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Eur J Orthop Surg Traumatol ; 23(3): 263-72, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23412299

ABSTRACT

We employed 54 rats to devise a model of neuroma-in-continuity and explore the effect of the immunotoxin OX7-saporin on the neuroma. The left common peroneal, tibial or sciatic nerves were crushed by one 10-s application of a micro-artery forceps. At 3 and 6 weeks, the nerve was cut distal to the site of nerve crush, and retrograde fluorescent labeling was done. Pressure microinjection of 2 µl of natural saline or 2 µl of the immunotoxin conjugate OX7-saporin was done at the nerve stump 2 days later. Sacrifice was done after 3 weeks. In all control and saline-injection nerve specimens, gross observation and histology showed a neuroma-in-continuity. In 19 of the 24 OX7-saporin nerve specimens, gross observation showed a narrowed area at the site of nerve crush. Histology showed inhibition of neuroma-in-continuity formation. Fluorescent microscopy showed ablation of the labeled neurons in the dorsal root ganglia corresponding to the OX7-saporin subgroups.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Immunoconjugates/therapeutic use , Immunotoxins/therapeutic use , Peripheral Nerve Injuries/drug therapy , Ribosome Inactivating Proteins, Type 1/therapeutic use , Animals , Antibodies, Monoclonal/administration & dosage , Disease Models, Animal , Ganglia, Spinal/drug effects , Immunoconjugates/administration & dosage , Immunotoxins/administration & dosage , Male , Microinjections/methods , Microscopy, Fluorescence , Nerve Crush , Peripheral Nerve Injuries/pathology , Peroneal Nerve/injuries , Peroneal Nerve/pathology , Rats , Ribosome Inactivating Proteins, Type 1/administration & dosage , Saporins , Sciatic Nerve/injuries , Sciatic Nerve/pathology , Tibial Nerve/injuries , Tibial Nerve/pathology
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