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GAP-43 expression correlates with spinal motoneuron regeneration following root avulsion
The growth-associated protein GAP-43 plays a crucial role in axonal regeneration in injured neurons.
Methods: We have used immunohistochemistry to investigate the expression of GAP-43 in spinal motoneurons during nerve reconstruction following root avulsion in the neonatal and adult rats.
Results: Following the injury, GAP-43-immunoreactivity (IR) could be found in adult avulsed motoneurons as early as 1 day, increased from 3 to 7 days and reached a maximal level at 2 weeks post-injury. The up-regulation of GAP-43 in adult avulsed motoneurons was accompanied with the axonal regeneration indicated by numerous regenerating motor axons entering the reimplanted ventral root and nerve.
In contrastGAP-43-IR could not be found in the neonatal avulsed motoneurons at any examined post-injury time points. This failure of up-regulation of GAP-43 was coincident with no axonal regeneration in the reimplanted nerve in the neonatal rats.
Conclusion: Close association of GAP-43 expression and capacity of regeneration in reimplanted spinal nerve of avulsed motoneurons suggests that GAP-43 is a potential therapeutic target for treatment of root avulsion of brachial plexus.
Author: Qiuju YuanBing HuHuanxing SuKwok-Fai SoZhixiu LinWutian Wu
Credits/Source: Journal of Brachial Plexus and Peripheral Nerve Injury 2009, 4:18
spinal motoneuron regeneration following root avulsion
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Christopher
- Posts: 845
- Joined: Wed Jun 18, 2003 10:09 pm
- Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02
Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed
BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.
Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)
"Do what you can, with what you have, where you are."
~Theodore Roosevelt - Location: Los Angeles, California USA
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Christopher
- Posts: 845
- Joined: Wed Jun 18, 2003 10:09 pm
- Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02
Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed
BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.
Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)
"Do what you can, with what you have, where you are."
~Theodore Roosevelt - Location: Los Angeles, California USA
Re: spinal motoneuron regeneration following root avulsion
Mica:
"I could not reply to your thread: "spinal motoneuron regeneration following root avulsion", but I wondered if there were theories as to why the protein was not found in neonatal injuries. Have you read anything, Christopher? Marieke? Anyone?"
Mica,
I have not read anything pertaining to this, but I find it very odd. Especially since it is my understanding that newborns have the best potential for regeneration after root avulsion re-implantation. I have read this in different studies and Dr. Thomas Carlstedt (who has been working on re-implantation techniques and strategies for over 30 years) talked to me about this years ago.
I'm going to post your question on another board and see if an answer comes in. Good question!
"I could not reply to your thread: "spinal motoneuron regeneration following root avulsion", but I wondered if there were theories as to why the protein was not found in neonatal injuries. Have you read anything, Christopher? Marieke? Anyone?"
Mica,
I have not read anything pertaining to this, but I find it very odd. Especially since it is my understanding that newborns have the best potential for regeneration after root avulsion re-implantation. I have read this in different studies and Dr. Thomas Carlstedt (who has been working on re-implantation techniques and strategies for over 30 years) talked to me about this years ago.
I'm going to post your question on another board and see if an answer comes in. Good question!
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Christopher
- Posts: 845
- Joined: Wed Jun 18, 2003 10:09 pm
- Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02
Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed
BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.
Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)
"Do what you can, with what you have, where you are."
~Theodore Roosevelt - Location: Los Angeles, California USA
Re: spinal motoneuron regeneration following root avulsion
I haven't read it yet, but here is a link to the publication:
http://www.jbppni.com/content/4/1/18
http://www.jbppni.com/content/4/1/18
Re: spinal motoneuron regeneration following root avulsion
Thanks for the link! What stumped you was exactly what stumped me! If neonates have the best healing potential, then why is the protein missing???
Thanks for posting the question on another board! The more we all understand, the better we can advocate!
Thanks for posting the question on another board! The more we all understand, the better we can advocate!
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pieface
- Posts: 21
- Joined: Tue Dec 08, 2009 1:44 pm
- Injury Description, Date, extent, surgical intervention etc: Full root avulsion of C5,C6,C7,C8,T1 September 2009.
Surgery October 2009.
Donor nerve taken from fore arm, sliced into 3 pieces.
Used for C5, C6 , C7 to re implanted back into the spine and attached
to brachial. - Location: Ireland
Re: spinal motoneuron regeneration following root avulsion
Prof. Thomas Carlstedth is the man,he did my op 2 months ago after complete avulsion of c5 c6 c7 c8 t1.
Very nice man.
Very nice man.