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  4. Astaxanthin-folic acid combined treatment potentiates neuronal regeneration and functional recovery after brachial plexus avulsion and reimplantation

Astaxanthin-folic acid combined treatment potentiates neuronal regeneration and functional recovery after brachial plexus avulsion and reimplantation

Frontiers in Neuroscience, 2022 · DOI: 10.3389/fnins.2022.923750 · Published: October 10, 2022

PharmacologyRegenerative MedicineNeurology

Simple Explanation

Brachial plexus avulsion (BPA) is a severe injury that disrupts nerve connections between the spinal cord and the body, leading to loss of movement and sensation. This study explores using astaxanthin (AST) and folic acid (FC) to help nerves regenerate after BPA. AST is a powerful antioxidant, and FC can reduce inflammation. Researchers tested whether combining these could improve recovery in rats with BPA. The study found that the combination of AST and FC helped reduce damage to nerve cells, promoted nerve regeneration, and improved motor function in the affected limbs of rats after BPA.

Study Duration
6 Weeks
Participants
72 adult SPF female SD rats
Evidence Level
Not specified

Key Findings

  • 1
    AST-FC combined therapy effectively alleviated oxidative stress and the inflammatory response in the acute phase of BPA.
  • 2
    AST-FC treatment increased the survival rate of neurons after brachial plexus avulsion.
  • 3
    The combined treatment promoted neuronal regeneration and recovery of motor functions in the late stage of BPA.

Research Summary

This study investigates the therapeutic effects of astaxanthin (AST) and folic acid (FC) on brachial plexus avulsion (BPA) in rats. The combination of AST and FC showed a synergistic effect due to AST’s antioxidant and FC’s anti-inflammatory properties. At 6 weeks after BPA, AST-FC promoted the recovery of biceps motor functions, increased myofiber diameter, enlarged the amplitude of musculocutaneous nerve-biceps compound action potential, and improved Terzis grooming test (TGT) scores. AST-FC combined therapy has a potential role in the clinical management of BPA since it can effectively alleviate oxidative stress and the inflammatory response, increase the survival rate of neurons, and promote neuronal regeneration and recovery of motor functions.

Practical Implications

Clinical Management of BPA

AST-FC combined therapy has a potential role in the clinical management of BPA.

Oxidative Stress and Inflammation Reduction

The combined treatment effectively alleviates oxidative stress and the inflammatory response in the acute phase of BPA.

Neuronal Survival and Regeneration

AST-FC increases the survival rate of neurons and promotes neuronal regeneration.

Study Limitations

  • 1
    Study only conducted on female rats
  • 2
    Further research is needed to determine optimal dosages for humans.
  • 3
    Long-term effects of AST-FC treatment were not evaluated.

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