MAJNO G, KARNOVSKY M L
J Exp Med. 1958 Aug 1;108(2):197-214. doi: 10.1084/jem.108.2.197.
Bilateral transection was performed on rat sciatics. At varying intervals after the operation, samples of nerve were taken both distal and proximal to the level of transection, as well as from the tissue which bridged the gap between the stumps. These samples were incubated in Warburg flasks, with glucose and a labelled lipide precursor (acetate or phosphate). The total lipides were then extracted and their radioactivity was measured. Normal rat sciatics served as controls, and the biochemical and histological findings were correlated. In the distal portion undergoing Wallerian degeneration, the lipide content began to fall before any removal of myelin could be detected histologically. It is suggested that there is a period of "non-cellular removal" prior to the physical breakdown of the myelin. Changes in respiration and in lipogenesis from acetate followed a triphasic course, and agreed with the histological findings in that after a period of predominantly passive changes (approximately 1 to 3 days) there follows a period of cellular reaction (4 to 50 days) and a period of atrophy (from 50 days onward). The incorporation of phosphate into the lipides was increased at all stages examined, even as early as 22 hours after section. This increased P(32) incorporation could not be reproduced in nerves allowed to degenerate in vitro. It is suggested that the hypertrophying Schwann cells synthesize some lipide moieties at a considerably faster rate than others. Proximal to the level of transection, lipogenesis from acetate was depressed, for as long as 32 days postoperatively. It appears, therefore, that the maintenance of the myelin sheath is impaired also above the level of transection. In the "union tissue" which developed between the stumps, prior to the appearance of histologically visible myelin, lipogenesis was low; later it rose above levels for normal nerve. This pattern of lipogenesis in regenerating nerve is similar to that found in growing nerves.
对大鼠坐骨神经进行双侧横断。在手术后的不同时间间隔,在横断水平的远侧和近侧以及连接残端间隙的组织中采集神经样本。将这些样本置于瓦氏呼吸仪中,加入葡萄糖和一种标记的脂质前体(乙酸盐或磷酸盐)。然后提取总脂质并测量其放射性。正常大鼠坐骨神经作为对照,并将生化和组织学结果进行关联分析。在发生华勒变性的远侧部分,脂质含量在组织学上可检测到髓鞘去除之前就开始下降。这表明在髓鞘物理分解之前存在一段“非细胞性去除”时期。乙酸盐呼吸和脂质生成的变化呈三相过程,并且与组织学结果一致,即在一段主要为被动变化的时期(约1至3天)之后,接着是细胞反应时期(4至50天)和萎缩时期(从50天起)。在所有检查阶段,甚至在横断后22小时,磷酸盐掺入脂质的量都增加了。在体外退化的神经中无法重现这种增加的P(32)掺入。这表明肥大的雪旺细胞合成某些脂质部分的速度比其他部分快得多。在横断水平的近侧,乙酸盐的脂质生成在术后长达32天内受到抑制。因此,似乎在横断水平以上髓鞘的维持也受到损害。在残端之间形成的“联合组织”中,在组织学上可见髓鞘出现之前,脂质生成较低;后来它上升到高于正常神经的水平。再生神经中这种脂质生成模式与生长中的神经相似。