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The Journal of Internal Korean Medicine > Volume 33(2); 2012 > Article
The Journal of Internal Korean Medicine 2012;33(2): 126-144.
四物除痛湯이 Taxol 처리 및 좌골신경 압좌 손상 후 신경조직 변화에 미치는 영향
윤성식, 김철중, 조충식
대전대학교 한의과대학 신계내과학교실
Effects on Response of Nervous Tissue to Samuljetong-tang after Damaged by Taxol Treatment or Sciatic Nerve Injury
Sung-sik Youn, Chul-jung Kim, Chung-sik Cho
Dept. of Internal Medicine, College of Oriental Medicine, Dae-Jeon University
Correspondence  Chung-sik Cho ,Tel: 041-521-7531, Fax: 041-521-7007, Email: choo1o2@chol.com
  Published online: June 30, 2012.
ABSTRACT
Background:
Peripheral nerves more rapidly recover than central nerves. However, it has been known that the degree of reaction of axons of peripheral nerves is affected by distinctive characteristics of axons and environmental factors near the axons. Taxol is a widely used medicine as for ovarian, breast, lung and gastric cancer. However it causes patients difficulties under treatment due to its toxic and side effects, which include persistent pain.

Objectives:
This study reviewed how SJT extract in vitro and in vivo affects nerve tissues of a sciatic nerve damaged by Taxol. It also studied how SJT extract in vivo affects axons of the sciatic nerve after the sciatic nerve was damaged by pressing.

Methods :
After vehicle, Taxol, and Taxol plus SJT were treated respectively for tissue of the sciatic nerve in vitro and then tissues were observed using Neurofilament 200, Hoechst, β-tubulin, S100β, caspase-3 and anti-cdc2. SJT was also oral medicated by injecting Taxol into the sciatic nerve of in vivo rats. Tissues of the sciatic nerve and axons of DRG sensory nerves were then observed using Neurofilament 200, Hoechst, β-tubulin, S100β, caspase-3 and p-Erk1/2. After inflicting pressing damage to the sciatic nerve of in vivo rats, tissues of the sciatic nerve and DRG sensory nerve were observed using Neurofilament 200, Hoechst, S100β, caspase-3, anti-cdc2, phospho-vimentin, β1-integrin, Dil reverse tracking and p-Erk1/2.

Results:
The group of in vitro Taxol plus SJT treatment had meaningful effects after sciatic nerve tissue was damaged by Taxol. The group of in vivo SJT treatment had effects of regenerating Schwann cells and axons which were damaged by Taxol treatment. The group of in vivo SJT had effects of regenerating axons in damaged areas after the sciatic nerve was damaged by pressing, and also had variations of distribution in Schwann cells at DRG sensory nerves and axons.

Conclusions:
This study confirmed that SJT treatment is effective for growth of axons in the sciatic nerve tissues and improvement of Schwann cells after axons of the sciatic nerve tissues was damaged. After tissues of sciatic nerve was damaged by pressing in vivo, SJT treatment had effects on promoting regeneration of axon in the damaged area and reactional capabilities in axons of DRG sensory nerves.
Key words: Samuljetong-tang, sciatic nerve, dorsal root ganglia, Schwann cell, Taxol, sciatic nerve injury, axon regeneration
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