中脑缝核刺激可改善液压脑损伤后的行为和解剖学恢复。

Midbrain raphe stimulation improves behavioral and anatomical recovery from fluid-percussion brain injury.

机构信息

Department of Neurological Surgery, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, FL 33101, USA.

出版信息

J Neurotrauma. 2013 Jan 15;30(2):119-30. doi: 10.1089/neu.2012.2499. Epub 2012 Dec 27.

Abstract

The midbrain median raphe (MR) and dorsal raphe (DR) nuclei were tested for their capacity to regulate recovery from traumatic brain injury (TBI). An implanted, wireless self-powered stimulator delivered intermittent 8-Hz pulse trains for 7 days to the rat's MR or DR, beginning 4-6 h after a moderate parasagittal (right) fluid-percussion injury. MR stimulation was also examined with a higher frequency (24 Hz) or a delayed start (7 days after injury). Controls had sham injuries, inactive stimulators, or both. The stimulation caused no apparent acute responses or adverse long-term changes. In water-maze trials conducted 5 weeks post-injury, early 8-Hz MR and DR stimulation restored the rate of acquisition of reference memory for a hidden platform of fixed location. Short-term spatial working memory, for a variably located hidden platform, was restored only by early 8-Hz MR stimulation. All stimulation protocols reversed injury-induced asymmetry of spontaneous forelimb reaching movements tested 6 weeks post-injury. Post-mortem histological measurement at 8 weeks post-injury revealed volume losses in parietal-occipital cortex and decussating white matter (corpus callosum plus external capsule), but not hippocampus. The cortical losses were significantly reversed by early 8-Hz MR and DR stimulation, the white matter losses by all forms of MR stimulation. The generally most effective protocol, 8-Hz MR stimulation, was tested 3 days post-injury for its acute effect on forebrain cyclic adenosine monophosphate (cAMP), a key trophic signaling molecule. This procedure reversed injury-induced declines of cAMP levels in both cortex and hippocampus. In conclusion, midbrain raphe nuclei can enduringly enhance recovery from early disseminated TBI, possibly in part through increased signaling by cAMP in efferent targets. A neurosurgical treatment for TBI using interim electrical stimulation in raphe repair centers is suggested.

摘要

中脑正中缝核(MR)和背缝核(DR)被测试其调节创伤性脑损伤(TBI)恢复的能力。一个植入的、无线自供电的刺激器在中度矢状旁(右侧)液冲击伤后 4-6 小时开始,向大鼠的 MR 或 DR 传递间歇性 8-Hz 脉冲串,持续 7 天。MR 刺激也用更高的频率(24-Hz)或延迟开始(损伤后 7 天)进行了检查。对照组有假损伤、无活性刺激器或两者兼有。刺激没有引起明显的急性反应或不良的长期变化。在伤后 5 周进行的水迷宫试验中,早期 8-Hz MR 和 DR 刺激恢复了对固定位置隐藏平台的参考记忆的获取率。短期空间工作记忆,用于可变位置的隐藏平台,仅通过早期 8-Hz MR 刺激恢复。所有刺激方案都逆转了伤后 6 周测试的自发性前肢伸展运动的损伤诱导的不对称性。伤后 8 周的死后组织学测量显示,顶枕叶皮质和交叉白质(胼胝体加外囊)的体积损失,但海马体没有。早期 8-Hz MR 和 DR 刺激显著逆转了皮质损失,所有形式的 MR 刺激都逆转了白质损失。一般来说,最有效的方案是 8-Hz MR 刺激,在伤后 3 天测试其对大脑前循环腺苷酸单磷酸(cAMP)的急性影响,cAMP 是一种关键的营养信号分子。该程序逆转了皮质和海马体中损伤诱导的 cAMP 水平下降。总之,中脑缝核可以持久地增强早期弥漫性 TBI 的恢复,部分原因可能是通过 cAMP 在传出靶标中的信号增加。建议使用缝修复中心的临时电刺激对 TBI 进行神经外科治疗。

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