Programa de Pós-graduação em Ciências Biológicas: Fisiologia, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
Exp Neurol. 2011 Jan;227(1):53-61. doi: 10.1016/j.expneurol.2010.09.009. Epub 2010 Sep 17.
Spontaneous intracerebral hemorrhage (ICH) is the most devastating type of stroke and a leading cause of disability and mortality worldwide. Although rehabilitation improves recovery after ICH the cellular mechanisms involved are poorly understood. We decided to examine if skilled (SK) and unskilled (US) training after sham or intracerebral hemorrhage (ICH) surgeries would induce GFAP+ astrocytic changes and whether these modifications can be associated with functional improvement. A 4-week course of motor training, involving either skilled and unskilled training began seven days after surgery; sensorimotor recovery was evaluated using Staircase, ladder walk and cylinder tests. Histological and morphometric analyses were used to assess GFAP+ cell bilaterally in forelimb sensorimotor cortex and dorsolateral striatum. All behavioral tests showed that ICH-SK rats experienced a greater degree of recovery when compared to ICH no task or ICH-US groups; no behavioral differences were found among all sham groups. Astrocytic density was increased in all analyzed structures for ICH no task, ICH-SK and ICH-US rats. Morphological analysis revealed an increased number of primary processes in ipsilateral (to lesion) sensorimotor cortex for all ICH groups. Present results also revealed that both ICH and SK induced an increased length of GFAP+ primary process; there was a further increase in length processes for ICH-SK group in sensorimotor cortex and ipsilateral striatum. We suggest that skilled reaching is an effective intervention to promote astrocytic plasticity and recovery after ICH.
自发性脑出血 (ICH) 是最具破坏性的中风类型,也是全球残疾和死亡的主要原因。尽管康复可以改善 ICH 后的恢复,但涉及的细胞机制仍知之甚少。我们决定研究假手术或脑出血 (ICH) 手术后进行熟练 (SK) 和非熟练 (US) 训练是否会诱导 GFAP+星形胶质细胞变化,以及这些变化是否可以与功能改善相关。一项为期 4 周的运动训练课程,包括熟练和非熟练训练,在手术后 7 天开始;使用楼梯、梯道行走和圆筒测试评估感觉运动恢复。组织学和形态计量分析用于评估双侧前肢感觉运动皮层和背外侧纹状体中的 GFAP+细胞。所有行为测试均表明,与 ICH 无任务或 ICH-US 组相比,ICH-SK 大鼠的恢复程度更大;所有假手术组之间没有发现行为差异。所有分析结构中的星形胶质细胞密度均在 ICH 无任务、ICH-SK 和 ICH-US 大鼠中增加。形态学分析显示,所有 ICH 组的对侧(病变侧)感觉运动皮层中的初级过程数量增加。目前的结果还表明,ICH 和 SK 均诱导 GFAP+初级过程的长度增加;ICH-SK 组在感觉运动皮层和对侧纹状体中的长度过程进一步增加。我们认为熟练的伸手是促进 ICH 后星形胶质细胞可塑性和恢复的有效干预措施。