Gurdita Akshay, Kwiecien Jacek M, Choh Vivian
School of Optometry and Vision Science, University of Waterloo, Waterloo, ON, Canada.
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada.
Heliyon. 2023 Mar 7;9(3):e14361. doi: 10.1016/j.heliyon.2023.e14361. eCollection 2023 Mar.
Prolonged infusion of a high dose of kynurenic acid (KYNA) reduces the myelin content in the rat spinal cord with preservation of the axonal integrity and without inducing an inflammatory response. We hypothesized that subdural infusion of a high concentration of KYNA can induce myelin loss in the optic nerves (ONs) of chickens. However, existing methods to deliver agents to the ON are inefficient, unlocalized and provide only acute exposure. Thus, we developed a surgical approach for sustained delivery of KYNA to the chicken ON. In brief, the novel surgical technique, which does not include excision of the extraocular muscles, involves incision of the skin and underlying fascial sheath to access the optic nerve within the muscle cone, implantation of a catheter in the dura of the optic nerve, the other end of which exits the orbit under the skin. The catheter runs under the skin near the lateral canthus, over the ears to the back of the neck, where a second incision is made to both implant the osmotic pump and to attach the catheter to the osmotic pump. India ink was used to confirm prolonged sustained administration to the optic nerves and across the chiasm. This surgical model was used to investigate KYNA's effect(s) on myelin loss in the ON. ONs of 7-day old chickens were infused with 50 mM KYNA or phosphate buffered saline (PBS) for seven days. Analysis of KYNA-infused contralateral ON g-ratios and protein levels indicated a reduction in myelin. These findings demonstrate the utility of our surgical approach for sustained delivery of KYNA into the ON and suggest a role for KYNA in modulating CNS myelination.
长时间输注高剂量犬尿喹啉酸(KYNA)可降低大鼠脊髓中的髓磷脂含量,同时保留轴突完整性且不引发炎症反应。我们推测,硬膜下输注高浓度的KYNA可导致鸡视神经(ON)中的髓磷脂损失。然而,现有的将药物递送至视神经的方法效率低下、定位不准确且仅提供急性暴露。因此,我们开发了一种将KYNA持续递送至鸡视神经的手术方法。简而言之,这种新颖的手术技术不包括切除眼外肌, 而是切开皮肤和下面的筋膜鞘以进入肌锥内的视神经,将导管植入视神经的硬膜中,导管的另一端在皮肤下穿出眼眶。导管在靠近外眦的皮肤下运行,越过耳朵到达颈后部,在那里做第二个切口以植入渗透泵并将导管连接到渗透泵。使用印度墨水来确认对视神经和视交叉的长期持续给药。该手术模型用于研究KYNA对视神经髓磷脂损失的影响。对7日龄鸡的视神经输注50 mM KYNA或磷酸盐缓冲盐水(PBS),持续7天。对输注KYNA的对侧视神经g比率和蛋白质水平的分析表明髓磷脂减少。这些发现证明了我们将KYNA持续递送至视神经的手术方法的实用性,并提示KYNA在调节中枢神经系统髓鞘形成中发挥作用。