Goto Fumiyuki, Straka Hans, Dieringer Norbert
Department of Physiology, Pettenkoferstrasse 12, 80336 Munich, Germany.
Exp Brain Res. 2002 Dec;147(3):374-86. doi: 10.1007/s00221-002-1266-7. Epub 2002 Oct 12.
Postlesional reorganization of vestibular afferent and commissural inputs onto second-order vestibular neurons was studied in the isolated brain after unilateral section of the N.VIII, of the ramus anterior (RA) of N.VIII, of the utricular (UT) or of the anterior vertical and horizontal canal nerves in combination. RA nerve section eliminated the inputs from utricular, anterior vertical and horizontal canal organs. In the first set of experiments we recorded field potentials on the operated side of the vestibular nuclei 2 months after RA nerve section. These responses were evoked by electrical stimulation of the RA nerve or of the posterior vertical canal nerve on the operated or on the intact side. The amplitudes of afferent field potentials evoked by stimulation of the spared posterior vertical canal nerve were increased. The amplitudes of afferent field potentials evoked by stimulation of the axotomized RA nerve remained unaltered. After N.VIII section the commissural, but not the afferent, field potentials increased significantly on the operated side following stimulation of N.VIII on the intact and on the operated side, respectively. After UT nerve section no change in commissural but an increase in the amplitude of afferent field potentials from each of the three intact canal nerves was observed on the operated side. In the context of earlier results these findings imply that second-order vestibular neurons, disfacilitated due to afferent nerve section, became receptive to additional, excitatory synaptic inputs, preferentially from intact vestibular nerve afferent fibers. The reduced excitation via afferent nerve inputs was thereby replaced by other afferent nerve inputs from spatially inadequate vestibular end-organs. The synaptic terminals of inactivated afferent nerve fibers were maintained and not repressed. The process of central reorganization after vestibular nerve lesion was activity related, the expansion of signals restricted to inputs from intact fibers, its extent graded and its onset delayed with respect to the onset of corresponding spinal changes and to the onset of postural recovery after the same type of nerve lesion. After the section of RA nerve or of an individual nerve branch the labyrinthine end-organs remained intact and were not removed as after unilateral labyrinthectomy (UL). Peripheral reinnervation of the end-organs was thus excluded after UL, but expected after one of the former types of lesion. Functional reinnervation of the utricular macula was mirrored behaviorally by the reappearance of severe postural deficits following a second RA nerve section. These lesion-induced postural deficits began to reappear if the repeated RA nerve section was delayed with respect to the first by about 3 months. We therefore studied postlesional reorganization in the brainstem 3 months after the first RA nerve section. Reinnervation of the utricular macula was accompanied by a rapid decline of the increased amplitudes of afferent and commissural vestibular field potentials towards control values, suggesting the reversibility of the lesion-induced central reorganization.
在单侧切断第八对脑神经(N.VIII)、第八对脑神经前支(RA)、椭圆囊神经(UT)或前垂直半规管和水平半规管神经组合后,在离体脑内研究了前庭传入和连合输入到二级前庭神经元上的损伤后重组情况。切断RA神经消除了来自椭圆囊、前垂直半规管和水平半规管器官的输入。在第一组实验中,我们在切断RA神经2个月后,记录了前庭核手术侧的场电位。这些反应是通过电刺激手术侧或完整侧的RA神经或后垂直半规管神经诱发的。刺激保留的后垂直半规管神经诱发的传入场电位幅度增加。刺激切断轴突的RA神经诱发的传入场电位幅度保持不变。切断N.VIII后,分别刺激完整侧和手术侧的N.VIII时,手术侧的连合场电位显著增加,而传入场电位没有增加。切断UT神经后,手术侧连合场电位没有变化,但来自三条完整半规管神经中每一条的传入场电位幅度增加。结合早期结果,这些发现意味着由于传入神经切断而功能减弱的二级前庭神经元开始接受额外的兴奋性突触输入,优先来自完整的前庭神经传入纤维。通过传入神经输入减少的兴奋因此被来自空间上不充分的前庭终器的其他传入神经输入所取代。失活的传入神经纤维的突触终末得以保留而未被抑制。前庭神经损伤后的中枢重组过程与活动相关,信号扩展限于来自完整纤维的输入,其程度分级,并且相对于相应脊髓变化的开始以及相同类型神经损伤后姿势恢复的开始,其开始延迟。在切断RA神经或单个神经分支后,迷路终器保持完整,不像单侧迷路切除术后那样被移除。因此,单侧迷路切除术后排除了终器的外周再支配,但在上述前一种类型的损伤后是预期会发生的。椭圆囊斑的功能性再支配在行为上表现为第二次切断RA神经后严重姿势缺陷的再次出现。如果第二次切断RA神经相对于第一次延迟约3个月,这些损伤诱导的姿势缺陷开始再次出现。因此,我们在第一次切断RA神经3个月后研究了脑干中的损伤后重组。椭圆囊斑的再支配伴随着传入和连合前庭场电位增加的幅度迅速下降至对照值,这表明损伤诱导的中枢重组是可逆的。