| 研究生: |
李柏萱 Lee, Po-Hsuan |
|---|---|
| 論文名稱: |
壓迫時間和變形夾合力損失對大鼠夾子造成脊髓損傷的影響 Characterizing the Impact of Compression Duration and Deformation-Related Loss of Closure Force on Clip-Induced Spinal Cord Injury in Rats |
| 指導教授: |
林宙晴
Lin, Chou-Ching 蔡坤哲 Tsai, Kuen-Jer |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 臨床醫學研究所碩士在職專班 Institute of Clinical Medicine(on the job class) |
| 論文出版年: | 2024 |
| 畢業學年度: | 112 |
| 語文別: | 英文 |
| 論文頁數: | 32 |
| 中文關鍵詞: | 脊髓損傷 、動脈瘤夾 、體感覺誘發電位 、BBB評分 、動物模型 |
| 外文關鍵詞: | Spinal cord injury, Aneurysm clip, Somatosensory evoked potential, Basso-Beattie Bresnahan (BBB) scale, Animal model |
| 相關次數: | 點閱:26 下載:0 |
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在脊髓損傷的壓迫研究中,夾鉗壓迫因其易於建立而被廣泛使用。然而,先前的研究已經確定壓迫持續時間是影響脊髓損傷結果的關鍵因素,但尚未有統一的標準。儘管使用了統一製造的動脈瘤夾,但對其產生的閉合力或使用次數並沒有標準。在本研究中,我們描述了壓迫持續時間對夾鉗壓迫引起的SCI大鼠的嚴重程度的影響。我們從功能、組織學和電生理學角度評估了脊髓損傷的嚴重程度。此外我們還檢查了動脈瘤夾在反覆開合循環後的閉合力下降情況。我們通過在大鼠模型中應用80克動脈瘤夾在胸椎第10節處產生壓迫脊髓損傷,並測試了不同的壓迫持續時間(1、5、10、20和30秒),比較了它們的嚴重程度。對於最嚴重的脊髓損傷組,進行了胸椎第10節脊髓完全截斷。我們的研究通過功能、組織學和電生理學缺陷評估揭示了脊髓損傷嚴重程度與夾鉗壓迫持續時間之間的強正相關性。基於BBB評分,使用80克動脈瘤夾傷害的大鼠被歸類為重度脊髓損傷。即使是沒有持續壓迫,80克動脈瘤夾的快速夾擊也能導致中度至重度的脊髓損傷。體感誘發電位(SSEP)被證明是評估脊髓損傷嚴重程度的有效工具,也有利於幫助研究人員建立自身的脊髓損傷動物模型。我們發現動脈瘤夾的閉合力在五次開合循環後顯著下降,這表明應避免進一步重複使用。我們的研究結果為研究人員開發夾鉗壓迫誘導的脊髓損傷。
In the research of compression spinal cord injury (SCI), clip compression is widely used due to its ease of establishment. However, previous studies have identified compression duration as a critical factor affecting SCI outcomes, but no unified standard exists. Although manufactured aneurysm clips are used, there is no standard for closure force or the number of times they can be used. In this study, we evaluated the severity of spinal cord injury (SCI) in rats subjected to various clip compression durations. The severity of SCI was assessed from functional, histological, and electrophysiological perspectives. Additionally, we investigated the decline in closure force after the repetitive use of aneurysm clips. We induced T10 compression SCI by applying an 80-g aneurysm clip in our animal model, testing various compression durations (1, 5, 10, 20, and 30 seconds) and comparing their severity. For the most severe SCI group, a total transection over T10 was performed. Our study revealed a strong positive correlation between the severity of SCI—assessed through functional, histological, and electrophysiological deficits—and the duration of clip compression. Rats with SCI induced by an 80-g aneurysm clip were categorized as having severe SCI based on the BBB scale. Even a sudden impact without sustained compression resulted in moderate to severe SCI outcomes. The somatosensory evoked potential (SSEP) proved to be an effective tool for assessing the severity of SCI and for researchers establishing their own SCI animal models. We found that the closure force of aneurysm clips significantly decreased after five open-close cycles, indicating that further repetitive use should be avoided. Our results provide valuable reference points for researchers developing clip compression-induced SCI models in rats.
1. Khan, F.I. and Z. Ahmed, Experimental Treatments for Spinal Cord Injury: A Systematic Review and Meta-Analysis. Cells, 2022. 11(21).
2. Ridlen, R., K. McGrath, and C.A. Gorrie, Animal models of compression spinal cord injury. J Neurosci Res, 2022. 100(12): p. 2201-2212.
3. Sharif-Alhoseini, M., et al., Animal models of spinal cord injury: a systematic review. Spinal Cord, 2017. 55(8): p. 714-721.
4. Metz, G.A., et al., Validation of the weight-drop contusion model in rats: a comparative study of human spinal cord injury. J Neurotrauma, 2000. 17(1): p. 1-17.
5. Liu, F., Y. Huang, and H. Wang, Rodent Models of Spinal Cord Injury: From Pathology to Application. Neurochem Res, 2023. 48(2): p. 340-361.
6. Marques, S.A., et al., A simple, inexpensive and easily reproducible model of spinal cord injury in mice: morphological and functional assessment. J Neurosci Methods, 2009. 177(1): p. 183-93.
7. Abdullahi, D., et al., Experimental spinal cord trauma: a review of mechanically induced spinal cord injury in rat models. Rev Neurosci, 2017. 28(1): p. 15-20.
8. Chen, K., et al., Differential Histopathological and Behavioral Outcomes Eight Weeks after Rat Spinal Cord Injury by Contusion, Dislocation, and Distraction Mechanisms. J Neurotrauma, 2016. 33(18): p. 1667-84.
9. Hellenbrand, D.J., et al., Inflammation after spinal cord injury: a review of the critical timeline of signaling cues and cellular infiltration. J Neuroinflammation, 2021. 18(1): p. 284.
10. Jazayeri, S.B., et al., The effect of timing of decompression on neurologic recovery and histopathologic findings after spinal cord compression in a rat model. Acta Med Iran, 2013. 51(7): p. 431-7.
11. Kim, K.T., et al., Substance P stimulates proliferation of spinal neural stem cells in spinal cord injury via the mitogen-activated protein kinase signaling pathway. Spine J, 2015. 15(9): p. 2055-65.
12. Sheng, Y., et al., MSC derived EV loaded with miRNA-22 inhibits the inflammatory response and nerve function recovery after spinal cord injury in rats. J Cell Mol Med, 2021. 25(21): p. 10268-10278.
13. Chen, F., et al., Isorhamnetin promotes functional recovery in rats with spinal cord injury by abating oxidative stress and modulating M2 macrophages/microglia polarization. Eur J Pharmacol, 2021. 895: p. 173878.
14. Dugan, E.A., et al., Intensive Locomotor Training Provides Sustained Alleviation of Chronic Spinal Cord Injury-Associated Neuropathic Pain: A Two-Year Pre-Clinical Study. J Neurotrauma, 2021. 38(6): p. 789-802.
15. Kılıç, G., et al., Effects of isotretinoin and acitretin on neuroregeneration in experimental spinal cord injury. Acta Orthop Traumatol Turc, 2023. 57(4): p. 127-133.
16. Lin, M.W., et al., Mitochondrial Transplantation Attenuates Neural Damage and Improves Locomotor Function After Traumatic Spinal Cord Injury in Rats. Front Neurosci, 2022. 16: p. 800883.
17. Morishima, Y., et al., Intravenous Administration of Mesenchymal Stem Cell-Derived Exosome Alleviates Spinal Cord Injury by Regulating Neutrophil Extracellular Trap Formation through Exosomal miR-125a-3p. Int J Mol Sci, 2024. 25(4).
18. Weerasinghe-Mudiyanselage, P.D.E., et al., Ninjurin-1: a biomarker for reflecting the process of neuroinflammation after spinal cord injury. Neural Regen Res, 2021. 16(7): p. 1331-1335.
19. Younsi, A., et al., Long-Term Effects of Neural Precursor Cell Transplantation on Secondary Injury Processes and Functional Recovery after Severe Cervical Contusion-Compression Spinal Cord Injury. Int J Mol Sci, 2021. 22(23).
20. Amanollahi, S., et al., Immediate administration of hTERT-MSCs-IDO1-EVs reduces hypoalbuminemia after spinal cord injury. Vet Res Forum, 2024. 15(1): p. 27-34.
21. Semita, I.N., et al., The Role of Human Neural Stem Cell Secretomes on the Repair of Spinal Cord Injury Post-laminectomy in Rattus norvegicus Through the Analysis of Basso-Beattie-Bresnahan Score Locomotors, Interleukin-10, Matrix Metalloproteinase 9, and Transforming Growth Factor-β. Asian Spine J, 2023. 17(2): p. 231-239.
22. Vahabi, A. and A.M. Öztürk, Conducting spinal cord injury model with clip compression in rodents: Pearls and pitfalls. MethodsX, 2023. 10: p. 102231.
23. Poon, P.C., et al., Clip compression model is useful for thoracic spinal cord injuries: histologic and functional correlates. Spine (Phila Pa 1976), 2007. 32(25): p. 2853-9.
24. Papadopoulos, M.C., et al., Endurance of aneurysm clips: mechanical endurance of Yaşargil and Spetzler titanium aneurysm clips. Neurosurgery, 2004. 54(4): p. 966-70; discussion 970-2.
25. Um, H.Y., et al., Mechanical and biological behavior of ultrafine-grained Ti alloy aneurysm clip processed using high-pressure torsion. J Mech Behav Biomed Mater, 2017. 68: p. 203-209.
26. Lee, P.H., et al., Characterizing the Impact of Compression Duration and Deformation-Related Loss of Closure Force on Clip-Induced Spinal Cord Injury in Rats. Neurol Int, 2023. 15(4): p. 1383-1392.
27. Badhiwala, J.H., et al., The influence of timing of surgical decompression for acute spinal cord injury: a pooled analysis of individual patient data. Lancet Neurol, 2021. 20(2): p. 117-126.
28. Rivlin, A.S. and C.H. Tator, Effect of duration of acute spinal cord compression in a new acute cord injury model in the rat. Surg Neurol, 1978. 10(1): p. 38-43.
29. Speidel, J., et al., Effect of Velocity and Duration of Residual Compression in a Rat Dislocation Spinal Cord Injury Model. J Neurotrauma, 2020. 37(9): p. 1140-1148.
30. Basso, D.M., M.S. Beattie, and J.C. Bresnahan, Graded histological and locomotor outcomes after spinal cord contusion using the NYU weight-drop device versus transection. Exp Neurol, 1996. 139(2): p. 244-56.
31. Baklaushev, V.P., et al., Development of a motor and somatosensory evoked potentials-guided spinal cord Injury model in non-human primates. J Neurosci Methods, 2019. 311: p. 200-214.
32. Zileli, M. and J. Schramm, Motor versus somatosensory evoked potential changes after acute experimental spinal cord injury in rats. Acta Neurochir (Wien), 1991. 108(3-4): p. 140-7.
33. Datto, J.P., et al., Female Rats Demonstrate Improved Locomotor Recovery and Greater Preservation of White and Gray Matter after Traumatic Spinal Cord Injury Compared to Males. J Neurotrauma, 2015. 32(15): p. 1146-57.
34. Ung, R.V., et al., Spontaneous recovery of hindlimb movement in completely spinal cord transected mice: a comparison of assessment methods and conditions. Spinal Cord, 2007. 45(5): p. 367-79.
35. Gensel, J.C., et al., Behavioral and histological characterization of unilateral cervical spinal cord contusion injury in rats. J Neurotrauma, 2006. 23(1): p. 36-54.
36. Bezdudnaya, T., et al., Spontaneous respiratory plasticity following unilateral high cervical spinal cord injury in behaving rats. Exp Neurol, 2018. 305: p. 56-65.
37. Wegner, N., et al., Mechanical in vitro fatigue testing of implant materials and components using advanced characterization techniques. J Biomed Mater Res B Appl Biomater, 2022. 110(4): p. 898-909.
38. Nagatani, T., et al., Titanium aneurysm clips: mechanical characteristics and clinical trial. Neurol Med Chir (Tokyo), 1998. 38 Suppl: p. 39-44.