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神经损伤和未损伤大鼠背根神经节中的交叉兴奋

Cross-excitation in dorsal root ganglia of nerve-injured and intact rats.

作者信息

Devor M, Wall P D

机构信息

Department of Zoology, Life Sciences Institute, Hebrew University of Jerusalem, Israel.

出版信息

J Neurophysiol. 1990 Dec;64(6):1733-46. doi: 10.1152/jn.1990.64.6.1733.

DOI:10.1152/jn.1990.64.6.1733
PMID:2074461
Abstract
  1. Experiments based on teased fiber recording from rat sciatic nerve have shown that a small proportion of primary afferent neurons in intact dorsal root ganglia (DRGs) fire spontaneously. The prevalence of this discharge is substantially increased if the sciatic nerve has been chronically injured. 2. We now show that in most cases this ongoing DRG activity can be augmented by tetanic stimulation of the axons of neighboring neurons, where the active neuron itself has not been stimulated. In addition, some previously silent DRG neurons can be cross-excited by neighbors. This novel form of neuron-to-neuron communication is termed "DRG crossed afterdischarge." Cross-excitation never occurred at fixed latency in response to single stimulus pulses and is therefore not a case of ephaptic cross talk. 3. Crossed afterdischarge occurred only if the spontaneously active neuron and the stimulated neighbors shared the same DRG. It occurred in 83.5% of the spontaneously active neurons sampled that had myelinated (A) axons, but in only 4.4% of spontaneously active neurons with unmyelinated (C) axons. Among initially silent neurons, stimulation of neighbors evoked firing in 3.1% of A-fibers but in no C-fibers. 4. Crossed afterdischarge responses began within 500 ms of stimulation onset (with the use of 50-Hz tetani) and increased in magnitude for about the first 30 s of stimulation, declining thereafter. Intense excitations were often followed by a short period of depression until the original rate of ongoing discharge was restored. 5. The magnitude of crossed afterdischarge responses increased with increasing stimulation frequency until saturation. Minimal responses occurred with the use of tetani of as little as 1 Hz. Maximal responses occurred with the use of 100-200 Hz tetani. 6. The inclusion of C-fibers in the afferent volley produced little if any augmentation of responses. 7. Cross-excitation was demonstrated in DRGs in which many or all peripheral afferent axons were intact and continued to innervate hind limb skin. In these preparations natural cutaneous stimulation was shown to be capable of evoking crossed afterdischarge responses. The most effective stimuli were gentle or firm rubbing of the foot. Noxious pinch, heat, cold, and chemical stimulation was ineffective. 8. DRG crossed afterdischarge is a mechanism whereby sensation in response to peripheral stimulation may be distorted in time, space, and modality. Because its prevalence is much increased after axotomy, it might contribute to neuropathic sensory abnormalities, including pain, in patients with nerve injury.
摘要
  1. 基于对大鼠坐骨神经进行单纤维记录的实验表明,完整背根神经节(DRG)中的一小部分初级传入神经元会自发放电。如果坐骨神经受到慢性损伤,这种放电的发生率会大幅增加。2. 我们现在表明,在大多数情况下,这种持续的DRG活动可通过对相邻神经元轴突进行强直刺激而增强,此时活动的神经元本身并未受到刺激。此外,一些先前沉默的DRG神经元可被相邻神经元交叉兴奋。这种新型的神经元间通讯形式被称为“DRG交叉后放电”。交叉兴奋在响应单个刺激脉冲时从不会在固定潜伏期出现,因此不是电紧张性串扰的情况。3. 仅当自发活动的神经元与受刺激的相邻神经元共享同一个DRG时才会发生交叉后放电。在采样的具有髓鞘(A)轴突的自发活动神经元中,有83.5%出现交叉后放电,但在具有无髓鞘(C)轴突的自发活动神经元中,只有4.4%出现交叉后放电。在最初沉默的神经元中,刺激相邻神经元会使3.1%的A纤维放电,但不会使C纤维放电。4. 交叉后放电反应在刺激开始后500毫秒内开始(使用50赫兹强直刺激),并在刺激的前30秒左右幅度增加,此后下降。强烈刺激后常伴有短时间的抑制,直到恢复原来的持续放电速率。5. 交叉后放电反应的幅度随刺激频率增加而增大,直至饱和。使用低至1赫兹的强直刺激时反应最小。使用100 - 200赫兹的强直刺激时反应最大。6. 在传入冲动中加入C纤维对反应几乎没有增强作用。7. 在许多或所有外周传入轴突完整并继续支配后肢皮肤的DRG中证实了交叉兴奋。在这些标本中,自然皮肤刺激被证明能够引发交叉后放电反应。最有效的刺激是轻柔或用力摩擦足部。有害的捏、热、冷和化学刺激无效。8. DRG交叉后放电是一种机制,通过该机制,对外周刺激的感觉可能在时间、空间和模态上发生扭曲。由于其发生率在轴突切断后大幅增加,它可能导致神经损伤患者出现神经性感觉异常,包括疼痛。

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