Ciliary neurotrophic factor enhances peripheral nerve regeneration

James P. Newman, A. Neil Verity, Salim Hawatmeh, Willard E. Fee, David J. Terris

Research output: Contribution to journalArticle

81 Scopus citations

Abstract

Background: Adjunctive measures to enhance nerve repair have focused on a variety of trophic factors that alter the physiologic response to nerve injury through Schwann cell-axonal interactions. Objective: To evaluate the effects of two trophic factors, ciliary neurotrophic factor and nerve growth factor, on axonal response to injury. Design: A prospective, randomized, blinded animal study with a placebo control using lactated Ringer's solution. Interventions: Rat sciatic nerves were transected and repaired as a model of injury following which experimental factors were delivered in vivo through an implantable osmotic pump. Outcome Measures: Functional nerve recovery, muscle mass, and gene expression in the three experimental groups were evaluated. Results: The ciliary neurotrophic factor group (n=6) showed a higher sciatic functional recovery (P=.003) and preservation of affected muscle mass (P=.03) compared with the nerve growth factor (n=8) and control (n=8) groups. Molecular analysis of injured nerves showed no difference in expression of ciliary neurotrophic factor, myelin basic protein, or low-affinity neurotrophin receptor messenger RNA among the three groups. Conclusion: These data suggest that ciliary neurotrophic factor may serve as an important neurocytokine for axonal regrowth during peripheral nerve regeneration.

Original languageEnglish (US)
Pages (from-to)399-403
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume122
Issue number4
DOIs
StatePublished - Apr 1996
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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