Gosztonyi G, Falke D, Ludwig H
Institut für Neuropathologie, Freie Universität Berlin, FRG.
Histol Histopathol. 1992 Jan;7(1):63-74.
In order to study the pathogenesis of B virus infection of the nervous system, newborn and young mice were inoculated by four different routes: 1. Intramuscular (i.m.) in the forelimb; 2. I.m. in the hindlimb; 3. Subcutaneous (s.c.) in the abdominal wall; 4. Intraperitoneal (i.p.). Spread of virus was followed by immunohistochemical demonstration of viral antigen in tissue sections of the peripheral and central nervous system. Three distinct patterns emerged: 1. After i.m. limb inoculations, virus progressed along the ipsilateral dorsal column, the bilateral spinothalamic and bilateral spinoreticular systems and along central autonomic pathways. 2. After s.c. inoculation, the dorsal column was spared, otherwise the spread was similar to that following i.m. inoculations. 3. After i.p. inoculation, virus spread in the spinal cord bilaterally, mainly along spinothalamic and central autonomic pathways. The peripheral motoneurons were conspicuously spared, even in the i.m. inoculation mode. In the brain stem, B virus antigen appeared bilaterally, at multiple sites. In the cerebrum, virus infected cells appeared first in the thalamus, hypothalamus and the motor cortex. The mode of spread from spinal levels was mainly orthograde along the ascending systems (dorsal columns, spinothalamic, spinoreticular tracts), but also retrograde along descending systems (pyramidal tract, central autonomic pathways). Oligosynaptic systems transmitted virus more quickly than the polysynaptic ones. In the involvement of various neuronal systems in virus spread, a certain selectivity, sparing the peripheral motoneuron and the cerebellar systems, could be assessed.
为了研究B病毒感染神经系统的发病机制,对新生和幼年小鼠采用四种不同途径进行接种:1. 前肢肌肉注射(i.m.);2. 后肢肌肉注射;3. 腹壁皮下注射(s.c.);4. 腹腔注射(i.p.)。通过免疫组织化学法检测外周和中枢神经系统组织切片中的病毒抗原,追踪病毒的传播情况。出现了三种不同的模式:1. 肢体肌肉注射后,病毒沿同侧背柱、双侧脊髓丘脑束和双侧脊髓网状系统以及中枢自主神经通路进展。2. 皮下注射后,背柱未受影响,否则传播情况与肌肉注射后相似。3. 腹腔注射后,病毒在脊髓双侧扩散,主要沿脊髓丘脑束和中枢自主神经通路。即使在肌肉注射模式下,外周运动神经元也明显未受影响。在脑干中,B病毒抗原双侧出现在多个部位。在大脑中,病毒感染的细胞首先出现在丘脑、下丘脑和运动皮层。从脊髓层面的传播方式主要是沿上行系统(背柱、脊髓丘脑束、脊髓网状束)顺行,但也可沿下行系统(锥体束、中枢自主神经通路)逆行。单突触系统比多突触系统传播病毒更快。在病毒传播涉及的各种神经元系统中,可以评估存在一定的选择性,即外周运动神经元和小脑系统未受影响。