神经生长因子对体外培养大脑基底神经节神经元的保护作用

目的:研究神经生长因子(NGF)对谷氨酸造成的体外培养大脑基底神经节神经元损伤后的再生及防止神经元坏死的保护作用。方法:原代培养的胎鼠前脑基底神经节神经元,分为对照组、谷氨酸损伤组和谷氨酸损伤后NGF保护组。用倒置相差显微镜进行活细胞观察、采用RT-PCR技术检测前脑基底神经节神经元GAP-43和NF-L基因表达。结果:谷氨酸损伤神经元胞体回缩,突起消失或断裂。加入NGF后神经元绝大多数细胞胞体饱满,突起明显,细胞问的网络联系清晰可见,接近于对照组;NGF保护组大脑基底神经节GAP-43 mRNA和NF-L mRNA表达与损伤组比较具有显著性差异。结论:NGF可保护谷氨酸造成体外培养的大脑基底神经节损伤后的再生,并防止神经元坏死。     

Neurturin和神经生长因子对体外培养的神经生长因子受体阳性神经元生长发育的影响

目的探讨Neurturin(NTN)、神经生长因子(NGF)对新生大鼠基底前脑胆碱能神经元生长发育的影响。方法用免疫组化结合图象分析技术观察Neurturin和NGF对培养的新生大鼠基底前脑NGF-R阳性神经元生长发育的作用。结果培养4d时,NTN组的NGF-R阳性神经元细胞数目、突起数、胞体面积和最长突起长度均与对照组有显著性差异(P<0.05),NGF+NTN组各项指标均优于NGF组或NTN组(P<0.05);培养8d时,NTN组除突起数目外其他各项指标均与对照组无显著性差异(P>0.05),NGF+NTN组各项指标仍然均优于NGF组或NTN组(P<0.05);NTN组NGF-R阳性神经元突起数多于NGF组(P<0.05)。结论Neurturin对体外培养的新生大鼠基底前脑NGF-R阳性神经元生长发育有营养作用,但作用时间较短,而且增加突起数的作用较NGF强;Neurturin和NGF的联合作用较单独使用Neurturin或NGF为好。     

银杏内酯对大鼠基底前脑神经元生长发育的影响

目的：观察银杏内酯对培养的胚胎大鼠基底前脑胆碱能神经元和NADPH-d阳性神经元生长发育的作用。方法：取E17Wistar大鼠胚胎基底前脑进行体外细胞培养，并给予银杏内酯。进行乙酰胆碱酯酶(acetyl cholinesterase，AChE)和NADPH-d酶组织化学染色，并在光镜下进行阳性细胞计数和显微测量胞体及突起发育状况。结果：给予银杏内酯处理后，培养物中乙酰胆碱酯酶阳性神经元和NADPH-d阳性神经元数量均较对照组显著增加，且神经元发育状况好于对照组，胞体大，突起多且长。结论：银杏内酯可以促进体外培养的基底前脑神经元中乙酰胆碱酯酶和NADPH-d的表达，并能促进表达这两种酶的神经元生长发育。     

脑缺血再灌注后脑梗塞周围区生长相关蛋白-GAP43表达的变化及外源性神经生长因子的影响

目的研究大鼠脑缺血再灌注后生长相关蛋白-43(GAP-43)表达的变化规律及外源性神经生长因子(NGF)的影响.方法成年健康雌性Wistar大鼠72只,随机分为假手术组、自然恢复组、人工脑脊液组和NGF治疗组.采用线栓法建立大脑中动脉缺血再灌注(MCAO)动物模型,应用免疫组织化学方法观察脑缺血再灌注后GAP-43的表达.结果(1)脑缺血再灌注6 h后,缺血周围区GAP-43表达逐渐增高,第7天达高峰,以后逐渐降低,第21天仍有表达.(2)应用外源性NGF后,GAP-43表达较对照组有所增高,但无显著性差异(P＞0.05).结论提示中枢神经系统损伤后,神经元具有再生和修复的可塑性,外源性NGF对GAP-43的调节有待于进-步研究.     

Aβ31-35和ApoE4对体外大鼠基底前脑神经元存活和生长的协同作用

目的　探讨 β-淀粉样蛋白 (Aβ)和载脂蛋白 (Apo E4)对基底前脑神经元存活和生长的影响 ,研究Alzheimer病 (AD)发病的细胞分子机制。　方法　体外培养基底前脑神经细胞 ,MTT法和免疫细胞化学方法结合体视学分析 ,观察 Aβ31- 35和 Apo E4对基底前脑神经元存活及胞体和突起生长的影响。　结果　 (1) MTT法测得的 Aβ- 31- 35 Apo E4组的 A值 ,与对照组比较明显减小 (P<0 .0 5 ) ,说明神经元的存活力降低 ,存活数量减少 ;(2 )Aβ31- 35 Apo E4组的神经元胞体最长径和最短径明显低于对照组和 Apo E4组 (P<0 .0 5 ) ;平均突起长度也明显低于对照组、Apo E4组和 Aβ31- 35 (10 μmol/ L)组 (P<0 .0 1) ;(3) Aβ31- 35 (2 0 μm ol/ L)组平均突起长度比对照组、Apo E4组和 Aβ31- 35 (10 μmol/ L)组明显减小 (P<0 .0 1) ;(4) Aβ31- 35 Apo E4组和 Aβ31- 35 (2 0 μm ol/ L)组的胆碱能神经元最长突起长度、总突起长度及平均突起长度均明显低于对照组 (P<0 .0 1) ;且这两组的 Ch AT阳性神经元的胞体平均灰度也明显低于对照组 (P<0 .0 5 ) ,说明 Ch AT的活性下降。单独 Apo E4对基底前脑神经元的存活和生长均无明显影响。　结论　 Aβ31- 35 Apo E4比单独 Aβ31- 35对神经元存活及胞体和突起生长的抑制作     

中药神经再生素作用于背根神经节细胞过程中基因的表达变化

目的 探讨中药神经再生素(NRF)作用的分子生物学机制。方法 采用半定量PCR方法，观察和比较NRF组、NGF组和空白对照组中生长相关蛋白43(GAP-43)、低分子量神经丝蛋白(NF-L)、翻译延伸因子2A3-2(EF-Ts，RRAJ5161)和锌指样蛋白DDP2(F196315)基因水平的表达变化。结果 在NRF作用于离体培养的DRG细胞过程中，GAP-43、NF-L、2A3-2和DDP2基因表达在不同时间呈不同程度的上调。结论 NRF促神经生长的作用与NGF相似，可作用于蛋白翻译水平，促进神经细胞的生长；作用于细胞骨架蛋白水平，维持神经细胞的形态和神经细胞正常生理活动；作用于神经细胞特异的蛋白水平，具有维持细胞生存及促进神经细胞突起生长的作用；还可以作用于反式因子调控水平，影响相关基因的表达，促进神经元存活和神经突起延伸。     

Neurturin和NGF联合应用对AD模型鼠基底前脑NGFR阳性神经元的保护作用

本研究目的是探讨neurturin和神经生长因子(NGF)联合应用对穹窿-海马伞(FF)切断后基底前脑胆碱能神经元的保护作用。将这两种因子联合注射到FF切断的大鼠侧脑室,注射一个月后,取脑进行免疫组化结合图像分析方法对内侧隔核(MS)和斜角带核垂直支(VDB)的神经生长因子受体(NGFR)阳性神经元存活情况进行比较分析。结果表明:FF切断一个月后,损伤组损伤侧MS和VDB的NGFR阳性神经元大量减少(分别减少64.8％和51.4％),MS和VDB的NGFR阳性细胞的面积和周长显著降低(P<0.01),OD值显著增高(P<0.01);NGF组损伤侧NGFR阳性神经元受到保护,NGFR阳性经元数显著高于损伤组损伤侧(P<0.01);联合组损伤侧NGFR阳性神经元也受到保护(MS和VDB细胞数分别只下降7.3％和15.4％),与损伤组损伤侧比较NGFR阳性细胞数增加了57.4％和36.0％(P<0.01),也明显高于NGF组(P<0.05);细胞形态学参数明显改善(P<0.05),细胞膜受体含量显著提高(P<0.05)。结果提示,neurturin和NGF联合应用和NGF单独应用均能不同程度地保护基底前脑胆碱能神经元,联合应用效果更佳。     

神经节苷脂对损伤胎鼠背根神经节的保护作用

目的观察神经节苷脂(GM1)对受损伤胎鼠背根神经节(DRG)神经元形态改变的影响,探讨其可能的保护作用。方法选择胎龄为15d的SD大鼠为研究对象,获取DRG神经元并进行体外分散培养,培养48h后,随机分为对照组、谷氨酸损伤组和谷氨酸损伤+GM1保护组,继续培养12h。终止培养后,观察各组神经元的形态结构改变,用MTT法鉴定细胞的存活率。结果对照组DRG神经元细胞贴壁呈单层散在分布,少部分出现细胞聚集现象,突起较长且互相交织形成网状。谷氨酸损伤组DRG神经元细胞聚集现象明显,神经元突起变短、断裂甚至消失。谷氨酸损伤+GM1保护组DRG神经元细胞部分呈簇状聚集,部分呈单个散在分布,突起仍然相互交织。MTT结果显示谷氨酸损伤+GM1保护组细胞存活率高于谷氨酸损伤组。结论神经节苷脂可以影响损伤胎鼠DRG神经元的形态改变,对胎鼠背根神经节神经元具有一定的保护作用。     

ATP诱导大鼠原代培养海马神经元神经毒性及对GAP-43表达的影响

目的:观察不同浓度ATP对大鼠原代培养海马神经元的损伤作用及GAP-43表达的影响,并探讨其可能机制。方法:原代培养新生SD大鼠海马神经元至第8 d,MTT法检测不同浓度ATP作用下海马神经元的存活率,倒置相差显微镜观察海马神经元的形态学改变,免疫荧光细胞化学法观察损伤后海马神经元GAP-43的表达变化,钙离子荧光染料Flou-4/AM检测细胞内钙离子的浓度变化。结果:低浓度ATP对海马神经元无明显影响,高浓度ATP对海马神经元有毒性损伤作用,且呈剂量依赖性。P2X受体拮抗剂可阻断ATP介导的细胞毒性作用,但P2X7受体拮抗剂的阻断作用不明显。高浓度ATP作用海马神经元4 h后,GAP-43的表达水平明显上调,且表达部位发生改变,主要表达于胞体,突起表达减少甚至消失。高浓度ATP组荧光衰减速率明显减慢,说明高浓度ATP参与了海马神经元细胞内钙调节。结论:高浓度ATP对海马神经元有毒性损伤作用,损伤后GAP-43代偿性表达增多,且与细胞内钙离子浓度变化有关,P2X7受体可能不是介导ATP此作用的主要受体亚型。     

白藜芦醇预处理对大鼠皮质神经元氧糖剥夺/再复氧损伤后神经元突起生长的影响

目的探讨白藜芦醇预处理对大鼠皮质神经元氧糖剥夺/再复氧损伤后神经元突起生长的影响。方法体外皮质神经元氧糖剥夺150min,复氧培养24 h。实验分为正常组、对照组和5μmol/L白藜芦醇预处理组。免疫荧光法鉴定神经元,细胞计数试剂盒8(CCK-8)法测定细胞活力,TUNEL法检测细胞凋亡,免疫荧光法和Western blotting检测微管相关蛋白2(MAP-2)和生长相关蛋白43(GAP-43)的表达,并计数神经元突起的长度和数目。结果培养细胞均高表达神经元特异性标记物MAP-2。白藜芦醇组细胞活力较对照组明显增加(0.551±0.009比0.436±0.013,P0.01),而凋亡则明显降低(18.3%±1.3%比35.3%±1.9%,P0.01),上调MAP-2(0.790±0.102比0.462±0.063,P0.01)和GAP-43(0.768±0.084比0.424±0.065,P0.01)蛋白的表达,增加神经元突起的长度(89.510±6.939比61.538±9.14,P0.01)和数目(6.347±1.002比3.040±0.608,P0.01)。结论白藜芦醇预处理能减轻氧糖剥夺/再复氧对神经元的损伤,促进神经元突起的生长。     

BDNF、NGF对体外长期培养的胚基底前脑胆碱能神经元的影响

本文探讨了脑源性神经营养因子、神经生长因子对体外长期培养的胚基底前脑胆碱能神经元是否具有延缓退变的作用。实验分为脑源性神经营养因子组、神经生长因子组、脑源性神经营养因子加神经生长因子组及单纯对照组。取孕 17d SD大鼠胚基底前脑原基制成细胞悬液接种于 2 4孔培养板中 ,按分组加入含相应神经营养因子和不含神经营养因子的 DMEM培养液 ,分别于体外培养 12、18、2 4、3 0 d后进行乙酰胆碱酯酶组织化学反应。显微镜下计数各孔中乙酰胆碱酯酶阳性神经元数 ,每孔随机测量和计数 2 5个乙酰胆碱酯酶阳性神经元的平均胞体直径、发出的突起数和最长突起长度。数据用方差分析和 SNK检验进行统计学处理。结果显示 ,在培养的 4个时期 ,含脑源性神经营养因子组、神经生长因子组和脑源性神经营养因子加神经生长因子组的各项数据均明显地优于单纯对照组 ;脑源性神经营养因子加神经生长因子组的各项数据 ,特别是最长突起长度优于单独使用脑源性营养因子或神经生长因子组。提示 :脑源性神经营养因子和神经生长因子不仅对体外培养的胚胆碱能神经元发育生长具有促进作用 ,而且还可延缓体外长期培养的大鼠胚基底前脑胆碱能神经元的退变 ;两者的联合使用还可对延缓其退变具有协同作用     

Cellular reactions to axotomy in rat superior cervical ganglia includes apoptotic cell death

The cellular response to axonal injury in the superior cervical ganglion was examined by immunofluoresence at intervals from 6 h to 14 days after transection of the internal and external carotid nerves. GAP-43-immunoreactivity (IR) appeared in some neurons in the ganglia 1 day after axotomy, while neurons in control ganglia were GAP-43 negative. In 3 days axotomized ganglia GAP-43-IR structures were increased in number and intensity in nerve fiber bundles, while GAP-43-positive perikarya were restricted to the middle and caudal parts of the ganglia and showed an intensity that was stronger than at 1 day after axotomy. These GAP-43-positive neurons were also galanin positive. In the cranial part of the ganglia, S100-IR in satellite cells was weak at 18 h after axotomy. Peripheral to this area, S100-IR was stronger and co-localized with HSP-72-IR, preferentially located in satellite cells. HSP-72-IR was, however, occasionally observed also in principal neurons at 1 and 3 days after axotomy. In eosin-stained sections, neurons and satellite cells in the cranial part of 1 day axotomized ganglia were reduced in number, and a further loss was noted at 3 days. At 12 h some satellite cells in the cranial part of the ganglia were labelled by the in situ DNA 3'-end labelling method, indicating apoptosis, and at 18 h many cells were labelled. Some neuronal perikarya were also labelled in this region. Labelling was not observed at 1 day or later after axotomy, nor in control ganglia. The results may imply that not only neurons but also satellite cells react to neuronal axonal injury with apoptosis. Neurons in the middle and caudal part of the ganglia survived and showed increased content of GAP-43 and galanin, possibly a sign of regeneration/neuronal plasticity.     

Time-dependent differences in the increase in GAP-43 expression in dorsal root ganglion cells after peripheral axotomy.

Peripheral axotomy of primary afferent neurons results in the up-regulation of the growth-associated phosphoprotein GAP-43, by dorsal root ganglion cells. We have studied the temporal sequence of GAP-43 expression in those dorsal root ganglion neurons with unmyelinated axons (the small dark cells) and in those with myelinated axons (the large light cells) after sciatic nerve section in the adult rat. Immunoreactivity for the RT 97 neurofilament epitope, which is detectable only in large light dorsal root ganglion cells, was used to differentiate the two types of dorsal root ganglion cell. Within two days of a sciatic nerve section the number of GAP-43-immunoreactive profiles in the ipsilateral ganglion had increased five-fold and this increase persisted for 80 days post-section. While 50% of the small numbers of GAP-43-positive cells in control ganglia were RT 97 positive, only 8% of the large number of GAP-43-immunoreactive cells four days post-section, were RT 97 positive. By 14 days the number of RT 97-positive/GAP-43-positive cells had increased to 29%. This was paralleled by an increase in GAP-43 immunoreactivity in large diameter profiles at 14 days. The signals that alter GAP-43 expression in unmyelinated (small, RT 97 -ve) and myelinated (large, RT 97 +ve) afferents after peripheral nerve injury appear to operate with different time-courses.     

臂丛损伤再生中GAP-43 mRNA及其蛋白的表达

目的：分析臂丛损伤后脊髓前角运动神经元表达GAP-43 mRNA及其蛋白的变化规律，探讨神经损伤再生的机制。方法：建立3种臂丛损伤模型：右C₇前根撕脱（A组）；右C₇前根撕脱＋同侧C5-T₁后根断离（B组）；右C₇前根撕脱+右C₅C₆间脊髓半横断（C组）。用荧光定量RT-PCR方法检测术后14 d时 C₇前角GAP-43 mRNA的表达量。用免疫组化方法检测术后1、 3、 7、14 d脊髓前角GAP-43免疫阳性运动神经元的表达。结果：对照组C₇前角GAP-43 mRNA呈低表达，损伤组GAP-43 mRNA表达显著上调。损伤组术后1 d、3 d时均未见C₇前角 GAP-43免疫阳性神经元，术后7 d各损伤组GAP-43免疫阳性神经元开始出现，14 d时免疫阳性神经元数目达到高峰。3组间比较，C组表达量最高，B组最低，A组居中。结论：臂丛损伤诱导运动神经元GAP-43 mRNA及其蛋白表达上调，GAP-43合成增加是神经元蛋白重组所致，与轴索再生和神经功能重建有关。     

星形胶质细胞和神经生长因子对新生大鼠脑内P物质受体阳性神经元存活与突起生长的影响──体外培养研究

本实验用无血清培养进行神经元与星形胶质细胞的联合培养，观察了星形胶质细胞和神经生长因子对新生大鼠基底神经节和下位脑干内的P物质受体阳性神经元存活与生长的影响。结果表明：（1）含神经生长因子的NeurobasalMedium／N2supplement（N／N2）能支持新生鼠脑神经元的存活和神经元突起的生长，其效果与加血清的Dulbacco改良Eagle培养基（s－DMEM）相似；（2）利用星形胶质细胞作为滋养细胞，种植新生鼠基底神经节和下位脑干细胞于其上，可见星形胶质细胞对神经元的突起生长（生长锥）有明显的促进作用，其中基底神经节神经元神经突的生长优于下位脑干神经元；（3）免疫组织化学反应结果显示，来源于基底神经节的培养神经元有87％为P物质受体阳性神经元，而下位脑干为84％，P物质受体阳性神经元的胞体形态完整，突起生长良好。本实验表明含神经生长因子的N／N2Medium或s－DMEM可作为P物质受体神经元体外培养的培养基，星形胶质细胞可在一定程度上支持新生大鼠脑P物质受体神经元的存活与突起生长，并可保持其分化特性。     

Expression of GAP-43 mRNA in the adult mammalian spinal cord under normal conditions and after different types of lesions,with special reference to motoneurons

Summary In situ hybridization histochemistry was used to detect cell bodies expressing mRNA encoding for the phosphoprotein GAP-43 in the lumbosacral spinal cord of the adult rat, cat and monkey under normal conditions and, in the cat and rat, also after different types of lesions. In the normal spinal cord, a large number of neurons throughout the spinal cord gray matter were found to express GAP-43 mRNA. All neurons, both large and small, in the motor nucleus (Rexed's lamina IX) appeared labeled, indicating that both alpha and gamma motoneurons express GAP-43 mRNA under normal conditions. After axotomy by an incision in the ventral funiculus or a transection of ventral roots or peripheral nerves, GAP-43 mRNA was clearly upregulated in axotomized motoneurons, including both alpha and gamma motoneurons. An increase in GAP-43 mRNA expression was already detectable 24 h postoperatively in lumbar motoneurons both after a transection of the sciatic nerve at knee level and after a transection of ventral roots. At this time, a stronger response was seen in the motoneurons which had been subjected to the distal sciatic nerve transection than was apparent for the more proximal ventral root lesion. An upregulation of GAP-43 mRNA could also be found in intact motoneurons located on the side contralateral to the lesion, but only after a peripheral nerve transection, indicating that the concomitant influence of dorsal root afferents may play a role in GAP-43 mRNA regulation. However, a dorsal root transection alone did not seem to have any detectable influence on the expression of GAP-43 mRNA in spinal motoneurons, while the neurons located in the superficial laminae of the dorsal horn responded with an upregulation of GAP-43 mRNA. The presence of high levels of GAP-43 in neurons has been correlated with periods of axonal growth during both development and regeneration. The role for GAP-43 in neurons under normal conditions is not clear, but it may be linked with events underlying remodelling of synaptic relationships or transmitter release. Our findings provide an anatomical substrate to support such a hypothesis in the normal spinal cord, and indicate a potential role for GAP-43 in axon regeneration of the motoneurons, since GAP-43 mRNA levels was strongly upregulated following both peripheral axotomy and axotomy within the spinal cord. The upregulation of GAP-43 mRNA found in contralateral, presumably uninjured motoneurons after peripheral nerve transection, as well as in dorsal horn neurons after a dorsal root transection, indicates that GAP-43 levels are altered not only as a direct consequence of a lesion, but also after changes in the synaptic input to the neurons.     

Selective expression of protein F1/(GAP-43) mRNA in pyramidal but not granule cells of the hippocampus

Protein F1/GAP-43 is a protein kinase C substrate associated with axonal growth and synaptic plasticity. We used in situ hybridization in rat brain to determine the cellular distribution of its gene expression. Throughout the septotemporal axis of the adult hippocampus, pyramidal cells express F1/GAP-43 mRNA, but granule cells do not. To determine if F1/GAP-43 expression in granule cells ever occurs, we studied its expression in development during mossy fiber outgrowth, when expression should be maximal. Quantitation of relative hybridization levels in the hippocampus revealed a modest increase in granule cell F1/GAP-43 mRNA coincident with mossy fiber outgrowth. But even the peak hybridization in granule cells on day 16 was 75% less than in pyramidal cells. The distribution of grains was over the entire granule cell layer at day 9, but was restricted by day 20 to the inner aspect of the layer, the site of the youngest cells which are still sending out axonal processes. Cell-selective expression of F1/GAP-43 within a particular brain structure was not restricted to the hippocampus. In cerebellum, F1/GAP-43 hybridization was detected in granule cells but not Purkinje cells; in olfactory bulb, mitral cells but not internal granule cells; in habenula, cells in the lateral but not medial nucleus; in substantia nigra, pars compacta cells but not cells in pars reticulata. Neurons containing biogenic amines exhibited intense F1/GAP-43 hybridization: substantia nigra pars compacta (dopamine), the locus coeruleus (norepinephrine), and dorsal raphe (serotonin). In contrast, cholinergic neurons exhibited little (basal forebrain) or no (medial habenula) hybridization. F1/GAP-43 expression is not restricted to a specific cell type and is not correlated with axon length. High F1/GAP-43 expression is apparent in many neurons having either neuromodulatory or memory storage functions. We propose that F1/GAP-43 is important for accelerating process outgrowth and synaptic remodeling, rather than directing growth itself.     

周围神经损伤诱导的GAP-43mRNA表达及神经元超微结构变化

目的 :研究周围神经损伤与再生过程中神经元GAP 4 3mRNA表达及细胞超微结构变化。方法 :原位杂交组织化学法 ,超薄切片透射电镜观察。结果 :坐骨神经损伤后 ,神经元GAP 4 3mRNA表达增加 ,神经再生完成后表达下降。运动神经元粗面内质网减少 ,游离核糖体增多 ,感觉神经元粗面内质网移向细胞边缘。结论 :神经元GAP 4 3mRNA表达受轴突断裂诱导显著升高 ,并与神经元再生状态密切相关。周围神经损伤后 ,神经元的超微结构变化与GAP 4 3mRNA表达增加相符。     

自体移植脾组织内GAP-43神经的生成机制

为探索自体移植脾组织内GAP-43神经的再生机制,将Wistar大鼠42只随机分为实验组和对照组。实验组切除脾脏以后,切取1／2脾脏,切成1 mm×1 mm×1 mm大小的组织块植入大网膜内,术后7、14、30、60、90、120、180 d取脾组织标本通过原位杂交检测GAP-43 mRNA、NGF mRNA和TrkA mRNA,同时进行免疫组化染色观察GAP-43神经。对照组手术松动脾脏,在术后相同时间点取脾组织作对照观察。结果显示:术后30 d检测到移植脾组织内有GAP-43 mRNA、NGF mRNA和TrkA mRNA表达,90 d达高峰后开始下降;术后60 d明显可见GAP~43染色阳性神经纤维,90 d密度最大,主要存在于血管周围,以后无明显改变。结果提示:自体移植脾组织内GAP-43神经再生与内源性NGF和TrkA表达密切相关。