Kitzman Patrick
Department of Rehabilitation Science, The University of Kentucky, 126G Charles T. Wethington Building, 900 South Limestone Avenue, Lexington, KY 40536-0200, USA.
Exp Neurol. 2005 Mar;192(1):100-8. doi: 10.1016/j.expneurol.2004.10.021.
Following spinal cord injury (SCI), exaggerated reflexes and muscle tone emerge that contribute to a general spastic syndrome in humans. At present, the underlying mechanisms involved with the development of spasticity following traumatic spinal cord injury, especially with regard to axial musculature, remains unclear. The purpose of the present study was to examine the temporal changes in sacrocaudal motoneuronal morphology following complete transection of the sacral spinal cord and to correlate these changes with the onset and progression of spasticity within the tail musculature. The spinal cords of rats were transected at the upper sacral (S(2)) level. Animals were behaviorally tested for the onset and progression of spasticity in the tail and at 1, 2, 4, or 12 weeks postinjury were sacrificed. At these time points, the animals demonstrated stage 1, 2, 3, or 4 spastic behavior, respectively. Sacrocaudal motoneurons innervating selected flexor muscles within the tail were retrogradely labeled with cholera toxin beta-subunit and neuronal morphology was analyzed using a combination of immunocytochemistry and standard microscopy. Initially over the first 2 weeks postinjury, a transient increase in the lengths of primary and secondary dendrites occurred. However, a progressive decrease in the overall number of dendritic branches was observed between 2 and 12 weeks postinjury, which parallels the time frame for the progressive increase in spastic behavior in the tail musculature. Following spinal cord injury, there is an alteration in the morphology of tail flexor motoneurons, which may be relevant to the development of spasticity within the tail.
脊髓损伤(SCI)后,会出现夸张的反射和肌张力,这会导致人类出现全身性痉挛综合征。目前,创伤性脊髓损伤后痉挛发展所涉及的潜在机制,尤其是关于轴性肌肉组织的机制,仍不清楚。本研究的目的是检查骶尾部脊髓完全横断后骶尾运动神经元形态的时间变化,并将这些变化与尾部肌肉组织中痉挛的发生和进展相关联。将大鼠的脊髓在骶骨上部(S(2))水平横断。对动物进行行为测试以观察尾部痉挛的发生和进展,并在损伤后1、2、4或12周处死动物。在这些时间点,动物分别表现出1、2、3或4期痉挛行为。用霍乱毒素β亚基对支配尾部选定屈肌的骶尾运动神经元进行逆行标记,并结合免疫细胞化学和标准显微镜分析神经元形态。最初在损伤后的前2周,初级和次级树突的长度出现短暂增加。然而,在损伤后2至12周观察到树突分支的总数逐渐减少,这与尾部肌肉组织中痉挛行为逐渐增加的时间框架一致。脊髓损伤后,尾部屈肌运动神经元的形态发生改变,这可能与尾部痉挛的发展有关。