Department of Neurosurgery, ChangZheng Hospital, Second Military Medical University, Shanghai, China.
Brain Res Bull. 2010 Aug 30;83(1-2):44-8. doi: 10.1016/j.brainresbull.2010.06.009. Epub 2010 Jun 25.
Neonatal post-hemorrhagic hydrocephalus is associated with cognitive decline and a serious deterioration in the patient's quality of life. The underlying impairments to neurons are not well understood. Here, we used the method described by Cherian et al. to construct a model of hydrocephalus after intra-ventricular hemorrhage and then observed the subsequent pathological changes in the morphology of neurons labeled by enhanced green fluorescent proteins (EGFP) using the in utero electroporation technique. Injection of venous blood into the lateral ventricles of 7-day-old rats in the operation group caused marked enlargement of the ventricles in 60% (9/15) of the rats after 2 weeks and in 53.3% (8/15) of the rats after 3 weeks. Compared with the control group, the length of the neural dendrites in the somatosensory cortex was shortened and the number of both neuron dendrite branches and synapses was significantly decreased. There was no evidence of cerebral cortical neuron death as shown by positive EGFP cell counting which suggest that neurological dysfunction after intra-ventricular hemorrhage-induced hydrocephalus may be related to the shortening of neural dendrites and the decreased number of synapses in somatosensory cortex and thus provides a possible neurological cause for hydrocephalus-induced cognitive decline and motor dysfunction.
新生儿出血后脑积水与认知能力下降和患者生活质量严重恶化有关。神经元的潜在损伤尚不清楚。在这里,我们使用 Cherian 等人描述的方法构建了脑室出血后脑积水模型,然后使用子宫内电穿孔技术观察了增强型绿色荧光蛋白 (EGFP) 标记的神经元形态随后的病理变化。在实验组中,将静脉血注入 7 日龄大鼠的侧脑室,术后 2 周内 60%(9/15)的大鼠和 3 周内 53.3%(8/15)的大鼠出现明显的脑室扩大。与对照组相比,体感皮层的神经树突长度缩短,神经元树突分支和突触数量明显减少。阳性 EGFP 细胞计数未显示皮质神经元死亡,提示脑室出血性脑积水后神经功能障碍可能与体感皮层神经树突缩短和突触数量减少有关,从而为脑积水引起的认知能力下降和运动功能障碍提供了可能的神经学原因。