人发角蛋白对脊髓损伤大鼠少突胶质细胞增殖分化效应的影响

目的探讨体内可降解生物材料人发角蛋白(HHK)植入急性冲击性损伤脊髓后,对神经再生过程中少突胶质细胞增殖分化效应的影响。方法采用改制Ⅱ型NYU装置,在建立大鼠急性冲击性脊髓损伤模型基础上,将经过特殊处理后能在体内降解的HHK植入大鼠脊髓损伤部位,对植入后1、4、12、26周损伤脊髓组织进行光学和电镜结构观察。结果第1周时,损伤部位可见少突胶质细胞散在分布于大量浸润的炎症细胞中;第4周时,通过Mallory's磷乌酸苏木素染色,显示HHK周边呈层包绕的增生少突胶质细胞;第12和26周主要为神经再生和髓鞘重建过程,重建中的少突胶质细胞髓鞘内出现较大的空腔,髓鞘层状分离,并形成大小不一的髓鞘小体,重建髓鞘周边可见新生的少突胶质细胞。结论在急性冲击性脊髓损伤后神经再生过程中,HHK对少突胶质细胞的增殖分化及髓鞘再生修复有积极作用,为进一步综合研究HHK对脊髓损伤修复的作用提供了实验依据。

Effect of human hair keratin implant on oligodendrocyte proliferation and differentiation in rats with acute spinal cord injury

Objective To investigate the changes of oligodendrocyte proliferation and differentiation in response to implantation of degradable human hair keratin (HHK) into the spinal cord with acute injury in adult rats. Method Rat models of acute spinal cord injury were established by direct impact of the exposed spinal cord with a weight-dropping device, 12 of which received immediate HHK implant into the injured spinal cord. The rats of control injury group (n=12) were subjected to the injury but did not receive subsequent implant, and those in sham operation group (n=12) only had the spinal cord exposure without injury. Another 8 rats were used as the normal control group. Samples of the spinal cord were obtained 1, 4, 12, and 26 weeks respectively after the operations and serial sections were prepared for examination with light and electron microscope. Results One week after the injury, few oligodendrocytes were observed among the large number of the infiltrating leukocytes in the injured spinal cord with HHK implants. Staining with hematoxylin eosin and Mallory's phosphotungstic acid-hematoxylin at the fourth week revealed oligodendrocyte proliferation around the HHK implant. The period from the 12th to 26th week was characterized by nerve regeneration and myelin sheath reconstruction, in the course of which empty cavity occurred within the sheath of the oligodendrocytes, and lamellar separation of the myelin sheath were observed. Phagocytized myelin sheath and axone fragment were detected in oligodendrocytes, with the newly generated oligodendrocytes scattering abound the rebuilt myelin sheath. Conclusion HHK can be beneficial for the proliferation and differentiation of oligodendrocytes and myelin sheath rebuilding and repair in the course of neuronal regeneration after acute spinal cord injury.