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[猴颈交感神经节自体移植入脑治疗帕金森病的病理学研究]

[A pathological study on the autotransplantation of monkey's cervical sympathetic ganglion into brain for the treatment of Parkinson's disease].

作者信息

Gao Z, Liu Y, Wei X

机构信息

Department of Pathology, Kunming General Hosptial, Chengdu Military Command, Kunming 650032.

出版信息

Zhonghua Bing Li Xue Za Zhi. 1998 Apr;27(2):113-6.

Abstract

OBJECTIVE

In order to find out evidences in explicating whether the transplanted ganglion cells can be kept surviving longer in the brain and to find out an ideal transplantation way for the surgical treatment of Parkinson's disease.

METHODS

Cervical sympathetic ganglions autotransplantation into the caudate nuclei of the brain in 9 rhesus monkeys known to have the symptoms and signs of the Parkinson's disease beforehand induced by using 1-methy1-4-phen-1, 2, 3, 6-tetrahydropynidne (MPTP) and in addition, muscle tendon tissue was also grafted for comparison. The experimental animals were followed up for 2 years. All the specimens taken were processed and prepared in continuous frozen sections for H & E, glyoxlyic acid induced dopamine fluorescence and immunochemistry stainings including anti-chromogranin A, synaptophysin, neurofilament, NSE, GFAP as markers.

RESULTS

Two years after the autotransplantation operation, there were still surviving ganglion cells left in the caudate nuclei. The grafted ganglion cells were connected by the neurodendrites with the brain tissue which showed dopamine fluorescence positive and also had expression of chromogramin A, synaptophysin and neurofilaments.

CONCLUSIONS

The grafted cells survived in the brain over 2 years. It's considered that the sympathetic ganglion is the first choice in comparing with other tissues as the graft for the surgical treatment of Parkinson's disease. Continuous frozen sections accompanying with inducing fluorescence and immunohistochemistry staining are seemed reliable as the parameters in checking the result after neural transplantation.

摘要

目的

为了找出阐明移植的神经节细胞在脑内能否存活更长时间的证据,并找出帕金森病外科治疗的理想移植方式。

方法

将颈交感神经节自体移植到9只预先用1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导出帕金森病症状和体征的恒河猴脑尾状核内,此外还移植肌腱组织作对照。对实验动物随访2年。所取标本均制成连续冰冻切片,进行苏木精-伊红(H&E)染色、乙醛酸诱发多巴胺荧光染色及免疫组织化学染色,包括以抗嗜铬粒蛋白A、突触素、神经丝、神经元特异性烯醇化酶(NSE)、胶质纤维酸性蛋白(GFAP)作为标记物的染色。

结果

自体移植术后2年,尾状核内仍有存活的神经节细胞。移植的神经节细胞通过神经树突与显示多巴胺荧光阳性且有嗜铬粒蛋白A、突触素和神经丝表达的脑组织相连。

结论

移植细胞在脑内存活超过2年。认为在帕金森病外科治疗中,与其他组织相比,交感神经节作为移植体是首选。连续冰冻切片结合诱发荧光和免疫组织化学染色似乎是可靠的神经移植后结果检查参数。

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