雌性氨基甲酸乙酯麻醉大鼠分级挫伤性脊髓损伤后膀胱对胸腰段硬膜外刺激的反应
Bladder Responses to Thoracolumbar Epidural Stimulation in Female Urethane-Anesthetized Rats with Graded Contusion Spinal Cord Injuries.
作者信息
Wilkins Natasha L, Medina-Aguiñaga Daniel, Hoey Robert F, Fell Jason, Harkema Susan J, Hubscher Charles H
机构信息
Department of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Physical Medicine and Rehabilitation Department, MetroHealth Rehabilitation Institute of Ohio, Cleveland, Ohio, USA.
出版信息
J Neurotrauma. 2025 Feb;42(3-4):229-241. doi: 10.1089/neu.2024.0209. Epub 2024 Sep 26.
Spinal cord epidural stimulation (scES) is a therapeutic option that promotes functional improvements in sensory, motor, and autonomic functions following spinal cord injury (SCI). Previous scES mapping studies targeting the lower urinary tract (LUT) in rats demonstrated functional response variability based upon lumbosacral level, parameters used, extent of injury (spinally intact vs. chronic anatomically complete spinal transections), and sex. In the current study, female rats with clinically relevant graded incomplete T9 contusion injuries were mapped with scES at 60 days post-injury at three spinal levels (T13, L3, L6) with a novel miniature 15-electrode array designed to deliver optimal specificity. The results obtained during bladder fill and void cycles conducted under urethane anesthesia indicate frequency dependent sub-motor threshold effects on LUT function with a single row of electrodes positioned across the full medio-lateral extent of the dorsal cord. The findings of improved storage and emptying, represented by significantly longer inter-contractile intervals with T13 scES and L3 scES and by a significantly increased estimated void efficiency with L6 scES, respectively, are consistent with previous studies using intact and chronic complete transected male and female rats. The data support the efficacy of selective spinal network stimulation to drive functionally relevant networks for storage versus emptying phases of the urinary cycle. The current findings further demonstrate the translational promise of scES for SCI individuals with LUT dysfunctions, regardless of injury severity.
脊髓硬膜外刺激(scES)是一种治疗选择,可促进脊髓损伤(SCI)后感觉、运动和自主功能的功能改善。先前针对大鼠下尿路(LUT)的scES映射研究表明,基于腰骶水平、使用的参数、损伤程度(脊髓完整与慢性解剖学完全脊髓横断)和性别,功能反应存在变异性。在本研究中,对具有临床相关分级不完全T9挫伤损伤的雌性大鼠在损伤后60天,使用一种新型微型15电极阵列在三个脊髓水平(T13、L3、L6)进行scES映射,该阵列旨在提供最佳特异性。在氨基甲酸乙酯麻醉下进行膀胱充盈和排尿周期时获得的结果表明,在背侧脊髓的整个内外侧范围内放置单排电极时,对LUT功能存在频率依赖性亚运动阈值效应。分别以T13 scES和L3 scES时明显更长的收缩间期以及L6 scES时明显提高的估计排尿效率为代表的储存和排空改善结果,与先前使用完整和慢性完全横断的雄性和雌性大鼠的研究一致。这些数据支持选择性脊髓网络刺激驱动与尿周期储存和排空阶段功能相关网络的有效性。目前的研究结果进一步证明了scES对患有LUT功能障碍的SCI个体的转化前景,无论损伤严重程度如何。
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