Città Studi Department, Laboratory of Neuropathology, University of Milan, Milan, Italy.
Muscle Nerve. 2011 Dec;44(6):957-67. doi: 10.1002/mus.22225.
Cobalamin (Cbl) deficiency affects the peripheral nervous system (PNS) morphologically and functionally. We investigated whether the octapeptide repeat (OR) region of prion protein (PrP(C)) (which is claimed to have myelinotrophic properties) is involved in the pathogenesis of rat Cbl-deficient (Cbl-D) polyneuropathy.
We intracerebroventricularly administered antibodies (Abs) against the OR region (OR-Abs) to Cbl-D rats to prevent myelin damage and maximum nerve conduction velocity (MNCV) abnormalities, and PrP(C)s to normal rats to reproduce PNS Cbl-D-like lesions. We measured nerve PrP(C) levels and MNCV.
The OR-Abs normalized myelin ultrastructure, MNCV values, and tumor necrosis factor (TNF)-α levels in the sciatic and tibial nerves of Cbl-D rats. PrP(C) levels increased in Cbl-D nerves. The nerves of the PrP(C)-treated rats showed typical Cbl-D lesions, significantly decreased MNCV values, and significantly increased TNF-α levels.
OR-Abs prevent the myelin damage caused by increased OR regions, and excess TNF-α is involved in the pathogenesis of Cbl-D polyneuropathy.
钴胺素(Cbl)缺乏会影响周围神经系统(PNS)的形态和功能。我们研究了朊蛋白(PrP(C))的八肽重复(OR)区域(据称具有髓鞘营养作用)是否参与大鼠 Cbl 缺乏(Cbl-D)多发性神经病的发病机制。
我们向 Cbl-D 大鼠脑室内给予针对 OR 区的抗体(OR-Abs)以防止髓鞘损伤和最大神经传导速度(MNCV)异常,并向正常大鼠给予 PrP(C)以复制 PNS Cbl-D 样病变。我们测量了神经 PrP(C)水平和 MNCV。
OR-Abs 使 Cbl-D 大鼠坐骨神经和胫神经的髓鞘超微结构、MNCV 值和肿瘤坏死因子(TNF)-α水平正常化。Cbl-D 神经中的 PrP(C)水平增加。用 PrP(C)处理的大鼠的神经表现出典型的 Cbl-D 病变,MNCV 值明显降低,TNF-α水平明显升高。
OR-Abs 可防止由 OR 区增加引起的髓鞘损伤,过量的 TNF-α参与 Cbl-D 多发性神经病的发病机制。