中枢神经损伤后影响轴突再生的因素

与周围神经不同 ,成年哺乳动物中枢神经损伤后轴突不能再生 ,往往造成不可逆的功能丧失。影响再生的原因相当复杂 ,胶质瘢痕形成、神经营养因子缺乏及存在诸多的抑制性因子等。本文就一些影响中枢神经再生的因子从其结构、分布、功能及可能的作用机制诸方面作一综述     

脊神经损伤后钠电流的变化及其离子通道机制

目的：检测脊神经切断大鼠背根节（DRG）神经元重复放电能力和钠电流的变化,并研究介导其电流变化的钠通道亚型的表达情况。方法：脊神经切断术后2～8d慢性痛大鼠模型背根节急性分离,对中等直径DRG神经元运用全细胞膜片钳技术记录神经元放电和钠电流的变化。对背根节神经元进行RT-PCR检测,分析其钠通道亚型的表达情况。结果：电流钳下,实验组DRG神经元在电流刺激下产生重复放电,而对照组神经元多诱发单个动作电位,电压钳记录发现实验组背根节神经元快钠电流和持续性钠电流幅值均明显大于对照组,PCR结果显示,Nav1.3、Nav1.7和Nav1.8通道亚型mRNA表达显著增高。结论：钠通道介导了脊神经受损模型的DRG神经元兴奋性增高,持续性钠电流可能通过调节阈下膜电位振荡的产生调节神经元兴奋性。     

脊神经损伤后钠电流的变化及其离子通道机制

目的:检测脊神经切断大鼠背根节(DRG)神经元重复放电能力和钠电流的变化,并研究介导其电流变化的钠通道亚型的表达情况。方法:脊神经切断术后2～8d慢性痛大鼠模型背根节急性分离,对中等直径DRG神经元运用全细胞膜片钳技术记录神经元放电和钠电流的变化。对背根节神经元进行RT-PCR检测,分析其钠通道亚型的表达情况。结果:电流钳下,实验组DRG神经元在电流刺激下产生重复放电,而对照组神经元多诱发单个动作电位,电压钳记录发现实验组背根节神经元快钠电流和持续性钠电流幅值均明显大于对照组,PCR结果显示,Nav1.3、Nav1.7和Nav1.8通道亚型mRNA表达显著增高。结论:钠通道介导了脊神经受损模型的DRG神经元兴奋性增高,持续性钠电流可能通过调节阈下膜电位振荡的产生调节神经元兴奋性。     

高钾饮食激活肾远曲小管肾外髓钾通道

肾外髓钾通道(renal outer medullary potassium channel, ROMK)是肾脏重要的排钾通道,经ROMK通道分泌的K+是尿钾大部分或全部的来源。既往在肾小管离子转运机制调控研究中,学者多将ROMK通道的研究靶点集中于髓袢和集合管,对肾远曲小管末段(late distal convoluted tubule, DCT2) ROMK通道参与机体K+排泄的研究较少。本研究旨在应用单通道及全细胞膜片钳技术,在肾DCT2顶端膜记录ROMK通道电流并观察高钾饮食对该通道活性的影响。结果显示,在肾DCT2顶端膜可记录到一种电导为39 pS的小电导通道电流,且该电流可被ROMK通道特异性阻断药抑制。与正常钾饮食组相比,高钾饮食能够显著增加肾DCT2顶端膜ROMK通道电流出现的概率,增强该通道活性(P <0.01)。Western blot结果显示,高钾饮食能够显著上调肾脏ROMK通道及上皮钠通道(epithelial sodium channel, ENaC)的蛋白表达,下调肾脏钠-氯同向转运体(Na+-Clcotransporter, NCC)的蛋白表达,且高...     

昆虫钠通道的结构和与击倒抗性有关的基因突变

击倒抗性(kdr)是指昆虫和其他节肢动物由于它们的神经系统对DDT和拟除虫菊酯类杀虫剂的敏感性降低而引起的抗性。电压敏感的钠通道是DDT和拟除虫菊酯类杀虫剂的主要靶标。已知拟除虫菊酯是通过改变位于神经膜上的这类通道而发挥其杀虫效果的,钠通道基因的点突变是产生kdr抗性的主要原因。40年来kdr抗性一直是重要的研究课题,但近10年来在kdr分子生物学方面取得了很大进展。本文主要综述了1996年以来所取得的新进展,着重于钠通道的结构、在14种害虫中与kdr抗性相关的钠通道基因突变及其氨基酸序列的多态性。这些结果有助于对拟除虫菊酯改变钠通道的功能及其机理作进一步探究。     

颈髓损伤后线粒体系列酶活性变化与线粒体功能的关系

为了探讨颈髓损伤后颈髓线粒体系列酶活性变化与线粒体功能的关系,采用Ａｌｅｎ法造成猫颈髓损伤,观察颈髓损伤后线粒体Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶、Ｎａ＋,Ｋ＋－ＡＴＰ酶、超氧化物歧化酶（ＳＯＤ）活性及线粒体呼吸功能的变化。结果显示：颈髓损伤后２ｈ至７２ｈ,Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶、Ｎａ＋,Ｋ＋－ＡＴＰ酶活性、ＳＯＤ活性明显降低,而线粒体呼吸控制率（ＲＣＲ）、磷氧比值（Ｐ／Ｏ）、氧化磷酸化效率（ＯＰＲ）也明显下降。表明颈髓损伤后Ｃａ２＋,Ｍｇ２＋－ＡＴＰ酶、Ｎａ＋,Ｋ＋－ＡＴＰ酶、ＳＯＤ活性与线粒体功能密切相关,提示颈髓线粒体的病理生理改变在颈髓损伤后继发性损害过程中起重要作用。     

小鼠骨髓间充质干细胞通过miR-130b调控上皮钠通道的机制研究

该研究旨在探讨小鼠骨髓间充质干细胞(bone marrow mesenchymal stem cells,BMSCs)通过miR-130b对上皮钠通道(epithelial sodium channel,ENaC)的影响。将分离与培养的小鼠BMSCs接种到Transwell小室中,然后与H441细胞进行共培养。利用CCK-8试剂盒检测BMSCs对H441细胞生存能力的影响;采用Western blot技术检测BMSCs对共培养的H441细胞中γ-ENaC蛋白水平的影响;qRT-PCR技术检测与BMSCs共培养的H441细胞中miR-130b表达情况,然后将此microRNA转染到普通培养的H441细胞中,在蛋白水平进一步验证其对H441细胞中γ-ENaC的影响。实验结果表明,BMSCs能够增强H441细胞的生存能力;同时BMSCs能分别增加共培养的H441细胞中γ-ENaC的蛋白水平以及miR-130b的转录水平;Western blot实验进一步证实,miR-130b转染至H441细胞后能够增加其γ-ENaC的蛋白表达。由此我们推测,BMSCs能够增强H441细胞的生存能力并且可能通过miR-130b发挥其对γ-ENaC的蛋白水平调控作用。     

水葫芦中叶绿素铜钠提取及其抗细胞氧化损伤作用研究

目的:从水葫芦中提取叶绿素铜钠初产物,完善叶绿素铜钠盐的提取工艺,研究叶绿素铜钠的抗细胞氧化损伤作用。方法:采用丙酮乙醇混合液提取水葫芦中的叶绿素铜钠,通过红外光谱分析、分光检测、X射线衍射等方法对产物产率、样品成分、纯度进行检测,之后利用连二亚硫酸/PC12制作细胞模型,研究了叶绿素铜钠的抗细胞氧化损伤作用。结果:采用本文工艺提取得的叶绿素铜钠产率较佳,提取物中未见Pb、Cd等水葫芦生长流域常见的重金属污染;MTT法显示叶绿素铜钠未见细胞毒作用,且对细胞氧化损伤具有明显抑制作用。结论:研究结果如可应用于叶绿素铜钠的工业提取,可降低目前含叶绿素铜钠类药物与保健品的生产成本,为入侵植物水葫芦的综合利用提供有价值的参考。     

后路椎板减压螺钉置入术与椎管减压固定术治疗胸髓损伤对比研究

摘要 目的：探究后路椎板减压螺钉置入术与椎管减压固定术对胸髓损伤患者临床效果。方法：择取胸髓损伤患者54例,通过随机数字表法分为对照组27例,研究组27例。对照组采用后路椎板减压螺钉置入术,研究组采用椎管减压固定术治疗。统计两组患者相关手术指标情况;检测血清炎性因子水平;通过视觉模拟评分法（VAS）及Oswestry功能障碍指数（ODI）对两组患者疼痛程度及功能障碍程度进行评价;采用Frankel分级评估患者的脊髓损伤情况,对比两组术后效果。结果：术后与对照组相比,研究组手术时间、术中出血量、手术切口及住院时间均减少,具有统计学差异（均P<0.05）。术后1、3个月,与对照组相比,研究组白介素1β（IL-1β）、肿瘤坏死因子-α（TNF-α）、VAS、ODI评分下降程度更为显著,Frankel分级情况上升程度更为显著,具有统计学差异（均P<0.05）。与对照组相比,研究组临床疗效更为显著,具有统计学差异（P<0.05）。结论：对胸髓损伤患者行椎管减压固定术的治疗效果较好,治疗后患者炎症水平降低,疼痛得到缓解,运动功能和神经功能得到恢复,整体疗效显著,值得临床推广。     

5-HT和NA增强大鼠骶髓后连合核神经元甘氨酸门控Cl~-通道电流由蛋白激酶介导

用制霉菌素穿孔膜片钳方法研究５－ＨＴ和ＮＡ对急性分离的大鼠骶髓后连合核神经元甘氨酸门控氯离子通道电流（ＩＧｌｙ）的调控作用及其胞内机制。发现：（１）５－ＨＴ激活与非胰岛激活蛋白（ＩＡＰ）敏感型Ｇ蛋白偶联的５－ＨＴ２受体亚型,激活磷脂酶Ｃ（ＰＬＣ）,增加甘油二酯（ＤＡＧ）的生成。ＤＡＧ增强不依赖Ｃａ２＋的新型ＰＫＣ（ｎＰＫＣ）的活性,从而增强ＩＧｌｙ;（２）ＮＡ激活与ＩＡＰ敏感型Ｇ蛋白偶联的α２受体,抑制腺苷酸环化酶（ＡＣ）,减少ｃＡＭＰ的生成,使ＰＫＡ活性降低,从而增强ＩＧｌｙ。     

2,5-Hexanedione Alters Elemental Composition and Water Content of Rat Peripheral Nerve Myelinated Axons

Abstract: Effects of 2,5-hexanedione on elemental concentrations and water content of peripheral nerve myelinated axons were determined using electron probe x-ray microanalysis. Axons (small, medium, and large) were analyzed in unfixed cryosections from rat tibial and proximal sciatic nerve samples. Animals were intoxicated with 2,5-hexanedione by two dosing paradigms: intraperitoneal or oral. Regardless of the route of exposure, internodal axoplasm of small and medium axons from both nerve regions exhibited selective, progressive reductions in dry weight K concentrations and water content. When calculated on a wet weight basis, K levels were comparable to or slightly above control values in tibial nerve, whereas in sciatic nerve, small transient decreases in wet weight K were evident. These changes in K and water correlated with the development of axonal atrophy. The wet and dry weight internodal elemental changes reported here do not suggest a metabolic or axolemmal defect, but rather imply a homeostatic response possibly related to the process of axonal atrophy. Giant axonal swellings were primarily associated with oral 2,5-hexane-dione intoxication, and corresponding analyses revealed few changes in element or water content compared with control. The absence of significant alterations in these swellings is consistent with mechanical expansion of the axon probably as a function of accumulating neurofilaments.     

An Ankyrin-G N-terminal Gate and Protein Kinase CK2 Dually Regulate Binding of Voltage-gated Sodium and KCNQ2/3 Potassium Channels

In many mammalian neurons, fidelity and robustness of action potential generation and conduction depends on the co-localization of voltage-gated sodium (Na_v) and KCNQ2/3 potassium channel conductance at the distal axon initial segment (AIS) and nodes of Ranvier in a ratio of ∼40 to 1. Analogous “anchor” peptides within intracellular domains of vertebrate KCNQ2, KCNQ3, and Na_v channel α-subunits bind Ankyrin-G (AnkG), thereby mediating concentration of those channels at AISs and nodes of Ranvier. Here, we show that the channel anchors bind at overlapping but distinct sites near the AnkG N terminus. In pulldown assays, the rank order of AnkG binding strength is Na_v1.2 ≫ KCNQ3 > KCNQ2. Phosphorylation of KCNQ2 and KCNQ3 anchor domains by protein kinase CK2 (CK2) augments binding, as previously shown for Na_v1.2. An AnkG fragment comprising ankyrin repeats 1 through 7 (R1–7) binds phosphorylated Na_v or KCNQ anchors robustly. However, mutational analysis of R1–7 reveals differences in binding mechanisms. A smaller fragment, R1–6, exhibits much-diminished KCNQ3 binding but binds Na_v1.2 well. Two lysine residues at the tip of repeat 2–3 β-hairpin (residues 105–106) are critical for Na_v1.2 but not KCNQ3 channel binding. Another dibasic motif (residues Arg-47, Arg-50) in the repeat 1 front α-helix is crucial for KCNQ2/3 but not Na_v1.2 binding. AnkG''s alternatively spliced N terminus selectively gates access to those sites, blocking KCNQ but not Na_v channel binding. These findings suggest that the 40:1 Na_v:KCNQ channel conductance ratio at the distal AIS and nodes arises from the relative strength of binding to AnkG.     

Intracellular Concentrations of Major Ions in Rat Myelinated Axons and Glia: Calculations Based on Electron Probe X-Ray Microanalyses

Abstract: Electron probe x-ray microanalysis (EPMA) was used to measure water content (percent water) and dry weight elemental concentrations (in millimoles per kilogram) of Na, K, Cl, and Ca in axoplasm and mitochondria of rat optic and tibial nerve myelinated axons. Myelin and cytoplasm of glial cells were also analyzed. Each anatomical compartment exhibited characteristic water contents and distributions of dry weight elements, which were used to calculate respective ionized concentrations. Free axoplasmic [K⁺] ranged from ≈155 mM in large PNS and CNS axons to ≈120–130 mM in smaller fibers. Free [Na⁺] was ≈15–17 mM in larger fibers compared with 20–25 mM in smaller axons, whereas free [Cl^?] was found to be 30–55 mM in all axons. Because intracellular Ca is largely bound, ionized concentrations were not estimated. However, calculations of total (free plus bound) aqueous concentrations of this element showed that axoplasm of large CNS and PNS axons contained ≈0.7 mM Ca, whereas small fibers contained 0.1–0.2 mM. Calculated ionic equilibrium potentials were as follows (in mV): in large CNS and PNS axons, E_K = ?105, E_Na = 60, and E_Cl = ?28; in Schwann cells, E_K = ?107, E_Na = 33, and E_Cl = ?33; and in CNS glia, E_K = ?99, E_Na = 36, and E_Cl = ?44. Calculated resting membrane potentials were as follows (in mV, including the contribution of the Na⁺,K⁺-ATPase): large axons, about ?80; small axons, about ?72 to ?78; and CNS glia, ?91. E_Cl is more positive than resting membrane potential in PNS and CNS axons and glia, indicating active accumulation. Direct EPMA measurement of elemental concentrations and subsequent calculation of ionized fractions in axons and glia offer fundamental neurophysiological information that has been previously unattainable.     

Rubidium Uptake and Accumulation in Peripheral Myelinated Internodal Axons and Schwann Cells

Abstract: To study mechanisms of K⁺ transport in peripheral nerve, uptake of rubidium (Rb⁺), a K⁺ tracer, was characterized in rat tibial nerve myelinated axons and glia. Isolated nerve segments were perfused with zero-K⁺ Ringer's solutions containing Rb⁺ (1–20 m M ) and x-ray microanalysis was used to measure water content and concentrations of Rb, Na, K, and Cl in internodal axoplasm, mitochondria, and Schwann cell cytoplasm and myelin. Both axons and Schwann cells were capable of removing extracellular Rb⁺ (Rb⁺_o) and exchanging it for internal K⁺. Uptake into axoplasm, Schwann cytoplasm, and myelin was a saturable process over the 1–10 m M Rb⁺_o concentration range, although corresponding axoplasmic uptake rates were higher than respective glial velocities. Mitochondrial accumulation was a linear function of axoplasmic Rb⁺ concentrations, which suggests involvement of a nonenzymatic process. At 20 m M Rb⁺_o, a differential stimulatory response was observed; i.e., axoplasmic Rb⁺ uptake velocities increased more than fivefold relative to the 10 m M rate, and glial cytoplasmic uptake rose almost threefold. Finally, Rb⁺_o uptake rate into axons and glia was completely inhibited by ouabain (2–4 m M ) exposure or incubation at 4°C. These results suggest that Rb⁺ uptake into peripheral nerve internodal axons and Schwann cells is mediated by Na⁺,K⁺-ATPase activity and implicate the presence of axonal- and glial-specific Na⁺ pump isozymes.     

Ion channel redistribution and function during development of the myelinated axon

The development of myelinated axons represents one of the most complex interactions among different cell types in the nervous system. Striking changes occur in both morphology and function in the early postnatal period. Myelination effectively isolates electrically most of the axolemma and dramatically alters the pathways for current flow that are required for rapid, reliable, and efficient conduction. Correspondingly, ion channels must be directed to and stabilized at their required sites. In the case of Na⁺ channels, this requires a 25-fold increase in density within nodes of Ranvier, and, in mammalian fibers, a virtually complete spatial separation from voltage-dependent K⁺ channels. Nodes must also be properly spaced to ensure a high conduction velocity and energy efficiency without compromising the safety factor for reliable propagation. In this review, we consider the events responsible for axon development, emphasizing the involvement of ion channels. We discuss the current state of research in this area, including some controversies regarding mechanisms of neuron-glial communication. © 1998 John Wiley & Sons, Inc. J Neurobiol 37: 80–96, 1998     

Mechanisms of Injury-Induced Calcium Entry into Peripheral Nerve Myelinated Axons: Role of Reverse Sodium-Calcium Exchange

Abstract: To investigate the route of axonal Ca²⁺ entry during anoxia, electron probe x-ray microanalysis was used to measure elemental composition of anoxic tibial nerve myelinated axons after in vitro experimental procedures that modify transaxolemmal Na⁺ and Ca²⁺ movements. Perfusion of nerve segments with zero-Na⁺/Li⁺-substituted medium and Na⁺ channel blockade by tetrodotoxin (1 µM) prevented anoxia-induced increases in Na and Ca concentrations of axoplasm and mitochondria. Incubation with a zero-Ca²⁺/EGTA perfusate impeded axonal and mitochondrial Ca accumulation during anoxia but did not affect characteristic Na and K responses. Inhibition of Na⁺-Ca²⁺ exchange with bepridil (50 µM) reduced significantly the Ca content of anoxic axons although mitochondrial Ca remained at anoxic levels. Nifedipine (10 µM), an L-type Ca²⁺ channel blocker, did not alter anoxia-induced changes in axonal Na, Ca, and K. Exposure of normoxic control nerves to tetrodotoxin, bepridil, or nifedipine did not affect axonal elemental composition, whereas both zero-Ca²⁺ and zero-Na⁺ solutions altered normal elemental content characteristically and significantly. The findings of this study suggest that during anoxia, Na⁺ enters axons via voltage-gated Na⁺ channels and that subsequent increases in axoplasmic Na⁺ are coupled functionally to extraaxonal Ca²⁺ import. Intracellular Na⁺-dependent, extraaxonal Ca²⁺ entry is consistent with reverse operation of the axolemmal Na⁺-Ca²⁺ exchanger, and we suggest that this mode of Ca²⁺ influx plays a general role in peripheral nerve axon injury.     

Slow actions of hyperpolarization on sodium channels in the membrane of myelinated nerve

The mean sodium current, $\text{I}$, and the variance of sodium current fluctuations, var, were measured in myelinated nerve during a depolarization to $\text{V = 40}\text{mV}$ applied from the resting potential ($\text{V}{}_{\mathrm{<mtext>H</mtext>}}\text{= 0}$) or from a hyperpolarizing holding potential $\text{V}{}_{\mathrm{<mtext>H</mtext>}}\text{= ?28}\text{mV}$. From $\text{I}$ and var the relative variations in the number $\text{N}$ and the conductance γ of sodium channels following changes of the holding potential were calculated. Hyperpolarizing the membrane from $\text{V}{}_{\mathrm{<mtext>H</mtext>}}\text{= 0}$ to ?28 mV increased $\text{N}$ by a factor of 3.7, whereas γ decreased by a factor of 0.53. These actions of holding potential on sodium channels develop slowly since 500 ms prepulses to 0 or ?28 mV do not alter the values of $\text{N}$ and γ.     

Molecular constituents of the node of Ranvier

The interaction between neurons and glial cells that results in myelin formation represents one of the most remarkable intercellular events in development. This is especially evident at the primary functional site within this structure, the node of Ranvier. Recent experiments have revealed a surprising level of complexity within this zone, with several components, including ion channels, sequestered with a very high degree of precision and sharply demarcated borders. We discuss the current state of knowledge of the cellular and molecular mechanisms responsible for the formation and maintenance of the node. In normal axons, Na⁺ channels are present at high density within the nodal gap, and voltage-dependent K⁺ channels are sequestered on the internodal side of the paranode—a region known as the juxtaparanode. Modifying the expression of certain surface adhesion molecules that have been recently identified, markedly alters this pattern. There is a special emphasis on contactin, a protein with multiple roles in the nervous system. In central nervous system (CNS) myelinated fibers, contactin is localized within both the nodal gap and paranodes, and appears to have unique functions in each zone. New experiments on contactin-null mutant mice help to define these mechanisms.     

Initiation of sodium channel clustering at the node of Ranvier in the mouse optic nerve

Ion fluxes in mammalian myelinated axons are restricted to the nodes of Ranvier, where, in particular, voltage-gated Na⁺ channels are clustered at a high density. The node of Ranvier is separated from the internode by two distinct domains of the axolemma, the paranode and the juxtaparanode. Each axonal domain is characterized by the presence of a specific protein complex. Although oligodendrocytes and/or myelin membranes are believed to play some instructive roles in the organization of axonal domains, the mechanisms leading to their localized distribution are not well understood. In this paper we focused on the involvement of myelin sheaths in this domain organization and examined the distribution of axonal components in the optic nerves of wild type, hypomyelinating jimpy mice and demyelinating PLP transgenic mice. The results showed that the clustering of Na⁺ channels does not require junction-like structures to be formed between the glial processes and axons, but requires mature oligodendrocytes to be present in close vicinity.