Liu Pei-Hsin, Wang Yueh-Jan, Tseng Guo-Fang
Department of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, Taiwan
Exp Neurol. 2003 Jan;179(1):111-26. doi: 10.1006/exnr.2002.8057.
To learn more about the pathophysiology of axonal injury and the significance of axon collaterals on the survival of axotomized cord-projection central neurons, we studied the survival rate, surrounding astrocytic and microglial reactions, and bouton coverage on rat rubrospinal cell bodies following their axonal lesion at the brain stem and upper cervical level. The brain stem lesion disconnected most rubrospinal neurons from all their targets, while the upper cervical lesion spared their supraspinal collaterals. Much higher cell loss accompanied by robust astrocytic and microglial reaction was found following brain stem than upper cervical lesion starting 4 days postaxotomy. The reaction of astrocytes had subsided while microglial reaction remained relatively robust by 10 weeks postaxotomy when the cell loss had slowed down. Ultrastructural observation revealed that reactive astrocytes covered 40%, an increase from the 20% of control, of brain stem-axotomized rubrospinal cell body surface at 4 days and 2 weeks and returned to normal levels by 10 weeks postlesion. An increase of apposition by axons and dendrites and a moderate decrease of round and flattened vesicle-containing bouton contacts at 4 days and 2 weeks and returning to normal levels at 10 weeks postaxotomy accompanied this. It appears that although axotomy induced robust astrocytic reaction around cord-projection central neurons, this, unlike their periphery-projection counterparts, failed to effectively strip their somatic synapses. In effect, this might in part determine neuronal fate following axonal injury.
为了更深入了解轴突损伤的病理生理学以及轴突侧支对轴突切断的脊髓投射中枢神经元存活的意义,我们研究了大鼠红核脊髓神经元胞体在脑干和颈上段轴突损伤后的存活率、周围星形胶质细胞和小胶质细胞反应以及终扣覆盖率。脑干损伤使大多数红核脊髓神经元与其所有靶标断开连接,而上颈段损伤保留了它们的脊髓上侧支。轴突切断术后4天开始,脑干损伤后出现的细胞损失要比上颈段损伤严重得多,同时伴有强烈的星形胶质细胞和小胶质细胞反应。轴突切断术后10周,当细胞损失减缓时,星形胶质细胞反应已经消退,而小胶质细胞反应仍然相对强烈。超微结构观察显示,反应性星形胶质细胞在术后4天和2周时覆盖了脑干轴突切断的红核脊髓神经元胞体表面的40%(对照为20%),损伤后10周恢复到正常水平。与此同时,轴突和树突的贴附增加,含圆形和平扁囊泡的终扣接触在术后4天和2周时适度减少,术后10周恢复到正常水平。似乎尽管轴突切断术在脊髓投射中枢神经元周围诱导了强烈的星形胶质细胞反应,但与它们向周围投射的对应物不同,这并不能有效地剥去它们胞体的突触。实际上,这可能在一定程度上决定了轴突损伤后神经元的命运。