Robertson A, Day B, Pollock M, Collier P
Neurology Unit, Otago Medical School, Dunedin, New Zealand.
Acta Neuropathol. 1993;86(2):163-71. doi: 10.1007/BF00334883.
The aim of this study was to define morphological and neurophysiological features of an age-related neuropathy in mice and to explore possible underlying pathogenetic mechanisms. Teased-fibre analysis of sciatic nerves in aged animals demonstrated a high incidence of demyelination. Electron microscopic analysis of sciatic nerve also revealed axonal atrophy. Both forms of pathology preferentially effect large myelinated fibres. The morphological evidence suggests that demyelination may have resulted from two processes; a primary event and a late consequence of axonal shrinkage. A high-affinity ouabain-binding form of (Na+,K+)ATPase was found in both mice sciatic nerve and spinal roots. A progressive and ultimately severe reduction of enzyme concentration with age was demonstrated in sciatic nerve and dorsal root. Since no change with age was seen in fast (anterograde or retrograde) axoplasmic flow, reduced peripheral nerve (Na+,K+)ATPase is not due to impaired enzyme translocation. Motor nerve conduction velocity decreased significantly with age, while minimum F-wave latency and somatosensory evoked potential latency increased. Impaired conduction velocities in aged animals may be attributed to the interaction of many factors including demyelination, remyelination, a disproportionate loss of large myelinated fibres, axonal atrophy, nerve regeneration and reduced peripheral nerve (Na+,K+)ATPase. It is concluded that the neuropathy in senescent mice is not species specific and is less severe, even in long-lived mice species, compared with that seen in the rat.
本研究的目的是确定小鼠年龄相关性神经病变的形态学和神经生理学特征,并探索可能的潜在发病机制。对老年动物坐骨神经进行单纤维分析显示脱髓鞘发生率很高。坐骨神经的电子显微镜分析还显示轴突萎缩。这两种病理形式均优先影响大型有髓纤维。形态学证据表明,脱髓鞘可能由两个过程导致:一个原发性事件和轴突萎缩的晚期后果。在小鼠坐骨神经和脊神经根中均发现了一种高亲和力哇巴因结合形式的(Na +,K +)ATP酶。坐骨神经和背根中均显示出随着年龄增长酶浓度逐渐且最终严重降低。由于快速(顺行或逆行)轴浆流未随年龄发生变化,因此外周神经(Na +,K +)ATP酶减少并非由于酶转运受损所致。运动神经传导速度随年龄显著降低,而最小F波潜伏期和体感诱发电位潜伏期增加。老年动物传导速度受损可能归因于多种因素的相互作用,包括脱髓鞘、髓鞘再生、大型有髓纤维不成比例的损失、轴突萎缩、神经再生以及外周神经(Na +,K +)ATP酶减少。结论是,衰老小鼠的神经病变并非物种特异性的,并且与大鼠相比,即使在长寿小鼠物种中也不那么严重。