Guiho Thomas, Coste Christine Azevedo, Delleci Claire, Chenu Jean-Patrick, Vignes Jean-Rodolphe, Bauchet Luc, Guiraud David
INRIA, LIRMM , Montpellier, France.
Pellegrin Hospital , Bordeaux, France.
Eur J Transl Myol. 2016 Jun 13;26(2):6034. doi: 10.4081/ejtm.2016.6034.
Spinal cord injuries (SCI) result in the loss of movement and sensory feedback as well as organs dysfunctions. For example, nearly all SCI subjects loose their bladder control and are prone to kidney failure if they do not proceed to intermittent (self-) catheterization. Electrical stimulation of the sacral spinal roots with an implantable neuroprosthesis is a promising approach, with commercialized products, to restore continence and control micturition. However, many persons do not ask for this intervention since a surgical deafferentation is needed and the loss of sensory functions and reflexes become serious side effects of this procedure. Recent results renewed interest in spinal cord stimulation. Stimulation of existing pre-cabled neural networks involved in physiological processes regulation is suspected to enable synergic recruitment of spinal fibers. The development of direct spinal stimulation strategies aiming at bladder and bowel functions restoration would therefore appear as a credible alternative to existent solutions. However, a lack of suitable large animal model complicates these kinds of studies. In this article, we propose a new animal model of spinal stimulation -pig- and will briefly introduce results from one first acute experimental validation session.
脊髓损伤(SCI)会导致运动和感觉反馈丧失以及器官功能障碍。例如,几乎所有脊髓损伤患者都会失去膀胱控制能力,如果不进行间歇性(自我)导尿,就容易出现肾衰竭。使用植入式神经假体对骶神经根进行电刺激是一种有前景的方法,已有商业化产品,可恢复尿失禁并控制排尿。然而,许多人并不要求这种干预,因为需要进行手术去传入神经,且感觉功能和反射丧失成为该手术的严重副作用。最近的研究结果重新引发了人们对脊髓刺激的兴趣。刺激参与生理过程调节的现有预布线神经网络被认为能够协同募集脊髓纤维。因此,旨在恢复膀胱和肠道功能的直接脊髓刺激策略的开发似乎是现有解决方案的可靠替代方案。然而,缺乏合适的大型动物模型使这类研究变得复杂。在本文中,我们提出了一种新的脊髓刺激动物模型——猪,并将简要介绍首次急性实验验证阶段的结果。