Document Detail


Nerve growth factor improves ligament healing.
MedLine Citation:
PMID:  18302239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previous work has shown that innervation participates in normal ligament healing. The present study was performed to determine if exogenous nerve growth factor (NGF) would improve the healing of injured ligament by promoting reinnervation, blood flow, and angiogenesis. Two groups of 30 Sprague-Dawley rats underwent unilateral medial collateral ligament transection (MCL). One group was given 10 microg NGF and the other was given PBS via osmotic pump over 7 days after injury. After 7, 14, and 42 days, in vivo blood flow was measured using laser speckle perfusion imaging (LSPI). Morphologic assessments of nerve density, vascularity, and angiogenesis inhibitor production were done in three animals at each time point by immunohistochemical staining for the pan-neuronal marker PGP9.5, the endothelial marker vWF, and the angiogenesis inhibitor thrombospondin-2 (TSP-2). Ligament scar material and structural mechanical properties were assessed in seven rats at each time point. Increased nerve density was promoted by NGF at both 14 and 42 days. Exposure to NGF also led to increased ligament vascularity, as measured by histologic assessment of vWF immunohistochemistry, although LSPI-measured blood flow was not significantly different from controls. NGF treatment also led to decreased expression of TSP-2 at 14 days. Mechanical testing revealed that exposure to NGF increased failure load by 40%, ultimate tensile strength by 55%, and stiffness by 30% at 42 days. There were no detectable differences between groups in creep properties. The results suggest that local application of NGF can improve ligament healing by promoting both reinnervation and angiogenesis, and results in scars with enhanced mechanical properties.
Authors:
Takeo Mammoto; Ruth A Seerattan; Kent D Paulson; Catherine A Leonard; Robert C Bray; Paul T Salo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of orthopaedic research : official publication of the Orthopaedic Research Society     Volume:  26     ISSN:  1554-527X     ISO Abbreviation:  J. Orthop. Res.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-18     Completed Date:  2008-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8404726     Medline TA:  J Orthop Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  957-64     Citation Subset:  IM    
Affiliation:
McCaig Institute for Bone and Joint Health, Department of Surgery, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, Canada.
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MeSH Terms
Descriptor/Qualifier:
Animals
Biomechanics
Cicatrix / drug therapy
Immunohistochemistry
Male
Medial Collateral Ligament, Knee / blood supply,  injuries*,  innervation,  physiology
Neovascularization, Physiologic / drug effects*
Nerve Growth Factor / pharmacology*,  therapeutic use
Neurons / drug effects*
Rats
Rats, Sprague-Dawley
Regional Blood Flow / drug effects
Wound Healing / drug effects*
Chemical
Reg. No./Substance:
9061-61-4/Nerve Growth Factor

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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