摘要目的 观察嗅鞘细胞(OEC)移植治疗大鼠脊髓损伤的作用以及脊髓损伤组织中脑源性神经营养因子(BDNF)表达的变化,从神经营养因子角度探讨OEC移植修复脊髓损伤的机制.方法 分离和培养绿色荧光蛋白转基因大鼠的OEC,备移植用.取SD大鼠制备脊髓损伤模型,用随机数字表法将建模成功后的SD大鼠分为2组.实验组:建模成功后立即进行OEC移植,移植部位为脊髓损伤处及其首尾正中血管的左右两侧;对照组:用DMEM/F12培养液替代OEC悬液,操作同实验组.移植后对各组大鼠的运动功能进行评分,每周1次.采用实时逆转录聚合酶链反应检测BDNF mRNA的表达,采用免疫组织化学法检测BDNF蛋白的表达,取正常SD大鼠BDNF mRNA和蛋白的检测水平作为正常对照.结果 移植后两组大鼠的运动功能均逐渐改善,移植后21 d时,实验组大鼠运动功能评分明显高于对照组(P＜0.05).移植后OEC存活良好,实验组损伤的脊髓组织周围分布有大量的呈绿色荧光的OEC.移植后21 d时,实验组BDNF mRNA和蛋白的表达水平显著高于对照组和正常对照组(P<0.05),而对照组也显著高于正常对照组(P<0.05).结论 OEC移植可明显修复大鼠的脊髓损伤,其机制可能与OEC通过增强损伤脊髓组织中BDNF mRNA和蛋白的表达,改善局部微环境有关.

abstractsObjective To observe the expression of brain-derived neurotrophical factor (BDNF) in injury spinal cord after transplantation olfactory ensheathing cells (OECs), and to investigate the mechanism of OECs repairing spinal cord injury.Methods OECs from GFP transgenic rats were separated and cultured for transplantation. Spinal cord injury rats were separated two groups by random digits table. In experimental group, OECs suspension were transplanted into injured spinal cord following spinal cord injury. In control group, DMEM was transplanted into the injured spinal cord after spinal cord injury. Motor function was evaluated per week after transplantation. The expression levels of BDNF mRNA and protein were detected by using RT-PCR and immunohistochemistry respectively, and compared with those from normal SD rats.Results Motor function of two groups was improved gradually after transplantation. The motor function scores in experimental group was obviously higher than in control group at 21st day after transplantation (P<0.05). A lot of survival GFP OECs distributed around impaired myeloid tissue. At 21st day after transplantation, BDNF mRNA and protein expression in experimental group were strongest (P<0.05), and stronger in control group than in normal group (P<0.05).Conclusion The transplantation of OECs can repair the injured spinal cord by increasing the expression of BDNF mRNA and protein to improve local microenvironment.