An assessment of regeneration across peripheral nerve allografts in rats receiving short courses of cyclosporin A immunosuppression.

作者: S.E. Mackinnon , R. Midha , J. Bain , D. Hunter , J. Wade

DOI: 10.1016/0306-4522(92)90146-S

关键词: SurgeryImmunosuppressionCyclosporin aSciatic nervePeripheral nervous systemEvery Two WeeksWallerian degenerationOrgan transplantationAnesthesiaMedicineRemyelination

摘要: Abstract While peripheral nerve reconstruction could benefit from the use of allografts, long term immunosuppression for non-vital organ transplantation is controversial. This study investigated effectiveness short course Cyclosporin A immunosuppression. Fourteen Lewis (RTl 1 ) rats were recipients 3 cm sciatic grafts ACI a donors, repaired to transected recipient animal. Animals treated with (5 mg/kg/day) eight weeks. Neuromuscular function was assessed every two weeks by index determinations until 20 Electrophysiological, histological and morphological evaluations performed at 14 ( n = 6 8) postengraftment. Rats had significantly improving functional studies four P 0.01). Function decreased following cessation treatment. evaluated evidence graft rejection inflammatory cell infiltration, extensive demyelination remyelination, some Wallerian degeneration. demonstrated improvement in parameters motor after engraftment. In this allograft model, immunosuppression, although resulting an initial episode rejection, successful permitting good regeneration neuromuscular function.

参考文章(24)
Thomas J. Gill, Heinz W. Kunz, Major histocompatibility complex of the rat Survey of Immunologic Research. ,vol. 1, pp. 5- 8 ,(1982) , 10.1007/BF02918235
R E Lovelace, D T Chiu, M Wolff, T J Krizek, I Janecka, Autogenous vein graft as a conduit for nerve regeneration. Surgery. ,vol. 91, pp. 226- 233 ,(1982)
Andrew A. Zalewski, Adarsh K. Gulati, Failure of cyclosporin-A to induce immunological unresponsiveness to nerve allografts Experimental Neurology. ,vol. 83, pp. 659- 663 ,(1984) , 10.1016/0014-4886(84)90134-1
RAMSES WASSEF, ZANE COHEN, BERNARD LANGER, Pharmacokinetic profiles of cyclosporine in rats. Influence of route of administration and dosage. Transplantation. ,vol. 40, pp. 489- 493 ,(1985) , 10.1097/00007890-198511000-00004
Susan E. Mackinnon, Alan R. Hudson, Daniel A. Hunter, Histologic Assessment of Nerve Regeneration in the Rat Plastic and Reconstructive Surgery. ,vol. 75, pp. 384- 388 ,(1985) , 10.1097/00006534-198503000-00014
Andrew A. Zalewski, Adarsh K. Gulati, Survival of nerve allografts in sensitized rats treated with cyclosporin A Journal of Neurosurgery. ,vol. 60, pp. 828- 834 ,(1984) , 10.3171/JNS.1984.60.4.0828
A. J. AGUAYO, J. KASARJIAN, E. SKAMENE, P. KONGSHAVN, G. M. BRAY, Myelination of mouse axons by Schwann cells transplanted from normal and abnormal human nerves. Nature. ,vol. 268, pp. 753- 755 ,(1977) , 10.1038/268753A0
Susan E. Mackinnon, A. Lee Dellon, Alan R. Hudson, Daniel A. Hunter, Nerve regeneration through a pseudosynovial sheath in a primate model. Plastic and Reconstructive Surgery. ,vol. 75, pp. 833- 839 ,(1985) , 10.1097/00006534-198506000-00013
A. Lee Dellon, Susan E. Mackinnon, An alternative to the classical nerve graft for the management of the short nerve gap. Plastic and Reconstructive Surgery. ,vol. 82, pp. 849- 856 ,(1988) , 10.1097/00006534-198811000-00020
J R Bain, S E Mackinnon, A R Hudson, R E Falk, J A Falk, D A Hunter, The Peripheral Nerve Allograft: A Dose-Response Curve in the Rat Immunosuppressed with Cyclosporin A Plastic and Reconstructive Surgery. ,vol. 82, pp. 447- 455 ,(1988) , 10.1097/00006534-198809000-00013