Effects of Theranekron and alpha-lipoic acid combined treatment on GAP-43 and Krox-20 gene expressions and inflammation markers in peripheral nerve injury
   
Yazarlar (10)
Leman Sencar Cukurova University, Türkiye
Gülfidan Coşkun Cukurova University, Türkiye
Dilek Şaker Cukurova University, Türkiye
Tuğçe Sapmaz Cukurova University, Türkiye
Samet Kara Cukurova University, Türkiye
Alper Çelenk Cukurova University, Türkiye
Sema Polat Cukurova University, Türkiye
Derviş Mansuri Yılmaz Cukurova University, Türkiye
Prof. Dr. Yusuf Kenan DAĞLIOĞLU Kırşehir Ahi Evran Üniversitesi, Türkiye
Sait Polat Çukurova Üniversitesi, Türkiye
Makale Türü Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı ULTRASTRUCTURAL PATHOLOGY (Q4)
Dergi ISSN 0191-3123 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili Türkçe Basım Tarihi 05-2021
Cilt / Sayı / Sayfa 45 / 3 / 167–181 DOI 10.1080/01913123.2021.1923600
Makale Linki http://dx.doi.org/10.1080/01913123.2021.1923600
Özet
Peripheral nerve injury (PNI) is a major health problem that results in loss of motor and sensory functions. In treatment of PNI, various methods such as anastomosis, nerve grafts, nonneural tissue grafts, and nerve conduits are applied. In the present study, it was aimed to investigate the effects of Theranekron and Alpha-lipoic acid (ALA) combined treatment on nerve healing in experimental PNI by using histomorphometric, electron microscopic, immunohistochemical and molecular biological methods. Sixty-two Wistar rats were divided into six groups; the normal control group, sham operation group, experimental control group having a crush type injury with no treatment, Theranekron treatment group, ALA treatment group and Theranekron+ALA combined treatment group. Sciatic nerve tissue samples were obtained on days 1, 7 and 14 following injury in all groups. GAP-43 expression was upregulated in all PNI received groups compared to the control group. Krox-20 expression was downregulated in all groups that received PNI compared to the control group. While intensely positive TNF-α and IL-6 expressions were observed up to the 1st to the 14th day for the experimental control group, these expressions were seen as "weakly positive" in the treatment groups from the 1st day to the 14th day. The number of myelinated fibers was higher in the control and sham operation groups. Additionally, the number of myelinated nerve fibers increased in the combined treatment group. In conclusion, these findings suggest that combined therapy of Theranekron and ALA promotes structural recovery and it should be considered as an effective treatment protocol following PNI.
Anahtar Kelimeler
Theranekron | Alpha-lipoic acid | Gap-43 | Krox-20 | PNI