Oxytocin mitigates peripheral nerve damage via Nrf2 and irisin pathway
H K Tosyalı1, E S Bora, O S Çınaroğlu
1Department of Orthopedics and Traumatology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey. ejdersaylav.bora@saglik.edu.tr.
European Review for Medical and Pharmacological Sciences
|December 14, 2023
Summary
Oxytocin treatment improved nerve recovery after injury by enhancing neuroprotection and reducing inflammation. This peptide therapy positively impacts nerve regeneration through the Nrf2 and irisin pathways.
Area of Science:
- Neuroscience
- Regenerative Medicine
- Pharmacology
Background:
- Peripheral nerve injuries pose significant challenges to functional recovery.
- Oxytocin (OT) exhibits neuroprotective and anti-inflammatory properties, suggesting therapeutic potential.
- Understanding OT's mechanisms, specifically its interaction with nuclear factor erythroid 2-related factor 2 (Nrf2) and irisin pathways, is crucial for optimizing nerve repair strategies.
Purpose of the Study:
- To investigate the role of oxytocin in peripheral nerve recovery.
- To elucidate the involvement of the Nrf2 and irisin pathways in oxytocin-mediated nerve regeneration.
- To assess the therapeutic efficacy of oxytocin in a rat sciatic nerve injury model.
Main Methods:
- Sciatic nerve injury was induced in adult male Wistar rats.
- Animals were divided into control, saline, and oxytocin treatment groups.
- Nerve function was evaluated using electromyography (EMG) and inclined plane tests, alongside histological assessments, nerve growth factor (NGF) immunoexpression, axonal parameters, plasma irisin, and Nrf2 levels.
Main Results:
- Oxytocin administration significantly improved EMG parameters, inclined plane scores, and histological outcomes compared to the saline group.
- Increased NGF immunoexpression, axon diameter, and number, with reduced fibrosis, were observed in the oxytocin-treated group.
- Oxytocin treatment elevated plasma irisin, nerve NGF, and Nrf2 levels, indicating pathway activation.
Conclusions:
- Oxytocin effectively mitigates the functional and histological deficits caused by peripheral nerve injury.
- The therapeutic effects of oxytocin are associated with the upregulation of Nrf2 and irisin pathways, enhancing antioxidant defense and neurotrophic support.
- Oxytocin shows promise as a therapeutic agent for nerve injury, warranting further investigation into its molecular mechanisms and clinical applications.


