electrophysiologic-alterations-in-the-excitability-of-the-sciatic-and--peer-reviewed-article-JPR
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