J Brachial Plex Peripher Nerve Inj 2009; 04(01): e29-e35
DOI: 10.1186/1749-7221-4-6
Research article
Kalender et al; licensee BioMed Central Ltd.

Effect of Zofenopril on regeneration of sciatic nerve crush injury in a rat model[*]

Ali Murat Kalender
1   Department of Orthopedics and Traumatology, Kahramanmaras Sutcu Imam University, Medical Faculty, K. Maras, Turkey
,
Ali Dogan
2   Department of Orthopedics and Traumatology, Yuzuncu Yil University, Medical Faculty, Van, Turkey
,
Vedat Bakan
3   Department of Pediatric Surgery, Kahramanmaras Sutcu Imam University, Medical Faculty, Kahramanmaras, Turkey
,
Huseyin Yildiz
4   Department of Anesthesiology and Reanimation, Kahramanmaras Sutcu Imam University, Medical Faculty, Kahramanmaras, Turkey
,
Mehmet Ata Gokalp
2   Department of Orthopedics and Traumatology, Yuzuncu Yil University, Medical Faculty, Van, Turkey
,
Mahmut Kalender
5   Gaziantep Medical Center, Gaziantep, Turkey
› Author Affiliations

Subject Editor:
Further Information

Publication History

22 April 2009

09 June 2009

Publication Date:
18 September 2014 (online)

Abstract

Background Zofenopril is an antioxidant agent which has been shown to have beneficial effects in hypertension and heart failure. The aim of this study was to test the effects of Zofenopril on nerve regeneration and scarring in a rat model of peripheral nerve crush injury.

Methods Twenty-one adult Sprague-Dawley rats underwent a surgical procedure involving right sciatic nerve crush injury. 15 mg/kg Zofenopril was administered orally to seven rats in group Z for seven days. Seven rats in group S received saline orally for seven days. Seven rats in the control group C received no drug after crush injury. Fourteenth and 42nd days after injury, functional and electromyography assessments of nerves were performed. Functional recovery was analyzed using a walking track assessment, and quantified using the sciatic functional index (SFI). After these evaluations, all rats were sacrificed and microscopic evaluations were performed.

Results The Sciatic functional Index (SFI) in group Z on 14th day is different significantly from group S and group C (p = 0.037). But on 42nd day there was no difference between groups (p = 0.278). The statistical analyses of electromyelographic (EMG) studies showed that the latency in group Z is significantly different from group S (p = 0.006) and group C (p = 0.045). But on 42nd day there was no difference between groups like SFI (p = 0.147). The amplitude was evaluated better in group Z than others (p < 0.05). In microscopic evaluation, we observed the highest number of nerve regeneration in the group Z and the lowest in the group C. But it was not significant statistically.

Conclusion Our results demonstrate that Zofenopril promotes the regeneration of peripheral nerve injuries in rat models.

* This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


 
  • References

  • 1 Zochodne DW, Ho LT. Endoneural microenvironment and acute nerve crush injury in the rat sciatic nerve. Brain Res 1990; 535: 43-48 10.1016/0006-8993(90)91822-X 2292028
  • 2 Bagdatoglu C, Saray A, Surucu HS, Ozturk H, Tamer L. Effect of trapidil in ischemia/reperfusion injury of peripheral nerves. Neurosurgery 2002; 51: 212-220 10.1097/00006123-200207000-00031 12182420
  • 3 Arslan E, Milcan A, Unal S, Demirkan F, Polat A, Bagdatoglu O, Aksoy A, Polat G. The effects of carnitine on distally burned dorsal skin flap: an experimental study in rats. Burns 2003; 29: 221-227 10.1016/S0305-4179(02)00305-4 12706614
  • 4 Stoll G, Muller HW. Nerve injury, axonal degeneration and neuronal regeneration: basic insights. Brain Pathol 1999; 9: 313-325 10219748
  • 5 Gordon T, Sulaiman O, Boyd JG. Experimental strategies to promote functional recovery after peripheral nerve injuries. J Peripher Nerv Syst 2003; 8: 236-250 10.1111/j.1085-9489.2003.03029.x 14641648
  • 6 Kennedy JM, Zochodne DW. Impaired peripheral nerve regeneration in diabetes mellitus. J Peripher Nerv Syst 2005; 10: 144-157 10.1111/j.1085-9489.2005.0010205.x 15958126
  • 7 Verdu E, Ceballos D, Vilches JJ, Navarro X. Influence of aging on peripheral nerve function and regeneration. J Peripher Nerv Syst 2000; 5: 191-208 10.1046/j.1529-8027.2000.00026.x 11151980
  • 8 Lundborg G. Nerve injury and repair – regeneration, reconstruction and cortical repair. Elsevier/Churchill Livingstone; Philadelphia: 2004
  • 9 Al-Bishri A, Dahlin L, Sunzel B, Rosenquist J. Systemic betamethasone accelerates functional recovery after a crush injury to rat sciatic nerve. J Oral Maxillofac Surg 2005; 63: 973-977 10.1016/j.joms.2004.10.010 16003625
  • 10 Subbanna PK, Prasanna CG, Gunale BK, Tyagi MG. Acetyl salicylic acid augments functional recovery following sciatic nerve crush in mice. J Brachial Plex Peripher Nerve Inj 2007; 2: 3 1802865 17274829 10.1186/1749-7221-2-3
  • 11 Le Prell CG, Hughes LF, Miller JM. Free radical scavengers vitamins A, C, and E plus magnesium reduce noise trauma. Free Radic Biol Med 2007; 42: 1454-1463 1950331 17395018 10.1016/j.freeradbiomed.2007.02.008
  • 12 Wilson AD, Hart A, Brännström T, Wiberg M, Terenghi G. Delayed acetyl-L-carnitine administration and its effect on sensory neuronal rescue after peripheral nerve injury. J Plast Reconstr Aesthet Surg 2007; 60: 114-118 10.1016/j.bjps.2006.04.017 17223507
  • 13 Lee M, Doolabh VB, Mackinnon SE, Jost S. FK506 promotes functional recovery in crushed rat sciatic nevre. Muscle Nerve 2000; 23: 633-640 10.1002/(SICI)1097-4598(200004)23:4<633::AID-MUS24>3.0.CO;2-Q 10716776
  • 14 Ditor DS, John SM, Roy J, Marx JC, Kittmer C, Weaver LC. Effects of polyethylene glycol and magnesium sulfate administration on clinically relevant neurological outcomes after spinal cord injury in the rat. J Neurosci Res 2007; 85: 1458-1467 10.1002/jnr.21283 17410603
  • 15 Brown NJ, Vaughan DE. Angiotensin-converting enzyme inhibitors. Circulation 1998; 97: 1411 9577953
  • 16 Subissi A, Evangelista S, Giachetti A. Preclinical profile of zofenopril: an angiotensin converting enzyme inhibitor with peculiar cardioprotective properties. Cardiovasc Drug Rev 1999; 17: 115-133
  • 17 Borghi C, Ambrosioni E. Zofenopril: A review of the evidence of its benefits in hypertension and acute myocardial infarction. Clin Drug Invest 2000; 20: 371-384 10.2165/00044011-200020050-00008
  • 18 Bain JR, Mackinnon SE, Hunter DA. Functional evaluation of complete sciatic, peroneal, and posterior tibial nerve lesions in the rat, Plast. Plast Reconstr Surg. 1989; 83 (1) 129-138 2909054
  • 19 de Medinaceli L, Freed WJ, Wyatt RJ. An index of the functional condition of rat sciatic nerve based on measurements made from walking tracks. Exp Neurol 1982; 77: 634-643 10.1016/0014-4886(82)90234-5 7117467
  • 20 Seddon H. Three types of nerve injury. Brain 1943; 66: 237-288 10.1093/brain/66.4.237
  • 21 Sunderland S. The anatomy and physiology of nerve injury. Muscle Nerve 1990; 13: 771-784 10.1002/mus.880130903 2233864
  • 22 Kurtoglu Z, Ozturk AH, Bagdatoglu C, Polat G, Aktekin M, Uzmansel D, Camdeviren H, Bagdatoglu O, Sargon M. Effects of trapidil after crush injury in peripheral nerve. Acta Med Okayama 2005; 59: 37-44 16049553
  • 23 Ikeda T, Choi BH, Yee S, Murata Y, Quilligan EJ. Oxidative stress, brain white matter damage and intrauterine asphyxia in fetal lambs. Int J Dev Neurosci 1999; 17: 1-14 10.1016/S0736-5748(98)00055-0 10219955
  • 24 Chopra M, Beswick H, Clapperton M, Dargie HJ, Smith WE, McMurray J. Antioxidant effects of angiotensin-converting enzyme (ACE) inhibitors: free radical and oxidant scavenging are sulfhydryl dependent, but lipid peroxidation is inhibited by both sulfhydryland nonsulfhydryl-containing ACE inhibitors. J Cardiovasc Pharmacol 1992; 19: 330-340 10.1097/00005344-199203000-00005 1378110
  • 25 Mak IT, Freedman AM, Dickens BF, Weglicki WB. Protective effects of sulfhydryl-containing angiotensin converting enzyme inhibitors against free radical injury in endothelial cells. Biochem Pharmacol 1990; 40: 2169-2175 10.1016/0006-2952(90)90250-O 2173602
  • 26 Cushman DW, Wang FL, Fung WC, Harvey CM, DeForrest JM. Differentiation of angiotensin-converting enzyme (ace) inhibitors by their selective inhibition of ACE in physiologically important target organs. Pharm Res 1992; 9: 1480-1486 10.1023/A:1015823315983 1475237
  • 27 Altunoluk B, Soylemez H, Oguz F, Turkmen E, Fadillioglu E. An Angiotensin-converting enzyme inhibitor, zofenopril, prevents renal ischemia/reperfusion injury in rats. Ann Clin Lab Sci 2006; 36: 326-332 16951275
  • 28 Gudemez E, Ozer K, Cunningham B, Siemionow K, Browne E, Siemionow M. Dehydroepiandrosterone as an enhancer of functional recovery following crush injury to rat sciatic nerve. Microsurgery 2002; 22: 234-241 10.1002/micr.10039 12375289
  • 29 Olıveıra EF, Mazzer N, Barbıerı CH, Sellı M. Correlation between functional index and morphometry to evaluate recovery of the rat sciatic nerve following crush injury: experimental study. J Reconstr Microsurg 2001; 17: 69-75 10.1055/s-2001-12691 11316287
  • 30 Bridge PM, Ball DJ, Mackinnon SE, Nakao Y, Brandt K, Hunter DA, Hertl C. Nerve crush injuries – a model for axonotmesis. Exp Neurol 1994; 127: 284-290 10.1006/exnr.1994.1104 8033968
  • 31 Rempel D, Dahlın L, Lundborg G. Pathophysiology of nerve compression syndromes: response of peripheral nerves to loading. J Bone Joint Surg Am. 1999; 81 (11) 1600-1610 10565653