Li Chen, Zhu Xingfei, Lee Chia-Ming, Wu Zhourui, Cheng Liming
Division of Spine Surgery, Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.
Key Laboratory of Spine and Spinal cord Injury Repair and Regeneration, Tongji University, Ministry of Education, Shanghai 200065, China.
Ann Transl Med. 2020 Mar;8(5):210. doi: 10.21037/atm.2020.01.58.
More and more studies have focused on the treatment of spinal cord injury (SCI) by tissue engineering, but there is still no ideal animal model that can genuinely and objectively simulate the real pathological process in clinical practice. Also, given the increasing availability and use of genetically modified animals in basic science research, it has become essential to develop clinically related models for SCI for use in mice.
Forty-eight C57BL/6 mice were divided into three groups (injured/sham/uninjured). We determined the scar range made by the first crush injury by specimen observation, hematoxylin and eosin (HE) staining, and immunofluorescence staining. Transection to completely remove a 2-mm spinal cord segment centered on the lesion core was completed 6 weeks after the first injury in injured groups, whereas the sham group only underwent re-exposure of the spinal cord without transection injury. The characteristics of this SCI model were fully ascertained by specimen observation, HE staining, immunofluorescence staining, and quantitative real-time polymerase chain reaction (qRT-PCR).
No mice died after the first injury. Histopathological findings suggested a scar range of 2 mm. After the second operation, 2 mice of the injured group and 1 mouse of the sham group died. The Basso Mouse Scale (BMS) score and motor evoked potential (MEP) results showed that the neurological function of mice did not recover. Immunostaining showed that there were no neurons or neurofilament residues in the lesion core 4 weeks after the second injury. Astrocytes encapsulated immune cells to form dense glial scars. Most immune cells were confined to the core of the lesion and formed fibrous scars with the fibroblasts. At the same time, there was considerable angiogenesis in the lesion core and around the injury. The results of qRT-PCR showed that Ptprc was highly expressed in the lesion core, while Gfap, nestin, Cnp, and Sv2b were highly expressed in the adjacent region. This suggests that the lesion core is a highly inflammatory zone, but there may be spontaneous neurogenesis adjacent to the lesion core.
The mouse crash-complete transection SCI model made by the two operations has good simulation, high feasibility, and high reproducibility; it will be a useful tool for pre-clinical testing of SCI treatment.
越来越多的研究聚焦于通过组织工程治疗脊髓损伤(SCI),但仍没有理想的动物模型能够真实客观地模拟临床实践中的实际病理过程。此外,鉴于基因编辑动物在基础科学研究中的可用性和使用日益增加,开发用于小鼠的与SCI临床相关的模型变得至关重要。
将48只C57BL/6小鼠分为三组(损伤组/假手术组/未损伤组)。通过标本观察、苏木精-伊红(HE)染色和免疫荧光染色确定首次挤压损伤形成的瘢痕范围。损伤组在首次损伤6周后进行横断,完全切除以损伤核心为中心的2毫米脊髓节段,而假手术组仅对脊髓进行再次暴露,无横断损伤。通过标本观察、HE染色、免疫荧光染色和定量实时聚合酶链反应(qRT-PCR)全面确定该SCI模型的特征。
首次损伤后无小鼠死亡。组织病理学结果显示瘢痕范围为2毫米。第二次手术后,损伤组有2只小鼠和假手术组有1只小鼠死亡。Basso小鼠评分(BMS)和运动诱发电位(MEP)结果表明小鼠神经功能未恢复。免疫染色显示第二次损伤4周后损伤核心内无神经元或神经丝残留。星形胶质细胞包裹免疫细胞形成致密的胶质瘢痕。大多数免疫细胞局限于损伤核心,并与成纤维细胞形成纤维瘢痕。同时,损伤核心及损伤周围有大量血管生成。qRT-PCR结果显示,Ptprc在损伤核心高表达,而Gfap、巢蛋白、Cnp和Sv2b在相邻区域高表达。这表明损伤核心是一个高度炎症区域,但损伤核心相邻区域可能存在自发神经发生。
通过两次手术制作的小鼠撞击-完全横断SCI模型具有良好的模拟性、高可行性和高重复性;它将成为SCI治疗临床前测试的有用工具。