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同济医科大学
纸质出版日期:1988
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艾民康, 陈桃香, 李正莉, 等. 某些超微结构及免疫细胞化学观察所见——作为疼痛机制闸门控制学说的形态学基础[J]. 针刺研究, 1988,(2):98-105.
Ai Minkang Chen Taoxiang Li Zengli Wu Zhongjing Hu Daosong Cao Fuyuan Chang Guoqing Ru Liqiang. SOME ULTRASTRUCTURE AND IMMUNOCYTOCHEMICAL FINDINGS Taken as Morphological Basis for the Gate Control Theory of Pain Mechanism[J]. Acupuncture research, 1988, (2): 98-105.
艾民康, 陈桃香, 李正莉, 等. 某些超微结构及免疫细胞化学观察所见——作为疼痛机制闸门控制学说的形态学基础[J]. 针刺研究, 1988,(2):98-105. DOI:
Ai Minkang Chen Taoxiang Li Zengli Wu Zhongjing Hu Daosong Cao Fuyuan Chang Guoqing Ru Liqiang. SOME ULTRASTRUCTURE AND IMMUNOCYTOCHEMICAL FINDINGS Taken as Morphological Basis for the Gate Control Theory of Pain Mechanism[J]. Acupuncture research, 1988, (2): 98-105. DOI:
本文报道某些与痛有关结构的超微免疫细胞化学
以期为疼痛闸门控制学说提供一些形态学基础。切断大白鼠单侧脊髓后根(L(1-5))后
动物皆以4%多聚甲醛液经心脏灌注
相应节段脊髓的振动切片以 Sternberger 氏 PAP 技术或酶联 A 蛋白(HRP-PA)方法显示 P 物质(SP)及亮氨酸脑啡肽(ENK)的免疫反应性(IR)。在背角第Ⅰ、Ⅱ层切取免疫反应阳性区域
进一步处理后作电子显微镜观察
结果发现:1.SP 免疫反应产物可出现于后角浅层突触球内中心终末内
而且中心终末周围的树突、轴突与之发生突轴而形成轴(SP)—树(未标记)
轴(SP)—轴(未标记)以及树(末标记)—轴(SP)突触。这提示:一级传入伤害性信息
可通过含 SP 中心终末向来于深层神经元的许多树突传送
以及感受伤害性传入也可能受突触前树突的调制。2.轴(SP 或 ENK)—树(未标记)—轴(SP 或 ENK)三联突触的模式
可代表由两个不同轴突(SP 或 ENK)传递的信息可聚集于同一个神经元的同一个树突内。3.切断后根后
可出现轴(ENK)—轴(变性)突触
似可作为 ENK 突触前抑制含 SP感觉传入神经的一种重要的神经解剖根据
因此
在胶状质水平这种突触前抑制模式的存在无论如何不能排除。4.也见到两个含 ENK 的突起发生突触。由于已证明 Melzack-Wall 闸门学说中的有许多“中间神经元及 SG 细胞”系 ENK 能的
那么
本文中所见的轴(ENK)—轴(ENK)突触似可作为背角浅层内脱抑制功能的形态学依据。
For the purpose of providing further morphological evidences to explain the gate control theory of pain mechanism the electron microseope-immunocyto- chemistry of a few structures relating to pain were studied.After unilateral transection of the dorsal roots(L1-5)of rat spinal cord
the animals were perfused through heart with 4% paraldehyde and the vibratome sections of corresponding segments of cord were treated by Sternberger's PAP technique or HRP protein A(HRP-PA)method for the demonstration of SP-and ENK- immunoreactivity(IR).Then the positive region of immunoreaction in laminae Ⅰ
Ⅱ was removed and further processed for electron microscopic observations. It was found: 1)SP-IR was present in the central nerve ending of synaptic glomerule withwhich the unlabelled dendrites and axons were synapsed to form axo(SP)- dendritic(unlabelled)axo(SP)-axonic(unlabelled)
and dendro(unlabelled)- axonic(SP)contacts.These patterns of synapse may interpret that the nociceptive information transmitted via the SP containing central ending of glomerule might be transfered to many dendrites of neurons in deeper layers and would be modulated by the presynaptie dentrite. 2)The triad synaptie pattern
ie:axo(SP or ENK)-dendrite(unlabeled)- axonic(SP or ENK)might represent that different informations via different SP or ENK containing axons may converge to a common dentrite. 3)The presence of axo(ENK)-axonic(degenerated)synapse after transe- ction of dorsal roots would be regarded as the one of the important neuroan- atomic basis for the ENK presynaptic inhibition of the SP containing afferent nerve.Thus
anyway
the existance of presynaptic inhibition at the level of substantia gelatinosa could not be excluded. 4)The synapse of double ENK containing processes was also found. Because a lot of“interneuron and SG cell”as illustrated in the diagram of Melzack-Wall's gate theory were proved to be ENKnergic
the figure of axo (ENK)-axonic(ENK)synapse found in present paper might be considered as a morphological evidence of de-inhibitlon function in superficial layers of dorsal horn.
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