Department of Physiology, Loma Linda University School of Medicine, Loma Linda, California 92350, USA.
Reproduction. 2010 Mar;139(3):645-53. doi: 10.1530/REP-09-0361. Epub 2009 Dec 4.
In contrast to the uterus, the cervix is well innervated during pregnancy and the density of nerve fibers increases before birth. To assess neural connections between the cervix and the spinal cord, the cervix of pregnant mice was injected with the trans-synaptic retrograde neural tract tracer pseudorabies virus (PRV). After 5 days, the virus was present in nerve cells and fibers in specific areas of the sensory, autonomic, and motor subdivisions of the thoracolumbar spinal cord. In nonpregnant controls, the virus was predominantly distributed in laminae I-III in the dorsal gray sensory areas with the heaviest label in the substantia gelatinosa compared with the autonomic or motor areas. Labeled cells and processes were sparse in other regions, except for a prominent cluster in the intermediolateral column (lamina VII). Photomicrographs of spinal cord sections were digitized, and the total area with the virus was estimated. Compared with nonpregnant controls, the area with PRV was significantly decreased in all the spinal cord subdivisions in pregnant mice except in the intermediolateral column. However, areas with the virus were equivalent in mice injected with PRV at 4 days or 1 day before birth. These findings suggest that the predominant innervation of the murine cervix is from the sensory regions of the thoracolumbar spinal cord, and that these connections diminish with pregnancy. The results raise the possibility that the remaining connections from sensory and autonomic subdivisions, particularly the intermediolateral column, of the thoracolumbar spinal cord may be important for increased density of nerve fibers in the cervix as pregnancy nears term.
与子宫不同,怀孕期间宫颈有很好的神经支配,神经纤维密度在分娩前增加。为了评估宫颈和脊髓之间的神经连接,将妊娠小鼠的宫颈注射顺行逆行神经示踪剂伪狂犬病毒(PRV)。 5 天后,病毒存在于胸腰段脊髓感觉、自主和运动细分的特定区域的神经细胞和纤维中。在非妊娠对照组中,病毒主要分布在背侧灰色感觉区的 I-III 层,与自主或运动区相比,在胶状质中标记最重。除了中间外侧柱(VII 层)中有一个明显的簇外,其他区域标记的细胞和过程很少。对脊髓切片的显微照片进行数字化,并估计病毒的总面积。与非妊娠对照组相比,除中间外侧柱外,妊娠小鼠的所有脊髓细分区域的 PRV 面积均显著减少。然而,在妊娠前 4 天或 1 天注射 PRV 的小鼠中,病毒面积相等。这些发现表明,鼠宫颈的主要支配来自胸腰段脊髓的感觉区域,并且这些连接在妊娠期间减少。结果提示,胸腰段脊髓的感觉和自主细分区域(特别是中间外侧柱)的剩余连接可能对妊娠末期宫颈神经纤维密度的增加很重要。