Disappointing functional recovery following peripheral nerve repair can be
improved by neurotrophic growth factors. Leukemia inhibitory factor (LIF) i
s unique in that it has independent neurotrophic and myotrophic actions. Th
e aim of this study was to explain this finding by establishing the existen
ce of anterograde axonal transport of LIF from the site of nerve division t
o denervated muscles. Using I-125 LIF, administered topically via an entubu
lation repair of divided rat sciatic nerve, we monitored its subsequent dis
tribution by measuring the radioactivity associated with nerve segments and
denervated muscles. We established that LIF preferentially accumulated in
denervated muscles, a process we could reduce by 70% after tightly ligating
the intervening nerve, confirming the presence of anterograde axonal trans
port. This was most likely an active mode of transport that ceased approxim
ately 24 h after nerve division, establishing a narrow clinical time frame
within which the myotrophic action of LIF could be optimized following nerv
e repair. (C) 1999 John Wiley & Sons, Inc.