Utzschneider D A, Kocsis J D, Waxman S G
Department of Neurology, Yale University School of Medicine, New Haven, CT.
Brain Res. 1991 Jun 14;551(1-2):136-41. doi: 10.1016/0006-8993(91)90924-k.
Myelinated primary afferent fibers have both peripheral and central nervous system components. As the fibers course through peripheral nerve and dorsal roots they are myelinated by Schwann cells, but after they invade the spinal cord they become myelinated by oligodendrocytes and have associations with astrocytes. This presents the opportunity to compare the pathophysiology of PNS (Schwann cell-associated) vs. CNS (oligodendrocyte/astrocyte-associated) portions of the same axonal trunk located in the dorsal roots and dorsal columns, respectively. Dorsal spinal roots and slices of dorsal columns isolated from adult rats were studied in a sucrose gap chamber from which compound action potential and membrane potential changes could be recorded. The results indicate that the peripheral component of the afferent fibers is resistant to hypoxia as evidenced by stable action and membrane potential when O2 in the bathing medium was completely replaced with N2 for periods up to 2 h. In contrast, the axons become sensitive to hypoxia as they project through the dorsal columns as evidenced by rapid reduction in action potential amplitude accompanied by membrane depolarization when O2 is replaced by N2. This differential response to hypoxia, observed on the same axon branches but over CNS vs. PNS trajectories, suggests that differences related to the extracellular environment or in axo-glial organization in dorsal root vs. dorsal column may confer different degrees of susceptibility to anoxia.
有髓初级传入纤维同时具有外周和中枢神经系统成分。当这些纤维穿过外周神经和背根时,它们由施万细胞髓鞘化,但在侵入脊髓后,它们由少突胶质细胞髓鞘化,并与星形胶质细胞相关联。这提供了一个机会来比较位于背根和背柱中同一轴突干的外周神经系统(与施万细胞相关)与中枢神经系统(与少突胶质细胞/星形胶质细胞相关)部分的病理生理学。对从成年大鼠分离的背脊髓根和背柱切片在蔗糖间隙室中进行研究,从中可以记录复合动作电位和膜电位变化。结果表明,传入纤维的外周部分对缺氧具有抗性,这可通过在将浴液中的氧气完全用氮气替代长达2小时的期间动作电位和膜电位稳定来证明。相比之下,当氧气被氮气替代时,轴突在穿过背柱时变得对缺氧敏感,这可通过动作电位幅度迅速降低并伴有膜去极化来证明。在同一轴突分支上但在中枢神经系统与外周神经系统轨迹上观察到的这种对缺氧的差异反应表明,与背根与背柱中的细胞外环境或轴突-胶质组织相关的差异可能赋予对缺氧不同程度的易感性。