Effect of combined intervention of exercise and autologous bone marrow stromal cell transplantation on neurotrophic factors and pain-related cascades over time after sciatic nerve injury
Joo-In Yu, Yeong-Hyun Cho, Tae-Beom Seo, Young-Pyo Kim
언어
영어(ENG)
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https://www.earticle.net/Article/A425067
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영어
The purpose of this study was to determine whether combined inter-vention of treadmill exercise and bone marrow stromal cell (BMSC) transplantation would affect the expression of neurotrophic factors in the sciatic nerve injury (SNI) and neuropathic pain-related cascades in ipsilateral lumbar 4-5 dorsal root ganglion (DRG) during the early or late stage of sciatic nerve regeneration. The rats were randomly divided into the normal control group (CONT, n=6), sedentary group (SS, n=24), exercise group (SE, n=24), BMSC transplantation group (SB, n=24), BMSC transplantation+exercise group (SBE, n=24) 1, 2, 3, and 5 weeks after SNI. Single dose of 5×106 harvested BMSC was injected into the injury area sing by a 30 gauge needle. Treadmill exercise was performed at a speed of 8 m/min for 30 min once a day. Tropomyosin-receptor ki-nase B, brain-derived neurotrophic factor and ciliary neurotrophic fac-tor were significantly upregulated in the SE and SBE groups at 1- and 2-week postinjury than those in the CONT and SS groups, and SB and SBE groups continuously kept up proinflammatory cytokines until the late stage of regeneration. Nuclear factor kappa-light-chain-enhancer of activated B cells, interleukin and tumor necrosis factor alpha in ipsi-lateral DRG were progressively decreased by exercise alone application and/or BMSC transplantation at early and late stage of regeneration. Present results provide reliable information that combined intervention of treadmill exercise and BMSC transplantation might be one of the ef-fective treatment strategies for recovering sciatic nerve injury-induced neuropathic pain over time.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Experimental animals Sciatic nerve injury Treadmill exercise protocols BMSC culture and transplantation Western blot analysis Statistical analysis RESULTS Neurotrophic factors at early stages of sciatic nerve regeneration Neurotrophic factors at late stages of sciatic nerve regeneration Pain-related molecules in DRG at early stages of regeneration Pain-related molecules in DRG at late stages of regeneration DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES