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Nerve trunk healing and neuroma formation after nerve transection injury

Dongxu Huang, Mingxi Yang, Zhen‐Min Jiang, Miao Chen, Kun Soo Chang, Yong-Xin Zhan, Xu Gong

2023Frontiers in Neurology18 citationsDOIOpen Access PDF

Abstract

The nerve trunk healing process of a transected peripheral nerve trunk is composed of angiogenesis, nerve fiber regeneration, and scarring. Nerve trunk healing and neuroma formation probably share identical molecular mediators and similar regulations. At the nerve transection site, angiogenesis is sufficient and necessary for nerve fiber regeneration. Angiogenesis and nerve fiber regeneration reveal a positive correlation in the early time. Scarring and nerve fiber regeneration show a negative correlation in the late phase. We hypothesize that anti-angiogenesis suppresses neuromas. Subsequently, we provide potential protocols to test our hypothesis. Finally, we recommend employing anti-angiogenic small-molecule protein kinase inhibitors to investigate nerve transection injuries.

Topics & Concepts

Regeneration (biology)AngiogenesisMedicineTrunkNeuromaNerve fiberNerve injuryEpineurial repairAnatomyPeripheral nerveSurgeryBiologyInternal medicineCell biologyEcologyNerve injury and regenerationAxon Guidance and Neuronal SignalingPain Mechanisms and Treatments