The Department of Neurology, Shanghai Ninth People's Hospital Affiliated Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
The Department of Anaesthesia, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai 200240, China.
Neural Plast. 2014;2014:786985. doi: 10.1155/2014/786985. Epub 2014 Mar 23.
Renshaw recurrent inhibition (RI) plays an important gated role in spinal motion circuit. Peripheral nerve injury is a common disease in clinic. Our current research was designed to investigate the change of the recurrent inhibitory function in the spinal cord after the peripheral nerve crush injury in neonatal rat. Sciatic nerve crush was performed on 5-day-old rat puppies and the recurrent inhibition between lateral gastrocnemius-soleus (LG-S) and medial gastrocnemius (MG) motor pools was assessed by conditioning monosynaptic reflexes (MSR) elicited from the sectioned dorsal roots and recorded either from the LG-S and MG nerves by antidromic stimulation of the synergist muscle nerve. Our results demonstrated that the MSR recorded from both LG-S or MG nerves had larger amplitude and longer latency after neonatal sciatic nerve crush. The RI in both LG-S and MG motoneuron pools was significantly reduced to virtual loss (15-20% of the normal RI size) even after a long recovery period upto 30 weeks after nerve crush. Further, the degree of the RI reduction after tibial nerve crush was much less than that after sciatic nerve crush indicatig that the neuron-muscle disconnection time is vital to the recovery of the spinal neuronal circuit function during reinnervation. In addition, sciatic nerve crush injury did not cause any spinal motor neuron loss but severally damaged peripheral muscle structure and function. In conclusion, our results suggest that peripheral nerve injury during neonatal early development period would cause a more sever spinal cord inhibitory circuit damage, particularly to the Renshaw recurrent inhibition pathway, which might be the target of neuroregeneration therapy.
Renshaw 回返性抑制(RI)在脊髓运动回路中起着重要的门控作用。周围神经损伤是临床上常见的疾病。我们目前的研究旨在探讨周围神经挤压损伤后新生大鼠脊髓中回返抑制功能的变化。在 5 天大的幼鼠身上进行坐骨神经挤压,通过对切断的背根诱发的单突触反射(MSR)进行条件反射,评估外侧比目鱼肌-比目鱼肌(LG-S)和内侧比目鱼肌(MG)运动池之间的回返抑制作用,并通过协同肌神经的逆行刺激从 LG-S 和 MG 神经记录。我们的结果表明,与正常 RI 大小相比,新生坐骨神经挤压后,从 LG-S 或 MG 神经记录的 MSR 振幅更大,潜伏期更长。LG-S 和 MG 运动神经元池中的 RI 显著降低,几乎消失(正常 RI 大小的 15-20%),即使在神经挤压后长达 30 周的长时间恢复后也是如此。此外,与坐骨神经挤压相比,胫神经挤压后 RI 的降低程度要小得多,这表明神经元-肌肉失连时间对再神经支配过程中脊髓神经元回路功能的恢复至关重要。此外,坐骨神经挤压损伤不会导致任何脊髓运动神经元丢失,但严重破坏了周围肌肉的结构和功能。总之,我们的结果表明,周围神经在新生儿早期发育期间的损伤会导致更严重的脊髓抑制回路损伤,特别是对 Renshaw 回返抑制通路,这可能是神经再生治疗的靶点。