隐性脊柱裂胎鼠提肛肌运动神经元的定量分析

Yong Li MD, Xiang-Yu Hou MD, Zheng-Wei Yuan MD, Wei-Lin Wang MD
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引用次数: 3

摘要

本研究采用显微外科和显微注射相结合的方法,在提肛肌内注射逆行微量FG,观察隐性脊柱裂胎鼠脊髓运动神经元的发育情况。方法将胎鼠分为3组。妊娠第9天,对照组(1组)6只体重250 ~ 300 g的成年Wistar大鼠,分别于上午9:00和下午4:00在后肢皮下注射生理盐水0.5 mL。治疗组(2、3组)15只大鼠在2个时间点后肢皮下注射20%丙戊酸钠溶液(400 mg/kg体重)。妊娠第20天,用10%水合氯醛(300 mg/kg体重)腹腔麻醉妊娠大鼠,采用胎儿显微手术和显微注射暴露肛提肌,5%水合氯醛微注射器给药。24小时后,经心脏灌注4%多聚甲醛的磷酸盐缓冲盐水(PBS)给手术的胎儿。脊柱样本用阿利新蓝GX染色后,用计算机系统测量染色后的脊柱图像,测量椎弓的2个软骨末端的距离。然后,腰骶脊髓在20%蔗糖PBS中低温保存,24小时后进行连续横切。用紫外荧光宽频带滤光片观察运动神经元,记录运动神经元数量。1组9只胎鼠成活。治疗组18只胎鼠成活,其中2组18只胎鼠7只(无畸形),3组隐性脊柱裂胎鼠11只。结果正常脊髓腹角的运动神经元在腹角的背外侧和背内侧角聚集。畸形脊髓前角的运动神经元数量少于正常脊髓,运动神经元分布于脊髓背内侧角与背外侧角之间的间隙。第3组运动神经元数目为244±41个,第1组为426±36个,第2组为397±20个。P <. 05。结论隐性脊柱裂胎鼠支配提肛肌的运动神经元数量少于正常胎鼠,且呈异常分布。
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Quantitative analysis of motor neurons of the levator ani muscle in fetal rats with spina bifida occulta

Background

With the combination of microsurgery and microinjection techniques, we investigated the development of motor neurons in the spinal cord of fetal rats with spina bifida occulta by injecting the retrograde trace FG into the levator ani muscle.

Methods

The fetal rats were divided into 3 groups. On the day 9 of gestation, 6 mature Wistar rats (weighing 250-300 g) in the control group (group 1) were subcutaneously injected with 0.5 mL of normal saline at their hind limbs at 9:00 am and 4:00 pm. At these 2 time points, 15 rats in the treatment group (group 2 and group 3) were subcutaneously injected with 20% sodium valproate solution (400 mg/kg of body weight) at their hind limbs, too. On the day 20 of gestation, pregnant rats were anesthetized with 10% chloral hydrate (300 mg/kg of body weight) intraperitoneally, and then fetal microsurgery and microinjection were performed to expose the levator ani muscle, whereas 5% FG was administered with microinjector. Twenty-four hours later, transcardial perfusion of 4% paraformaldehyde in phosphate-buffered saline (PBS) was given to the operated fetus. After the spine sample was stained with Alcian blue GX, the image of stained spine was measured using a computer system for the distance of the 2 cartilaginous ends of the vertebra arch. Then, the lumbosacral spinal cord was cryopreserved in 20% sucrose in PBS for a later serial transverse cryosection after 24 hours. The FG-labeled motor neurons were visualized with a wide-band ultraviolet-fluorescent filter, and the number of the FG-labeled motor neurons was recorded. Nine fetal rats survived in group 1. Eighteen fetal rats survived in the treatment group, including 7 (with no malformation) of 18 fetuses in group 2 and 11 fetuses with spina bifida occulta in group 3.

Results

The FG-labeled motor neurons in the ventral horn of normal spinal cord clustered at the dorsolateral and dorsomedial corner of the ventral horn. The FG-labeled motor neurons in the ventral horn of deformed spinal cord were less than that of normal spinal cord, and the motor neurons were scattered around the space between the dorsomedial and dorsolateral corners. The number of FG-labeled motor neurons was 244 ± 41 in group 3, 426 ± 36 in group 1, and 397 ± 20 in group 2. The data were stastistically significant if P < .05.

Conclusion

The motor neurons that innervate the levator ani muscle in fetal rats with spina bifida occulta are fewer than the normal fetal rats, and they are arranged in abnormal distribution.

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Surgical Neurology
Surgical Neurology 医学-临床神经学
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