Bajrović F, Remskar M, Sketelj J
Institute of Pathophysiology, School of Medicine, University of Ljubljana, Slovenia.
J Peripher Nerv Syst. 1999;4(1):5-12.
Regenerating axons in crushed peripheral nerves grow through their distal nerve segments even in the absence of Schwann cell support, but their elongation rate is reduced by 30%. We examined whether prior exposure of sensory neurons to trophic factors achieved either by collateral sprouting or regeneration after conditioning lesion could enhance subsequent regeneration of their axons after crush, and compensate for loss of cell support. Collateral sprouting of the peroneal cutaneous sensory axons in the rat was evoked by transection of adjacent peripheral nerves in the hind leg. The segment of the peroneal nerve distal to the crush was made acellular by repeated freezing. Sensory axon elongation rate during regeneration was measured by the nerve pinch test. Prior axonal sprouting for two weeks increased the elongation rate of sensory axons through the acellular distal nerve segment back to normal value observed in control crushed nerves. The number of axons in the acellular distal segment at a fixed distance from the crush site was about 50% greater in sprouting than in control non-sprouting nerves. However, prior sprouting caused no further increase of axon elongation rate in control crushed nerves. Prior collateral sprouting, therefore, could in some respect compensate for loss of cell support in the distal nerve segment after crush lesion. This suggests that loss of cell-produced trophic factors is probably responsible for slower elongation rate through the acellular distal nerve segment. Surprisingly, prior conditioning lesion caused no enhancement of elongation rate of the sensory axons regenerating in the absence of cell support.
在周围神经挤压伤中,即使没有施万细胞的支持,再生轴突也能穿过其远端神经节段生长,但其伸长速度会降低30%。我们研究了感觉神经元预先暴露于营养因子(通过侧支发芽或预处理损伤后的再生实现)是否能增强其轴突在挤压伤后的后续再生,并弥补细胞支持的丧失。大鼠腓总皮神经的侧支发芽是通过切断后肢相邻的周围神经诱发的。挤压伤远端的腓总神经节段通过反复冷冻使其无细胞。通过神经挤压试验测量再生过程中感觉轴突的伸长速度。预先轴突发芽两周可使感觉轴突穿过无细胞远端神经节段的伸长速度恢复到对照挤压伤神经中观察到的正常值。在距挤压部位固定距离处,无细胞远端节段中的轴突数量在发芽组比对照未发芽神经中大约多50%。然而,预先发芽并未使对照挤压伤神经中的轴突伸长速度进一步增加。因此,预先侧支发芽在某些方面可以弥补挤压伤后远端神经节段中细胞支持的丧失。这表明细胞产生的营养因子的丧失可能是轴突通过无细胞远端神经节段伸长速度较慢的原因。令人惊讶的是,预先预处理损伤并未增强在无细胞支持情况下再生的感觉轴突的伸长速度。