Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, The University of Fukui, Matsuoka, FukuiJapan.
J Neurosurg Spine. 2010 Feb;12(2):203-9. doi: 10.3171/2009.8.SPINE08895.
The dorsal root ganglion (DRG) should not be overlooked when considering the mechanism of low-back pain and sciatica, so it is important to understand the morphological features of the vascular system supplying the DRG. However, the neurogenic control of intraganglionic blood flow has received little attention in the past. The authors used an immunohistochemical technique to investigate the presence and distribution of autonomic and sensory nerves in blood vessels of the DRG.
Ten Wistar rats were used. To investigate the mechanism of vasomotion on the lumbar DRG, the authors used immunohistochemical methods. Sections were incubated overnight with antisera to tyrosine hydroxylase (TH), aromatic L-amino-acid decarboxylase (AADC), 5-hydroxytryptamine, substance P (SP), calcitonin gene-related peptide (CGRP), vasoactive intestinal peptide (VIP), somatostatin (SOM), neuropeptide Y (NPY), leucine-enkephalin, and cholineacetyl transferase (Ch-E). The avidin-biotin complex method was used as the immunohistochemical procedure, and the sections were observed under a light microscope.
In the immunohistochemical study, TH-, AADC-, SP-, CGRP-, VIP-, SOM-, NPY-, and Ch-E-positive fibers were seen within the walls of blood vessels in the DRG. This study revealed the existence of a comprehensive perivascular adrenergic, cholinergic, and peptidergic innervation of intraganglionic blood vessels, with a possible role in neurogenic regulation (autoregulation) of intraganglionic circulation.
The presence of perivascular nerve plexuses around intraganglionic microvessels suggests that autonomic nerves play an important role in intraganglionic circulation.
在考虑腰痛和坐骨神经痛的机制时,不应忽视背根神经节(DRG),因此了解供应 DRG 的血管系统的形态特征非常重要。然而,过去对 DRG 内血流的神经源性控制关注甚少。作者使用免疫组织化学技术研究了 DRG 血管中自主神经和感觉神经的存在和分布。
使用 10 只 Wistar 大鼠。为了研究腰椎 DRG 血管舒缩的机制,作者使用了免疫组织化学方法。将切片与酪氨酸羟化酶(TH)、芳香族 L-氨基酸脱羧酶(AADC)、5-羟色胺、P 物质(SP)、降钙素基因相关肽(CGRP)、血管活性肠肽(VIP)、生长抑素(SOM)、神经肽 Y(NPY)、亮氨酸脑啡肽和胆碱乙酰转移酶(Ch-E)的抗血清孵育过夜。使用亲和素-生物素复合物法作为免疫组织化学程序,并用显微镜观察切片。
在免疫组织化学研究中,在 DRG 血管壁内可见 TH、AADC、SP、CGRP、VIP、SOM、NPY 和 Ch-E 阳性纤维。这项研究揭示了 DRG 内血管存在广泛的血管周围肾上腺素能、胆碱能和肽能神经支配,可能在 DRG 内循环的神经源性调节(自身调节)中发挥作用。
围绕 DRG 内微血管的血管周围神经丛的存在表明自主神经在 DRG 内循环中发挥重要作用。