Effects of tamoxifen therapy on sciatic nerve crush injury: An experimental study in rats

Objective: This study aimed to determine the effects of tamoxifen on sciatic nerve crush injury in a rat model using histopathological,histomorphometric, and immunohistochemical approaches.Methods: In this study, 24 male Sprague-Dawley rats aged of 5 to 7 weeks and weighing between 300 g and 400g were used. The ratswere randomly divided into 3 groups: control (group C), sciatic nerve injury (group SNI), and sciatic nerve injury with tamoxifen (groupSNT). The sciatic nerve crush injury model was performed using the De Koning’s crush force method. In group C, only a skin incisionwas made and then the skin was sutured. In group SNI, the injury model was performed but no treatment was applied. In group SNT, theinjury model was executed, and then 40 mg/kg/day tamoxifen was given for 4 weeks by intraperitoneal methods. At the end of 4 weeks,all animals were killed using high doses of an anesthetic. Approximately, 2-cm sciatic nerve samples were obtained for histopathological,histomorphometric, and immunohistochemical analyses using the old skin incision.Results: In the histopathological examination, vascular congestion and density of vacuolization were significantly lower in group SNTthan in group SNI (p

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1. Kalender AM, Doğan A, Bakan V, Yıldız H, Gökalp MA, Kalender M. Effect of Zofenopril on regeneration of sciatic nerve crush injury in a rat model. J Brachial Plex Peripher Nerve Inj 2009; 4: 6.

2. Wilgis EF, Murphy P. The significance of longitudinal excursion in peripheral nerves. Hand Clin 1986; 2: 761-6.

3. Ip WY, Shibata T, Tang FH, Mak AF, Chow SP. Adhesion formation after nerve repair: an experimental study of early protected mobilization in the rabbit. J Hand Surg Br 2000; 25: 582-4.

4. Soares-Lopes LR, Soares-Lopes IM, Filho LL, Alencar AP, da Silva BB. Morphological and morphometric analysis of the effects of intralesional tamoxifen on keloids. Exp Biol Med (Maywood) 2017; 242: 926-9.

5. Brandt AS, Kamper L, Kukuk S, Haage P, Roth S. Tamoxifen monotherapy in the treatment of retroperitoneal fibrosis. Urol Int 2014; 93: 320-5.

6. Karaca T, Gözalan AU, Yoldaş Ö, Bilgiç BÇ, Tezer A. Effects of tamoxifen citrate on postoperative intra-abdominal adhesion in a rat model. Int J Surg 2013; 11: 68-72.

7. De Koning P, Brakkee JH, Gispen WH. Methods for producing a reproducible crush in the sciatic and tibial nerve of the rat and rapid and precise testing of return of sensory function. Beneficial effects of melanocortins. J Neurol Sci 1986; 74: 237-46.

8. Byer SJ, Eckert JM, Brossier NM, et al. Tamoxifen inhibits malignant peripheral nerve sheath tumor growth in an estrogen receptor-independent manner. Neuro Oncol 2011; 13: 28-41.

9. Tsubaki M, Takeda T, Matsumoto M, et al. Tamoxifen suppresses paclitaxel-, vincristine-, and bortezomib-induced neuropathy via inhibition of the protein kinase C/extracellular signal-regulated kinase pathway. Tumour Biol 2018; 40: 1010428318808670.

10. Somay H, Emon ST, Uslu S, et al. The histological effects of ozone therapy on sciatic nerve crush injury in rats. World Neurosurg 2017; 105: 702-8.

11. Sezer A, Güçlü B, Kazancı B, Cakır M, Coban MK. Neuroprotective effects of agmatine in experimental peripheral nerve injury in rats: a prospective randomized and placebo-controlled trial. Turk Neurosurg 2014; 24: 196-201.

12. Göçmen S, Şirin S, Oysul K, Ulaş UH, Öztaş E. The effects of low-dose radiation in the treatment of sciatic nerve injury in rats. Turkish Neurosurg 2012; 22: 167- 73.

13. Renno WM, Al-Maghrebi M, Al-Banaw A. (-)-Epigallocatechin-3-gallate (EGCG) attenuates functional deficits and morphological alterations by diminishing apoptotic gene overexpression in skeletal muscles after sciatic nerve crush injury. Naunyn Schmiedebergs Arch Pharmacol 2012; 385: 807- 22.

14. Renno WM, Saleh F, Klepacek I, Al-Khaledi G, Ismael H, Asfar S. Green tea pain modulating effect in sciatic nerve chronic constriction injury rat model. Nutr Neurosci 2006; 9: 41-7.

15. Wu R, Wang L, Chen F, et al. Evaluation of artificial nerve conduit and autografts in peripheral nerve repair in the rat model of sciatic nerve injury. Neurol Res 2016; 38: 461-6.

16. Shagufta, Ahmad I. Tamoxifen a pioneering drug: an update on the therapeutic potential of tamoxifen derivates. Eur J Med Chem 2018; 143: 515-31.

17. Nadeau S, Filali M, Zhang J, et al. Functional recovery after peripheral nerve injury is dependent on the pro-inflammatory cytokins IL-1β and TNF: implications for neuropathic pain. J Neurosci 2011; 31: 12533-42.

18. Camara-Lemarroy CR, Guzman-de la Garza FJ, Fernandez-Garza NE. Molecular inflammatory mediators in peripheral nerve degeneration and regeneration. Neuroimmunomodulation 2010; 17: 314-24.

19. Wu WM, Lin BF, Su YC, Suen JL, Chiang BL. Tamoxifen decreases renal inflammation and alleviates disease severity in autoimmune NZB/W F1 mice. Scand J Immunol 2000; 52: 393-400.

20. Sung B, Wang S, Zhou B, et al. Altered spinal arachidonic acid turnover after peripheral nerve injury regulates regional glutamate concentration and neuropathic pain behaviors in rats. Pain 2007; 131: 121-31.

21. Mata M, Alessi D, Fink DJ. S100 is preferentially distributed in myelin-forming Schwann cells. J Neurocytol 1990; 19: 432-42.

22. Liu GM, Xu K, Li J, Luo YG. Curcumin upregulates S100 expression and improves regeneration of the sciatic nerve following its complete amputation in mice. Neurol Regen Res 2016; 11: 1304-311.

23. Liu B, Xin W, Tan JR, et al. Myelin sheath structure and regeneration in peripheral nerve injury repair. Proc Natl Acad Sci U S A 2019; 116: 22347-52.

24. Gupta R, Steward O. Chronic nerve compression induces concurrent apoptosis and proliferation of Schwann cells. J Comp Neurol 2003; 23: 174-86.

25. Farjah GH, Fazli F. The effect of chick embryo amniotic fluid on sciatic nerve regeneration of rats. Iran J Vet Res 2015; 16: 167-71.

26. Rydevik B, Lundborg G, Nordborg C. Intraneural tissue reactions induced by internal neurolysis. An experimental study on the blood-nerve barrier, connective tissues and nerve fibres of rabbit tibial nerve. Scand J Plast Reconstr Surg 1976; 10: 3-8.

27. Nachemson AK, Lundborg G, Myrhage R, Rank F. Nerve regeneration and pharmacological suppression of the scar reaction at the suture site. An experimental study on the effect of estrogen-progesterone, methylprednisolone-acetate and cis-hydroxyproline in rat sciatic nerve. Scand J Plast Reconstr Surg 1985; 19: 255-60.

28. Atkins S, Smith KG, Loescher AR, Boissonade FM, Ferguson MW, Robinson PP. The effect of antibodies to TGF-beta1 and TGF-beta2 at a site of sciatic nerve repair. J Peripher Nerv Syst 2006; 11: 286-93.

29. Özay R, Bekar A, Kocaeli H, Karlı N, Filiz G, Ulus IH. Citicoline improves functional recovery, promotes nerve regeneration, and reduces postoperative scarring after peripheral nerve surgery in rats. Surg Neurol 2007; 68: 615-22.

30. England JD, Rhee EK, Said G, Summer AJ. Schwann cell degeneration induced by doxorubicin (adriamycin). Brain 1988; 111: 901-13.

31. Ikeda K, Yamauchi D, Osamura N, Hagiwara N, Tomita K. Hyaluronic acid prevents peripheral nerve adhesion. Br J Plast Surg 2003; 56: 342-7.

32. Özgenel GY, Filiz G. Combined application of human amniotic membrane wrapping and hyaluronic acid injection in epineurectomized rat sciatic nerve. J Reconstr Microsurg 2004; 20: 153-57.

33. Dumanian GA, McClinton MA, Brushart TM. The effects of free fat grafts on the stiffness of the rat sciatic nerve and perineural scar. J Hand Surg Am 1999; 24: 30-6.

34. Finsterbush A, Porat S, Rousso M, Ashur H. Prevention of peripheral nerve entrapment following extensive soft tissue injury, using silicone cuffing: an experimental study. Clin Orthop Relat Res 1982; 162: 276-81.

35. Dellê H, Rocha JRC, Cavaglieri RC, Vieira JM Jr, Malheiros DM, Noronha IL. Antifibrotic effect of tamoxifen in a model of progressive renal disease. J Am Soc Nephrol 2012; 23: 37-48.

36. Hu D, Hughes MA, Cherry GW. Topical tamoxifen--a potential therapeutic regime in treating excessive dermal scarring? Br J Plast Surg 1998; 51: 462-69.

37. Gaudet AD, Popovich PG, Ramer MS. Wallerian degeneration: gaining perspective on inflammatory events after peripheral nerve injury. J Neuroinflammation 2011; 8: 110.

38. Sui T, Ge DW, Yang L, Tang J, Cao XJ, Ge YB. Mytomycin C induces apoptosis in human epidural scar fibroblasts after surgical decompression for spinal cord injury. Neurol Regen Res 2017; 12: 644-53.

39. Vogel VG, Costantino JP, Wickerham DL, et al. National Surgical Adjuvant Breast and Bowel Project (NSABP): Effects of tamoxifen vs raloxifen on the risk of developing invasive breast cancer and other disease outcomes: The NSABP study of tamoxifen and raloxifen (STAR) P-2 trial. JAMA 2006; 295: 2727-41.

40. Denk F, Ramer LM, Erskine EL, et al. Tamoxifen induces cellular stress in the nervous system by inhibiting cholesterol synthesis. Acta Neuropathol Commun 2015; 3: 74.

41. Bernstein L, Deapen D, Cerhan JR, et al. Tamoxifen therapy for breast cancer and endometrial cancer risk. J Natl Cancer Inst 1999; 91: 1654-62.

42. Bentzen SM, Skoczylas JZ, Overgaard M, Overgaard J. Radiotherapy-related lung fibrosis enhanced by tamoxifen. J Natl Cancer Inst 1996; 88: 918-22.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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