Department of Ophthalmology, Osaka University Graduate School of Medicine, Japan.
Exp Eye Res. 2010 Feb;90(2):285-91. doi: 10.1016/j.exer.2009.11.002. Epub 2009 Nov 10.
We previously showed that transcorneal electrical stimulation (TES) promoted the survival of axotomized retinal ganglion cells (RGCs) of rats. However the relationship between the parameters of TES and the neuroprotective effect of TES on axotomized RGCs was unclear. In the present study, we determined whether the neuroprotective effect of TES is affected by the parameters of TES. Adult male Wistar rats received TES just after transection of the left optic nerve (ON). The pulse duration, current intensity, frequency, waveform, and numbers of sessions of the TES were changed systematically. The alterations of the retina were examined histologically seven days or fourteen days after the ON transection. The optimal neuroprotective parameters were pulse duration of 1 and 2 ms/phase (P < 0.001, each), current intensity of 100 and 200 muA (P < 0.05, each), and stimulation frequency of 1, 5, and 20 Hz (P < 0.001, respectively). More than 30 min of TES was necessary to have a neuroprotective effect (P < 0.001). Symmetric pulses without an inter-pulse interval were most effective (P < 0.001). Repeated TES was more neuroprotective than a single TES at 14 days after ON transection (P < 0.001). Our results indicate that there is a range of optimal neuroprotective parameters of TES for axotomized RGCs of rats. These values will provide a guideline for the use of TES in patients with different retinal and optic nerve diseases.
我们之前已经表明,透角膜电刺激(TES)可促进大鼠视神经切断后视网膜神经节细胞(RGC)的存活。然而,TES 参数与 TES 对轴突切断的 RGC 的神经保护作用之间的关系尚不清楚。在本研究中,我们确定 TES 的神经保护作用是否受 TES 参数的影响。成年雄性 Wistar 大鼠在左眼视神经(ON)切断后立即接受 TES。系统改变 TES 的脉冲持续时间、电流强度、频率、波形和治疗次数。在 ON 切断后 7 天或 14 天检查视网膜的变化。最佳神经保护参数为 1 和 2 ms/相的脉冲持续时间(P < 0.001,各),100 和 200 μA 的电流强度(P < 0.05,各),以及 1、5 和 20 Hz 的刺激频率(P < 0.001,分别)。超过 30 分钟的 TES 才有神经保护作用(P < 0.001)。没有脉冲间隔的对称脉冲最有效(P < 0.001)。与 ON 切断后 14 天的单次 TES 相比,重复 TES 更具神经保护作用(P < 0.001)。我们的结果表明,大鼠轴突切断的 RGC 存在一系列最佳的 TES 神经保护参数。这些值将为在患有不同视网膜和视神经疾病的患者中使用 TES 提供指导。