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    24 June 2014, Volume 9 Issue 12 Previous Issue    Next Issue
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    Transplanting neural progenitors to build a neuronal relay across the injured spinal cord
    Christopher Haas, Itzhak Fischer
    2014, 9 (12):  1173-1176.  doi: 10.4103/1673-5374.135321
    Abstract ( 234 )   PDF (740KB) ( 658 )   Save

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    Relay strategies combined with axon regeneration: a promising approach to restore spinal cord injury
    Shaoping Hou
    2014, 9 (12):  1177-1179.  doi: 10.4103/1673-5374.135322
    Abstract ( 228 )   PDF (185KB) ( 779 )   Save

    For decades, numerous investigations have only focused on axon regeneration to restore function after traumatic spinal cord injury (SCI), as interrupted neuronal pathways have to be reconnected for sensorimotor and autonomic recovery to occur. Experimental approaches have ranged from drug delivery and cell transplantation to genetic manipulations. Certainly, it would be an extraordinary achievement for injured axons to regenerate over long distances, to form synapses with target neurons, and to result in dramatic functional improvement. Dr. Shaoping Hou from Drexel University in USA considered that these efforts have been rewarded with limited success to date suggesting that axon regeneration alone may be insufficient to repair compromised functions. Upon exogenous stimulation, corticospinal tract (CST) axons do not or are less responsive. However, even terminals of the longest regenerated sensory axons are usually far from the original target. To reestablish neuronal pathways, introduction of a new host or graft-derived neuron may therefore be necessary to relay supraspinal signal transmission to target neurons.

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    Roles of reinforced nerve conduits and low-level laser phototherapy for long gap peripheral nerve repair
    Bai-Shuan Liu, Tsung-Bin Huang, Shiuh-Chuan Chan
    2014, 9 (12):  1180-1182.  doi: 10.4103/1673-5374.135323
    Abstract ( 218 )   PDF (504KB) ( 1034 )   Save

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    Neuregulin 1 isoforms could be an effective therapeutic candidate to promote peripheral nerve regeneration
    Giovanna Gambarotta, Giulia Ronchi, Stefano Geuna, Isabelle Perroteau
    2014, 9 (12):  1183-1185.  doi: 10.4103/1673-5374.135324
    Abstract ( 200 )   PDF (337KB) ( 836 )   Save

    Traumatic injuries of peripheral nerves represent common casualties and their social impact is considerably high. Although peripheral nerves retain a good regeneration potential, the clinical outcome after nerve lesion is far from being satisfactory and functional recovery is almost never complete, especially in the case of large nerve defects, that result in loss or diminished sensitivity and/or motor activity of the innervated target organs. Therefore, to improve the outcome after nerve damage, or in peripheral neuropathies, there is need for further research in nerve repair and regeneration to identify factors that promote axonal regrowth, remyelination and target reinnervation.

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    Differential gene expression in proximal and distal nerve segments of rats with sciatic nerve injury during Wallerian degeneration
    Nan Jiang, Huaiqin Li, Yi Sun, Dexin Yin, Qin Zhao, Shusen Cui, Dengbing Yao
    2014, 9 (12):  1186-1194.  doi: 10.4103/1673-5374.135325
    Abstract ( 200 )   PDF (2441KB) ( 595 )   Save

    Wallerian degeneration is a subject of major interest in neuroscience. A large number of genes are differentially regulated during the distinct stages of Wallerian degeneration: transcription factor activation, immune response, myelin cell differentiation and dedifferentiation. Although gene expression responses in the distal segment of the sciatic nerve after peripheral nerve injury are known, differences in gene expression between the proximal and distal segments remain unclear. In the present study in rats, we used microarrays to analyze changes in gene expression, biological processes and signaling pathways in the proximal and distal segments of sciatic nerves undergoing Wallerian degeneration. More than 6,000 genes were differentially expressed and 20 types of expression tendencies were identified, mainly between proximal and distal segments at 7–14 days after injury. The differentially expressed genes were those involved in cell differentiation, cytokinesis, neuron differentiation, nerve development and axon regeneration. Furthermore, 11 biological processes were represented, related to responses to stimuli, cell apoptosis, inflammatory response, immune response, signal transduction, protein kinase activity, and cell proliferation. Using real-time quantitative PCR, western blot analysis and immunohistochemistry, microarray data were verified for four genes: aquaporin-4, interleukin 1 receptor-like 1, matrix metalloproteinase-12 and periaxin. Our study identifies differential gene expression in the proximal and distal segments of a nerve during Wallerian degeneration, analyzes dynamic biological changes of these genes, and provides a useful platform for the detailed study of nerve injury and repair during Wallerian degeneration.

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    Quercetin alleviates high glucose-induced Schwann cell damage by autophagy
    Ling Qu, Xiaochun Liang, Bei Gu, Wei Liu
    2014, 9 (12):  1195-1203.  doi: 10.4103/1673-5374.135328
    Abstract ( 272 )   PDF (10027KB) ( 700 )   Save

    Quercetin can reverse high glucose-induced inhibition of neural cell proliferation, and therefore may have a neuroprotective effect in diabetic peripheral neuropathy. It is difficult to obtain primary Schwann cells and RSC96 cells could replace primary Schwann cells in studies of the role of autophagy in the mechanism underlying diabetic peripheral neuropathy. Here, we show that under high glucose conditions, there are fewer autophagosomes in immortalized rat RSC96 cells and primary rat Schwann cells than under control conditions, the proliferative activity of both cell types is significantly impaired, and the expression of Beclin-1 and LC3, the molecular markers for autophagy, is significantly lower. After intervention with quercetin, the autophagic and proliferative activity of both cell types is rescued. These results suggest that quercetin can alleviate high glucose-induced damage to Schwann cells by autophagy.

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    Implanting iodine-125 seeds into rat dorsal root ganglion for neuropathic pain: neuronal microdamage without impacting hind limb motion
    Ling Jiao, Tengda Zhang, Huixing Wang, Wenyi Zhang, Saijun Fan, Xiaodong Huo, Baosen Zheng, Wenting Ma
    2014, 9 (12):  1204-1209.  doi: 10.4103/1673-5374.135326
    Abstract ( 226 )   PDF (3666KB) ( 977 )   Save

    The use of iodine-125 (125I) in cancer treatment has been shown to relieve patients’ pain. Considering dorsal root ganglia are critical for neural transmission between the peripheral and central nervous systems, we assumed that 125I could be implanted into rat dorsal root ganglia to provide relief for neuropathic pain. 125I seeds with different radioactivity (0, 14.8, 29.6 MBq) were implanted separately through L4–5 and L5–6 intervertebral foramen into the vicinity of the L5 dorsal root ganglion. von Frey hair results demonstrated the mechanical pain threshold was elevated after implanting 125I seeds from the high radioactivity group. Transmission electron microscopy revealed that nuclear membrane shrinkage, nucleolar margination, widespread mitochondrial swelling, partial vacuolization, lysosome increase, and partial endoplasmic reticulum dilation were visible at 1,440 hours in the low radioactivity group and at 336 hours in the high radioactivity group. Abundant nuclear membrane shrinkage, partial fuzzy nuclear membrane and endoplasmic reticulum necrosis were observed at 1,440 hours in the high radioactivity group. No significant difference in combined behavioral scores was detected between preoperation and postoperation in the low and high radioactivity groups. These results suggested that the mechanical pain threshold was elevated after implanting 125I seeds without influencing motor functions of the hind limb, although cell injury was present.

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    Autophagy: a double-edged sword for neuronal survival after cerebral ischemia
    Wenqi Chen, Yinyi Sun, Kangyong Liu, Xiaojiang Sun
    2014, 9 (12):  1210-1216.  doi: 10.4103/1673-5374.135329
    Abstract ( 420 )   PDF (570KB) ( 1714 )   Save

    Evidence suggests that autophagy may be a new therapeutic target for stroke, but whether activation of autophagy increases or decreases the rate of neuronal death is still under debate. This review summarizes the potential role and possible signaling pathway of autophagy in neuronal survival after cerebral ischemia and proposes that autophagy has dual effects.

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    Prolonged electrical stimulation causes no damage to sacral nerve roots in rabbits
    Peng Yan, Xiaohong Yang, Xiaoyu Yang, Weidong Zheng, Yunbing Tan
    2014, 9 (12):  1217-1221.  doi: 10.4103/1673-5374.135327
    Abstract ( 266 )   PDF (662KB) ( 1021 )   Save

    Previous studies have shown that, anode block electrical stimulation of the sacral nerve root can produce physiological urination and reconstruct urinary bladder function in rabbits. However, whether long-term anode block electrical stimulation causes damage to the sacral nerve root remains unclear, and needs further investigation. In this study, a complete spinal cord injury model was established in New Zealand white rabbits through T9–10 segment transection. Rabbits were given continuous electrical stimulation for a short period and then chronic stimulation for a longer period. Results showed that compared with normal rabbits, the structure of nerve cells in the anterior sacral nerve roots was unchanged in spinal cord injury rabbits after electrical stimulation. There was no significant difference in the expression of apoptosis-related proteins such as Bax, Caspase-3, and Bcl-2. Experimental findings indicate that neurons in the rabbit sacral nerve roots tolerate electrical stimulation, even after long-term anode block electrical stimulation.

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    Diffuse axonal injury after traumatic cerebral microbleeds: an evaluation of imaging techniques
    Jun Liu, Zhifeng Kou, Yongquan Tian
    2014, 9 (12):  1222-1230.  doi: 10.4103/1673-5374.135330
    Abstract ( 256 )   PDF (1466KB) ( 1962 )   Save

    Previous neuropathological studies regarding traumatic brain injury have primarily focused on changes in large structures, for example, the clinical prognosis after cerebral contusion, intracerebral hematoma, and epidural and subdural hematoma. In fact, many smaller injuries can also lead to severe neurological disorders. For example, cerebral microbleeds result in the dysfunction of adjacent neurons and the disassociation between cortex and subcortical structures. These tiny changes cannot be adequately visualized on CT or conventional MRI. In contrast, gradient echo sequence-based susceptibility-weighted imaging is very sensitive to blood metabolites and microbleeds, and can be used to evaluate traumatic cerebral microbleeds with high sensitivity and accuracy. Cerebral microbleed can be considered as an important imaging marker for diffuse axonal injury with potential relevance for prognosis. For this reason, based on experimental and clinical studies, this study reviews the role of imaging data showing traumatic cerebral microbleeds in the evaluation of cerebral neuronal injury and neurofunctional loss.

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    Assessment on self-care, mobility and social function of children with spina bifida in Turkey
    Hulya Sirzai, Beril Dogu, Selamet Demir, Figen Yilmaz, Banu Kuran
    2014, 9 (12):  1234-1240.  doi: 10.4103/1673-5374.135332
    Abstract ( 236 )   PDF (453KB) ( 687 )   Save

    The aim of the study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory (PEDI) to look into capacity of twenty-eight children with spina bifida with lesions at different levels in different dimensions of self-care, mobility and social function. Mean age of the patients was 3.5 ± 2.3 (1–10) years. In the muscle test carried out, 13 patients (44.8%) had no movements including pelvic elevation in lower extremity muscles and they were at level 5. Sixteen patients (54%) were non-ambulatory according to the Hoofer ambulation classification. Raw and scale scores in the self-care, mobility and social function domains both in the functional skill scale and in the caregiver scale were found to be lower compared to the data of the normal population. A statistically significant correlation was observed in the self-care values of the Functional Skills Scales and the Caregiver Assistance Scale measurements, which was positive for age and negative for Functional Ambulation Scale and muscle test (P < 0.05). A positive relation was found between the Functional Skills Scales-mobility area and age while a negative relation was observed between Functional Ambulation Scale and muscle test (P < 0.005). A negative relation was also found between Caregiver Assistance Scale-mobility and Functional Ambulation Scale and muscle test (P < 0.005). In our study, the functional performance of the children was found to be low. Low-level lesions, encouraging muscular strength and independence in mobility are all very important factors for functional independence.

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    Overexpression of microRNA-124 promotes the neuronal differentiation of bone marrow-derived mesenchymal stem cells
    Defeng Zou, Yi Chen, Yaxin Han, Chen Lv, Guanjun Tu
    2014, 9 (12):  1241-1248.  doi: 10.4103/1673-5374.135333
    Abstract ( 192 )   PDF (2583KB) ( 1238 )   Save

    stem cells. In this study, we examined the effects of miRNA-124 (miR-124) overexpression in bone marrow-derived mesenchymal stem cells. In particular, we focused on the effect of overexpression on the differentiation of bone marrow-derived mesenchymal stem cells into neurons. First, we used GeneChip technology to analyze the expression of miRNAs in bone marrow-derived mesenchymal stem cells, neural stem cells and neurons. miR-124 expression was substantially reduced in bone marrow-derived mesenchymal stem cells compared with the other cell types. We constructed a lentiviral vector overexpressing miR-124 and transfected it into bone marrow-derived mesenchymal stem cells. Intracellular expression levels of the neuronal early markers β-III tubulin and microtubule-associated protein-2 were significantly increased, and apoptosis induced by oxygen and glucose deprivation was reduced in transfected cells. After miR-124-transfected bone marrow-derived mesenchymal stem cells were transplanted into the injured rat spinal cord, a large number of cells positive for the neuronal marker neurofilament-200 were observed in the transplanted region. The Basso-Beattie-Bresnahan locomotion scores showed that the motor function of the hind limb of rats with spinal cord injury was substantially improved. These results suggest that miR-124 plays an important role in the differentiation of bone marrow-derived mesenchymal stem cells into neurons. Our findings should facilitate the development of novel strategies for enhancing the therapeutic efficacy of bone marrow-derived mesenchymal stem cell transplantation for spinal cord injury.

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    Filiform needle acupuncture for poststroke depression
    Viroj Wiwanitkit
    2014, 9 (12):  1248-1248.  doi: 10.4103/1673-5374.135320
    Abstract ( 209 )   PDF (94KB) ( 577 )   Save
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