Konovalov G V, Maiorova L P
Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(12):24-7.
The authors present the results of studying encephalomyelitis caused by the neurotropic (IHM) strain of the murine hepatitis virus in 60 mice of the C3H line infected intracerebrally at the age of 4 weeks. Morphological examinations of the brain carried out on the 5th-13th day (the acute period) and the 14th-30th day (the subacute stage) have shown that it is myelin-producing cells that are affected first in this form of encephalomyelitis, while the periaxonal process observed is a consequence of this affection. Proofs of this conclusion are presented. It is shown that in subacute encephalomyelitis, similar processes develop. Degeneration and infection of oligodendrocytes are not so pronounced in that case, as in the acute disease. However, destruction of even individual oligodendrocytes may lead (due to the peculiarities of their structure and function) to an avalanche-like process of demyelinization. It is supposed that the vesicular degeneration of myelin may arise in the sites of close contact between the myelin membranes and the cells of inflammation infiltrates (release of lysosomal enzymes and toxic products formed in edema). In the latter case the viruses serve as an antigen depot that causes and maintains the inflammatory process.
作者介绍了在4周龄时脑内接种鼠肝炎病毒嗜神经(IHM)株所引发的脑脊髓炎在60只C3H系小鼠中的研究结果。在第5 - 13天(急性期)和第14 - 30天(亚急性期)对大脑进行的形态学检查表明,在这种形式的脑脊髓炎中,首先受到影响的是髓鞘形成细胞,而观察到的轴突周围变化是这种影响的结果。文中给出了这一结论的证据。结果显示,在亚急性脑脊髓炎中也会出现类似的过程。在这种情况下,少突胶质细胞的变性和感染不像在急性疾病中那么明显。然而,即使单个少突胶质细胞的破坏(由于其结构和功能的特殊性)也可能导致脱髓鞘的雪崩样过程。据推测,髓鞘的水泡样变性可能出现在髓鞘膜与炎症浸润细胞紧密接触的部位(溶酶体酶的释放以及水肿中形成的有毒产物)。在后一种情况下,病毒作为抗原库引发并维持炎症过程。