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植入不同血管后压力感受器传入神经的再生

Regeneration of baroafferents after implantation into different vessels.

作者信息

Stevens Markus F, Hermanns Henning, Freynhagen Rainer, Novotny Gerd E K, Lipfert Peter

机构信息

Department of Anesthesiology, University Hospital Düsseldorf, Düsseldorf, Germany.

出版信息

J Peripher Nerv Syst. 2007 Mar;12(1):40-9. doi: 10.1111/j.1529-8027.2007.00115.x.

Abstract

Regeneration of peripheral nerves involves an essential contribution by surrounding tissues. This study focuses on the role of the target tissue on the regeneration of afferent peripheral nerves. We hypothesized that nerves implanted into the appropriate target tissue regain their function, whereas they degenerate when implanted into a different tissue. Therefore, aortic nerves of rabbits were transected and implanted into arteries or veins, and their function and structure was reevaluated after 1.5, 3, and 10 months. In a subset of animals, the nerves were again severed and implanted into the other vessel. Twelve of 18 nerves implanted into arteries regained typical neurophysiological activity, but none of those implanted into veins. Two times even baroreflexes were elicited through the newly built nerve endings. The structure of the nerve endings implanted into arteries resembled baroreceptors, whereas no fiber growth was detected in veins. Morphometrically, the fiber number and diameter increased over the observed time period after implantation into arteries. Nerves implanted into veins, transected after 3 months, and then implanted into arteries also regained neurophysiological activity. Again, they rebuilt baroreceptors and significantly increased their fiber number and diameter. In conclusion, when severed baroafferents are implanted into arteries, they regenerate new baroreceptors and restore the normal myelination and fiber size of the nerve over time, whereas veins seem to inhibit nerve fiber sprouting and regeneration of severed fibers.

摘要

周围神经的再生涉及周围组织的重要贡献。本研究聚焦于靶组织在传入性周围神经再生中的作用。我们假设,植入合适靶组织的神经会恢复其功能,而植入不同组织时则会退化。因此,将兔的主动脉神经切断并植入动脉或静脉,在1.5、3和10个月后重新评估其功能和结构。在一部分动物中,再次切断神经并将其植入另一血管。植入动脉的18条神经中有12条恢复了典型的神经生理活动,但植入静脉的神经无一恢复。通过新形成的神经末梢引发了两次甚至更多的压力反射。植入动脉的神经末梢结构类似于压力感受器,而在静脉中未检测到纤维生长。从形态计量学来看,植入动脉后在观察时间段内纤维数量和直径增加。植入静脉的神经在3个月后切断,然后植入动脉也恢复了神经生理活动。同样,它们重建了压力感受器并显著增加了纤维数量和直径。总之,当切断的压力感受器传入神经植入动脉时,它们会再生新的压力感受器,并随着时间的推移恢复神经的正常髓鞘形成和纤维大小,而静脉似乎会抑制神经纤维发芽和切断纤维的再生。

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