Bizette C, Chan-Chi-Song P, Fontaine M, Tadie M
Service de neurochirurgie, CHU Jean Minjoz, Besançon.
Chirurgie. 1996;121(6):474-81.
Within the family of proinflammatory cytokines, some exhibit a neurotrophic activity in addition to their proinflammatory functions. However, their role in peripheral nerve regeneration processes is still poorly understood. This study presents the kinetics of expression of mRNAs for different cytokines, IL-1 beta, IL-6, TNF alpha and that of NGF included as control. It was carried out on the rat sciatic nerve regeneration using two models of nerve transection with a 7 mm loss of substance. Nerve regeneration took place through an autologous nerve grafting in the first model, and through a collagenous cylinder in the second one. Quantitative reverse transcription-polymerase chain reaction (RT-PCR) was used to quantify each mRNA of cytokine and that of actin beta gene considered as an endogenous internal standard. The results showed a peak in the expression of IL-1 beta mRNAs in both models at D2 (second bay after operation). This D2-peak was also observed for TNF alpha and IL-6, but only in the model of the cylinder. The level of IL-6 D2-peak was very high compared to the nearly complete absence of IL-6 mRNAs expression in non operated control nerves. According to these results, proinflammatory cytokines and especially IL-6 may play a major role in promoting peripheral nerve regeneration.
在促炎细胞因子家族中,有些除了具有促炎功能外,还表现出神经营养活性。然而,它们在周围神经再生过程中的作用仍知之甚少。本研究展示了不同细胞因子(白细胞介素-1β、白细胞介素-6、肿瘤坏死因子α)以及作为对照的神经生长因子的mRNA表达动力学。该研究使用了两种神经横断模型,均造成7毫米的神经实质缺损,对大鼠坐骨神经再生进行研究。在第一个模型中,通过自体神经移植实现神经再生;在第二个模型中,通过胶原管实现神经再生。采用定量逆转录-聚合酶链反应(RT-PCR)对每种细胞因子的mRNA以及作为内源性内参的肌动蛋白β基因的mRNA进行定量。结果显示,在两个模型中,白细胞介素-1β mRNA的表达在术后第2天(术后第二个间隔期)均出现峰值。肿瘤坏死因子α和白细胞介素-6在术后第2天也出现峰值,但仅在胶原管模型中。与未手术的对照神经中几乎完全不存在白细胞介素-6 mRNA表达相比,白细胞介素-6在术后第2天的峰值水平非常高。根据这些结果,促炎细胞因子,尤其是白细胞介素-6,可能在促进周围神经再生中发挥主要作用。