Lehning E J, Balaban C D, Ross J F, LoPachi R M
Department of Anesthesiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.
Neurotoxicology. 2002 Sep;23(3):415-29. doi: 10.1016/s0161-813x(02)00080-3.
Previous studies of acrylamide (ACR) neuropathy in rat PNS [Toxicol. Appl. Pharmacol. 151 (1998) 211] and cerebellum [Neurotoxicology, 2002a] have suggested that axon degeneration was not a primary effect and was, therefore, of unclear neurotoxicological significance. To continue morphological examination of ACR neurotoxicity in CNS, a cupric silver stain method was used to define spatiotemporal characteristics of nerve cell body, dendrite, axon and terminal degeneration in brainstem and spinal cord. Rats were exposed to ACR at a dose-rate of either 50 mg/kg per day (i.p.) or 21 mg/kg per day (p.o.), and at selected times brains and spinal cord were removed and processed for silver staining. Results show that intoxication at the higher ACR dose-rate produced a nearly pure terminalopathy in brainstem and spinal cord regions, ie. widespread nerve terminal degeneration and swelling were present in the absence of significant argyrophilic changes in neuronal cell bodies, dendrites or axons. Exposure to the lower ACR dose-rate caused initial nerve terminal argyrophilia in selected brainstem and spinal cord regions. As intoxication continued, axon degeneration developed in white matter of these CNS areas. At both dose-rates, argyrophilic changes in brainstem nerve terminals developed prior to the onset of significant gait abnormalities. In contrast, during exposure to the lower ACR dose-rate the appearance of axon degeneration in either brainstem or spinal cord was relatively delayed with respect to changes in gait. Thus, regardless of dose-rate, ACR intoxication produced early, progressive nerve terminal degeneration. Axon degeneration occurred primarily during exposure to the lower ACR dose-rate and developed after the appearance of terminal degeneration and neurotoxicity. Spatiotemporal analysis suggested that degeneration began at the nerve terminal and then moved as a function of time in a somal direction along the corresponding axon. These data suggest that nerve terminals are a primary site of ACR action and that expression of axonopathy is restricted to subchronic dosing-rates.
以往关于大鼠周围神经系统(PNS)[《毒理学与应用药理学》,151卷(1998年),第211页]和小脑[《神经毒理学》,2002年a期]中丙烯酰胺(ACR)神经病变的研究表明,轴突退变并非主要效应,因此其神经毒理学意义尚不明确。为继续对中枢神经系统(CNS)中ACR神经毒性进行形态学检查,采用了一种镀铜银染色法来确定脑干和脊髓中神经细胞体、树突、轴突及终末退变的时空特征。将大鼠按每天50 mg/kg(腹腔注射)或每天21 mg/kg(口服)的剂量率暴露于ACR,在选定时间取出脑和脊髓并进行银染处理。结果显示,较高ACR剂量率中毒导致脑干和脊髓区域出现近乎单纯的终末病,即广泛的神经终末退变和肿胀,而神经元细胞体、树突或轴突未见明显嗜银性改变。暴露于较低ACR剂量率会在选定的脑干和脊髓区域引起初始神经终末嗜银性改变。随着中毒持续,这些中枢神经系统区域的白质中出现轴突退变。在两种剂量率下,脑干神经终末的嗜银性改变在明显步态异常出现之前就已发生。相比之下,在暴露于较低ACR剂量率期间,脑干或脊髓中轴突退变的出现相对于步态变化相对延迟。因此,无论剂量率如何,ACR中毒都会导致早期、进行性的神经终末退变。轴突退变主要发生在暴露于较低ACR剂量率期间,且在终末退变和神经毒性出现之后才发生。时空分析表明,退变始于神经终末,然后随时间沿相应轴突向胞体方向发展。这些数据表明,神经终末是ACR作用的主要部位,且轴突病的表达仅限于亚慢性给药剂量率。