神经鞘的

It was considered an effective and ideal model of PM.2 uPA,PAI-1 and TNF-αwere all involved in the pathogenesis of PM and participated in the process of the degeneration,apoptosis and necrosis of the diseased muscle.3 MMP-9 and TIMP-2 immunoreactivity were positive in the capillary,venous wall,arteriola endotheliocyte and neurilemma in the normal group skeletal muscle,but more intensive in EAM.They may aggravate the pathological changes of the muscle in human PM.

结论1兔纯化的肌球蛋白加含卡介苗的完全弗氏佐剂可仿制出人类多发性肌炎的理想动物模型。2 UPA、PAI-1和TNF-α参与多发性肌炎的肌纤维坏变过程。3 MMP-9和TIMP-2在正常肌肉组织中的毛细血管、静脉管壁、动脉肉皮细胞和神经鞘膜表达，在多发性肌炎中，参与加重肌纤维的坏变过程。

Nodes of Ranvier; saltatory conduction; Schwann cells; oligodendrocytes; myelin basic protein; demyelination; remyelination; myelinopathy; myelinogenesis; myelin-associated protein; myelin sheaths; demyelinating neuropathy; myelin proteolytic protein; chronic inflammatory demyelinating polyradiculoneuropathy; multiple sclerosis; MS

郎飞氏结；跳跃传导；施旺细胞；少突神经胶质细胞；髓鞘碱性蛋白脱髓鞘；髓鞘再生；髓鞘质病；髓鞘形成；髓磷脂-关联的蛋白质；髓鞘；脱髓鞘神经病；髓磷脂溶解蛋白的蛋白质；慢性炎症性脱髓鞘多神经根神经病；多发性脑硬化；MS

Sphingomyelin had no inhibition to human colon cancer cells(HT-29) in vitro, so ceramide and sphingosine, the product of metabolism of sphingomyelin, was thought of having the anticancer effect.

体外实验未发现鞘磷脂对人结肠癌细胞（HT-29）有抑制作用，因此认为鞘磷脂是通过其代谢产物神经酰胺和鞘氨醇发挥抑癌作用的。

Researchs suggested that ceramide and sphingosine could inhibit mitosis and DNA synthesis of cancer cells, promote apop

细胞水平研究发现神经酰胺和鞘氨醇能抑制结肠癌细胞有丝分裂和DNA合成，促进细胞凋亡，影响Fas、Bcl-2、Bcl-10、bax和P53等凋亡相关蛋白的表达，即神经酰胺和鞘氨醇能通过抑制结肠癌细胞生长、促进细胞凋亡发挥抑癌作用。

Recently, many foreign researchers found that the tetrodotoxin-resistant voltage-gated sodium channel, Nav1.8, which is expressed only by unmyelinated small-diameter sensory neurons associated with nociception in dorsal root ganglion and trigeminal ganglion, is involved in pain pathways and play a key role. Thus it provides a new idea in pain research.

近年来，国外众多学者发现河豚毒素(tetrodotoxin，TTX)不敏感型(TTX-resistant，TTX-R)电压门控钠通道Na_v1.8与疼痛的关系极为密切，其仅分布在背根神经节(dorsal root ganglion，DRG)和三叉神经节(trigeminal ganglion，TG)中的与伤害性感受密切相关的无髓鞘的小直径感觉神经元胞体上，它为疼痛的研究提供了新的思路。

RESULTS: The mild traction group showed angulus anterior individual neuron slightly engorged, neuron and nerve fiber morphous was normal essentially; individual substantia alba demyelinates in fragmentis; medullary sheath and auxiliary fibers of nerve root were hydropsia slightly without conspicuous myelinolysis. The moderate traction group demonstrated myelinolysis change in the spinal cord, and neurofibras lined up chaos, auxiliary fibers disaggregated, neuron dropsy, tigroid body disappeared with karyopycnosis and anachromasis in neurons; nerve root showed myelinolysis. The severe traction group displayed a great demyelination region; anterior motor neurons with karyopycnosis and anachromasis; myelinated nerve fiber of nerve root shrinked, decreased in number, with severe demyelination changes.

结果：轻度牵拉组牵拉侧前角个别神经元稍肿胀，神经元及神经纤维形态基本上正常，个别白质小片状脱髓鞘样改变，神经根髓鞘和轴索轻度水肿，脱髓鞘不明显；中度牵拉组白质有脱髓鞘改变，神经纤维排列紊乱，轴索崩解、断裂；灰质神经元水肿明显加重，前角运动神经原细胞尼氏体消失，核固缩、深染，神经根髓鞘和轴索水肿，局部轻度脱髓鞘改变；重度牵拉组牵拉侧白质为不规则的大片脱髓鞘区，前角运动神经元胞体固缩、变形、核深染，神经根有髓神经纤维萎缩、数目减少，重度脱髓鞘改变。

There were chondroitic acid proteoglycan in the center of the injured nerve,thegelatinase maybe degradated them and promoted the regenerative process.

神经的修复过程宏观上看是髓鞘的退变与再生过程，微观上是众多的细胞因子综合调控的结果。

Part 4: Brain-derived neurotropic factor genetically modified olfactory ensheathing cells of the neonatal rat Objective To culture the olfactory ensheathing cells from the neonatal rat and modify them genetically by human Brain-derived neurotropic factor to increase the formation of neurophic factors. Methods The OECs were dissociated from the neonatal rat olfactory bulbs and purified with time-speed difference stick.

第四部分：脑源性神经营养因子基因转染新生大鼠嗅鞘细胞目的为提高嗅鞘细胞(Olfactory ensheathing cells，OECs)分泌脑源性神经营养因子(BDNF，Brain-derived neurotropic factor)的能力，探讨将外源性BDNF基因转染入OECs，为今后采用BDNF基因修饰的OECs移植治疗SCI奠定基础。

Electrophysciological indexes: in the experimental group ,the tardy rate of induced motorius action potential ,recovery rates of the amplitude of compound muscle action potential and twitch tension and tetanic tension of triceps surae muscle ,were significantly higher than in the control group.(4) Compared with the control group ,the triceps surae muscle wet weight was significantly greater in the experimental group.(5) histomorphological indexes: the count of myelinated nerve fibers ,diameter of regenerated axon,thickness of nerve myelin sheath and area of capillary were much more in the experimental group than in the control group.(6) observation of ultrastructure with the transmission election microscope: more abundant organella and maturer myelin sheath lay in the injured peripheral nerve of the experimental group, while not lay in the control group.

分别在术后第2、4、6周时进行各项指标的检测，结果发现：（1）实验组SD大鼠在整个实验过程中，其精神、毛发、体重，运动灵活性等一般情况优于对照组；（2）实验组的坐骨神经功能指数恢复率显著优于对照组，P＜0.01；（3）神经电生理指标：实验组运动神经诱发电位潜伏期的延迟率显著优于对照组，P＜0.05；复合肌肉动作电位振幅的恢复率显著高于对照组，两组比较第2周时P＜0.01，第4、6周时，P＜0.05；小腿三头肌单收缩力和强直收缩力的恢复率实验组显著高于对照组，P＜0.01；（4）小腿三头肌湿重的恢复率，第2、4周时实验组高于对照组，差异非常显著，P＜0.01；第6周时，差异仍显著，P＜0.05；（5）组织形态学指标：有髓神经轴突计数、再生轴突直径的恢复率，毛细血管面积，实验组均显著大于对照组，P＜0.01、P＜0.05、P＜0.001；实验组髓鞘厚度的恢复率也显著高于对照组，第2周时P＜0.01，第4、6周时，P＜0.05；（6）透射电镜超微结构观察：实验组再生轴突中细胞器丰富，髓鞘结构成熟，神经再生情况优于对照组。

Results In healthy subjects, L2-L5 nerves were displayed clearly by MRN, with a round or ellipse ganglion of 3-6 mm in diameter, and smooth stick-like nerve root and trunk, 2-5 mm in diameter. The signal intensity was higher in ganglion than nerve root or trunk. 40% of nerve root sheath was surrounded by small amount of cerebrospinal fluid, Femoral nerve was displayed in all subjects, while only 83.3% of obturator nerve and 43.3% of lumbosacral trunk were manifested. Lamellar blurred hyper-signal intensity was seen around 80.9% of lumbar plexus in GBS, but none in CIDP.

结果 正常组MRN可清晰显示腰2~5神经的走行，神经节呈圆或椭圆形膨大，大小约为3~6mm，神经根及干呈条状、边缘光滑，大小约为2~5mm、神经节信号高于神经根和干，40%的神经根鞘有少量脑脊液，股神经、闭孔神经、腰骶干的显示率分别为100%、83.3%、43.3%。80.9%的GBS腰丛神经周围有片状模糊高信号，神经根和节大小和信号无明显改变，25%神经干增粗，50%的神经干信号增高，边缘模糊。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。