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嗅球切除术后Onuf核与黑质之间距离的首次组织病理学桥接——关于脑神经退行性疾病中排尿功能障碍的新观点:一项实验研究

First histopathological bridging of the distance between Onuf's nucleus and substantia nigra after olfactory bulbectomy-new ideas about the urinary dysfunction in cerebral neurodegenerative disease: an experimental study.

作者信息

Kanat Ayhan, Aydin Mehmet Dumlu, Akca Nezih, Ozmen Sevilay

机构信息

Department of Neurosurgery, Recep Tayyip Erdogan University, Medical Faculty, Rize, Turkey.

Department of Neurosurgery, Ataturk University Medical Faculty, Erzurum, Turkey.

出版信息

Low Urin Tract Symptoms. 2021 Jul;13(3):383-389. doi: 10.1111/luts.12371. Epub 2020 Dec 16.

DOI:10.1111/luts.12371
PMID:33331085
Abstract

OBJECTIVES

Olfactory bulbectomy (OBX) in experimental studies induces neurochemical, neurodegenerative changes in various parts of the body. But no information is available about how OBX affects the spinal cord in rats. Our study aims to investigate this question.

METHODS

Twenty-eight male rats were used. The rats were divided into three groups: six as the control, six as the SHAM, and 16 as the study group in which OBX was performed. The animals were followed for 10 weeks. After decapitation of the animals, olfactory bulb (OB) volumes, the olfactory glomerulus (OG), and the neuron density of the ON (Onuf nucleus) per cubic centimeter at the L4-S4 level were examined histopathologically and analyzed stereologically.

RESULTS

The mean OB volume, remaining normal OG density, and degenerated neuron density (DND) of the ON was measured as 4.32 ± 0.21/mm , 1842 ± 114/mm , and 4 ± 1 /mm in the control (group I); 3.3 ± 0.14/mm , 1321 ± 114/mm , and 43 ± 8/mm in the SHAM (group II); and 1.672 ± 0.12/mm , 852 ± 93/mm , and 154 ± 11/mm in the study group (group III). There was a statistically significant difference between the SHAM and the study group (P < .05).

CONCLUSIONS

In this study, histopathological bridging between ON-related lower urinary tract symptoms (LUTS) and OBX was shown the first time. According to the findings, LUTS may be reversed by the protection of the affected spinal cord through the correction of olfaction impairment in neurodegenerative disease.

摘要

目的

在实验研究中,嗅球切除术(OBX)会引起身体各部位的神经化学和神经退行性变化。但关于OBX如何影响大鼠脊髓尚无相关信息。我们的研究旨在探讨这个问题。

方法

使用28只雄性大鼠。将大鼠分为三组:6只为对照组,6只为假手术组,16只为实施OBX的研究组。对动物进行10周的跟踪观察。动物处死后,对嗅球(OB)体积、嗅小球(OG)以及L4 - S4水平每立方厘米Onuf核(ON)的神经元密度进行组织病理学检查并进行体视学分析。

结果

对照组(I组)的平均OB体积、剩余正常OG密度和ON的变性神经元密度(DND)分别测得为4.32±0.21/mm³、1842±114/mm³和4±1/mm³;假手术组(II组)为3.3±0.14/mm³、1321±114/mm³和43±8/mm³;研究组(III组)为1.672±0.12/mm³、852±93/mm³和154±11/mm³。假手术组和研究组之间存在统计学显著差异(P<0.05)。

结论

在本研究中,首次显示了ON相关的下尿路症状(LUTS)与OBX之间的组织病理学联系。根据研究结果,在神经退行性疾病中,通过纠正嗅觉障碍来保护受影响的脊髓,LUTS可能会得到改善。

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