PMID- 23554017 OWN - NLM STAT- MEDLINE DCOM- 20140221 LR - 20130828 IS - 1098-2396 (Electronic) IS - 0887-4476 (Linking) VI - 67 IP - 10 DP - 2013 Oct TI - Synergistic effects of ultrashort wave and bone marrow stromal cells on nerve regeneration with acellular nerve allografts. PG - 637-47 LID - 10.1002/syn.21669 [doi] AB - Acellular nerve allografts (ANA) possess bioactivity and neurite promoting factors in nerve tissue engineering. Previously we reported that low dose ultrashort wave (USW) radiation could enhance the rate and quality of peripheral nerve regeneration with ANA repairing sciatic nerve defects. Meanwhile, ANA implanted with bone marrow stromal cells (BMSCs) exhibited a similar result. Thus, it is interesting to know whether it might yield a synergistic effect when USW radiation is combined with BMSCs-laden ANA. Here we investigated the effectiveness of ANA seeded with BMSCs, combined with USW therapy on repairing peripheral nerve injuries. Adult male Wistar rats were randomly divided into four groups: Dulbecco's modified Eagle's medium (DMEM) control group, BMSCs-laden group, ultrashort wave (USW) group and BMSC + USW group. The regenerated nerves were assayed morphologically and functionally, and growth-promoting factors in the regenerated tissues following USW administration or BMSCs integration were also detected. The results indicated that the combination therapy caused much better beneficial effects evidenced by increased myelinated nerve fiber number, myelin sheath thickness, axon diameter, sciatic function index, nerve conduction velocity, and restoration rate of tibialis anterior wet weight. Moreover, the mRNA levels of brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF) in the spinal cord and muscles were elevated significantly. In conclusion, we found a synergistic effect of USW radiation and BMSCs treatment on peripheral nerve regeneration, which may help establish novel strategies for repairing peripheral nerve defects. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Pang, Chao-Jian AU - Pang CJ AD - Department of Anatomy, College of Basic Medical Sciences, China Medical University, Shenyang, China. FAU - Tong, Lei AU - Tong L FAU - Ji, Li-Li AU - Ji LL FAU - Wang, Zhen-Yu AU - Wang ZY FAU - Zhang, Xu AU - Zhang X FAU - Gao, Hai AU - Gao H FAU - Jia, Hua AU - Jia H FAU - Zhang, Li-Xin AU - Zhang LX FAU - Tong, Xiao-Jie AU - Tong XJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130502 PL - United States TA - Synapse JT - Synapse (New York, N.Y.) JID - 8806914 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Animals MH - Brain-Derived Neurotrophic Factor/genetics/metabolism MH - Combined Modality Therapy MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - Myelin Sheath/metabolism MH - *Nerve Regeneration MH - Neural Conduction MH - Peripheral Nerve Injuries/*therapy MH - Peripheral Nerves/*transplantation MH - Rats MH - Rats, Wistar MH - Sciatic Nerve/injuries/metabolism/*physiology/radiation effects MH - *Short-Wave Therapy MH - Transplantation, Homologous MH - Vascular Endothelial Growth Factor A/genetics/metabolism OTO - NOTNLM OT - Schwann cells OT - bone marrow stromal cells OT - peripheral nerve regeneration OT - ultrashort wave therapy EDAT- 2013/04/05 06:00 MHDA- 2014/02/22 06:00 CRDT- 2013/04/05 06:00 PHST- 2012/10/16 00:00 [received] PHST- 2013/01/07 00:00 [revised] PHST- 2013/03/22 00:00 [accepted] PHST- 2013/04/05 06:00 [entrez] PHST- 2013/04/05 06:00 [pubmed] PHST- 2014/02/22 06:00 [medline] AID - 10.1002/syn.21669 [doi] PST - ppublish SO - Synapse. 2013 Oct;67(10):637-47. doi: 10.1002/syn.21669. Epub 2013 May 2.