Regeneration of nerve crush injury using adipose-derived stem cells: A multimodal comparison

Muscle Nerve. 2018 Oct;58(4):566-572. doi: 10.1002/mus.26188.

Abstract

Introduction: To restore full function following nerve crush injuries is critical but challenging. In an attempt to develop a viable therapy, we evaluated the effect of rat adipose-derived stem cells (rASC) in 2 different settings of a sciatic crush injury model.

Methods: In the first group, after 14 days of nerve crush injury, rASCs were injected distal to the lesion under ultrasound guidance. In the other group, alleviation of compression through clip removal (CR) was combined with epineural injection of rASCs. Gait analyses, MRI, gastrocnemius muscle weight ratio (MWR), and histomorphometry were performed for outcome analysis.

Results: CR combined with rASC injection resulted in less muscle atrophy, as evidenced by MWR. These findings are further supported by better functional and anatomical outcomes.

Discussion: Animals treated with CR and epineural stem cell injection showed enhanced anatomical and functional recovery. Muscle Nerve 58: 566-572, 2018.

Keywords: adipose stem cell; axonal regeneration; nerve crush injury; nerve repair; ultrasound-guided cell injection.

MeSH terms

  • Adipose Tissue / cytology*
  • Animals
  • Crush Injuries / pathology*
  • Diffusion Tensor Imaging
  • Female
  • Gait Analysis
  • Magnetic Resonance Imaging
  • Mesenchymal Stem Cell Transplantation*
  • Muscle, Skeletal / pathology
  • Nerve Regeneration*
  • Organ Size
  • Peripheral Nerve Injuries / pathology*
  • Rats
  • Rats, Sprague-Dawley
  • Sciatic Nerve / injuries*
  • Sciatic Nerve / pathology
  • Sciatic Nerve / physiology