Ropper Alexander E, Zeng Xiang, Anderson Jamie E, Yu Dou, Han InBo, Haragopal Hariprakash, Teng Yang D
Department of Neurosurgery, Harvard Medical School/Brigham and Women's Hospital, Boston, MA 02115, USA; Division of SCI Research, Veteran Affairs Boston Healthcare System, Boston, MA 02130, USA.
Department of Neurosurgery, Harvard Medical School/Brigham and Women's Hospital, Boston, MA 02115, USA; Division of SCI Research, Veteran Affairs Boston Healthcare System, Boston, MA 02130, USA; Department of Physical Medicine & Rehabilitation, Harvard Medical School/Spaulding Rehabilitation Hospital, Boston, MA 02114, USA.
Exp Neurol. 2015 Sep;271:515-23. doi: 10.1016/j.expneurol.2015.07.012. Epub 2015 Jul 22.
We report an efficient and effective device to reproducibly model clinically relevant spinal cord injury (SCI) via controlled mechanical compression. In the present study, following skin incision, dorsal laminectomy was performed to expose T10 spinal cord of adult female Sprague-Dawley rats (230-250 g). The vertebral column was suspended and stabilized by Allis clamps at T8 and 12 spinous processes. A metal impounder was then gently loaded onto T10 dura (20, 35 or 50 g × 5 min; n=7/group), resulting in acute mild, moderate, or severe standing weight compression, respectively. Neurobehavioral outcomes were evaluated using the BBB locomotor scale and inclined plane test for coordinated hindlimb function, and a battery of spinal reflex tests for sensorimotor functions, at 1 day following SCI and weekly thereafter for 7 weeks. Quantitative histopathology was used to assess injury-triggered loss of white matter, gray matter and ventral horn motor neurons. Immunocytochemical levels of glial fibrillary acidic protein (GFAP) and β-amyloid precursor protein (APP) at the cervical and lumbar regions were measured to determine the distal segment impact of T10 compression. The data demonstrates that the standardized protocol generates weight-dependent hindlimb motosensory deficits and neurodegeneration primarily at and near the lesion epicenter. Importantly, there are significantly increased GFAP and APP expressions in spinal cord segments involved in eliciting post-SCI allodynia. Therefore, the described system reliably produces compression trauma in manners partially emulating clinical quasi-static insults to the spinal cord, providing a pragmatic model to investigate pathophysiological events and potential therapeutics for compression SCI.
我们报告了一种高效且有效的装置,可通过可控的机械压迫来可重复地模拟临床相关的脊髓损伤(SCI)。在本研究中,成年雌性Sprague-Dawley大鼠(230 - 250克)在皮肤切开后,进行了背部椎板切除术以暴露T10脊髓。脊柱通过Allis夹在T8和T12棘突处悬吊并固定。然后将一个金属压块轻轻加载到T10硬脑膜上(20、35或50克×5分钟;每组n = 7),分别导致急性轻度、中度或重度站立体重压迫。在脊髓损伤后1天以及此后每周共7周,使用BBB运动量表和倾斜平面试验评估协调后肢功能的神经行为结果,并使用一系列脊髓反射试验评估感觉运动功能。定量组织病理学用于评估损伤引发的白质、灰质和腹角运动神经元的损失。测量颈段和腰段的胶质纤维酸性蛋白(GFAP)和β-淀粉样前体蛋白(APP)的免疫细胞化学水平,以确定T10压迫对远端节段的影响。数据表明,标准化方案会产生与体重相关的后肢运动感觉缺陷和神经退行性变,主要发生在损伤中心及其附近。重要的是,在引发脊髓损伤后异常性疼痛的脊髓节段中,GFAP和APP的表达显著增加。因此,所描述的系统以部分模拟临床脊髓准静态损伤的方式可靠地产生压迫性创伤,为研究压迫性脊髓损伤的病理生理事件和潜在治疗方法提供了一个实用模型。