短期低频电刺激通过诱导脑源性神经营养因子对施万细胞极化的早期髓鞘化作用增强受损周围神经的髓鞘再生。

Short-term low-frequency electrical stimulation enhanced remyelination of injured peripheral nerves by inducing the promyelination effect of brain-derived neurotrophic factor on Schwann cell polarization.

机构信息

Department of Anatomy, Shanghai Jiao Tong University School of Medicine, Shanghai,

出版信息

J Neurosci Res. 2010 Sep;88(12):2578-87. doi: 10.1002/jnr.22426.

Abstract

Electrical stimulation (ES) has been found to aid repair of nerve injuries and have been shown to increase and direct neurite outgrowth during stimulation. However, the effect of ES on peripheral remyelination after nerve damage has been investigated less well, and the mechanism underlying its action remains unclear. In the present study, the crush-injured sciatic nerves in rats were subjected to 1 hr of continuous ES (20 Hz, 100 microsec, 3 V). Electron microscopy and nerve morphometry were performed to investigate the extent of regenerated nerve myelination. The expression profiles of P0, Par-3, and brain-derived neurotrophic factor (BDNF) in the injuried sciatic nerves and in the dorsal root ganglion neuron/Schwann cell cocultures were examined by Western blotting. Par-3 localization in the sciatic nerves was determined by immunohistochemistry to demonstrate Schwann cell polarization during myelination. We reported that 20-Hz ES increased the number of myelinated fibers and the thickness myelin sheath at 4 and 8 weeks postinjury. P0 level in the ES-treated groups, both in vitro and in vivo, was enhanced compared with the controls. The earlier peak of Par-3 in the ES-treated groups indicated an earlier initiation of Schwann cell myelination. Additionally, ES significantly elevated BDNF expression in nerve tissues and in cocultures. ES on the site of nerve injury potentiates axonal regrowth and myelin maturation during peripheral nerve regeneration. Furthermore, the therapeutic actions of ES on myelination are mediated via enhanced BDNF signals, which drive the promyelination effect on Schwann cells at the onset of myelination.

摘要

电刺激(ES)已被发现有助于修复神经损伤,并已被证明在刺激过程中增加和引导轴突生长。然而,ES 对神经损伤后周围髓鞘形成的影响研究得较少,其作用机制仍不清楚。在本研究中,大鼠的挤压损伤坐骨神经接受了 1 小时的连续 ES(20 Hz,100 微秒,3 V)。进行电子显微镜和神经形态计量学检查,以研究再生神经髓鞘化的程度。通过 Western 印迹检查损伤坐骨神经和背根神经节神经元/施万细胞共培养物中 P0、Par-3 和脑源性神经营养因子(BDNF)的表达谱。通过免疫组织化学确定 Par-3 在坐骨神经中的定位,以证明髓鞘形成过程中的施万细胞极化。我们报道,20-Hz ES 在损伤后 4 周和 8 周时增加了有髓纤维的数量和髓鞘厚度。与对照组相比,ES 处理组的 P0 水平在体外和体内均增强。ES 处理组 Par-3 的早期峰值表明施万细胞髓鞘形成的早期启动。此外,ES 显著增加了神经组织和共培养物中的 BDNF 表达。ES 对损伤部位的刺激增强了轴突再生和周围神经再生过程中的髓鞘成熟。此外,ES 对髓鞘形成的治疗作用是通过增强 BDNF 信号介导的,该信号在髓鞘形成开始时驱动施万细胞的前髓鞘形成效应。

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