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Degrugillier L, Prautsch KM, Schaefer DJ, Guzman R, Kalbermatten DF, Schären S, Madduri S. Systematic investigation and comparison of US FDA-approved immunosuppressive drugs FK506, cyclosporine and rapamycin for neuromuscular regeneration following chronic nerve compression injury. Regen Med 2021; 16:989-1003. [PMID: 34633207 DOI: 10.2217/rme-2020-0130] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: To compare therapeutic benefits of different immunophilin ligands for treating nerve injuries. Materials & methods: Cyclosporine, FK506 and rapamycin, were evaluated first in vitro on a serum-free culture of embryonic dorsal root ganglia followed by a new in vivo model of chronic nerve compression. Results: Outcomes of the in vitro study have shown a potent effect of cyclosporine and FK506, on dorsal root ganglia axonal outgrowth, comparable to the effect of nerve growth factor. Rapamycin exhibited only a moderate effect. The in vivo study revealed the beneficial effects of cyclosporine, FK506 and rapamycin for neuromuscular regeneration. Cyclosporine showed the better maintenance of the tissues and function. Conclusion: Cyclosporine, FK506 and rapamycin drugs showed potential for treating peripheral nerve chronic compression injuries.
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Affiliation(s)
- Lucas Degrugillier
- Department of Pathology, University Hospital Basel, Hebelstrasse 20, Basel, 4021, Switzerland.,Department of Biomedical Engineering, University of Basel, Gewerbestrasse 14, Allschwil, 4123, Switzerland
| | - Katharina M Prautsch
- Department of Pathology, University Hospital Basel, Hebelstrasse 20, Basel, 4021, Switzerland.,Department of Biomedical Engineering, University of Basel, Gewerbestrasse 14, Allschwil, 4123, Switzerland
| | - Dirk J Schaefer
- Department of Plastic, Reconstructive, Aesthetic & Hand Surgery, University Hospital Basel, University of Basel, Spitalstrasse 21, Basel, 4021, Switzerland
| | - Raphael Guzman
- Department of Neurosurgery, University Hospital Basel, University of Basel, Spitalstrasse 21, Basel, 4021, Switzerland
| | - Daniel F Kalbermatten
- Department of Plastic, Reconstructive, Aesthetic & Hand Surgery, University Hospital Basel, University of Basel, Spitalstrasse 21, Basel, 4021, Switzerland.,Bioengineering & Neuroregeneration, Department of Surgery, Geneva University Hospitals & University of Geneva, Rue Michel-Servet 1, Geneva, 1211, Switzerland.,Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Geneva University Hospitals and University of Geneva, 1211 Geneva, 14, Switzerland
| | - Stefan Schären
- Department of Spinal Surgery, University Hospital Basel, 4021, Basel, Switzerland
| | - Srinivas Madduri
- Department of Biomedical Engineering, University of Basel, Gewerbestrasse 14, Allschwil, 4123, Switzerland.,Department of Plastic, Reconstructive, Aesthetic & Hand Surgery, University Hospital Basel, University of Basel, Spitalstrasse 21, Basel, 4021, Switzerland.,Bioengineering & Neuroregeneration, Department of Surgery, Geneva University Hospitals & University of Geneva, Rue Michel-Servet 1, Geneva, 1211, Switzerland.,Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Geneva University Hospitals and University of Geneva, 1211 Geneva, 14, Switzerland
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