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Nerve Regeneration and Pharmacological Suppression of the Scar Reaction at the Suture Site: An Experimental Study on the Effect of Estrogen-progesterone, Methylprednisolone-acetate and CIS-Hydroxyproline in Rat Sciatic Nerve 

Authors: Ann K. Nachemson a;  Goumlran Lundborg a;  Rhagnar Myrhage a; Fritz Rank a
Affiliation:   a From the Laboratory of Experimental Biology (Head: P.-I. Braringnemark), Department of Anatomy (Head: R. Ekholm), University of Goumlteborg, the Division of Hand Surgery (Head: S. Edshage), Department of Orthopaedic Surgery I (Head: A. Nachemson). Sahlgren Hospital. Goumlteborg, the Division of Hand Surgery (Head: G. Lundborg), Department of Orthopaedics (Head: G. Bauer), University Hospital, Lund. Sweden, and the Institute of Pathology, Herlev Hospital, Herlev, Denmark
DOI: 10.3109/02844318509074512
Publication Frequency: 6 issues per year
Published in: journal Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, Volume 19, Issue 3 January 1985 , pages 255 - 260
Formats available: PDF (English)
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Abstract

Pharmacological suppression of the scar reaction was tested as a possible method for improving axonal regeneration after transection and suture of the sciatic nerve of rats. The animals in the experimental groups were systemically treated post-operatively with estrogen-progesterone, methylprednisolone-acetate (Depomedrone®) or cis-hydroxyproline. Only in the cis-hydroxyproline treated animals was there a tendency towards a decrease in fibroblastic activity at the suture site after 4 weeks. However, there was no difference in the growth of axons to the distal nerve segment after pharmacological treatment as compared to non-treated animals, when tested 12 weeks post-operatively. The motor nerve conduction velocity was however significantly greater in both the cis-hydroxyproline and the methylprednisolone-acetate groups as compared with the estrogen-progesterone and the control groups. In conclusion, cis-hydroxyproline and also methylprednisolone-acetate may improve the function of regenerating peripheral nerve, while estrogen-progesterone does not seem to have this effect.
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