Changes in the blood-nerve barrier after sciatic nerve cold injury:indications supporting early trea

来源 :中国神经再生研究(英文版) | 被引量 : 0次 | 上传用户:ww5205205220
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Severe edema in the endoneurium can occur after non-freezing cold injury to the peripheral nerve, which suggests damage to the blood-nerve barrier. To determine the effects of cold injury on the blood-nerve barrier, the sciatic nerve on one side of Wistar rats was treated with low tem-peratures (3–5°C) for 2 hours. The contralateral sciatic nerve was used as a control. We assessed changes in the nerves using Evans blue as a lfuid tracer and morphological methods. Excess lfuid was found in the endoneurium 1 day after cold injury, though the tight junctions between cells remained closed. From 3 to 5 days after the cold injury, the lfuid was still present, but the tight junctions were open. Less tracer leakage was found from 3 to 5 days after the cold injury compared with 1 day after injury. The cold injury resulted in a breakdown of the blood-nerve barrier func-tion, which caused endoneurial edema. However, during the early period, the breakdown of the blood-nerve barrier did not include the opening of tight junctions, but was due to other factors. Excessive lfuid volume produced a large increase in the endoneurial lfuid pressure, prevented liquid penetration into the endoneurium from the microvasculature. These results suggest that drug treatment to patients with cold injuries should be administered during the early period after injury because it may be more dififcult for the drug to reach the injury site through the microcirculation after the tissue lfuid pressure becomes elevated.
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