摘要
脊髓损伤(spinal cord injury,SCI)严重复杂,甚至危及生命,不但远期预后差,且致残率高[1-3]。在病理上可划分为原发性损伤和继发性损伤两个阶段[4]。最先出现脊髓组织和结构被破坏,继而伤区发生缺血、缺氧、炎性反应、细胞凋亡等一系列变化,致使神经元变性坏死、神经胶质细胞修复功能被抑制、轴突慢性脱髓鞘,最终导致神经功能障碍。
Spinal cord injury is a medical conundrum,its research is deepening although.In its early stage,hemorrhage and ischemia lead to changes in the microenvironment followed by a large number of neuron death,axonal degeneration and demyelination,resulting in neurological dysfunction.The key to solve lies in the regulation of the changes,reconstruction of neural circuitry,and the restoration of neurological dysfunction.Neural stem cell transplantation,Notch signaling pathway and electroacupuncture are summarized to explore the interactions with spinal cord injury,mechanism of genetically modified neural stem cell transplantation,activation and transcription of Notch signaling pathway,improvement of microenvironment and expressions of Notch signaling pathway related proteins by electroacupuncture regulating after spinal cord injury,providing thoughts for further basic research and clinical treatment.
作者
杨艺
谭龙旺
张勇
YANG Yi;TAN Long-wang;ZHANG Yong(Shaanxi University of Chinese Medicine,Xianyang,Shaanxi,712000,China)
出处
《中国骨与关节杂志》
CAS
2020年第1期70-74,共5页
Chinese Journal of Bone and Joint
基金
国家自然科学基金(81774349)
陕西省教育厅专项科研项目(2010JK508)
关键词
脊髓损伤
干细胞移植
电针
综述
Spinal cord injuries
Stem cell transplantation
Electroacupuncture
Review