Effect of Platelet-rich Plasma (PRP) on Regeneration of Rat Sciatic Nerve in a Silicone Chamber

  • Minn, Kyung-Won (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Jeong, Eui-Cheol (SMG-SUN Boramae Medical Center) ;
  • Chang, Hak (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kwon, Sung-Tack (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kim, Suk-Wha (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Baek, Rong-Min (Department of Plastic and Reconstructive Surgery, Research Institute of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • Received : 2009.08.18
  • Accepted : 2010.01.27
  • Published : 2010.03.10

Abstract

Purpose: The purpose of this study is to determine the effect of platelet-rich plasma (PRP) on rat sciatic nerve regeneration in a 10 mm silicone chamber. Methods: A total of 6 inbred Lewis rats were used in this study. Bilateral sciatic neurectomy was performed on each rat. On one side, silicone chambers containing PRP solutions were implanted; on the contralateral side, the chambers without PRP were implanted as a control. In 12 weeks post-implantation, chambers were retrieved and both gastrocnemius muscles were excised. Nerves biopsy samples were examined under a light microscope after Masson trichrome staining. Results: Cross sections of the midpoints of PRP treated nerves were significantly larger and appeared more mature than those of controls. Conclusion: Based on morphological evidence, PRP has a positive effect on neural regeneration, and it may therefore be useful for treating peripheral nerve injuries.

Keywords

References

  1. Kim SW, Kim CW, Seo JW: Experimental study on nerve regeneration using vein conduit and nerve graft-light and electron microscopic observation. J Korean Soc Plast Reconstr Surg 13: 287, 1986
  2. Suh BI, Kim SW, Chung HY, Kim IH, Yang JD, Park JW, Cho BC: Nerve regeneration using a vein graft conduit filled with hyaluronic acid in a rat model. J Korean Soc Plast Reconstr Surg 34: 279, 2007
  3. Kelleher MO, Al-Abri RK, Eleuterio ML, Myles LM, Lenihan DV, Glasby MA: The use of conventional and invaginated autologous vein grafts for nerve repair by means of entubulation. Br J Plast Surg 54: 53, 2001 https://doi.org/10.1054/bjps.2000.3471
  4. Derby A, Engleman VW, Frierdich GE, Neises G, Rapp SR, Roufa DG: Nerve growth factor facilitates regeneration across nerve gaps: Morphological and behavioral studies in rat sciatic nerve. Exp Neurol 119: 176, 1993 https://doi.org/10.1006/exnr.1993.1019
  5. Voinesco F, Glauser L, Kraftsik R, Barakat-Walter I: Local administration of thyroid hormones in silicone chamber increases regeneration of rat transected sciatic nerve. Exp Neurol 150: 69, 1998 https://doi.org/10.1006/exnr.1997.6732
  6. Oya T, Zhao YL, Takagawa K, Kawaguchi M, Shirakawa K, Yamauchi T, Sasahara M: Platelet-derived growth factor-b expression induced after rat peripheral nerve injuries. Glia 38: 303, 2002 https://doi.org/10.1002/glia.10074
  7. Eppley BL, Pietrzak WS, Blanton M: Platelet-rich plasma: A review of biology and applications in plastic surgery. Plast Reconstr Surg 118: 147e, 2006 https://doi.org/10.1097/01.prs.0000239606.92676.cf
  8. Elgazzar RF, Mutabagani MA, Abdelaal SE, Sadakah AA: Platelet rich plasma may enhance peripheral nerve regeneration after cyanoacrylate reanastomosis: A controlled blind study on rats. Int J Oral Maxillofac Surg 37: 748, 2008 https://doi.org/10.1016/j.ijom.2008.05.010
  9. Sariguney Y, Yavuzer R, Elmas C, Yenicesu I, Bolay H, Atabay K: Effect of platelet-rich plasma on peripheral nerve regeneration. J Reconstr Microsurg 24: 159, 2008 https://doi.org/10.1055/s-2008-1076752
  10. Leonard R, Ruben Z: Hematology reference values for peripheral blood of laboratory rats. Lab Anim Sci 36: 277,1986
  11. Di Scipio FD, Raimondo S, Tos P, Geuna S: A simple protocol for paraffin-embedded myelin sheath staining with osmium tetroxide for light microscope observation. Microsc Res Tech 71: 497, 2008 https://doi.org/10.1002/jemt.20577
  12. Scherman P, Lundborg G, Kanje M, Dahlin LB: Sutures alone are sufficient to support regeneration across a gap in the continuity of the sciatic nerve in rats. Scand J Plast Reconstr Surg Hand Surg 34: 1, 2000 https://doi.org/10.1080/02844310050160105
  13. Kim SM, Lee SK, Lee JH: Peripheral nerve regeneration using a three dimensionally cultured schwann cell conduit. J Craniofac Surg 18: 475, 2007 https://doi.org/10.1097/01.scs.0000249362.41170.f3
  14. Cui L, Jiang J, Wei L, Zhou X, Fraser JL, Snider BJ, Yu SP: Transplantation of embryonic stem cells improves nerve repair and functional recovery after severe sciatic nerve axotomy in rats. Stem Cells 26: 1356, 2008 https://doi.org/10.1634/stemcells.2007-0333