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使用体内模型对脊髓损伤进行可靠评估的联合策略

Combined Strategy for a Reliable Evaluation of Spinal Cord Injury Using an in vivo Model.

作者信息

Gomez Rosa M, Ghotme Kemel, Nino Jackeline J, Quiroz-Padilla Maria, Vargas Daniela, Dominguez Andy R, Barreto George E, Sanchez Magdy Y

机构信息

Facultad de Medicina, Grupo de Neurociencias, Universidad de La Sabana, Chia, Colombia.

Neurosurgery Unit. Fundacion Santafe de Bogota, Bogota, Colombia.

出版信息

Cent Nerv Syst Agents Med Chem. 2018 Jan 26;18(1):49-57. doi: 10.2174/1871524915666150819104114.

Abstract

BACKGROUND

A complete neurological exam contributes in establishing spinal cord injury severity and its extent by identifying the damage to the sensory and motor pathways involved in order to address a more case-specific and precise pharmacological therapy. However, assessment of neurologic function in spinal cord injury models is usually reported by using sensory or motor tests independently.

METHODS

A reliable integral method is needed to precisely evaluate location and severity of the injury at baseline and, in further assessments, to establish the degree of spontaneous recovery. A combination of sensation-based tests and motor-based tests was used to evaluate impaired neurologic function after spinal cord injury and the degree of spontaneous recovery, in different stages, on an in vivo model.

RESULTS

Combined neurologic evaluation was useful to establish location and severity of the injury in all animals and also to detect degrees of spontaneous recovery at different stages after the injury. Comparisons of neurological function were assessed in time-days and groups between BBB motor score, latency maintenance of posture, locomotion and latency presentation of grooming before and after the injury. Our results suggest that a combined assessment strategy, including sensory and motor tests, can lead to better evaluation of spinal cord injury severity and location, and documentation of the extent of spontaneous recovery following SCI and identify specific motor and sensory pathway integrity.

CONCLUSION

In conclusion, a combined assessment strategy provides a concise method for evaluating the impact of interventions in experimental models of SCI.

摘要

背景

完整的神经学检查有助于通过识别所涉及的感觉和运动通路损伤来确定脊髓损伤的严重程度及其范围,从而实施更具针对性和精确性的药物治疗。然而,脊髓损伤模型中的神经功能评估通常是分别通过感觉或运动测试进行报告的。

方法

需要一种可靠的综合方法来在基线时精确评估损伤的位置和严重程度,并在进一步评估中确定自发恢复的程度。在一个体内模型中,采用基于感觉的测试和基于运动的测试相结合的方法,来评估脊髓损伤后不同阶段受损的神经功能以及自发恢复的程度。

结果

综合神经学评估有助于确定所有动物损伤的位置和严重程度,还能检测损伤后不同阶段的自发恢复程度。在损伤前后,对每组动物在不同时间点(以天数计)的BBB运动评分、姿势维持潜伏期、运动能力以及梳理行为出现潜伏期等神经功能进行了比较评估。我们的结果表明,包括感觉和运动测试在内的综合评估策略能够更好地评估脊髓损伤的严重程度和位置,并记录脊髓损伤后自发恢复的程度,以及识别特定运动和感觉通路的完整性。

结论

总之,综合评估策略为评估脊髓损伤实验模型中干预措施的影响提供了一种简明的方法。

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