Department of Orthopedics, Third Affiliated Hospital of Nantong University, Wuxi 214041, Jiangsu Province, China.
Key Laboratory of Neural Regeneration of Jiangsu Province, Nantong University, Nantong 223001, Jiangsu Province, China.
Neural Regen Res. 2012 Nov 15;7(32):2507-15. doi: 10.3969/j.issn.1673-5374.2012.32.004.
Skeletal muscle atrophy occurs after denervation. The present study dissected the rat left ventral root and dorsal root at L4-6 or the sciatic nerve to establish a model of simple motor nerve injury, sensory nerve injury or mixed nerve injury. Results showed that with prolonged denervation time, rats with simple motor nerve injury, sensory nerve injury or mixed nerve injury exhibited abnormal behavior, reduced wet weight of the left gastrocnemius muscle, decreased diameter and cross-sectional area and altered ultrastructure of muscle cells, as well as decreased cross-sectional area and increased gray scale of the gastrocnemius muscle motor end plate. Moreover, at the same time point, the pathological changes were most severe in mixed nerve injury, followed by simple motor nerve injury, and the changes in simple sensory nerve injury were the mildest. These findings indicate that normal skeletal muscle morphology is maintained by intact innervation. Motor nerve injury resulted in larger damage to skeletal muscle and more severe atrophy than sensory nerve injury. Thus, reconstruction of motor nerves should be considered first in the clinical treatment of skeletal muscle atrophy caused by denervation.
失神经后会发生骨骼肌萎缩。本研究在 L4-6 处分离大鼠左侧腹根和背根或坐骨神经,建立单纯运动神经损伤、感觉神经损伤或混合神经损伤模型。结果显示,随着失神经时间的延长,单纯运动神经损伤、感觉神经损伤或混合神经损伤大鼠出现异常行为,左侧比目鱼肌湿重降低,肌细胞直径和横截面积减小,超微结构改变,运动终板比目鱼肌横截面积减小,灰度值增加。而且,在同一时间点,混合神经损伤的病变最严重,单纯运动神经损伤次之,单纯感觉神经损伤的病变最轻。这些发现表明,完整的神经支配维持着正常的骨骼肌形态。运动神经损伤导致的骨骼肌损伤比感觉神经损伤更大,萎缩更严重。因此,在临床治疗失神经引起的骨骼肌萎缩时,应首先考虑运动神经的重建。