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强啡肽A(1-17)抗血清的局部应用可减轻创伤引起的脊髓诱发电位改变、微血管通透性紊乱、水肿形成和细胞损伤:一项在大鼠中使用电生理和形态学方法的实验研究。

Topical application of dynorphin A (1-17) antiserum attenuates trauma induced alterations in spinal cord evoked potentials, microvascular permeability disturbances, edema formation and cell injury: an experimental study in the rat using electrophysiological and morphological approaches.

作者信息

Winkler T, Sharma H S, Gordh T, Badgaiyan R D, Stålberg E, Westman J

机构信息

Department of Clinical Neurophysiology, University Hospital, Uppsala.

出版信息

Amino Acids. 2002;23(1-3):273-81. doi: 10.1007/s00726-001-0138-y.

Abstract

Dynorphin is a neuropeptide that is present in high quantities in the dorsal horn of the spinal cord. The peptide is actively involved in pain processing pathways. However, its involvement in spinal cord injury is not well known. Alteration in dynorphin immunoreactivity occurs following a focal trauma to the rat spinal cord. Infusion of dynorphin into the intrathecal space of the cord results in ischemia, cell damage and abnormal motor function. Antibodies to dynorphin when injected into the intrathecal space of the spinal cord following trauma improve motor recovery, reduce edema and cell changes. However, influence of dynorphin on trauma induced alteration in spinal cord bioelectrical activity is still not known. Spinal cord evoked potentials (SCEP) are good indicator of spinal cord pathology following trauma. Therefore, in present investigation, influence of dynorphin antibodies on trauma induced changes in SCEP were examined in our rat model. In addition, spinal cord edema formation, microvascular permeability disturbances and cell injury were also investigated. Our results show that topical application of dynorphin antiserum (1 : 200) two min before injury markedly attenuated the SCEP changes immediately after injury. In the antiserum treated animals, a significant reduction in the microvascular permeability, edema formation and cell injury was observed in the traumatised spinal cord. These observations suggest that (i). dynorphin is involved in the altered bioelectrical activity of the spinal cord following trauma, (ii). the peptide actively participates in the pathophysiological processes of cell injury in the spinal cord trauma, and (iii). the dynorphin antiserum has potential therapeutic value for the treatment of spinal cord injuries.

摘要

强啡肽是一种在脊髓背角中大量存在的神经肽。该肽积极参与疼痛处理通路。然而,其在脊髓损伤中的作用尚不清楚。大鼠脊髓局灶性创伤后,强啡肽免疫反应性会发生改变。将强啡肽注入脊髓鞘内会导致局部缺血、细胞损伤和运动功能异常。创伤后将强啡肽抗体注入脊髓鞘内可改善运动恢复、减轻水肿和细胞变化。然而,强啡肽对创伤诱导的脊髓生物电活动改变的影响仍不清楚。脊髓诱发电位(SCEP)是创伤后脊髓病理变化的良好指标。因此,在本研究中,我们在大鼠模型中研究了强啡肽抗体对创伤诱导的SCEP变化的影响。此外,还研究了脊髓水肿形成、微血管通透性紊乱和细胞损伤情况。我们的结果表明,在损伤前两分钟局部应用强啡肽抗血清(1:200)可显著减轻损伤后立即出现的SCEP变化。在抗血清处理的动物中,创伤脊髓的微血管通透性、水肿形成和细胞损伤显著减少。这些观察结果表明:(i). 强啡肽参与创伤后脊髓生物电活动的改变;(ii). 该肽积极参与脊髓创伤中细胞损伤的病理生理过程;(iii). 强啡肽抗血清对治疗脊髓损伤具有潜在的治疗价值。

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