Department of Surgery, Division of Plastic Surgery, The Hospital for Sick Children, 555 University Ave., Toronto, Ontario, Canada.
J Physiol. 2010 Aug 1;588(Pt 15):2745-68. doi: 10.1113/jphysiol.2010.190389. Epub 2010 Jun 2.
Nerve sprouting to reinnervate partially denervated muscles is important in several disease and injury states. To examine the effectiveness of sprouting of active and inactive motor units (MUs) and the basis for a limit to sprouting, one of three rat lumbar spinal roots was cut under normal conditions and when the spinal cord was hemisected at T12. Muscle and MU isometric contractile forces were recorded and muscle fibres in glycogen-depleted single muscle units enumerated 23 to 380 days after surgery. Enlargement of intact MUs by sprouting was effective in compensating for up to 80% loss of innervation. For injuries that removed >70-80% of the intact MUs, muscle contractile force and weight dropped sharply. For partial denervation of <70%, all MUs increased contractile force by the same factor in both normally active muscles and muscles whose activity was reduced by T12 hemisection. Direct measurements of MU size by counting glycogen-depleted muscle fibres in physiologically and histochemically defined muscle units, provided direct evidence for a limit in MU size, whether or not the activity of the muscles was reduced by spinal cord hemisection. Analysis of spatial distribution of muscle fibres within the outer boundaries of the muscle unit demonstrated a progressive increase in fibres within the territory to the limit of sprouting when most of the muscle unit fibres were adjacent to each other. We conclude that the upper limit of MU enlargement may be explained by the reinnervation of denervated muscle fibres by axon sprouts within the spatial territory of the muscle unit, formerly distributed in a mosaic pattern.
神经再生以重新支配部分去神经肌肉在几种疾病和损伤状态中很重要。为了研究活跃和不活跃运动单位(MU)的再生效果以及再生的限制基础,在正常情况下和 T12 脊髓半切时,切断三个大鼠腰脊神经根之一。记录肌肉和 MU 的等长收缩力,并在手术后 23 至 380 天计数糖原耗竭的单肌 MU 中的纤维。通过发芽扩大完整 MU 可有效补偿高达 80%的神经支配丧失。对于导致>70-80%的完整 MU 丧失的损伤,肌肉收缩力和重量急剧下降。对于<70%的部分去神经支配,所有 MU 在正常活动肌肉和因 T12 半切而减少活动的肌肉中,以相同的因子增加收缩力。通过计数生理和组织化学定义的肌 MU 中糖原耗竭的肌纤维直接测量 MU 大小,为 MU 大小的限制提供了直接证据,无论肌肉的活动是否因脊髓半切而减少。肌肉纤维在肌 MU 外边界内的空间分布分析表明,当大多数肌 MU 纤维彼此相邻时,在 MU 空间域内,发芽的轴突对去神经纤维的再支配导致纤维在发芽的空间域内逐渐增加。我们得出结论,MU 增大的上限可能可以解释为失神经肌肉纤维通过肌 MU 空间域内的轴突芽的再支配,而这些纤维以前呈镶嵌模式分布。