Vleggeert-Lankamp Carmen L A M, van den Berg Rutgeris J, Feirabend Hans K P, Lakke Egbert A J F, Malessy Martijn J A, Thomeer Ralph T W M
Neuroregulation Group, Department of Neurosurgery, Leiden University Medical Centre (LUMC), NL-2300 RC Leiden, The Netherlands.
Exp Neurol. 2004 Jun;187(2):337-49. doi: 10.1016/j.expneurol.2004.01.019.
We studied electrophysiological and morphological properties of the Aalpha- and Abeta-fibers in the regenerating sciatic nerve to establish whether these fiber types regenerate in numerical proportion and whether and how the electrophysiological properties of these fiber types are adjusted during regeneration. Compound action potentials were evoked from isolated sciatic nerves 12 weeks after autografting. Nerve fibers were gradually recruited either by increasing the stimulus voltage from subthreshold to supramaximal levels or by increasing the interval between two supramaximal stimuli to obtain the cumulative distribution of the extracellular firing thresholds and refractory periods, respectively. Thus, the mean conduction velocity (MCV), the maximal charge displaced during the compound action potential (Q(max)), the mean firing threshold (V(50)), and the mean refractory period (t(50)) were determined. The number of myelinated nerve fibers and their fiber diameter frequency distributions were determined in the peroneal nerve. Mathematical modeling applied to fiber recruitment and diameter distributions allowed discrimination of the Aalpha- and Abeta-fiber populations. In regenerating nerves, the number of Aalpha-fibers increased fourfold while the number of Abeta-fibers did not change. In regenerating Aalpha- and Abeta-fibers, the fiber diameter decreased and V(50) and t(50) increased. The regenerating Aalpha-fibers' contribution to Q(max) decreased considerably while that of the Abeta-fibers remained the same. Correlation of the electrophysiological data to the morphological data provided indications that the ion channel composition of both the Aalpha- and Abeta-fibers are altered during regeneration. This demonstrates that combining morphometric and electrophysiological analysis provides better insight in the changes that occur during regeneration.
我们研究了再生坐骨神经中Aα和Aβ纤维的电生理和形态学特性,以确定这些纤维类型是否按数字比例再生,以及这些纤维类型的电生理特性在再生过程中是否以及如何调整。自体移植12周后,从分离的坐骨神经诱发复合动作电位。通过将刺激电压从阈下水平增加到超最大水平,或通过增加两个超最大刺激之间的间隔,逐渐募集神经纤维,分别获得细胞外放电阈值和不应期的累积分布。因此,测定了平均传导速度(MCV)、复合动作电位期间的最大电荷位移(Q(max))、平均放电阈值(V(50))和平均不应期(t(50))。在腓总神经中测定有髓神经纤维的数量及其纤维直径频率分布。应用于纤维募集和直径分布的数学模型能够区分Aα和Aβ纤维群体。在再生神经中,Aα纤维的数量增加了四倍,而Aβ纤维的数量没有变化。在再生的Aα和Aβ纤维中,纤维直径减小,V(50)和t(50)增加。再生的Aα纤维对Q(max)的贡献显著降低,而Aβ纤维的贡献保持不变。电生理数据与形态学数据的相关性表明,Aα和Aβ纤维的离子通道组成在再生过程中均发生改变。这表明,结合形态计量学和电生理分析能够更好地洞察再生过程中发生的变化。