[关键词]
[摘要]
视神经损伤是常见的神经性疾病,其基本的病理特征为轴突变性和视网膜神经节细胞(RGCs)凋亡,从而导致视觉功能障碍等症状的出现。轴突变性是神经发育、轴突重塑和损伤反应的重要过程,包括轴突选择性退化、轴突横断诱导的Wallerian变性和凋亡诱导的轴突变性(轴突凋亡)。轴突变性是许多创伤性神经系统疾病的初始步骤之一,损伤的轴突一般无法再生,从而进一步导致神经元胞体凋亡。神经元凋亡导致胞体和轴突两者的退化,在发育过程中广泛发生并且应对神经元的各种损伤。近年来有研究证实,钙是轴突变性的主要调控因子。在视神经挤压伤(ONC)发生后,通过钙通道抑制剂阻止钙离子涌入轴突,可以减弱急性轴突变性(AAD)的程度,提高RGCs的存活率以及促进轴突的再生。
[Key word]
[Abstract]
Optic nerve injury is a common nervous system disease. Its basic pathological features are axonal degeneration and apoptosis of retinal ganglion cells(RGCs), which causes numbers of symptoms including visual dysfunction. Axonal degeneration, including axonal selective degradation, Wallerian degeneration induced by axonal transection, and apoptosis-induced axonal degeneration(axonal apoptosis), is an important part of neurodevelopment, axonal remodeling, and injury response process. Axonal degeneration is one of the initial steps in many traumatic neurological disorders, and damaged axons are generally unable to regenerate, which leads to neuronal cell apoptosis. Neuronal apoptosis causing the degeneration of both cell bodies and axons commonly occurs during the development of brain, as a result of various neuronal damages. Studies in recent years have confirmed that calcium is the main regulator of axonal degeneration. When an optic nerve crush(ONC)occurs, the degree of acute axonal degeneration(AAD)can be reduced by using calcium channel inhibitors to prevent the influx of calcium ions into axons, which will also improve the survival rate of RGCs and accelerate the regeneration of axons.
[中图分类号]
[基金项目]
云南省科技计划项目(No.2017FB120)