综述:髓鞘清除对于周围神经损伤后的再生至关重要。
Review: Myelin clearance is critical for regeneration after peripheral nerve injury.
作者信息
Yuan YiMing, Wang Yan, Wu ShanHong, Zhao Ming Yue
机构信息
Laboratory of Brain Function and Neurorehabilitation, Heilongjiang University of Chinese Medicine, Harbin, China.
Department of Rehabilitation, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.
出版信息
Front Neurol. 2022 Dec 16;13:908148. doi: 10.3389/fneur.2022.908148. eCollection 2022.
Traumatic peripheral nerve injury occurs frequently and is a major clinical and public health problem that can lead to functional impairment and permanent disability. Despite the availability of modern diagnostic procedures and advanced microsurgical techniques, active recovery after peripheral nerve repair is often unsatisfactory. Peripheral nerve regeneration involves several critical events, including the recreation of the microenvironment and remyelination. Results from previous studies suggest that the peripheral nervous system (PNS) has a greater capacity for repair than the central nervous system. Thus, it will be important to understand myelin and myelination specifically in the PNS. This review provides an update on myelin biology and myelination in the PNS and discusses the mechanisms that promote myelin clearance after injury. The roles of Schwann cells and macrophages are considered at length, together with the possibility of exogenous intervention.
创伤性周围神经损伤经常发生,是一个重大的临床和公共卫生问题,可导致功能障碍和永久性残疾。尽管有现代诊断程序和先进的显微外科技术,但周围神经修复后的主动恢复往往不尽人意。周围神经再生涉及几个关键事件,包括微环境的重建和髓鞘再生。先前研究的结果表明,周围神经系统(PNS)比中枢神经系统具有更大的修复能力。因此,具体了解PNS中的髓鞘和髓鞘形成将很重要。本综述提供了PNS中髓鞘生物学和髓鞘形成的最新情况,并讨论了损伤后促进髓鞘清除的机制。详细探讨了施万细胞和巨噬细胞的作用,以及外源性干预的可能性。