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Glial scar and neuroregeneration: histological, functional, and magnetic resonance imaging analysis in chronic spinal cord injury Laboratory investigation

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单位: [1]Third Mil Med Univ, Dept Neurosurg, Southwest Hosp, Chongqing 400038, Peoples R China [2]Third Mil Med Univ, Inst Pathol, Southwest Hosp, Chongqing 400038, Peoples R China [3]Capital Univ Med Sci, Beijing Ctr Neural Regenerat & Repairing, Beijing, Peoples R China [4]Beijing Sinojapan Friendship Hosp, Beijing, Peoples R China [5]Fourth Mil Med Univ, Dept Anat, Fac Basic Med, Xian 710032, Peoples R China [6]Univ Nevada, Sch Med, Dept Physiol & Cell Biol, Reno, NV 89557 USA
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关键词: chronic spinal cord injury glial scar axonal regeneration magnetic resonance image

摘要:
Object. A glial scar is thought to be responsible for halting neuroregeneration following spinal cord injury (SCI). However, little quantitative evidence has been provided to show the relationship of a glial scar and axonal regrowth after injury. Methods. In this study performed in rats and dogs, a traumatic SCI model was made using a weight-drop injury device, and tissue sections were stained with H & E for immunohistochemical analysis. The function and behavior of model animals were tested using electrophysiological recording and the Basso-Beattie-Bresnahan Locomotor Rating Scale, respectively. The cavity in the spinal cord after SCI in dogs was observed using MR imaging. Results. The morphological results showed that the formation of an astroglial scar was defined at 4 weeks after SCI. While regenerative axons reached the vicinity of the lesion site, the glial scar blocked the extension of regrown axons. In agreement with these findings, the electrophysiological, behavioral, and in vivo MR imaging tests showed that functional recovery reached a plateau at 4 weeks after SCI. The thickness of the glial scars in the injured rat spinal cords was also measured. The mean thickness of the glial scar rostral and caudal to the lesion cavity was 107.00 +/- 20.12 mu m; laterally it was 69.92 +/- 15.12 mu m. Conclusions. These results provide comprehensive evidence indicating that the formation of a glial scar inhibits axonal regeneration at 4 weeks after SCI. This study reveals a critical time window of postinjury recovery and a detailed spatial orientation of glial scar, which would provide an important basis for the development of therapeutic strategy for glial scar ablation. (DOI: 10.3171/2010.3.SPINE09190)

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出版当年[2009]版:
大类 | 4 区 医学
小类 | 3 区 外科 4 区 临床神经病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 外科
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出版当年[2008]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q1 SURGERY Q2 CLINICAL NEUROLOGY

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第一作者单位: [1]Third Mil Med Univ, Dept Neurosurg, Southwest Hosp, Chongqing 400038, Peoples R China
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