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部分去传入后背角功能的恢复

Recovery of function in dorsal horn following partial deafferentation.

作者信息

Pubols L M, Goldberger M E

出版信息

J Neurophysiol. 1980 Jan;43(1):102-17. doi: 10.1152/jn.1980.43.1.102.

Abstract
  1. Collateral sprouting of L6 dorsal root afferents within the dorsal horn of the L6 spinal cord segment has been shown anatomically to occur following transection of all other lumbosacral dorsal roots in the cat. The present study was performed to examine a possible physiological correlate of that sprouting, namely, an altered somatotopic organization of the dorsal horn at L6. This was evaluated by microelectrode mapping of the L6 dorsal horn in normal cats and in cats with L6 spared, lumbosacral dorsal rhizotomies performed 2 days (subacute spared root) or more than 8 wk (chronic spared root), prior to recording. 2. In normal cats the mediolateral somatotopic sequence of hindlimb representation in the L6 dorsal horn is ventral digits 2 and 3, dorsal digits 2 and 3, dorsal foot, rostral and lateral ankle, lateral leg, lateral thigh, and back. In both subacute and chronic spared-root cats the somatotopic sequence is similar to that of normal cats, but there is a loss of proximal thigh and back representation. This proximal body region is represented at the lateral edge of the dorsal horn in normal animals. 3. There was a partial loss of responsiveness of cells in the dorsal horn in the subacute spared-root group and a partial recovery of responsiveness in the chronic group. In the subacute group punctures exhibiting no responses to tactile input tended to be clustered in the lateral dorsal horn. 4. The lateral one-fourth of the dorsal horn in each animal was analyzed in terms of the percentage of recording loci occurring within it. The percentages of recording loci having receptive fields proximal to, distal to, and spanning the middle of the thigh (proximal, distal, and intermediate RFs) were tabulated for each animal. Subacute animals had a significantly lower-than-normal overall percentage of responsive loci in the lateral dorsal horn, but chronic animals did not. The percentage of distal fields therein was not different for the normal versus the subacute group, signifying that the loss of proximal and intermediate fields was responsible for the difference in overall percentage. Chronic animals, however, had significantly more distal fields than did normals. When all fields having any distal component were compared (i.e., distal and intermediate), the difference between the chronic and normal groups did not reach significance. One possible explanation of these findings is that loci having both proximal and distal RF components are unresponsive 2 days after partial denervation, but recover responsiveness to their spared distal input over an 8-wk period. One possible mechanism mediating these changes is localized sprouting of intact, spared axons. Other mechanisms of functional recovery, such as interneuronal sprouting, denervation supersensitivity, and unmasking of latent synapses, are discussed in relation to these and other data.
摘要
  1. 解剖学研究表明,在猫身上切断所有其他腰骶部背根后,L6背根传入纤维会在L6脊髓节段的背角内发生侧支发芽。本研究旨在检验这种发芽可能存在的生理关联,即L6背角躯体定位组织的改变。通过在正常猫以及在记录前2天(亚急性保留根)或超过8周(慢性保留根)进行L6保留、腰骶部背根切断术的猫身上,对L6背角进行微电极图谱分析来评估这一点。2. 在正常猫中,L6背角中后肢代表区的中外侧躯体定位顺序为腹侧第2和第3趾、背侧第2和第3趾、背侧足、喙侧和外侧踝关节、外侧小腿、外侧大腿和背部。在亚急性和慢性保留根猫中,躯体定位顺序与正常猫相似,但近端大腿和背部代表区缺失。在正常动物中,这个近端身体区域在背角的外侧边缘有代表。3. 亚急性保留根组背角细胞的反应性部分丧失,慢性组反应性部分恢复。在亚急性组中,对触觉输入无反应的穿刺往往集中在背角外侧。4. 根据记录位点在每只动物背角外侧四分之一区域内出现的百分比对其进行分析。将每只动物具有近端、远端和跨越大腿中部(近端、远端和中间感受野)感受野的记录位点百分比制成表格。亚急性动物背角外侧反应位点的总体百分比显著低于正常水平,但慢性动物并非如此正常组和亚急性组在其中的远端感受野百分比没有差异,这表明近端和中间感受野的丧失是总体百分比差异的原因。然而,慢性动物的远端感受野比正常动物明显更多。当比较所有具有任何远端成分的感受野(即远端和中间感受野)时,慢性组和正常组之间的差异不显著。这些发现的一种可能解释是,具有近端和远端感受野成分的位点在部分去神经支配2天后无反应,但在8周的时间内恢复了对其保留的远端输入的反应性。介导这些变化的一种可能机制是完整保留轴突的局部发芽。结合这些及其他数据讨论了功能恢复的其他机制,如中间神经元发芽、去神经超敏反应和潜在突触的暴露。

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