Gobara M, Akino H, Tsuka H, Takahashi M, Okada K
Department of Urology, Fukui Medical School.
Hinyokika Kiyo. 1995 Apr;41(4):259-67.
Ninety six rats were divided into 4 groups (normal control group (N = 4), ligation group (N = 20), ligation-removed group (N = 36), and sham surgery group (N = 36)). The neuronal size of the 4-week ligated rats returned to normal 6 weeks after removal of the ligation. Rats ligated for 7, 11 and 20 weeks also exhibited a significant increase in the mean area but they could not make a complete recovery after removal of ligation for 6 weeks. Only the rats in the 1- and 4-week ligation groups could recover their neuronal size. Area densities of smooth muscle: connective tissue (ADsc ratio) was calculated using Elastica van Gieson staining sections of bladder strips. When ligation was removed, the ratio dropped and became nearly equal to the value of the sham surgery group. Only the 7-week group showed a lower ADsc ratio than the sham surgery group after the ligation was removed. These findings suggest that the reversibility of neuronal hypertrophy might become irreversible when the period of partial urethral ligation persisted beyond 7 weeks. Irreversible hypertrophy of major pelvic ganglion (MPG) neurons might be greatly related with the irreversibly enlarged fibrous bladder which could not show the same ADsc ratio as was seen in the sham surgery groups.
96只大鼠被分为4组(正常对照组(N = 4)、结扎组(N = 20)、结扎去除组(N = 36)和假手术组(N = 36))。结扎4周的大鼠在结扎去除6周后神经元大小恢复正常。结扎7周、11周和20周的大鼠平均面积也显著增加,但在结扎去除6周后它们不能完全恢复。只有1周和4周结扎组的大鼠能够恢复其神经元大小。使用膀胱条带的弹性范吉森染色切片计算平滑肌与结缔组织的面积密度比(ADsc比值)。当去除结扎时,该比值下降并几乎等于假手术组的值。仅7周组在去除结扎后ADsc比值低于假手术组。这些发现表明,当部分尿道结扎持续超过7周时,神经元肥大的可逆性可能会变得不可逆。主要盆神经节(MPG)神经元的不可逆肥大可能与纤维性膀胱不可逆增大密切相关,后者的ADsc比值与假手术组不同。