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未解剖的脱髓鞘神经纤维中的结间传导。

Internodal conduction in undissected demyelinated nerve fibres.

作者信息

Rasminsky M, Sears T A

出版信息

J Physiol. 1972 Dec;227(2):323-50. doi: 10.1113/jphysiol.1972.sp010035.

Abstract
  1. A new method is described for recording external longitudinal currents from single undissected nerve fibres in rat ventral roots. The method permits identification of the sites of fifteen or more successive nodes of Ranvier in a given single fibre and the measurement of internodal conduction times between them.2. Average internodal conduction time for normal ventral root fibres of internodal length between 0.75 and 1.45 mm is 19.7 +/- 4.6 (S.D.) musec at 37 degrees C. Internodal conduction time appeared to show a minimum for fibres of internodal length 1.0 mm.3. Ventral roots were demyelinated by focal application of diphtheria toxin. Although conduction is markedly slowed in demyelinated fibres, sites of inward membrane current remain spatially separated indicating that conduction remains saltatory to the point of conduction block rather than becoming continuous as in unmyelinated fibres.4. Slowing of conduction appears to be due to changes in the passive electrical properties of the internodal myelin. Evidence is presented suggesting that there is an increase in internodal capacitance and a decrease in internodal transverse resistance at internodes of demyelinated fibres; such changes would have the effect of delaying excitation at the nodes. The changes in passive electrical properties, which appear to be primarily in the vicinity of the nodes, would be consistent with the pathological changes observed in demyelinated fibres.5. Internodal conduction times in demyelinated fibres have ranged from normal (26 musec at 30 degrees C) to more than 600 musec. There is a great variation in internodal conduction time at successive internodes of a given single fibre; this presumably reflects the varying severity of demyelination of successive internodes.6. As in normal fibres, nodes of demyelinated fibres generate less current when excited by the second of two closely spaced impulses. This results in an increased internodal conduction time for the second impulse and, at a critically short interstimulus interval, conduction block of the second impulse.7. The increased refractory period of transmission of internodes with increased internodal conduction times is a consequence of the decreased ability of such internodes to sustain propagation in the face of small decreases in nodal current.8. During tetanic stimulation, increases in internodal conduction time are associated with corresponding decreases in nodal current generated by the node proximal to the internode in question.9. It is suggested that changes in the magnitude of the nodal current during repetitive activity are due to changes in transmembrane concentration gradients of sodium, the increased internodal conduction time and eventual conduction block during tetanic stimulation being caused by intracellular sodium accumulation.10. Intracellular sodium accumulation is also offered as the explanation for the post-tetanic depression seen in demyelinated fibres.
摘要
  1. 本文描述了一种记录大鼠腹根单个未解剖神经纤维外部纵向电流的新方法。该方法能够识别给定单根纤维中15个或更多连续的郎飞结位置,并测量它们之间的节间传导时间。

  2. 37℃时,节间长度在0.75至1.45mm之间的正常腹根纤维的平均节间传导时间为19.7±4.6(标准差)毫秒。节间传导时间似乎在节间长度为1.0mm的纤维中显示出最小值。

  3. 通过局部应用白喉毒素使腹根脱髓鞘。尽管脱髓鞘纤维中的传导明显减慢,但内向膜电流的位置在空间上仍然是分开的,这表明传导在传导阻滞点之前仍然是跳跃式的,而不是像无髓纤维那样变为连续的。

  4. 传导减慢似乎是由于节间髓鞘被动电学性质的改变。有证据表明,脱髓鞘纤维节间的节间电容增加,节间横向电阻减小;这些变化会延迟节点处的兴奋。被动电学性质的变化似乎主要发生在节点附近,这与脱髓鞘纤维中观察到的病理变化是一致的。

  5. 脱髓鞘纤维的节间传导时间范围从正常(30℃时为26毫秒)到超过600毫秒。在给定单根纤维的连续节间,节间传导时间有很大差异;这可能反映了连续节间脱髓鞘严重程度的不同。

  6. 与正常纤维一样,脱髓鞘纤维的节点在受到两个紧密间隔的冲动中的第二个冲动刺激时产生的电流较小。这导致第二个冲动的节间传导时间增加,并且在临界短的刺激间隔下,第二个冲动发生传导阻滞。

  7. 节间传导时间增加时节间传导的不应期延长,是由于这些节间在面对节点电流的小幅下降时维持传导的能力下降所致。

  8. 在强直刺激期间,节间传导时间的增加与所讨论节间近端节点产生的节点电流相应减少有关。

  9. 有人认为,重复活动期间节点电流大小的变化是由于钠的跨膜浓度梯度变化所致,强直刺激期间节间传导时间增加和最终传导阻滞是由细胞内钠积累引起的。

  10. 细胞内钠积累也被认为是脱髓鞘纤维中强直后抑制的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2bc/1331198/56efa4d159e2/jphysiol00977-0031-a.jpg

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