Zvarova K, Murray E, Vizzard M A
Department of Neurology, University of Vermont College of Medicine, Burlington, Vermont 05405, USA.
J Comp Neurol. 2004 Aug 2;475(4):590-603. doi: 10.1002/cne.20195.
Alterations in the expression of the neuropeptide galanin were examined in micturition reflex pathways 6 weeks after complete spinal cord transection (T8). In control animals, galanin expression was present in specific regions of the gray matter in the rostral lumbar and caudal lumbosacral spinal cord, including: (1) the dorsal commissure; (2) the superficial dorsal horn; (3) the regions of the intermediolateral cell column (L1-L2) and the sacral parasympathetic nucleus (L6-S1); and (4) the lateral collateral pathway in lumbosacral spinal segments. Densitometry analysis demonstrated significant increases (P < or = 0.001) in galanin immunoreactivity (IR) in these regions of the S1 spinal cord after spinal cord injury (SCI). Changes in galanin-IR were not observed at the L4-L6 segments except for an increase in galanin-IR in the dorsal commissure in the L4 segment. In contrast, decreases in galanin-IR were observed in the L1 segment. The number of galanin-IR cells increased (P < or = 0.001) in the L1 and S1 dorsal root ganglia (DRG) after SCI. In all DRG examined (L1, L2, L6, and S1), the percentage of bladder afferent cells expressing galanin-IR significantly increased (4-19-fold) after chronic SCI. In contrast, galanin expression in nerve fibers in the urinary bladder detrusor and urothelium was decreased or eliminated after SCI. Expression of the neurotrophic factors nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) was altered in the spinal cord after SCI. A significant increase in BDNF expression was present in spinal cord segments after SCI. In contrast, NGF expression was only increased in the spinal segments adjacent and rostral to the transection site (T7-T8), whereas spinal segments (T13-L1; L6-S1), distal to the transection site exhibited decreased NGF expression. Changes in galanin expression in micturition pathways after SCI may be mediated by changing neurotrophic factor expression, particularly BDNF. These changes may contribute to urinary bladder dysfunction after SCI.
在脊髓完全横断(T8)6周后,研究了排尿反射通路中神经肽甘丙肽表达的变化。在对照动物中,甘丙肽表达存在于腰髓上段和腰骶髓下段灰质的特定区域,包括:(1)背侧连合;(2)浅表背角;(3)中间外侧细胞柱(L1-L2)和骶副交感核(L6-S1)区域;以及(4)腰骶脊髓节段的外侧副通路。密度测定分析表明,脊髓损伤(SCI)后S1脊髓这些区域的甘丙肽免疫反应性(IR)显著增加(P≤0.001)。除L4节段背侧连合处甘丙肽IR增加外,L4-L6节段未观察到甘丙肽IR的变化。相反,L1节段观察到甘丙肽IR减少。SCI后L1和S1背根神经节(DRG)中甘丙肽IR细胞数量增加(P≤0.001)。在所有检查的DRG(L1、L2、L6和S1)中,慢性SCI后表达甘丙肽IR的膀胱传入细胞百分比显著增加(4-19倍)。相反,SCI后膀胱逼尿肌和尿路上皮神经纤维中的甘丙肽表达减少或消失。SCI后脊髓中神经营养因子神经生长因子(NGF)和脑源性神经营养因子(BDNF)的表达发生改变。SCI后脊髓节段BDNF表达显著增加。相反,NGF表达仅在横断部位(T7-T8)相邻和上方的脊髓节段增加,而横断部位远端的脊髓节段(T13-L1;L6-S1)NGF表达降低。SCI后排尿通路中甘丙肽表达的变化可能由神经营养因子表达的改变介导,尤其是BDNF。这些变化可能导致SCI后膀胱功能障碍。