Doubell T P, Mannion R J, Woolf C J
Department of Anatomy and Developmental Biology, University College London, United Kingdom.
J Comp Neurol. 1997 Mar 31;380(1):95-104. doi: 10.1002/(sici)1096-9861(19970331)380:1<95::aid-cne7>3.0.co;2-o.
Peripheral nerve section induces sprouting of the central terminals of axotomized myelinated primary afferents outside their normal dorsoventral termination zones in lamina I, III, and IV of the dorsal horn into lamina II, an area that normally only receives unmyelinated C-fiber input. This axotomy-induced regenerative sprouting is confined to the somatotopic boundaries of the injured nerve in the spinal cord. We examined whether intact myelinated sciatic afferents are able to sprout novel terminals into neighbouring areas of the dorsal horn in the adult rat following axotomy of two test nerves, either the posterior cutaneous nerve of the thigh or the saphenous nerve. These peripheral nerves have somatotopically organized terminal areas in the dorsal horn that overlap in some areas and are contiguous in others, with that of the sciatic central terminal field. Two weeks after cutting either the posterior cutaneous or the saphenous nerve, intact sciatic myelinated fibers labelled with the B fragment of cholera toxin conjugated to horseradish peroxidase (B-HRP) sprouted into an area of lamina II normally only innervated by the adjacent injured test nerve. This collateral sprouting was strictly limited, however, to those particular areas of the dorsal horn where the A-fiber terminal field of the control sciatic and the C-fiber terminal field of the injured test nerve overlapped in the dorsoventral plane. No mediolateral sprouting was seen into those areas of neuropil solely innervated by the test nerve. We conclude that intact myelinated primary afferents do have the capacity to collaterally sprout, but that any resultant somatotopic reorganization of central projections is limited to the dorsoventral plane. These changes may contribute to sensory hypersensitivity at the edges of denervated skin.
外周神经切断会诱导被切断的有髓初级传入神经的中枢终末在其正常的背腹终止区之外,即背角的I、III和IV层,向通常仅接受无髓C纤维输入的II层生长出芽。这种轴突切断诱导的再生出芽局限于脊髓中受损神经的躯体定位边界内。我们研究了在成年大鼠中,切断两条测试神经(股后皮神经或隐神经)之一后,完整的有髓坐骨神经传入神经是否能够向背角的相邻区域长出新的终末。这些外周神经在背角具有躯体定位组织的终末区域,在某些区域重叠,在其他区域相邻,与坐骨神经中枢终末场相邻。切断股后皮神经或隐神经两周后,用与辣根过氧化物酶偶联的霍乱毒素B片段(B-HRP)标记的完整坐骨神经有髓纤维向II层的一个区域生长出芽,该区域通常仅由相邻的受损测试神经支配。然而,这种侧支芽生严格限于背角的那些特定区域,在这些区域中,对照坐骨神经的A纤维终末场与受损测试神经的C纤维终末场在背腹平面上重叠。在仅由测试神经支配的神经毡区域未观察到内外侧芽生。我们得出结论,完整的有髓初级传入神经确实具有侧支芽生的能力,但由此产生的中枢投射的任何躯体定位重组都限于背腹平面。这些变化可能导致去神经皮肤边缘的感觉超敏。