Bradley J L, Abernethy D A, King R H, Muddle J R, Thomas P K
Clinical Neurosciences, Royal Free Hospital School of Medicine, London, UK.
J Anat. 1998 May;192 ( Pt 4)(Pt 4):529-38. doi: 10.1046/j.1469-7580.1998.19240529.x.
Observations have been made on the rabbit sciatic nerve distal to a transection, with survival periods of up to 26 mo and prevention of reinnervation. It was confirmed that the nerve becomes compartmented by fibroblast processes and that a zone of fine collagen fibrils develops around the Schwann cell columns that constitute the Büngner bands. The Schwann cells become progressively more atrophic but after 6 mo of denervation still expressed low affinity p75 nerve growth factor receptor (NGFR), the latest stage at which this was examined. NGFR was also expressed by the processes of the fibroblasts producing the endoneurial compartmentation. By 26 mo after transection the site of previous nerve fibres was indicated by sharply demarcated domains of approximately circular outline in transverse section consisting of densely packed longitudinally oriented collagen fibrils. Some of these domains still possessed centrally situated Schwann cells or residual basal lamina but many were acellular. The central collagen fibrils in these domains were of smaller diameter than those situated peripherally but were of larger size than those that form around the Büngner bands during wallerian degeneration. The peripherally located fibrils in the domains were of the same calibre as for normal endoneurial collagen. The collagen domains were encircled by fibroblast processes or at times enclosed in a perineurial cell ensheathment. Long-standing axonal loss therefore leads to a striking reorganisation of the internal architecture of peripheral nerve trunks. The findings may be relevant for the interpretation of the appearances in chronic peripheral neuropathies in man.
对切断后的兔坐骨神经远端进行了观察,存活期长达26个月,并防止了神经再支配。证实神经被成纤维细胞突起分隔,并且在构成许旺氏带的施万细胞柱周围形成了一个细胶原纤维区。施万细胞逐渐萎缩,但在去神经支配6个月后仍表达低亲和力p75神经生长因子受体(NGFR),这是检查的最晚阶段。产生神经内膜分隔的成纤维细胞的突起也表达NGFR。横切面上,切断后26个月,先前神经纤维的部位由轮廓大致呈圆形的清晰界定区域指示,该区域由密集排列的纵向胶原纤维组成。这些区域中的一些仍有位于中央的施万细胞或残留的基膜,但许多是无细胞的。这些区域中的中央胶原纤维直径比周围的小,但比瓦勒变性期间在许旺氏带周围形成的大。这些区域中位于周边的纤维与正常神经内膜胶原的口径相同。胶原区域被成纤维细胞突起包围,有时被神经束膜细胞包裹。因此,长期的轴突丧失导致周围神经干内部结构的显著重组。这些发现可能与解释人类慢性周围神经病的表现有关。