The Effect of Carnitine on Peripheral Nerve Regeneration. 2017

Kemal Karaca, and Fevzi Solmaz
*Department of Plastic and Reconstructive Surgery †Department of Otorhinolaryngology, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

BACKGROUND Proximal and distal axons of the nerve body are subject to varying degrees of traumatic degeneration after an incision. The histologic structure of rat peripheral nerves cannot be distinguished from the human. Studies on systemic carnitine treatment following peripheral nerve injury and its positive results are available in the literature. There are no reported results of local administration. METHODS The authors used 50 rats. A total of 5 groups were created by randomly assigning the rats. In the first study group, the nerve was repaired following the incision. NaCl was locally administered to the repair region. In the second study group, the nerve was repaired following the incision. Carnitine was administered systemically. In the third study group, the nerve was repaired following the incision. The rats were administered Carnitine locally and additionally Carnitine was administered systemically. In the fourth study group, the nerve was repaired following the incision. Carnitine was administered locally. The fifth control group did not undergo any procedure. RESULTS Although Sciatic function index of the groups that received carnitine was better than the group that received NaCl, no statistically significant difference was present. Nerve action potential amplitude values were calculated from the electrophysiological recordings obtained. All groups were compared among themselves, a statistically significant difference was found. A significant difference was found between first, second, third, fourth, control groups. The total nerve area and number of axons per mm was lower in the control group than all other groups. CONCLUSIONS Local administration of carnitine was found to be as effective as systemic administration. The authors therefore conclude that carnitine can be used locally, systemically or systemically + locally to increase regeneration following peripheral nerve damage.

UI MeSH Term Description Entries
D009416 Nerve Regeneration Renewal or physiological repair of damaged nerve tissue. Nerve Tissue Regeneration,Nervous Tissue Regeneration,Neural Tissue Regeneration,Nerve Tissue Regenerations,Nervous Tissue Regenerations,Neural Tissue Regenerations,Regeneration, Nerve,Regeneration, Nerve Tissue,Regeneration, Nervous Tissue,Regeneration, Neural Tissue,Tissue Regeneration, Nerve,Tissue Regeneration, Nervous,Tissue Regeneration, Neural
D002331 Carnitine A constituent of STRIATED MUSCLE and LIVER. It is an amino acid derivative and an essential cofactor for fatty acid metabolism. Bicarnesine,L-Carnitine,Levocarnitine,Vitamin BT,L Carnitine
D004333 Drug Administration Routes The various ways of administering a drug or other chemical to a site in a patient or animal from where the chemical is absorbed into the blood and delivered to the target tissue. Administration Routes, Drug,Administration Route, Drug,Drug Administration Route,Route, Drug Administration,Routes, Drug Administration
D005260 Female Females
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012584 Sciatic Nerve A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE. Nerve, Sciatic,Nerves, Sciatic,Sciatic Nerves
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus
D059348 Peripheral Nerve Injuries Injuries to the PERIPHERAL NERVES. Peripheral Nerve Injury,Nerve Injuries, Peripheral,Nerve Injury, Peripheral

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