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盆腔丛阴部神经节的形态学:多产、初产和妊娠的影响。

Morphometry of paravaginal ganglia from the pelvic plexus: impact of multiparity, primiparity, and pregnancy.

机构信息

Centro Tlaxcala de Biología de la Conducta, Universidad Autónoma de Tlaxcala (UATx), Tlaxcala, Mexico.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):286-92. doi: 10.1016/j.ejogrb.2013.07.008. Epub 2013 Aug 7.

Abstract

OBJECTIVES

(1) To describe the morphology of paravaginal ganglia and the neurochemical pattern of their neurons in virgin rabbits. (2) To analyze the effects of multiparity, primiparity and late pregnancy on morphometry of ganglia and their neurons.

STUDY DESIGN

The morphology and neurochemical pattern of paravaginal ganglia were described in virgin nulliparous Chinchilla breed rabbits. Acetylcholinesterase histochemistry, Masson's trichrome, and immunohistochemistry for cholinergic and adrenergic neurons, and estrogen receptors (ERs) were undertaken. The area covered by ganglia (ganglionic area), the number of neurons, and the neuron soma area were measured in multiparas (4 consecutive and successive deliveries) and age-matched nulliparas. The same variables were measured in primiparous, late-pregnant, and age-matched nulliparous rabbits.

RESULTS

Paravaginal ganglia were adjoined to the dorsolateral walls of the pelvic vagina. Their neurons were mostly cholinergic and expressed ERα and ERβ. Multiparity increased the ganglionic area and reduced the number of ganglionic neurons. Late pregnancy transiently reduced the neuron soma area, which was coincident with a low expression of ERs.

CONCLUSION

Multiparity but not primiparity affected the morphometry of ganglia. The hormonal state present in late pregnancy alters the neuron soma area and ER expression. Our findings support the notion that reproduction influences the morphometry of the pelvic plexus.

摘要

目的

(1)描述处女兔阴道旁神经节的形态及其神经元的神经化学模式。(2)分析多产、初产和晚期妊娠对神经节及其神经元形态计量学的影响。

研究设计

在处女兔奇瓦瓦品种中描述阴道旁神经节的形态和神经化学模式。进行乙酰胆碱酯酶组织化学、马松三色染色和胆碱能和肾上腺素能神经元以及雌激素受体(ERs)的免疫组织化学染色。在多产妇(连续 4 次分娩)和年龄匹配的处女兔中测量神经节覆盖的区域(神经节面积)、神经元数量和神经元体面积。在初产、晚期妊娠和年龄匹配的处女兔中测量相同的变量。

结果

阴道旁神经节紧贴骨盆阴道的背外侧壁。它们的神经元主要是胆碱能的,并表达 ERα 和 ERβ。多产增加了神经节面积,减少了神经节神经元的数量。晚期妊娠短暂地减少了神经元体面积,这与 ERs 的低表达一致。

结论

多产而非初产影响神经节的形态计量学。晚期妊娠的激素状态改变了神经元体面积和 ER 表达。我们的发现支持这样一种观点,即生殖会影响骨盆丛的形态计量学。

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