Wall P D, Devor M
Cerebral Functions Research Group, Department of Anatomy, University College London, London WC1E 6BT Great Britain Life Sciences Institute, The Hebrew University of Jerusalem, Jerusalem 91904 Israel.
Pain. 1983 Dec;17(4):321-339. doi: 10.1016/0304-3959(83)90164-1.
Single units were recorded in dorsal roots or in the sciatic nerve of anaesthetised rats. It was shown by making sections, by stimulation and by collision that some ongoing nerve impulses were originating from the dorsal root ganglia and not from the central or peripheral ends of the axons. In a sample of 2731 intact or acutely sectioned myelinated sensory fibres, 4.75% +/- 3.7% contained impulses generated within the dorsal root ganglia. In 2555 axons sectioned in the periphery 2-109 days before, this percentage rose to 8.6% +/- 4.8%. There was a considerable variation between animals; 0-14% in intact and acutely sectioned nerves and 1-21% in chronically sectioned nerves. The conduction velocity of the active fibres did not differ significantly from the conduction velocity of unselected fibres. The common pattern of ongoing activity from the ganglion was irregular and with a low frequency (about 4 Hz) in contrast to the pattern of impulses originating in a neuroma which usually have a higher frequency with regular intervals. Slight mechanical pressure on the dorsal root ganglion increased the frequency of impulses. Unmyelinated fibres were also found to contain impulses originating in the dorsal root ganglion. In intact or acutely sectioned unmyelinated axons, the percentage of active fibres 4.4% +/- 3.5% was approximately the same as in myelinated fibres but there were no signs of an increase following chronic section. Fine filament dissection of dorsal roots and of peripheral nerves and collision experiments showed that impulses originating in dorsal root ganglia were propagated both orthodromically into the root and antidromically into the peripheral nerve. It was also shown that the same axon could contain two different alternating sites of origin of nerve impulses: one in the neuroma or sensory ending and one in the ganglion. These observations suggest that the dorsal root ganglion with its ongoing activity and mechanical sensitivity could be a source of pain producing impulses and could particularly contribute to pain in those conditions of peripheral nerve damage where pain persists after peripheral anaesthesia or where vertebral manipulation is painful.
在麻醉大鼠的背根或坐骨神经中记录单个神经元。通过切片、刺激和碰撞实验表明,一些持续的神经冲动起源于背根神经节,而非轴突的中枢端或外周端。在2731条完整或急性切断的有髓感觉纤维样本中,4.75%±3.7%的纤维包含起源于背根神经节的冲动。在2 - 109天前在外周切断的2555条轴突中,这一比例升至8.6%±4.8%。不同动物之间存在相当大的差异;完整和急性切断神经中的比例为0 - 14%,慢性切断神经中的比例为1 - 21%。活动纤维的传导速度与未筛选纤维的传导速度无显著差异。神经节持续活动的常见模式不规则且频率较低(约4赫兹),这与起源于神经瘤的冲动模式不同,后者通常频率较高且间隔规律。对背根神经节施加轻微机械压力会增加冲动频率。还发现无髓纤维也包含起源于背根神经节的冲动。在完整或急性切断的无髓轴突中,活动纤维的比例为4.4%±3.5%,与有髓纤维大致相同,但慢性切断后无增加的迹象。对背根和外周神经进行细丝解剖及碰撞实验表明,起源于背根神经节的冲动可顺向传入神经根,也可逆向传入外周神经。还表明同一轴突可能包含两个不同的交替神经冲动起源部位:一个在神经瘤或感觉末梢,另一个在神经节。这些观察结果表明,具有持续活动和机械敏感性的背根神经节可能是产生疼痛冲动的来源,尤其可能导致外周神经损伤后疼痛持续存在或脊椎推拿时疼痛的情况中疼痛加剧。