Growth hormone treatment enhances the functional recovery of sciatic nerves after transection and repair

Muscle Nerve. 2012 Mar;45(3):385-92. doi: 10.1002/mus.22303.

Abstract

Introduction: Although nerves can spontaneously regenerate in the peripheral nervous system without treatment, functional recovery is generally poor, and thus there is a need for strategies to improve nerve regeneration.

Methods: The left sciatic nerve of adult rats was transected and immediately repaired by epineurial sutures. Rats were then assigned to one of two experimental groups treated with either growth hormone (GH) or saline for 8 weeks. Sciatic nerve regeneration was estimated by histological evaluation, nerve conduction tests, and rotarod and treadmill performance.

Results: GH-treated rats showed increased cellularity at the lesion site together with more abundant immunoreactive axons and Schwann cells. Compound muscle action potential (CMAP) amplitude was also higher in these animals, and CMAP latency was significantly lower. Treadmill performance increased in rats receiving GH.

Conclusion: GH enhanced the functional recovery of the damaged nerves, thus supporting the use of GH treatment, alone or combined with other therapeutic approaches, in promoting nerve repair.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / drug effects
  • Animals
  • Disease Models, Animal
  • Electromyography
  • Exercise Test
  • Gene Expression Regulation / drug effects
  • Growth Hormone / pharmacology*
  • Growth Hormone / therapeutic use*
  • Male
  • Motor Activity / drug effects*
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / physiopathology
  • Nerve Regeneration / drug effects*
  • Neurofilament Proteins / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Reaction Time / drug effects
  • Recovery of Function / drug effects*
  • Rotarod Performance Test
  • S100 Proteins / metabolism
  • Schwann Cells / drug effects
  • Schwann Cells / metabolism
  • Sciatic Nerve / drug effects
  • Sciatic Nerve / metabolism
  • Sciatic Nerve / pathology
  • Sciatic Neuropathy* / drug therapy
  • Sciatic Neuropathy* / physiopathology
  • Sciatic Neuropathy* / surgery
  • Statistics, Nonparametric
  • Wound Healing / drug effects*

Substances

  • Neurofilament Proteins
  • S100 Proteins
  • neurofilament protein L
  • Growth Hormone