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大鼠的所有腓骨运动神经元在遭受挤压损伤后均存活,但有些无法重新支配其原来的靶标。

All peroneal motoneurons of the rat survive crush injury but some fail to reinnervate their original targets.

作者信息

Swett J E, Hong C Z, Miller P G

机构信息

Department of Anatomy, College of Medicine, University of California Irvine 92717.

出版信息

J Comp Neurol. 1991 Feb 8;304(2):234-52. doi: 10.1002/cne.903040207.

DOI:10.1002/cne.903040207
PMID:2016419
Abstract

This is a quantitative study of the motoneuronal population of the rat's common peroneal nerve following severe crush injury of the sciatic nerve or its component branches. The crush was performed unilaterally under anesthesia for 60 seconds with hemostat jaws covered with tubing to form a smooth, 2 mm long, injured zone. Recovery from injury was allowed for 14 to 188 days. It was measured behaviorally using the sciatic functional index (SFI) and electrophysiologically by comparing the conduction velocity and amplitudes of evoked muscle action potentials prior to injury, and again after injury just before the nerve was labeled with horseradish peroxidase (HRP), and/or its wheat germ agglutinin conjugate (WGA-HRP), 48-72 hours before sacrifice. The motoneurons were retrogradely labeled on both sides so that the uninjured side might serve as a control. On the injured side the nerves were labeled either distal or proximal to the crush site. The tibialis anterior muscles on both sides were removed and weighted. Spinal segments L2 to L6 were cut in serial, frozen cross-sections. HRP reaction products were formed using TMB as the chromogen. The normal peroneal nerve was found to contain 634 +/- 26 motoneurons (22 cases). The number of motoneurons labeled 5-15 mm distal to the injury site (22 cases) was 535 +/- 69 or 84.4% of normal. In 12 cases in which the nerve was labeled 5 mm proximal to the injury normal population numbers (648 +/- 30) were found. These counts demonstrated that the unlabeled 15.6% in the distal labeled cases had not vanished as a result of cell death. Instead, the unlabeled group was composed mainly of small motoneurons whose axons probably had not regenerated distal to the crushed zone. Mean soma size of injured neurons increased to maximum 3-6 weeks after injury and then gradually decreased in size over the following weeks to nearly normal values. This transient increase in size was due to two factors: 1) soma swelling in response to axonal injury, and 2) absence of many small motoneurons, presumably gamma-motoneurons, which were either incapable of, or prevented from, regenerating beyond the injury zone long after larger motoneurons had reinnervated their targets. SFI scores, muscle weights, and amplitude ratios of evoked potentials recovered to control values by 70-80 days post-injury. Conduction velocities remained 20-25% below normal at the end of 80 days.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

这是一项关于大鼠坐骨神经或其分支严重挤压伤后腓总神经运动神经元群的定量研究。挤压伤在麻醉下单侧进行,用覆盖有 tubing 的止血钳钳夹 60 秒,形成一个光滑的、2 毫米长的损伤区域。损伤后恢复 14 至 188 天。通过坐骨神经功能指数(SFI)进行行为学测量,并在损伤前、损伤后且在神经用辣根过氧化物酶(HRP)和/或其麦胚凝集素缀合物(WGA - HRP)标记前 48 - 72 小时(处死前)比较诱发肌肉动作电位的传导速度和幅度,进行电生理学测量。双侧逆行标记运动神经元,以便未受伤侧作为对照。在受伤侧,神经在挤压部位的远端或近端进行标记。两侧的胫前肌被切除并称重。对脊髓 L2 至 L6 节段进行连续冰冻切片。使用 TMB 作为显色剂形成 HRP 反应产物。发现正常腓总神经含有 634 ± 26 个运动神经元(22 例)。在损伤部位远端 5 - 15 毫米处标记的运动神经元数量(22 例)为 535 ± 69 个,即正常数量的 84.4%。在 12 例神经在损伤部位近端 5 毫米处标记的病例中,发现运动神经元数量为正常水平(648 ± 30)。这些计数表明,在远端标记的病例中未标记的 15.6%并非因细胞死亡而消失。相反,未标记组主要由小型运动神经元组成,其轴突可能在挤压区远端未再生。受伤神经元的平均胞体大小在损伤后 3 - 6 周增加到最大值,随后在接下来的几周逐渐减小至接近正常值。这种胞体大小的短暂增加归因于两个因素:1)轴突损伤引起的胞体肿胀;2)许多小型运动神经元(推测为γ运动神经元)缺失,在大型运动神经元重新支配其靶标很久之后,这些小型运动神经元要么无法再生,要么被阻止在损伤区之外再生。SFI 评分、肌肉重量和诱发电位的幅度比在损伤后 70 - 80 天恢复到对照值。80 天结束时,传导速度仍比正常低 20 - 25%。(摘要截断于 400 字)

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