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植入式光生物调节对脊髓损伤小鼠轴突再生及运动功能恢复的影响研究

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目的 探究植入式生物医学光纤介导的光生物调节(photobiomodulation,PMB)对脊髓损伤(spinal cord injury,SCI)小鼠轴突再生和运动功能恢复的影响.方法 研究对象为C57BU6J小鼠45只,随机分为假手术(Sham)组、SCI组和SCI+植入式PBM组(SCI+PBM组),共三组,每组15只小鼠.其中,Sham组小鼠仅进行T9椎体椎板切除术;SCI组和SCI+PBM组小鼠在完成T9椎体椎板切除术后,均构建脊髓钳夹损伤模型,并随后将植入式生物医学光纤固定于脊髓损伤小鼠T8和T10椎体的棘突及椎旁软组织上,SCI组不进行PBM干预;仅SCI+PBM组小鼠在脊髓损伤后即刻接受波长808 nm,功率密度50 mW/cm2,照射时间为30 min的低能量激光照射治疗,SCI+PBM组小鼠脊髓损伤后每天相同时间点接受一次激光照射治疗,共照射28 d.在三组小鼠干预后的第14天,每组取4只小鼠,以T9节段脊髓为中心各取lcm长的脊髓组织制作冰冻切片,并利用免疫荧光染色观察三组小鼠损伤区Oligo2+少突胶质细胞和Map2+神经元的数量改变,以评估三组小鼠的轴突再生情况.三组小鼠干预后第1、3、7、14、21和28天,取6只小鼠,利用巴索小鼠量表(basso mouse scale,BMS)评估小鼠后肢运动功能的恢复情况.三组小鼠干预后第28天,每组各取4只小鼠,利用运动诱发电位检测评估小鼠脊髓损伤的恢复情况.结果 三组小鼠干预后第14天,SCI组损伤区神经元轴突和少突胶质细胞数量显著少于Sham组(P<0.05),而SCI+PBM组损伤区神经元轴突和少突胶质细胞数量明显高于SCI组(P<0.05).三组小鼠干预后第28天,小鼠运动功能评估显示,SCI+PBM组BMS评分和运动诱发电位的振幅均高于SCI组小鼠(P<0.05).结论 植入式生物医学光纤介导的PBM可促进SCI小鼠中少突胶质细胞的存活、轴突再生及后肢运动功能恢复.
Study on Effect of Implantable Photobiomodulation on Axonal Regeneration and Motor Function Recovery of Mice Suffered Spinal Cord Injury
Objective To investigate the effect of implantable biomedical fiber-optic-mediated photobiomodulation(PMB)on the axonal regeneration and motor function recovery in spinal cord injured(SCI)mice.Methods The research subjects included 45 C57BU6J mice,those were randomly divided into 3 groups(15 mice in each group):a sham operation(Sham)group,spinal cord injury(SCI)group and spinal cord injury+implantable photobiomodulation therapy(SCI+PBM)group.The mice in the Sham group were given only laminectomy of the T9 vertebral body.The mice in the SCI group and the SCI+PBM group all experienced the construction of a spinal cord clamp injury model upon the laminectomy of the T9 vertebral body,after which the implantable biomedical optical fiber was fixed on the spinous processes and paravertebral soft tissues of T8 and T10 vertebrae in the mice with spinal cord injury.No PBM intervention was given to the mice in the SCI group.For the mice in the SCI+PBM group,low-energy laser irradiation treatment with a wavelength of 808 nm,a power density of 50 mW/cm2 and a duration of 30 minutes was given immediately after the spinal cord injury,which was conducted at the same time per day for 28 days in total.On the 14th day after the intervention on the mice of the three groups,4 mice were taken from each group,1 cm spinal cord tissue was taken from their T9 segment of the spinal cord as the center to make frozen sections,and immunofluorescence staining was used to observe the change to the number of the Oligo2+oligodendrocytes and Map2+neurons in the injured areas with a view to evaluating the axonal regeneration of the mice in the three groups.On the 1st,3rd,7th,14th,21th and 28th day after the intervention on the mice of the three groups,basso mouse scale(BMS)scores were used to evaluate the recovery of hind limb motor functions of 6 mice picked from each group respectively.On the 28th day after the intervention,motor evoked potential detection was conducted on 4 mice of each group to evaluate the recovery of the mice's spinal cord injury.Results The number of neuronal axons and oligodendrocytes involved in myelination formation in the injured area was much smaller in the SCI group than in the Sham group(P<0.05),but the number was much greater in the SCI+PBM group than in the SCI group(P<0.05).The evaluation of mouse motor function showed that the BMS score and motor evoked potential amplitude of the mice in the SCI+PBM group were higher than those in the SCI group(P<0.05).Conclusions The implantable biomedical fiber-optic-mediated photobiomodulation(PMB)will promote the survival of oligodendrocytes,axonal regeneration and motor function recovery in SCI mice.

Spinal cord injuryMyelin sheathAxonal regeneration

施翌、丁坦、胡学昱、王哲、马阳光

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中国人民解放军空军军医大学基础医学院(西安市,710032)

中国人民解放军空军军医大学第一附属医院骨科

中国人民解放军71897部队医院骨科

光生物调节 脊髓损伤 髓鞘 轴突再生

陕西省重点研发计划中部战区陆军医学自主科研项目

2021ZDLSF02-102023QN02

2024

中国激光医学杂志
中国光学学会

中国激光医学杂志

CSTPCD
影响因子:0.677
ISSN:1003-9430
年,卷(期):2024.33(2)
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