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Therapeutic strategies for peripheral nerve injuries:FK506 and electrostimulation

作     者:David Chi Erin C.Silverman Evan B.Marsh Matthew D.Wood Susan E.Mackinnon David Chi;Erin C.Silverman;Evan B.Marsh;Matthew D.Wood;Susan E.Mackinnon

作者机构:Department of SurgeryDivision of Plastic and Reconstructive SurgeryWashington University School of MedicineSt.LouisMO 63110USA 

出 版 物:《Plastic and Aesthetic Research》 (整形与美容研究(英文版))

年 卷 期:2023年第10卷第1期

页      面:124-136页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Electrical stimulation FK506 peripheral nerve nerve regeneration 

摘      要:Efficacious therapeutics for peripheral nerve injuries remain incompletely described in the ***,over the last several decades,delivery of FK506(Tacrolimus)and electrostimulation have demonstrated great promise for supplementing surgical advances in treating peripheral nerve *** review describes the discovery,mechanistic investigations,and clinical translation of these strategies to promote functional ***506 has demonstrated the ability to increase the regeneration rate after nerve injury by a variety of hypothesized mechanisms,yet clinical utility remains limited due to systemic *** administration of FK506 continues to be an active area of inquiry for minimizing side effects while maintaining its neuroregenerative *** of a nerve proximal to the site of surgical nerve repair has demonstrated increased axonal regeneration and accelerated recovery of both motor and sensory *** addition,electrostimulation also appears to improve axon matching during reinnervation from motor to motor and sensory to sensory pathways and is used clinically in our ***,the specific parameters to best incorporate electrostimulation into the operating theater are still *** translational rodent and murine models,surgical techniques and these therapeutic strategies have gradually become more viable as safety profiles and mechanisms are gradually *** review presents the state of the field for these therapeutic avenues and discusses further areas of research.

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