Baker K Adam, Nakashima Shojiro, Hagg Theo
Kentucky Spinal Cord Injury Research Center, Department of Neurological Surgery, MDR Building, Room 616, University of Louisville, Louisville, KY 40292, USA.
Exp Neurol. 2007 May;205(1):82-91. doi: 10.1016/j.expneurol.2007.01.018. Epub 2007 Jan 25.
By reducing the progressive degeneration and disconnection of axons following spinal cord injury the functional outcome should improve. After direct transection of dorsal column sensory axons, neurotrophin-3 (NT-3) treatment can reduce degeneration and promote regeneration of the proximal stumps. Here, we tested in adult rats whether NT-3 infusion at the site of a moderate T9 spinal cord contusion would rescue sensory connections to the gracile nucleus in the medulla. Sensory projections were anterogradely traced bilaterally with injections of cholera toxin B (CTB) into the sciatic nerve 3 days before analysis. Seven days after the contusion plus intrathecal (subarachnoid) vehicle infusion as a control, the CTB-positive innervation of the gracile nucleus was reduced to approximately 25% of sham-operated rats. Intrathecal infusion of 10 microg/day of NT-3 did not affect this reduced innervation. To ensure good tissue penetration and high concentrations of NT-3 early after the injury, other rats received intraparenchymal infusions of vehicle or NT-3 near the injury site starting 2 days before until 7 days after the injury. This NT-3 treatment also did not affect the reduced innervation. This suggests that local NT-3 treatments cannot protect sensory axons from secondary degeneration after a contusive spinal cord injury. These results are likely because TrkC is not present in axons of the dorsal columns or gracile nucleus, or in other dorsal column cell types, even after the contusion. Together with published results, our data suggest that NT-3 is a peripherally--but not centrally--derived neurotrophic factor for sensory neurons.
通过减少脊髓损伤后轴突的进行性退变和脱失,功能结局应会得到改善。在背柱感觉轴突直接横断后,神经营养因子-3(NT-3)治疗可减少退变并促进近端残端的再生。在此,我们在成年大鼠中测试了在中度T9脊髓挫伤部位注入NT-3是否能挽救与延髓薄束核的感觉连接。在分析前3天,通过向坐骨神经双侧注射霍乱毒素B(CTB)对感觉投射进行顺行示踪。挫伤加鞘内(蛛网膜下腔)注入赋形剂作为对照7天后,薄束核的CTB阳性神经支配减少至假手术大鼠的约25%。鞘内注入10μg/天的NT-3并未影响这种减少的神经支配。为确保损伤后早期良好的组织渗透和高浓度的NT-3,其他大鼠在损伤部位附近从损伤前2天开始直至损伤后7天接受实质内注入赋形剂或NT-3。这种NT-3治疗也未影响减少的神经支配。这表明局部NT-3治疗不能保护感觉轴突免受挫伤性脊髓损伤后的继发性退变。这些结果可能是因为即使在挫伤后,TrkC也不存在于背柱或薄束核的轴突中,或其他背柱细胞类型中。与已发表的结果一起,我们的数据表明NT-3是感觉神经元的一种外周而非中枢源性神经营养因子。