Grumbles Robert M, Almeida Vania W, Thomas Christine K
The Miami Project to Cure Paralysis, Department of Neurological Surgery, University of Miami Miller School of Medicine, Lois Pope LIFE Center, 1095 NW 14th Terrace (R48), Miami, FL 33136, USA.
Neurol Res. 2008 Mar;30(2):183-9. doi: 10.1179/174313208X281073.
The aim of this study was to use the glycogen depletion technique to determine whether reinnervated muscle fibers could be distinguished from denervated muscle fibers by their size or by neural cell adhesion molecule (NCAM) expression.
Medial gastrocnemius muscles of five adult Fischer rats were reinnervated from embryonic neurons transplanted into the distal stump of the tibial nerve. Ten weeks later, the transplants were stimulated repeatedly to deplete reinnervated muscle fibers of glycogen. Areas of reinnervated (glycogen-depleted) muscle fibers were measured and assessed for NCAM expression. The areas of muscle fibers from reinnervated, denervated (n=5) and unoperated control muscles (n=5) were compared.
Mean reinnervated muscle fiber area was significantly larger than the mean for denervated fibers (mean +/- SE: 40 +/- 6 and 10 +/- 1% of unoperated control fibers, respectively). NCAM was expressed in 55 +/- 7% of reinnervated fibers (mean +/- SE; range: 42-77%). The mean areas of reinnervated fibers that did or did not express NCAM were similar. NCAM was only expressed in some fibers in completely denervated muscles.
Our data show that NCAM expression does not differentiate muscle denervation or reinnervation. Quantifying the area of large fibers did distinguish reinnervated muscle fibers from denervated fibers and showed that reinnervation of muscle from neurons placed in peripheral nerve is a strategy to rescue muscle from atrophy.
本研究旨在运用糖原耗竭技术,确定能否通过大小或神经细胞黏附分子(NCAM)表达,将重新神经支配的肌纤维与失神经支配的肌纤维区分开来。
将胚胎神经元移植到五只成年Fischer大鼠的胫神经远端残端,对其内侧腓肠肌进行重新神经支配。十周后,反复刺激移植部位,以耗尽重新神经支配的肌纤维中的糖原。测量重新神经支配(糖原耗尽)的肌纤维面积,并评估其NCAM表达情况。比较重新神经支配、失神经支配(n = 5)和未手术对照肌肉(n = 5)的肌纤维面积。
重新神经支配的肌纤维平均面积显著大于失神经支配纤维的平均面积(均值±标准误:分别为未手术对照纤维的40±6%和10±1%)。55±7%的重新神经支配纤维表达NCAM(均值±标准误;范围:42 - 77%)。表达或未表达NCAM的重新神经支配纤维的平均面积相似。NCAM仅在完全失神经支配肌肉的部分纤维中表达。
我们的数据表明,NCAM表达不能区分肌肉的去神经支配或重新神经支配。量化大纤维的面积确实能将重新神经支配的肌纤维与失神经支配的纤维区分开来,并且表明将神经元置于外周神经对肌肉进行重新神经支配是一种使肌肉免于萎缩的策略。