Lewén A, Li G L, Olsson Y, Hillered L
Department of Neurosurgery, Uppsala University Hospital, Sweden.
Brain Res. 1996 May 6;719(1-2):161-71. doi: 10.1016/0006-8993(96)00081-9.
We investigated by immunohistochemistry dendritic and axonal changes occurring in the rat brain after mild focal cortical trauma produced by the weight drop technique. One and 3 days after injury, nerve cell bodies and dendrites in the perimeter of the impact site displayed decreased microtubule-associated protein 2 (MAP2) immunoreactivity. Some dendrites in the immediate adjacent region were more intensely stained and distorted. The dentate hilar region of the hippocampus showed a reduction of immunoreactive nerve cell bodies and dendrites. Twenty-one days after injury the strongly stained cortical dendrites and the reduction of immunoreactivity in the hippocampus remained, whereas the reduced staining in the perimeter of the lesion had normalised. These results indicate that there is a long-lasting disturbed dendritic organisation implicating impaired neurotransmission after this type of mild brain trauma. beta-Amyloid precursor protein (APP) immunohistochemistry revealed numerous stained axons in the ipsilateral subcortical white matter and thalamus indicating local and remote axonal injuries with disturbed axonal transport. Twenty-one days after injury, numerous small immunostained profiles appeared in the neuropil of the cortical impact site and in the ipsilateral thalamus. The axonal changes indicate disturbed connectivity between the site of the impact and other brain regions, chiefly the thalamus. The presence of beta-amyloid was investigated 21 days after trauma. There were no signs of beta-amyloid depositions in the brain after injury. Finally, we tested if the non-competitive NMDA receptor antagonist dizocilpine maleate (MK-801) could influence the observed MAP2 and APP changes. Pretreatment with this compound did not affect the early MAP2 and APP alterations. Instead, an increased expression of the APP antigen in the thalamus was observed 21 days after trauma in the MK-801-treated animals. The cause of this phenomenon is not known but may be related to a delayed neurotoxic action of MK-801 treatment.
我们采用重物坠落技术造成大鼠轻度局灶性皮质损伤,并用免疫组织化学方法研究了损伤后大鼠脑内发生的树突和轴突变化。损伤后1天和3天,撞击部位周边的神经细胞体和树突显示微管相关蛋白2(MAP2)免疫反应性降低。紧邻区域的一些树突染色更强烈且扭曲。海马齿状回门区免疫反应性神经细胞体和树突减少。损伤后21天,皮质树突的强染色以及海马区免疫反应性降低仍然存在,而损伤周边区域降低的染色已恢复正常。这些结果表明,这种类型的轻度脑损伤后存在长期的树突组织紊乱,这意味着神经传递受损。β-淀粉样前体蛋白(APP)免疫组织化学显示,同侧皮质下白质和丘脑有大量染色的轴突,表明存在局部和远程轴突损伤以及轴突运输紊乱。损伤后21天,在皮质撞击部位的神经毡和同侧丘脑中出现了许多小的免疫染色图像。轴突变化表明撞击部位与其他脑区(主要是丘脑)之间的连接性受到干扰。在创伤后21天研究了β-淀粉样蛋白的存在情况。损伤后脑中没有β-淀粉样蛋白沉积的迹象。最后,我们测试了非竞争性NMDA受体拮抗剂马来酸氯氮平(MK-801)是否会影响观察到的MAP2和APP变化。用该化合物预处理并未影响早期的MAP2和APP改变。相反,在MK-801处理的动物中,创伤后21天观察到丘脑APP抗原表达增加。这种现象的原因尚不清楚,但可能与MK-801治疗的延迟神经毒性作用有关。