Schmidt R E, Modert C W, Yip H K, Johnson E M
Diabetes. 1983 Jul;32(7):654-63. doi: 10.2337/diab.32.7.654.
We have previously demonstrated a reproducible axonopathy, involving but not confined to sympathetic neurons, which involves selectively the mesenteric nerves of chronically diabetic rats. We describe a series of experiments aimed at correlating changes in the retrograde transport of 125I-nerve growth factor (125I-NGF) with development of the lesions. 125I-NGF was injected systemically and the time course of accumulation compared in superior cervical ganglion (SCG) and superior mesenteric ganglion (SMG). 125I-NGF accumulated in the SCG with a sharp peak at 12 h, whereas in the SMG, accumulation reached a plateau, remaining at relatively constant amounts for 8 h before decreasing. There was a marked decrease in the accumulation of 125I-NGF (averaging 44% in 11 separate experiments) in the SMG at early times (approximately 12 h). These decreases were seen in animals diabetic for times ranging from 2 days to 10 mo. In contrast, no consistent decrease was observed in the SCG. The time course of 125I-NGF accumulation was unaltered in the SCG of diabetic rats but was clearly retarded in the SMG of diabetic animals. Morphometric examination of the SMG of diabetic animals and controls showed little or no atrophy or neuron loss due to diabetes. We conclude that decreases in the retrograde transport of NGF occur selectively in those ganglia (SMG) serving the alimentary tract in which mesenteric nerves develop distal axonopathy, but not in ganglia whose nerves do not ultimately develop such lesions (SCG). The decreases in retrograde transport precede the development of morphologic lesions in this system. These results are consistent with the suggestion that impairment of axonal transport may play a role in the development of axonopathy.
我们之前已经证实了一种可重现的轴索性神经病变,该病变累及但不限于交感神经元,且选择性地累及慢性糖尿病大鼠的肠系膜神经。我们描述了一系列实验,旨在将125I-神经生长因子(125I-NGF)逆行运输的变化与病变的发展相关联。将125I-NGF全身注射,并比较其在上颈神经节(SCG)和肠系膜上神经节(SMG)中的积累时间进程。125I-NGF在SCG中积累,在12小时时达到一个尖峰,而在SMG中,积累达到一个平台期,在下降之前的8小时内保持相对恒定的量。在早期(约12小时),SMG中125I-NGF的积累有明显下降(在11个独立实验中平均下降44%)。在糖尿病时长从2天到10个月的动物中均观察到了这些下降。相比之下,在SCG中未观察到一致的下降。糖尿病大鼠的SCG中125I-NGF积累的时间进程未改变,但糖尿病动物的SMG中明显延迟。对糖尿病动物和对照的SMG进行形态计量学检查显示,糖尿病导致的萎缩或神经元丢失很少或没有。我们得出结论,NGF逆行运输的减少选择性地发生在那些为消化道服务且肠系膜神经发生远端轴索性神经病变的神经节(SMG)中,而不在其神经最终未发生此类病变的神经节(SCG)中。逆行运输的减少在此系统中先于形态学病变的发展。这些结果与轴突运输受损可能在轴索性神经病变的发展中起作用的观点一致。