Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (4): 447-452.doi: 10.13418/j.issn.1001-165x.2023.4.13

Previous Articles     Next Articles

Investigation of Fasudil in its efficacy at improving flap innervation in mice

Xu Yidan1, Wang yanting1, Chen shaoFeng2, Jing Xing2, Xu Dan2, Fangfang2, Wang Hai3, Xie Yun3, Zhuang Yuehong2*   

  1. 1.Department of Public Health and Medical Technology, Xiamen Medical College, Xiamen 361023, China;2.Fujian Provincial Key Laboratory of Brain Aging and Neurodegenerative Diseases, Institute of Clinical Applied Anatomy, Fujian Medical University, Fuzhou 350122, China;3.Department of traumatic Orthopedics, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350122, China
  • Received:2022-11-25 Online:2023-07-25 Published:2023-08-02

Abstract: Objective    To explore whether Fasudil can promote the regeneration of the sensory nerve after flap surgery and its underlying mechanism.    Methods    92 ICR mice were selected and randomly divided into the control, Fasudil , LY294002, and Fasudil+LY294002 groups, and the corresponding drugs were injected intraperitoneally daily from 3d before surgery. At 0 d, 5 d, 7 d, 15 d and 30 d after operation, immunofluorescence staining was used to observe the axon outgrowth in the flap. The flap tissue at 5d after surgery was collected, and Western blotting was used to detect the expressions of RhoA, ROCK1+2, p-CPI-17, p-MYPT, p-PTEN, p-PI3K, and p-Akt in the flap. Secondly, rats 15d in pregnancy were adopted, the DRGs on both sides of the spinal cord were harvested and divided into 6 groups: the control, Fasudil, Fasudil+LY294002, CSPG, CSPG+Fasudil and CSPG+Fasudil+LY294002 groups. After 5d of culture, the axon lengths of the DRGss in the 6 groups were measured.    Results    Abundant nerve fibers could be observed in each group at 0d after operation; at 7d after operation, all nerve fibers underwent complete degeneration; at 15d and 30d after operation, only the Fasudil group had nerve fibers again. p-CPI-17 and p-MYPT in Fasudil group were down-regulated, and p-PI3K and p-Akt were up-regulated 5 days after operation (P<0.001). The average axon lengths of DRGs in the control, Fasudil, Fasudil+LY294002, CSPG, CSPG+Fasudil, and CSPG+Fasudil+LY294002 groups after 5d of culture were (1.96±0.24) mm, (2.73±0.30)mm, (2.07±0.13)mm, (1.62±0.20)mm, (2.35±0.13)mm, and (1.84±0.31)mm, respectively. The differences among the groups were statistically significant (P<0.001).    Conclusions    Fasudil promotes nerve regeneration in flap after surgery by inhibiting the RhoA/ROCK pathway and activating the PI3K/Akt pathway.

Key words: Flap,  ,  , Nerve regeneration,  ,  , Fasudil,  ,  , RhoA/ROCK,  ,  , PI3K/Akt

CLC Number: