Chalk J B, McCombe P A, Pender M P
Department of Medicine, University of Queensland, Royal Brisbane Hospital, Australia.
Brain. 1994 Oct;117 ( Pt 5):975-86. doi: 10.1093/brain/117.5.975.
Experimental autoimmune encephalomyelitis (EAE) is an inflammatory demyelinating disease of the central nervous system (CNS) and can be induced by inoculation of animals with homogenized CNS tissue or highly purified myelin proteins such as myelin basic protein (MBP) or proteolipid protein (PLP). It is widely studied as a possible animal model of multiple sclerosis. We performed the present neurophysiological study to define the location of nerve conduction abnormalities in EAE induced by immunization with PLP (PLP-EAE) and in EAE induced by immunization with MBP (MBP-EAE) in the Lewis rat. In rats with tail weakness due to acute PLP-EAE, conduction was normal in the spinal nerve roots and peripheral nerves but there was evidence of conduction block in a high proportion of the fibres in the dorsal columns of the lumbosacral spinal cord. In contrast, in acute MBP-EAE, there was conduction block in a high proportion of fibres in the sacral dorsal and ventral roots of the peripheral nervous system (PNS) and in the dorsal columns of the lumbosacral spinal cord. The distribution of nerve conduction abnormalities is consistent with previous histological studies showing that inflammation and primary demyelination are restricted to the CNS in PLP-EAE, but are present in the CNS and in the spinal roots of the PNS in MBP-EAE. The restriction of functional abnormalities to the CNS in PLP-EAE but not in MBP-EAE may have implications for the human inflammatory demyelinating diseases, including multiple sclerosis.
实验性自身免疫性脑脊髓炎(EAE)是一种中枢神经系统(CNS)的炎性脱髓鞘疾病,可通过给动物接种中枢神经系统匀浆组织或高度纯化的髓磷脂蛋白(如髓磷脂碱性蛋白(MBP)或蛋白脂蛋白(PLP))来诱发。它作为多发性硬化症的一种可能的动物模型被广泛研究。我们进行了本神经生理学研究,以确定在Lewis大鼠中,用PLP免疫诱发的EAE(PLP-EAE)和用MBP免疫诱发的EAE(MBP-EAE)中神经传导异常的位置。在因急性PLP-EAE导致尾巴无力的大鼠中,脊髓神经根和周围神经的传导正常,但有证据表明腰骶脊髓背柱中很大一部分纤维存在传导阻滞。相比之下,在急性MBP-EAE中,周围神经系统(PNS)的骶背根和腹根以及腰骶脊髓的背柱中有很大一部分纤维存在传导阻滞。神经传导异常的分布与先前的组织学研究一致,该研究表明,PLP-EAE中的炎症和原发性脱髓鞘仅限于中枢神经系统,但MBP-EAE中的炎症和原发性脱髓鞘存在于中枢神经系统和PNS的脊髓神经根中。PLP-EAE中功能异常仅限于中枢神经系统而MBP-EAE中并非如此,这可能对包括多发性硬化症在内的人类炎性脱髓鞘疾病具有启示意义。