A signifi cant fraction of military soldiers sustain nerve injury and use tobacco or nicotine containing products. Healing of nerve injuries is infl uenced by many factors, such as degree of original injury, healing potential of the nerve, and general health of patient. However, recently, it has been demonstrated that the presence of retained insoluble metal fragments decreases healing. The effects of systemic nicotine administration, with or without metal fragments at the site of nerve injury, were evaluated. Both the nicotine-administered groups (nicotine, nicotine + shrapnel) showed signifi cant increase in the peroneal function compared with untreated controls, as assessed by paw area ( p < 0.05). Furthermore, to test possible role of altered sensory function, we used the hot plate assay. Latency to withdraw paw from a hot plate was signifi cantly shorter in nicotine groups ( p < 0.05). These data indicate that nicotine improves sensory and motor aspects of nerve function, in the presence or absence of shrapnel.

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