Zhu Jin-long, Zhu Shao-hua, Ren Liang
Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science & Technology ,Wuhan 430030, China.
Fa Yi Xue Za Zhi. 2005 Aug;21(3):165-8.
To explore an method for diffuse axonal injury (DAI) diagnosis and injury time estimation, the changes of beta-APP immunoreactivity and to observe the morphology of axonal in different parts of brain after experimental DAI injury.
The animal models of DAI was established according to the Marmarou's method. Immunohistochemistry and Gless staining were performed to observe the changes of beta-APP expression and the morphology of axon with the time elapsed after the DAI injury.
In the brain injury group, the morphologic changes of axon in brain stem were showed as twisted, broken and swellen at 0.5 h, and the myelin sheaths broken could be observed, the retraction ball was found at 12 h. Those morphology changes further progressed at 12h, reached to peack up to 1 d, then repaired at 3 d, and recovered at 10 d; Meanwhile the analysis of beta-APP immunoreactivity was also showed a time-dependent difference as fellows: beta-APP expression begin at 3h, increased its immunoreactivity at 12h, reached to maximize at 1 d, decreased after 3 d, returned to basal level at 10 d.
The results suggest that beta-APP immunohistochemistry combine with Gless staining be sensitive methods for DAI diagnosis, they could discover the time-dependent changes of the axonal morphology.The changes beta-APP are quite regular and could be used for timing DAI injury.
探讨弥漫性轴索损伤(DAI)的诊断及损伤时间判断方法,观察实验性DAI损伤后β-淀粉样前体蛋白(β-APP)免疫反应性变化及脑内不同部位轴索的形态学改变。
采用Marmarou法建立DAI动物模型。应用免疫组织化学及Gless染色观察DAI损伤后不同时间轴索形态及β-APP表达变化。
脑损伤组脑干轴索在伤后0.5 h即出现扭曲、断裂及肿胀,可见髓鞘断裂,12 h出现回缩球;12 h后上述形态学改变进一步加重,1 d时最为明显,3 d开始修复,10 d基本恢复正常;同时β-APP免疫反应性分析也呈时间依赖性变化:伤后3 h开始表达,12 h免疫反应性增强,1 d时达高峰,3 d后下降,10 d恢复至基础水平。
结果提示β-APP免疫组织化学与Gless染色相结合是诊断DAI的敏感方法,能发现轴索形态的时间依赖性变化,β-APP变化规律可用于DAI损伤时间的判断。