Shehab Safa Aldeen S
Department of Anatomy, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
J Comp Neurol. 2009 Dec 1;517(4):481-92. doi: 10.1002/cne.22163.
The mechanism of neuropathic pain may be associated with sprouting of uninjured primary afferents of peripheral nerves into regions of the spinal cord denervated through peripheral injury. However, this remains controversial. Therefore, the purpose of the present investigation was, first, to determine in detail the central distributions of the unmyelinated primary afferents of each of the L4, L5, and L6 components of sciatic nerve, then to assess the distribution of afferent sciatic terminals following acute and chronic injury to (L5) nerve. First, we injected isolectin B4 (IB4), into the sciatic nerves in three groups of rats, each of which had two of the three L4, L5, or L6 components ligated and cut, and the one remaining, uninjured. Although the terminal labelling found in the L5 segment of the spinal cord originated from the L5 component, some terminal labelling remained in cases when either the L4 or L6 component was intact. Second, tracers transported in predominantly unmyelinated (IB4 and WGA-HRP) or myelinated (cholera toxin subunit B) nerves were injected into the sciatic nerve following acute or chronic (21-day) injury restricted to the L5 component. In each case, the central distribution of nerve terminals in the spinal dorsal horn was equivalent following either acute or chronic injury to the L5 component. Consequently, these data provide no support for the suggestion that neuropathic pain in spinal ligation model results from uninjured L4 and L6 components sprouting to occupy sites vacated by the injured L5 component of the sciatic nerve.
神经性疼痛的机制可能与外周神经未受损的初级传入神经纤维向因外周损伤而失神经支配的脊髓区域生长有关。然而,这一点仍存在争议。因此,本研究的目的首先是详细确定坐骨神经L4、L5和L6各成分的无髓初级传入神经纤维在中枢的分布,然后评估L5神经急性和慢性损伤后坐骨神经传入终末的分布。首先,我们将isolectin B4(IB4)注射到三组大鼠的坐骨神经中,每组大鼠的L4、L5或L6三个成分中有两个被结扎并切断,剩下一个未受损。虽然在脊髓L5节段发现的终末标记起源于L5成分,但当L4或L6成分完整时,仍有一些终末标记存在。其次,在仅L5成分受到急性或慢性(21天)损伤后,将主要在无髓(IB4和WGA-HRP)或有髓(霍乱毒素B亚单位)神经中运输的示踪剂注射到坐骨神经中。在每种情况下,L5成分急性或慢性损伤后脊髓背角神经终末的中枢分布是相同的。因此,这些数据不支持脊髓结扎模型中的神经性疼痛是由未受损的L4和L6成分向坐骨神经受损的L5成分腾出的部位生长所致这一观点。