Tourtellotte W W, Rosario I P, Conrad A, Syndulko K
Neurology Service, VAMC W. Los Angeles, CA.
J Neural Transm Suppl. 1993;39:5-15.
The National Neurological Research Specimen Bank (The Bank) was established in 1961 to provide a vital service to neuroscientists. Our purpose is to support medical research which seeks the etiopathogenesis for devastating neurological disorders with no known cause, treatment or precise animal model. It serves as a bridge between the neurology clinician who diagnoses and cares for patients with incurable disease and the basic scientist who has need for specimens to find their etiopathogenesis. In the long run this service should advance neurologic diagnoses and serve as the basis for designing treatment. The Bank has grown to be the largest, most diverse neurological specimen bank of its kind in the world. It is a type of "tissue bank" where donor members "will" their central nervous system tissues to science. Then we collect, photograph, seal in air tight bags, quick freeze, cryogenically store and distribute on request the donated tissue to research scientists around the world. All tissue diagnoses are confirmed by clinical records and neuropathologic examination; further histology is conducted on request. In addition to brain and spinal cord tissues, the Bank has samples of other tissues. There are also samples of pre- and post-mortem CSF and sera from normal individuals and patients with various neurological disorders, especially serial specimens on multiple sclerosis patients and HIV-1 seropositive and at risk individuals. This paper outlines the global operations of our human brain bank, based on protocols developed and used by the authors. These operations include donor solicitation, tissue acquisition and documentation, tissue processing and storage, specimen dissemination to users, outcome assessment of banking, quality control, cost of our operation, table of organization and the future.
国家神经学研究标本库(以下简称“标本库”)成立于1961年,旨在为神经科学家提供至关重要的服务。我们的目的是支持医学研究,该研究旨在探寻那些病因不明、无法治愈且尚无精确动物模型的毁灭性神经疾病的发病机制。它在诊断和护理患有不治之症的患者的神经科临床医生与需要标本以寻找疾病发病机制的基础科学家之间架起了一座桥梁。从长远来看,这项服务应能推动神经学诊断,并为设计治疗方案提供依据。该标本库已发展成为世界上同类中规模最大、种类最多样的神经学标本库。它是一种“组织库”,捐赠者将其中枢神经系统组织“遗赠”给科学事业。然后,我们收集、拍照、密封在密封袋中、速冻、低温保存,并根据要求将捐赠的组织分发给世界各地的研究科学家。所有组织诊断均通过临床记录和神经病理学检查进行确认;如有要求,还会进行进一步的组织学检查。除了脑和脊髓组织外,标本库还拥有其他组织的样本。此外,还有来自正常个体和患有各种神经疾病患者的生前和死后脑脊液及血清样本,尤其是来自多发性硬化症患者以及HIV-1血清阳性和高危个体的系列样本。本文基于作者制定和使用的方案,概述了我们人类脑库的全球运作情况。这些运作包括捐赠者招募、组织获取与记录、组织处理与存储、向用户分发标本、标本库的结果评估、质量控制、我们的运营成本、组织结构表以及未来展望。