Efeitos do exercício sobre a regeneração do nervo ciático de ratos Wistar após axonotmese

Autores

  • Denis Guilherme Guedert Universidade Regional de Blumenau
  • Edison Sanfelice André Universidade Regional de Blumenau/Departamento de Fisioterapia

DOI:

https://doi.org/10.34024/rnc.2020.v28.10764

Palavras-chave:

Lesão nervosa periférica;, axonotmese;, exercício físico;, regeneração nervosa

Resumo

Introdução. Lesões do sistema nervoso periférico são comuns e acarretam perdas tanto sensitivas quanto motoras. Tais lesões interferem na vida do indivíduo devido à diminuição do rendimento profissional. O exercício físico é um dos meios empregados no tratamento das lesões nervosas periféricas. Objetivos. Objetivamos estudar os efeitos do exercício físico (nado forçado) em ratos submetidos a axonotmese. Método. Neste estudo utilizamos quatro grupos: G1 – grupo controle sedentário, G2 – Grupo submetido ao exercício diariamente durante 21 dias iniciando 24 horas após a lesão nervosa, G3 – grupo submetido ao exercício 7 dias após a lesão durante 14 dias consecutivos, G4 – grupo submetido ao exercício 24 horas após a lesão, durante 21 dias, porém em dias alternados. Resultados. Nossos dados apontam para uma melhora funcional observada através do índice funcional do isquiático, incremento na produção de fatores neurotróficos (BDNF e NGF) e diminuição da expressão da enzima iNOS e da citocina TNF–α nos grupos exercitados. Conclusão. O exercício físico na forma em que foi empregado melhorou a função motora e acelerou e a regeneração nervosa periférica. 

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Toth C. Peripheral nerve injuries atributable to sport and recreation. Phys Med Rehabil 2009;20:77-100.

http://dx.doi.org/10.1016/j.pmr.2008.10.012

Noble J, Munro CA, Prasad VS, Midha R. Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries. J Trauma 1998;1:116-22.

https://doi.org/10.1097/00005373-199807000-00025

Sarzenski TM. Efeitos do treinamento físico sobre a regeneração do nervo isquiático no diabetes experimental (Tese). Porto Alegre: Instituto de ciências básicas e da Saúde, Universidade Federal do Rio Grande do Sul, 2010, 167p. http://hdl.handle.net/10183/60998

Gordon T. The role of neurotrophic factors in nerve regeneration. Neurosurg Focus 2009;3:1-10.

https://doi.org/10.3171/foc.2009.26.2.e3

Sobral LL, Oliveira LS, Takeda SYM, Somazz MC, Montebello MIL, Teodori RM. Immediate versus later exercises for rat sciatic nerve regeneration after axonotmesis: histomorphometric and functional analyses. Brazilian J Phys Ther 2008;12:311-6.

https://doi.org/10.1590/S1413-35552008000400010

Rotshenker S. Wallerian degeneration: the innate-immune response to traumatic nerve injury. J Neuroinflamm 2011;8:1-15.

https://doi.org/10.1186/1742-2094-8-109

Ydens E, Cauwels BA, Goethals S, Peeraer L, Lornet G, Almeida-Souza L, et al. Acute injury in the peripheral nervous system triggers an alternative macrophage response. J Neuroinflamm 2012;9:176-81. https://doi.org/10.1186/1742-2094-9-176

Shamash F, Seichert F, Rotshenker S. The cytokine network of wallerian degeneration: tumor necrosis factor-alpha, interleukin-1 alpha, and interleukin-1 beta. J Neurosci 2002;22:2052-60. https://doi.org/10.1523/jneurosci.22-08-03052.2002

Conti G, Rostami A, Scarpini E, Baron P, Galimberti D, Bresolin N, et al. Inducible nitric oxide synthase (iNOS) in immune-mediated demyelination and Wallerian degeneration of the rat peripheral nervous system. Exper Neurol 2004;187:350-8.

https://doi.org/10.1016/j.expneurol.2004.01.026

Emirandetti GFS, Zanon RG, Oliveira ALR. Spinal motoneuron synapctic plasticity after axotomy in the absence of inducible nitric oxide synthase. J Neuroinflamm 2010;7:1-16.

https://doi.org/10.1186/1742-2094-7-31

Lin H, Hou C, Chen D. Altered expression of inducib le nitric oxide synthase after sciatic nerve injury in rat. Cell Biochem Biophys 2011;61:261-5. https://doi.org/10.1007/s12013-011-9192-6

Hall S. The response to injury in the peripheral nervous system. J Bone Joint Surg Am 2005;87:1309-19. https://doi.org/10.1302/0301-620x.87b10.16700

Wihelm JC, Xu M, Cucoranu D, Chmielewski S, Homes T, Lau KS, et al. Cooperative roles of BDNF expression in neurons and schwann cells are modulated by exercise to facilitate nerve regeneration. J Neurosci 2012;32:2002-9. https://doi.org/10.1523/JNEUROSCI.1411-11.2012

Sebben DA, Cocolichio F, Schimitt AP, Curra MD, Viegas P, Tres GL, et al. Effect of neurotrophic factors on peripheral nerve repair. Sci Med 2011;21:81-9. https://www.researchgate.net/publication/277212967_Effect_of_neurotrophic_factors_on_peripheral_nerve_repair_Abstract_in_English

Aron L, Klein R. Repairing the parkinsonian brain with neurotrophic factors. Cell Press Trends Neurosci 2011;34:88-100. https://doi.org/10.1016/j.tins.2010.11.001

Madduri S, Gander B. Schwann cell delivery of neurotrophic factors for peripheral nerve regeneration. J Periph Nervous Sys 2010;15:93-103. https://doi.org/10.1111/j.1529-8027.2010.00257.x

Ilha J, Araujo RT, Malysz T, Hermel EES, Rigon P, Xavier LL, et al. Endurance and Resistance Exercise Training Programs Elicit Specific Effects on Sciatic Nerve Regeneration After Experimental Traumatic Lesion in Rats. Neurorehab Neural Repair 2008;22:355-66. https://doi.org/10.1177/1545968307313502

Udina E, Puigdemasa A, Navarro X. Passive and active exercise improve regeneration and muscle reinnervation after peripheral nerve injury in the rat. Muscle Nerve 2011;43:500-9. https://doi.org/10.1002/mus.21912

Gutmann E, Jakoubek B. Effect of increased motor activity on regeneration of the peripheral nerve in young rats. Physiol Bohemoslovenica 1963;12:463-8.

Tam SL, Archibald V, Jassar B, Tyreman N, Gordon T. Increased neuromuscular activity reduces sprouting in partially denervated muscles. J Neurosci 2001;15:654-67.

https://doi.org/10.1523/JNEUROSCI.21-02-00654.2001

Soucy M, Sebum K, Gardiner P. Is increased voluntary motor activity beneficial or detrimental during the period of motor nerve regeneration/reinnervation. Can J Appl Physiol 1996;21:218-24. https://doi.org/10.1139/h96-018

Molteni R, Zheng JQ, Ying Z, Gomez-Pinilla F, Twiss JL. Voluntary exercise increases axonal regeneration from sensory neurons. Proc Natl Acad Sci 2004;101:8473-8.

https://doi.org/10.1073/pnas.0401443101

Teodori RM, Betini J, Oliveira LS, Sobral LL, Takeda SYM, Montebelo MIL. Swimming exercise in the acute or late phase after sciatic nerve crush accelerates nerve regeneration. Neural Plas 2011;1:1-8. https://doi.org/10.1155/2011/783901

Bain JR, Mackinnon SE, Hunter DA. Functional evaluation of complete sciatic, peroneal, and posterior tibial nerve lesions in the rat. Plas Reconstruc Surg 1989;1:129-36.

https://doi.org/10.1097/00006534-198901000-00024

Munn J, Herbert RD, Hancock MJ, Gandevia SC. Resistance training for strength: effect of numver of sets and contraction speed. Med Sci Sports Exerc 2005;9:1622-6.

https://doi.org/10.1249/01.mss.0000177583.41245.f8

Possamai F, Pacheco DR, Santos TS, André ES. Repercussões morfológicas e funcionais do exercício sobre a regeneração nervosa periférica. Fisioter Mov 2012;25:617-27.

http://dx.doi.org/10.1590/S0103-51502012000300017

Gorio A, Carmignoto G, Finesso M, Polato P, Nunzi GM. Muscle reinnervation II. Sprouting synapse formation and repression. Neurosci 1983;3:403-16. https://doi.org/10.1016/0306-4522(83)90188-4

Araújo RT. Efeitos do treinamento físico na água aquecida sobre a recuperação funcional e a regeneração nervosa periférica após lesão do nervo isquiático em ratos machos adultos. (Dissertação). Porto Alegre: Universidade federal do Rio Grande do Sul, 2008, 76p.

Campbell WW. Evaluation and management of peripheral nerve injury. Clin Neurophysiol 2008;199:1951-65.

https://doi.org/10.1016/j.clinph.2008.03.018

Meyer M, Matsuoka I, Wetmore C, Olson L, Thoenen H. Enhanced synthesis of brain derived neurotrophic factor in the lesioned peripheral nerve: Different mechanisms are responsible for the regulation of BDNF and NGF mRNA. J Cell Biol 1992;1:45-54.

https://doi.org/10.1083/jcb.119.1.45

Cobianchi S, Diaz LC, Jaramillo J, Navarro X. Differential effects of activity dependent treatments on axonal regeneration and neuropathic pain after peripheral nerve injury. Exp Neurol 2013;240:157-67. https://doi.org/10.1016/j.expneurol.2012.11.023

Gómez-Pinilla F, Ying Z, Roy RR, Molteni R, Edgerton VR. Voluntary exercise induces a BDNF-mediated mechanism that promotes neuroplasticity. J Neurophysiol 2002;88:2187-95. https://doi.org/10.1152/jn.00152.2002

Bobinski F, Martins DF, Bratti T, Mazzardo-Martins L, Winkelmann-Duarte EC, Guglielmo LGA, et al. Neuroprotective and neuroregenerative effects of lowintensity aerobic exercise on sciatic nerve crush injury in mice. Neurosci 2011;194:337-48. https://doi.org/10.1016/j.neuroscience.2011.07.075

Funakoshi H, Frisén J, Barbany G, Timmusk T, Zachrisson O, Verge VMK, et al. Differential expression of mRNAs for neurotrophins and their receptors after axotomy of the sciatic nerve. J Cell Biol 1993;2:455-65. https://doi.org/10.1083/jcb.123.2.455

Heumann R, Korching S, Bandtlow C, Thoenen H. Changes of nerve growth factor synthesis in nonneural cells in response to sciatic nerve transection. J Cell Biol 1987;2:1623-31.

https://doi.org/10.1083/jcb.104.6.1623

Downloads

Publicado

2020-11-03

Como Citar

Guedert, D. G., & Sanfelice André, E. (2020). Efeitos do exercício sobre a regeneração do nervo ciático de ratos Wistar após axonotmese. Revista Neurociências, 28, 1–23. https://doi.org/10.34024/rnc.2020.v28.10764

Edição

Seção

Artigos Originais
Recebido: 2020-06-10
Aceito: 2020-10-19
Publicado: 2020-11-03

Artigos mais lidos pelo mesmo(s) autor(es)