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Deficits in bladder function following spinal cord injury vary depending on the level of the injury.

机译:脊髓损伤后膀胱功能的不足因损伤程度而异。

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摘要

Loss of bladder function is an important consequence of a spinal cord injury (SCI) but is rarely assessed in animal studies of SCI. Here, we use a simple outcome measure (volume of retained urine) to assess bladder dysfunction over time following moderate contusion injuries at 3 different thoracic levels (T1, T4, or T9) and complete crush injuries (T1 vs. T9). The volume of urine retained in the bladder was measured daily for fourteen days post injury by anesthetizing the animals with isoflurane, expressing the bladder, and weighing the urine. To compare bladder deficits with the degree of impairment of hindlimb motor function, locomotion was assessed using the BBB open field rating scale. Rats with contusions at T4 and T9 exhibited bladder impairments reflected by increased urine retention from 1 to 12 days post injury. In contrast, rats with contusions at T1 exhibited minimal deficits (smaller volumes of retained urine). Lesion size and overall functional impairment were comparable between groups based on quantitative assessments of lesion area at the epicenter and BBB locomotor scores. Moreover, a sector analysis of sparing of different portions of the white matter revealed no differences in sparing of different funiculi between the groups. Injections of Fluorogold into lumbar segments led to retrograde labeling of a larger number of neurons in the pontine micturition center (PMC) following T1 injury when compared to T4 or T9. Thus, moderate contusion lesions at T1 spare a critical descending pathway able to mediate at least reflex voiding in rats.
机译:膀胱功能丧失是脊髓损伤(SCI)的重要后果,但很少在SCI的动物研究中进行评估。在这里,我们使用一种简单的结局指标(尿液残留量)来评估在3种不同的胸廓水平(T1,T4或T9)和完全挤压伤(T1对T9)中度挫伤后随时间推移的膀胱功能障碍。受伤后十四天,每天通过用异氟烷麻醉动物,表达膀胱并称重尿液来测量膀胱中保留的尿液量。为了比较膀胱功能不全和后肢运动功能受损的程度,使用BBB开放视野评估量表评估运动能力。 T4和T9挫伤的大鼠表现出膀胱损伤,这是受伤后1到12天尿液滞留量增加所反映的。相比之下,在T1处有挫伤的大鼠表现出最小的缺损(较小量的残留尿液)。根据对震中和BBB运动评分的病变面积的定量评估,各组的病变大小和整体功能障碍具有可比性。此外,对白质不同部分的保留进行的部门分析表明,各组之间不同真菌的保留没有差异。与T4或T9相比,在T1损伤后向腰节注射氟金导致在桥脑排尿中心(PMC)大量神经元的逆行标记。因此,在T1处的中度挫伤性病变没有一条关键的下降通道,该通道能够介导至少大鼠的反射排尿。

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