Drac H, Babiuch M, Wiśniewska W
Department of Neurology, School of Medicine, Warsaw.
Neuropatol Pol. 1991;29(1-2):49-67.
The ulnar nerve taken at autopsy from 30 subjects aged 24-98 who died without features of clinical involvement of peripheral nerves was examined morphologically. Density of myelinated fibers (m.f) per 0.1 mm2, frequency distribution of the external diameter of m.f., and teased fiber were estimated. Besides, in 8 nerves some lipids were assessed biochemically. The study showed that the percentage of fibers with morphological changes increases with aging (7-10% in adults and even up to 35% in aged subjects). In older subjects loss of m.f. may be marked. Morphological changes in the nerves of subjects in all groups of age are unspecific (axonal degeneration, and segmental demyelination). Striking feature for the nerve is the preserved ability to repair damage of the fiber independently of the subjects' age. Accidental factors play some role as a cause of morphological changes in the nerve in all groups of age but in the elderly, aging of the neuron seems to be an important factor. Biochemical changes in the nerves with age are not prominent, and much less expressed than morphological changes.
对30名年龄在24岁至98岁之间、死于无周围神经临床受累特征的受试者尸体解剖时获取的尺神经进行了形态学检查。估计了每0.1平方毫米有髓纤维(m.f)的密度、有髓纤维外径的频率分布以及 teased 纤维。此外,对8条神经中的一些脂质进行了生化评估。研究表明,有形态学改变的纤维百分比随年龄增长而增加(成年人中为7 - 10%,老年受试者中甚至高达35%)。在老年受试者中,有髓纤维的丢失可能很明显。所有年龄组受试者神经中的形态学改变是非特异性的(轴突变性和节段性脱髓鞘)。该神经的显著特征是无论受试者年龄如何,都保留了独立修复纤维损伤的能力。意外因素在所有年龄组中都是神经形态学改变的一些原因,但在老年人中,神经元衰老似乎是一个重要因素。神经随年龄的生化变化不明显,且比形态学变化表现得少得多。