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  4. The effects of FGF-2 gene therapy combined with voluntary exercise on axonal regeneration across peripheral nerve gaps

The effects of FGF-2 gene therapy combined with voluntary exercise on axonal regeneration across peripheral nerve gaps

Neurosci Lett, 2008 · DOI: 10.1016/j.neulet.2008.07.087 · Published: October 10, 2008

Regenerative MedicineNeurologyGenetics

Simple Explanation

This study investigates whether combining gene therapy with exercise can improve nerve regeneration after injury. They transplanted Schwann cells, some modified to produce a growth factor called FGF-2, into nerve gaps in rats. Some rats were allowed to exercise, while others were kept sedentary. The researchers looked at the levels of certain proteins associated with nerve growth and measured how well the nerves regenerated across the gaps. They found that exercise, especially when combined with FGF-2 gene therapy, helped the nerves regenerate better. This suggests that combining these approaches could be a promising way to treat peripheral nerve injuries, potentially leading to better recovery of movement and sensation.

Study Duration
25-27 days
Participants
72 adult female Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Exercise for 7 days elevated mRNA levels of regeneration associated proteins (GAP-43 and synapsin I) in lumbar spinal cord and dorsal root ganglia of SC transplanted, in contrast to non-cellular reconstructed rats.
  • 2
    FGF-2 gene therapy followed by 25–27 days of exercise did enhance regeneration of myelinated axons in comparison to sedentary animals.
  • 3
    Four weeks after surgery mRNA levels of regeneration associated proteins were significantly higher in lumbar spinal cord of running compared to sedentary SC transplanted animals.

Research Summary

The study examined the combined effects of FGF-2 gene therapy and voluntary exercise on axonal regeneration across peripheral nerve gaps in rats. Schwann cells (SCs) were transplanted into nerve gaps, with some SCs genetically modified to overexpress FGF-2. Results showed that exercise elevated mRNA levels of regeneration-associated proteins and enhanced the regeneration of myelinated axons, especially when combined with FGF-2 gene therapy. This suggests a synergistic effect of exercise and gene therapy in promoting nerve regeneration. The findings indicate that voluntary exercise can reinforce the beneficial effects of SC transplantation and FGF-2 gene therapy, suggesting a promising approach for peripheral nerve reconstruction.

Practical Implications

Enhanced Nerve Regeneration

Combining exercise with FGF-2 gene therapy could significantly improve nerve regeneration outcomes compared to either treatment alone.

Improved Functional Recovery

The study suggests that this combined approach could lead to better functional motor recovery after peripheral nerve injuries.

Clinical Translation

The findings support the development of rehabilitation strategies that incorporate exercise to enhance the efficacy of gene therapy for nerve repair.

Study Limitations

  • 1
    The outcome of gap bridging tissue regeneration was poor in the current SCphysiol, SCvector only and SC-FGF-218kD groups.
  • 2
    Comparably low numbers of myelinated axons have currently been found after 4 weeks of regeneration as compared to 12 weeks in previous studies.
  • 3
    For transection and peripheral nerve gap reconstruction no satisfactory functional motor recovery is reported so far after a period of 4 weeks independently of any surgical or rehabilitation treatment.

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