Schwann cell proliferation and differentiation that is induced by ferulic acid through MEK1/ERK1/2 signalling promotes peripheral nerve remyelination following crush injury in rats

  • Authors:
    • Xiaoyan Zhu
    • Kun Li
    • Xin Guo
    • Jian Wang
    • Yang Xiang
  • View Affiliations

  • Published online on: July 14, 2016     https://doi.org/10.3892/etm.2016.3525
  • Pages: 1915-1921
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Schwann cell proliferation and differentiation is critical for the remyelination of injured peripheral nerves. Ferulic acid (FA) is a widely used antioxidant agent with neuroprotective properties. However, the potentially beneficial effects of FA on Schwann cells are unknown. Therefore, the present study was designed to examine the effects of FA on Schwann cell proliferation and differentiation. By using the cultured primary Schwann cells and proliferation assay, the results identified that FA was capable of increasing Schwann cell proliferation and expression of myelin‑associated glycoprotein (MAG) and myelin basic protein (MBP) in vitro. It was also observed that the beneficial effect of FA treatment on Schwann cells was mainly dependent on the activation of MEK1/ERK1/2 signalling. Furthermore, FA was intraperitoneally administered to rats with sciatic nerve crush injury, and the results revealed an increase in Schwann cell proliferation and differentiation, while the MAG and MBP expression levels in sciatic nerves were markedly upregulated following FA administration. In conclusion, the current results demonstrate that Schwann cell proliferation and differentiation is induced by FA through MEK1/ERK1/2 signalling and that FA may accelerate injured peripheral nerve remyelination.

Introduction

Schwann cells are specialised glial cells and myelin-forming cells in the peripheral nervous system, which serve a critical role in nerve remyelination after injuries (1). Following peripheral nerve damage, immature Schwann cells differentiate into a myelinating phenotype secreting myelin proteins, including myelin-associated glycoprotein (MAG) and myelin basic protein (MBP), and provide a growth-permissive environment for nerve regeneration (2). It has been reported that the seeding of Schwann cells significantly promotes nerve regeneration following lesion development (3), while damage to Schwann cells induces delay of nerve growth (4). Therefore, differentiated Schwann cells with myelinating properties are required following nerve injury. In addition, the use of bioactive substances, such as fingolimod and methylcobalamin, that are capable of promoting Schwann cell proliferation and improving their myelinating properties is an important strategy for improving nerve regeneration (5,6).

Ferulic acid (FA) is a phenolic compound isolated from several plants, such as Ferula assa-foetida L. The molecular structure of FA is shown in Fig. 1. FA has potent anti-oxidant and anti-inflammatory properties, and exhibits a wide range of therapeutic effects, including anticancer, antidiabetic and cardioprotective activities (7). Previous studies have indicated that FA also exerts potent neuroprotective effects, such as protecting cultured neurons against glutamate neurotoxicity (8), preserving neuronal cells against cerebral ischaemia (9) and inducing proliferation of neuronal progenitor cells (10). However, the majority of current studies concerning FA have focused on neuroprotection of neurons, while little is known about the effects of FA on Schwann cells and the signalling pathway by which FA brings about these effects.

Nerve crush injury is a well-established animal model used to investigate the impact of pharmacological treatments for nerve regeneration (11). Different chemical drugs have been investigated to improve the remyelination of the peripheral nerve in animal experiments, such as clozapine, olanzapine and quetiapine (12). However, functional recovery subsequent to peripheral injury is often poor, and severe anatomical and functional disorders are observed. Currently, naturally occurring components have gained emerging interest for their potentially beneficial use in neurodegeneration, and thus it is critical to develop pharmacological approaches that may assist in the promotion of remyelination in the regrowth of nerves.

The aims of the present study were to evaluate the impact of FA on the cell proliferation and differentiation of Schwann cells in vitro and in vivo, and to determine the effect of FA on nerve remyelination in a rat model of peripheral nerve crush injury. The current study provided evidence that FA significantly promoted the proliferation and expression of MAG and MBP in cultured Schwann cells through MEK1/ERK1/2 signalling transduction. The study also identified that systematic FA administration effectively promoted sciatic nerve remyelination in the crushed nerves through increasing Schwann cell proliferation and differentiation. Therefore, the present study revealed the effects of FA on Schwann cell proliferation and differentiation, and suggested a potential role for FA in the therapy of peripheral nerve injuries.

Materials and methods

Animals

Adult Sprague Dawley (SD) rats weighing 250–275 g, aged 6 months (n=5 per group), were provided by the Experimental Animal Center at the Chengdu Military General Hospital (Chengdu, China) and maintained with a 12 h light/dark cycle and ad libitum access to food and water. All procedures were performed in accordance with the Guidelines for the Care and Use of Laboratory Animals (National Institutes of Health, Bethesda, MD, USA) and were approved by the Administration Committee of Experimental Animals of Sichuan Province, China. All efforts were made to minimise the number of animals used and their suffering during the experiments.

In vitro isolation and culture of primary Schwann cells

Primary cultures of Schwann cells were obtained from the sciatic nerves of 3-day-old SD rats using the method previously described by Fei et al (13). Schwann cells were then maintained in complete Dulbecco's modified Eagle's medium (DMEM) at 37°C and 5% CO2. The purity and viability of cultured primary rat Schwann cells were determined by flow cytometry with FITC-anti-S100 antibody (1:1,000; ab76749; Abcam, Cambridge, MA, USA) for Schwann cells and 7-aminoactinomycin D (BioLegend, San Diego, CA, USA) for cell viability.

Schwann cell proliferation assay

In Schwann cells in vitro proliferation assays, cells were cultured (1×106 cells/ml for 48 h) in 5% fetal bovine serum in triplicate in 96-well flat-bottom microtiter plates and treated with FA (Sigma-Aldrich, St. Louis, MO, USA). Cell proliferation was determined by cell counting kit-8 (CCK-8) assay (Dojindo Molecular Technologies, Inc., Kumamoto, Japan), as previously described (14). In 3H-methyl-thymidine proliferation experiments, cells were pulsed with 0.25 µCi 3H-methyl-thymidine (Shenggong Trade Co., Shanghai, China) at the last 16 h of cell culture and cell proliferation was expressed as the average counts per minute of 3H-thymidine uptake, as previously described (15).

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis

Total RNA of Schwann cells and sciatic nerves was isolated using TRIzol LS reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) and reverse transcribed into cDNA using NCode™ miRNA First-Strand cDNA Synthesis kit (Invitrogen; Thermo Fisher Scientific, Inc.). The resulting cDNA was used to quantitatively measure the expression of genes using Power SYBR® Green Master Mix (Invitrogen; Thermo Fisher Scientific, Inc.). Primers (Wuhanboshide, China) used to measure gene expression levels were as follows: GAPDH sense, GACATGCCGCCTGGAGAAAC, and antisense, AGCCCAGGATGCCCTTTAGT; MAG sense, ACAGCGTCCTGGACATCATCAACA, and antisense, ATGCAGCTGACCTCTACTTCCGTT; MBP sense, TTGACTCCATCGGGCGCTTCTTTA, and antisense, GCTGTGCCACATGTACAAGGACTCA.

Western blotting

Similarly to the cell culturing in the proliferation assay, the Schwann cells were treated with FA in the absence or presence of PD98059 (Sigma-Aldrich). Schwann cells and sciatic nerves were lysed in ice-cold radioimmunoprecipitation assay buffer (Shenggong Trade Co.). The lysed cells were centrifuged (12,000 × g, 25 min, 4°C) and the supernatants were collected. A standard western blotting protocol was used, as previously described (16). Next, the samples were incubated with primary antibodies at 4°C overnight, including MAG (1:500; sc-15324), MBP (1:500; sc-809), MEK1 (1:1,000; sc-219), ERK1/2 (1:1,000; sc-292838), phosphorylated (p)-MEK1 (1:500; sc-293106), p-ERK1/2 (1:500; sc-101760), which were purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA, USA), as well as GAPDH (1:500; AB-P-R 001), from Goodhere Biotechnology Co., Ltd. (Hangzhou, China). Subsequently, the samples were incubated with the horseradish peroxidase-conjugated goat anti-rabbit IgG secondary antibody (1:500; A0208), obtained from Beyotime Institute of Biotechnology (Haimen, China). The blots were then detected by chemiluminescence using enhanced chemiluminescence reagent (BeyoECL Plus; Beyotime Institute of Biotechnology). Images of the blots were captured by Carestream Image Station 4000MM (Carestream Health Inc., Woodbridge, CT, USA), and the band density was detected by Quantity One (version 4.6.2; Bio-Rad Laboratories, Inc., Hercules, CA, USA).

Surgical procedure and treatment

Crush injury of rat sciatic nerves was performed according to the method previously described by Varejão et al (17), with minor modifications. Briefly, rats were anaesthetised, and the right sciatic nerve was carefully exposed through the gluteal-splitting approach and then crushed with a haemostatic clamp at a standardised force at moderate level for 30 sec. Animals in the treatment group (n=5) received FA (50 mg/kg, intraperitoneal injection) daily for 7 days after the injury, while the control group rats (n=5) received the same amount of phosphate-buffered saline (PBS) injection at the same time periods. At 2 or 4 weeks after the beginning of the experiments, rats were euthanised and the right sciatic nerve segment distal to the lesion was removed and stored. Schwann cells in sciatic nerves were harvested using a rat Schwann cell isolation kit from Miltenyi Biotec GmbH (Bergisch Gladbach, Germany). The cell proliferation of isolated Schwann cells was determined by flow cytometry with a proliferation marker PE-conjugated anti-Ki-67 antibody from eBioscience Inc. (1:200; cat. no. 12-5698; San Diego, CA, USA).

Evaluation and statistical analysis

The data are expressed as the mean ± standard error of the mean. The Mann-Whitney U test was performed to determine statistically significant differences between FA-treated and non-treated groups. GraphPad Prism version 5.0 software (GraphPad Software, Inc., La Jolla, CA, USA) was used to perform statistical analysis. Statistically significant differences were determined at P<0.05.

Results

FA increases primary Schwann cell proliferation in vitro

Primary rat Schwann cells were successfully isolated and cultured, as demonstrated by flow cytometric analysis (Fig. 2A). In order to study the influence of FA on Schwann cells proliferation in vitro, Schwann cells were treated with various concentrations of FA (0, 25, 50 and 100 µM) and cultured in 5% serum DMEM for 0, 24, 48 or 72 h. As shown in Fig. 2B, Schwann cell viability was greatly increased following FA treatment compared with that in the control cells, as demonstrated by CCK-8 assay (P<0.05). Subsequently, the radioactive 3H-thymidine incorporation assessment was applied in order to precisely determine the effects of FA on Schwann cell proliferation. The results demonstrated that FA significantly induced Schwann cell proliferation in a dose-dependent manner (Fig. 2C). These results confirmed that FA is involved in the induction of a cell proliferative reaction of Schwann cells.

FA increases the mRNA and protein levels of MAG and MBP expressed by Schwann cells

MAG and MBP are important myelin proteins in peripheral nerves that are expressed by Schwann cells (18). The present study detected the MAG and MBP expression levels of cultured Schwann cells following treatment with FA by RT-qPCR and western blotting. As shown in Fig. 3, Schwann cells directly subjected to FA treatment showed an increase in their MAG and MBP mRNA expression levels (Fig. 3A and B). Furthermore, Schwann cells were subjected to FA at a therapeutic concentration (50 µΜ) for different time periods, and the results demonstrated an upregulation of MAG and MBP mRNA expression levels subsequent to FA exposure for 24, 48 and 72 h (Fig. 3C and D). In accordance with the RT-qPCR results, the western blotting results also demonstrated that the protein expression levels of MAG and MBP in Schwann cells were directly promoted by FA in a concentration-dependent (Fig. 4A) and time-dependent (Fig. 4B) manner. Therefore, these data revealed that FA, beside its ability to promote Schwann cell proliferation, was also capable of inducing Schwann cell differentiation in vitro.

FA induces Schwann cell proliferation and differentiation through MEK1/ERK1/2 signalling

The critical role of ERK signalling pathway in Schwann cells has been previously demonstrated (19). Therefore, the present study attempted to determine whether MEK1/ERK1/2 is also activated in Schwann cells by FA. Schwann cells treated with 100 µM FA (as a result of previous results shown in Fig. 2B) were harvested and analysed by western blotting. As shown in Fig. 5A and B, p-MEK1 and p-ERK1/2 expression was induced following incubation with FA for 15, 30 and 60 min. Furthermore, when co-cultured with 20 µM PD98059, a chemical inhibitor of MEK1, p-MEK1 and p-ERK1/2 expression levels in Schwann cells induced by FA were significantly inhibited (Fig. 5C and D). These results indicated that MEK1/ERK1/2 signalling in Schwann cells can be activated by FA treatment.

Furthermore, in order to determine the role of MEK1/ERK1/2 activation in FA-induced Schwann cell differentiation and proliferation, cells were incubated with 100 µM FA in the presence of 20 µM PD98059. The results indicated that the FA-induced Schwann cell proliferation (Fig. 6A) and expression of MAG and MBP (Fig. 6B and C) were significantly reduced in the presence of PD98059 (P<0.05). These findings suggested that FA induced Schwann cell proliferation and differentiation mainly through the MEK1/ERK1/2 signalling pathway.

FA treatment promoted rat sciatic nerve myelination following crush injury

Since proliferation and differentiation of Schwann cells was induced by FA in vitro, it was suggested that FA may exert similar nerve remyelination effects in vivo. Rats with sciatic nerve crush were intraperitoneally treated with FA or PBS daily for a total of 7 days. The results demonstrates that, at 4 weeks post-injury, Schwann cells isolated from FA-treated nerves showed 1-fold increase in MAG expression and 2-fold increase in MBP expression when compared with the expression levels in the PBS group (P<0.05; Fig. 7A and B). Furthermore, Ki-67, a cell proliferation marker was used to determine the proliferation of sciatic nerve-derived Schwann cells. As shown in Fig. 7C, 35% of Schwann cells from PBS-treated sciatic nerves were Ki-67-positive, whereas this proportion was increased to 53% in FA-treated sciatic nerves, indicating that FA also exerts cell proliferation effects on Schwann cells in vivo. The expression levels of MAG and MBP in the sciatic nerve was also detected 4 weeks after crush injury. Compared with the control, FA treatment induced a 3-fold increase of MAG and 4-fold increase of MBP expression in sciatic nerves (P<0.05; Fig. 7D and E).

Discussion

The direct function of FA on the biological properties of Schwann cells remains largely unknown. Therefore, the present study investigated the proliferative response of Schwann cells subsequent to FA exposure. In vitro assays demonstrated that FA directly induced an increase in Schwann cell proliferation, which has not been previously reported, to the best of our knowledge.

While the proliferation of Schwann cells can be induced by FA, there are currently few data regarding the effect of FA on Schwann cell differentiation. MAG has been demonstrated to serve a major role in the formation of myelin, promoting myelinogenesis and the maintenance of myelin stability through axo-glial contact in the peripheral nervous system (20). However, during the in vitro culture of Schwann cells, the biological properties of Schwann cells have been observed to significantly decline with time, limiting their application in the construction of artificial nerve grafts (21). The results of the current study revealed a marked increase in MAG and MBP expression levels in FA-treated Schwann cells, suggesting that FA may maintain and facilitate differentiation properties of cultured Schwann cells.

The present study also revealed that activation of the MEK1/ERK1/2 signalling pathway is responsible for the effects exerted by FA on Schwann cells. A recent study suggested a role for ERK signalling in promoting myelination due to the finding that increased ERK activity induces hypermyelination (22). Furthermore, conditional ERK knockout results have shown that ERK signalling is required for differentiation and myelination of Schwann cells (23). In the present study, western blot analysis demonstrated that the protein levels of phosphorylated MEK1/ERK1/2 in Schwann cells were evidently increased following FA treatment. In addition, PD98059, an inhibitor of MEK1, was able to suppress the activation of MEK1/ERK1/2 signalling evoked by FA treatment. Further results demonstrated that, when the MEK1/ERK1/2 transduction pathway was blocked with PD98059, the Schwann cell proliferation and differentiation induced by FA was significantly declined. Therefore, the present results are consistent with the findings of previous studies (22,23), and these data suggest that activation of MEK1/ERK1/2 signalling is responsible for FA-induced cell proliferation and differentiation of Schwann cells.

In conclusion, the present study demonstrated that FA treatment was able to promote cell proliferation and expression of MAG and MBP in Schwann cells through the activation of MEK1/ERK1/2 signalling. In addition, FA was able to accelerate the remyelination of peripheral injured nerves by increasing the proliferating numbers of Schwann cells and promoting myelin secretion. These findings provide novel information on the direct effects of FA on Schwann cells and assist in developing further understanding of the neuroprotective effects produced by FA.

References

1 

Hung HA, Sun G, Keles S and Svaren J: Dynamic regulation of Schwann cell enhancers after peripheral nerve injury. J Biol Chem. 290:6937–6950. 2015. View Article : Google Scholar : PubMed/NCBI

2 

Chew SY, Mi R, Hoke A and Leong KW: The effect of the alignment of electrospun fibrous scaffolds on Schwann cell maturation. Biomaterials. 29:653–661. 2008. View Article : Google Scholar : PubMed/NCBI

3 

Ishikawa N, Suzuki Y, Dezawa M, Kataoka K, Ohta M, Cho H and Ide C: Peripheral nerve regeneration by transplantation of BMSC-derived Schwann cells as chitosan gel sponge scaffolds. J Biomed Mater Res A. 89:1118–1124. 2009. View Article : Google Scholar : PubMed/NCBI

4 

Triolo D, Dina G, Lorenzetti I, Malaguti M, Morana P, Del Carro U, Comi G, Messing A, Quattrini A and Previtali SC: Loss of glial fibrillary acidic protein (GFAP) impairs Schwann cell proliferation and delays nerve regeneration after damage. J Cell Sci. 119:3981–3993. 2006. View Article : Google Scholar : PubMed/NCBI

5 

Heinen A, Beyer F, Tzekova N, Hartung HP and Küry P: Fingolimod induces the transition to a nerve regeneration promoting Schwann cell phenotype. Exp Neurol. 271:25–35. 2015. View Article : Google Scholar : PubMed/NCBI

6 

Nishimoto S, Tanaka H, Okamoto M, Okada K, Murase T and Yoshikawa H: Methylcobalamin promotes the differentiation of Schwann cells and remyelination in lysophosphatidylcholine-induced demyelination of the rat sciatic nerve. Front Cell Neurosci. 9:2982014.

7 

Zhao Z and Moghadasian MH: Chemistry, natural sources, dietary intake and pharmacokinetic properties of ferulic acid: A review. Food Chem. 109:691–702. 2008. View Article : Google Scholar : PubMed/NCBI

8 

Chen XH, Lin ZZ, Liu AM, Ye JT, Luo Y, Luo YY, Mao XX, Liu PQ and Pi RB: The orally combined neuroprotective effects of sodium ferulate and borneol against transient global ischaemia in C57 BL/6J mice. J Pharm Pharmacol. 62:915–923. 2010. View Article : Google Scholar : PubMed/NCBI

9 

Cheng CY, Su SY, Tang NY, Ho TY, Chiang SY and Hsieh CL: Ferulic acid provides neuroprotection against oxidative stress-related apoptosis after cerebral ischemia/reperfusion injury by inhibiting ICAM-1 mRNA expression in rats. Brain Res. 1209:136–150. 2008. View Article : Google Scholar : PubMed/NCBI

10 

Yabe T, Hirahara H, Harada N, Ito N, Nagai T, Sanagi T and Yamada H: Ferulic acid induces neural progenitor cell proliferation in vitro and in vivo. Neuroscience. 165:515–524. 2010. View Article : Google Scholar : PubMed/NCBI

11 

Jiang M, Zhuge X, Yang Y, Gu X and Ding F: The promotion of peripheral nerve regeneration by chitooligosaccharides in the rat nerve crush injury model. Neurosci Lett. 454:239–243. 2009. View Article : Google Scholar : PubMed/NCBI

12 

Wang H, Liu S, Tian Y, Wu X, He Y, Li C, Namaka M, Kong J, Li H and Xiao L: Quetiapine inhibits microglial activation by neutralizing abnormal STIM1-mediated intercellular calcium homeostasis and promotes myelin repair in a cuprizone-induced mouse model of demyelination. Front Cell Neurosci. 9:4922015. View Article : Google Scholar : PubMed/NCBI

13 

Fei W, Aixi Y, Danmou X, Wusheng K, Zhengren P and Ting R: The mood stabilizer valproic acid induces proliferation and myelination of rat Schwann cells. Neurosci Res. 70:383–390. 2011. View Article : Google Scholar : PubMed/NCBI

14 

He B, Tao HY and Liu SQ: Neuroprotective effects of carboxymethylated chitosan on hydrogen peroxide induced apoptosis in Schwann cells. Eur J Pharmacol. 740:127–134. 2014. View Article : Google Scholar : PubMed/NCBI

15 

Sasagasako N, Toda K, Hollis M and Quarles RH: Myelin gene expression in immortalized Schwann cells: relationship to cell density and proliferation. J Neurochem. 66:1432–1439. 1996. View Article : Google Scholar : PubMed/NCBI

16 

Ju DT, Kuo WW, Ho TJ, Paul CR, Kuo CH, Viswanadha VP, Lin CC, Chen YS, Chang YM and Huang CY: Protocatechuic acid from alpinia oxyphylla induces schwann cell migration via ERK1/2, JNK and p38 activation. Am J Chin Med. 43:653–665. 2015. View Article : Google Scholar : PubMed/NCBI

17 

Varejão AS, Cabrita AM, Meek MF, Bulas-Cruz J, Melo-Pinto P, Raimondo S, Geuna S and Giacobini-Robecchi MG: Functional and morphological assessment of a standardized rat sciatic nerve crush injury with a non-serrated clamp. J Neurotraum. 21:1652–1670. 2004. View Article : Google Scholar

18 

Gupta R, Truong L, Bear D, Chafik D, Modafferi E and Hung CT: Shear stress alters the expression of myelin-associated glycoprotein (MAG) and myelin basic protein (MBP) in Schwann cells. J Orthop Res. 23:1232–1239. 2005. View Article : Google Scholar : PubMed/NCBI

19 

Napoli I, Noon LA, Ribeiro S, Kerai AP, Parrinello S, Rosenberg LH, Collins MJ, Harrisingh MC, White IJ, Woodhoo A and Lloyd AC: A central role for the ERK-signaling pathway in controlling schwann cell plasticity and peripheral nerve regeneration in vivo. Neuron. 73:729–742. 2012. View Article : Google Scholar : PubMed/NCBI

20 

Schnaar RL and Lopez PH: Myelin-associated glycoprotein and its axonal receptors. J Neurosci Res. 87:3267–3276. 2009. View Article : Google Scholar : PubMed/NCBI

21 

Painter MW, Brosius Lutz A, Cheng YC, Latremoliere A, Duong K, Miller CM, Posada S, Cobos EJ, Zhang AX, et al: Diminished Schwann cell repair responses underlie age-associated impaired axonal regeneration. Neuron. 83:331–343. 2014. View Article : Google Scholar : PubMed/NCBI

22 

Ishii A, Furusho M and Bansal R: Sustained activation of ERK1/2 MAPK in oligodendrocytes and schwann cells enhances myelin growth and stimulates oligodendrocyte progenitor expansion. J Neurosci. 33:175–186. 2013. View Article : Google Scholar : PubMed/NCBI

23 

Newbern JM, Li XY, Shoemaker SE, Zhou J, Zhong J, Wu Y, Bonder D, Hollenback S, Coppola G, Geschwind DH, et al: Specific functions for ERK/MAPK signaling during PNS development. Neuron. 69:91–105. 2011. View Article : Google Scholar : PubMed/NCBI

Related Articles

Journal Cover

September-2016
Volume 12 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Zhu X, Li K, Guo X, Wang J and Xiang Y: Schwann cell proliferation and differentiation that is induced by ferulic acid through MEK1/ERK1/2 signalling promotes peripheral nerve remyelination following crush injury in rats. Exp Ther Med 12: 1915-1921, 2016.
APA
Zhu, X., Li, K., Guo, X., Wang, J., & Xiang, Y. (2016). Schwann cell proliferation and differentiation that is induced by ferulic acid through MEK1/ERK1/2 signalling promotes peripheral nerve remyelination following crush injury in rats. Experimental and Therapeutic Medicine, 12, 1915-1921. https://doi.org/10.3892/etm.2016.3525
MLA
Zhu, X., Li, K., Guo, X., Wang, J., Xiang, Y."Schwann cell proliferation and differentiation that is induced by ferulic acid through MEK1/ERK1/2 signalling promotes peripheral nerve remyelination following crush injury in rats". Experimental and Therapeutic Medicine 12.3 (2016): 1915-1921.
Chicago
Zhu, X., Li, K., Guo, X., Wang, J., Xiang, Y."Schwann cell proliferation and differentiation that is induced by ferulic acid through MEK1/ERK1/2 signalling promotes peripheral nerve remyelination following crush injury in rats". Experimental and Therapeutic Medicine 12, no. 3 (2016): 1915-1921. https://doi.org/10.3892/etm.2016.3525