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实验性自身免疫性神经炎模型中的神经传导研究:荟萃分析和指南。

Nerve conductions studies in experimental models of autoimmune neuritis: A meta-analysis and guideline.

机构信息

Department of Neurology, Faculty of Medicine, University of Cologne and University Hospital Cologne, Cologne, Germany.

Department of Neurology, Faculty of Medicine, University of Cologne and University Hospital Cologne, Cologne, Germany.

出版信息

J Neuroimmunol. 2021 Mar 15;352:577470. doi: 10.1016/j.jneuroim.2020.577470. Epub 2020 Dec 28.

Abstract

Nerve conduction studies (NCS) are essential to assess peripheral nerve fiber function in research models of immune-mediated neuritis. However, the current lack of standard protocols and reference values impedes data comparability across models and studies. We performed a systematic review and subsequent meta-analysis of the last 30 years of NCS of immune-mediated neuritis in Lewis-rats. Twenty-six papers met the inclusion criteria for meta-analysis. Extracted data showed considerable heterogeneity of recorded nerve conduction velocity (NCV) and compound muscle action potential (CMAP). Studies also significantly differed in terms of technical, methodical, and data reporting issues. The heterogeneity of the underlying studies emphasizes the need for standardization when conducting and reporting NCS in rats. We provide normative values for NCS of the sciatic nerve of Lewis rats and propose seven items that should be addressed when NCS are performed when studying immune paradigms in Lewis rats.

摘要

神经传导研究(NCS)对于评估免疫介导性神经炎的研究模型中的周围神经纤维功能至关重要。然而,目前缺乏标准的方案和参考值,这阻碍了不同模型和研究之间的数据可比性。我们对过去 30 年来刘易斯大鼠免疫介导性神经炎的 NCS 进行了系统评价和随后的荟萃分析。26 篇论文符合荟萃分析的纳入标准。提取的数据显示记录的神经传导速度(NCV)和复合肌肉动作电位(CMAP)存在相当大的异质性。在技术、方法和数据报告问题方面,研究也存在显著差异。基础研究的异质性强调了在进行和报告大鼠 NCS 时标准化的必要性。我们提供了刘易斯大鼠坐骨神经 NCS 的正常值,并提出了在研究刘易斯大鼠免疫模型时进行 NCS 时应解决的七个问题。

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