实验性创伤性脑损伤后的皮质重组:功能放射性自显影研究。
Cortical reorganization after experimental traumatic brain injury: a functional autoradiography study.
机构信息
UCLA Brain Injury Research Center, Department of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, California 90095-7039, USA.
出版信息
J Neurotrauma. 2013 Jul 1;30(13):1137-46. doi: 10.1089/neu.2012.2785. Epub 2013 Jun 28.
Cortical sensorimotor (SM) maps are a useful readout for providing a global view of the underlying status of evoked brain function, as well as a gross overview of ongoing mechanisms of plasticity. Recent evidence in the rat controlled cortical impact (CCI) injury model shows that the ipsilesional (injured) hemisphere is temporarily permissive for axon sprouting. This would predict that size and spatial alterations in cortical maps may occur much earlier than previously tested and that they might be useful as potential markers of the postinjury plasticity period as well as indicators of outcome. We investigated the evolution of changes in brain activation evoked by affected hindlimb electrical stimulation at 4, 7, and 30 days following CCI or sham injury over the hindlimb cortical region of adult rats. [(14)C]-iodoantipyrine autoradiography was used to quantitatively examine the local cerebral blood flow changes in response to hindlimb stimulation as a marker for neuronal activity. The results show that although ipsilesional hindlimb SM activity was persistently depressed from 4 days, additional novel regions of ipsilesional activity appeared concurrently within SM barrel and S2 regions as well as posterior auditory cortex. Simultaneously with this was the appearance of evoked activity within the intact, contralesional cortex that was maximal at 4 and 7 days, compared to stimulated sham-injured rats, where activation was solely unilateral. By 30 days, however, contralesional activation had greatly subsided and existing ipsilesional activity was enhanced within the same novel cortical regions that were identified acutely. These data indicate that significant reorganization of the cortical SM maps occurs after injury that evolves with a particular postinjury time course. We discuss these data in terms of the known mechanisms of plasticity that are likely to underlie these map changes, with particular reference to the differences and similarities that exist between rodent models of stroke and traumatic brain injury.
皮质感觉运动 (SM) 图是提供大脑功能的基础状态的全局视图以及对正在进行的可塑性机制的大致了解的有用方法。最近在大鼠皮质控制冲击 (CCI) 损伤模型中的证据表明,对侧(损伤)半球暂时允许轴突发芽。这将预测皮质图中的大小和空间改变可能会更早发生,并且它们可能作为损伤后可塑性期间的潜在标志物以及结果的指标很有用。我们研究了 CCI 或假损伤后 4、7 和 30 天,受影响的后肢电刺激在成年大鼠后肢皮质区诱发的大脑激活变化的演变。[(14)C]-碘安替比林放射自显影用于定量检查后肢刺激引起的局部脑血流变化,作为神经元活动的标志物。结果表明,尽管同侧后肢 SM 活性从 4 天起持续降低,但同侧活性的新区域同时出现在 SM 桶和 S2 区域以及后听觉皮层中。与此同时,在同侧皮质中出现了与对侧皮质相比在 4 天和 7 天达到最大值的诱发电活动,而对侧皮质中只有单侧的诱发电活动。然而,到 30 天时,对侧激活大大减少,在急性识别的相同新皮质区域内,同侧活性增强。这些数据表明,损伤后皮质 SM 图发生了显著的重组,并且这种重组具有特定的损伤后时间进程。我们根据可能导致这些地图变化的已知可塑性机制来讨论这些数据,特别参考了中风和创伤性脑损伤的啮齿动物模型之间的差异和相似之处。