scholarly journals Motor endplate‐expressing cartilage‐muscle implants for reconstruction of a denervated hemilarynx

2018 ◽  
Vol 129 (6) ◽  
pp. 1293-1300 ◽  
Author(s):  
Sarah Brookes ◽  
Sherry Voytik‐Harbin ◽  
Hongji Zhang ◽  
Lujuan Zhang ◽  
Stacey Halum
Keyword(s):  
2020 ◽  
pp. 1-8
Author(s):  
Ranjan Gupta ◽  
Justin P. Chan ◽  
Jennifer Uong ◽  
Winnie A. Palispis ◽  
David J. Wright ◽  
...  

OBJECTIVECurrent management of traumatic peripheral nerve injuries is variable with operative decisions based on assumptions that irreversible degeneration of the human motor endplate (MEP) follows prolonged denervation and precludes reinnervation. However, the mechanism and time course of MEP changes after human peripheral nerve injury have not been investigated. Consequently, there are no objective measures by which to determine the probability of spontaneous recovery and the optimal timing of surgical intervention. To improve guidance for such decisions, the aim of this study was to characterize morphological changes at the human MEP following traumatic nerve injury.METHODSA prospective cohort (here analyzed retrospectively) of 18 patients with traumatic brachial plexus and axillary nerve injuries underwent biopsy of denervated muscles from the upper extremity from 3 days to 6 years after injury. Muscle specimens were processed for H & E staining and immunohistochemistry, with visualization via confocal and two-photon excitation microscopy.RESULTSImmunohistochemical analysis demonstrated varying degrees of fragmentation and acetylcholine receptor dispersion in denervated muscles. Comparison of denervated muscles at different times postinjury revealed progressively increasing degeneration. Linear regression analysis of 3D reconstructions revealed significant linear decreases in MEP volume (R = −0.92, R2 = 0.85, p = 0.001) and surface area (R = −0.75, R2 = 0.56, p = 0.032) as deltoid muscle denervation time increased. Surprisingly, innervated and structurally intact MEPs persisted in denervated muscle specimens from multiple patients 6 or more months after nerve injury, including 2 patients who had presented > 3 years after nerve injury.CONCLUSIONSThis study details novel and critically important data about the morphology and temporal sequence of events involved in human MEP degradation after traumatic nerve injuries. Surprisingly, human MEPs not only persisted, but also retained their structures beyond the assumed 6-month window for therapeutic surgical intervention based on previous clinical studies. Preoperative muscle biopsy in patients being considered for nerve transfer may be a useful prognostic tool to determine MEP viability in denervated muscle, with surviving MEPs also being targets for adjuvant therapy.


1986 ◽  
Vol 102 (3) ◽  
pp. 762-768 ◽  
Author(s):  
M Nicolet ◽  
M Pinçon-Raymond ◽  
F Rieger

After denervation in vivo, the frog cutaneus pectoris muscle can be led to degenerate by sectioning the muscle fibers on both sides of the region rich in motor endplate, leaving, 2 wk later, a muscle bridge containing the basal lamina (BL) sheaths of the muscle fibers (28). This preparation still contains various tissue remnants and some acetylcholine receptor-containing membranes. A further mild extraction by Triton X-100, a nonionic detergent, gives a pure BL sheath preparation, devoid of acetylcholine receptors. At the electron microscope level, this latter preparation is essentially composed of the muscle BL with no attached plasmic membrane and cellular component originating from Schwann cells or macrophages. Acetylcholinesterase is still present in high amounts in this BL sheath preparation. In both preparations, five major molecular forms (18, 14, 11, 6, and 3.5 S) can be identified that have either an asymmetric or a globular character. Their relative amount is found to be very similar in the BL and in the motor endplate-rich region of control muscle. Thus, observations show that all acetylcholinesterase forms can be accumulated in frog muscle BL.


1997 ◽  
Vol 249 (2) ◽  
pp. 276-284 ◽  
Author(s):  
Wolfgang Happak ◽  
Ji Liu ◽  
Georg Burggasser ◽  
Amanda Flowers ◽  
Helmut Gruber ◽  
...  

1964 ◽  
Vol 11 (6) ◽  
pp. 684-685
Author(s):  
W. L. Nastuk
Keyword(s):  

1997 ◽  
pp. 7-12 ◽  
Author(s):  
Samuel R. H. Joseph ◽  
Volker Steuber ◽  
David J. Willshaw

1982 ◽  
Vol 60 (8) ◽  
pp. 1955-1967 ◽  
Author(s):  
R. Dana Ono ◽  
Stuart G. Poss

The striated swim bladder muscles of the weakfish Cynoscion regalis are deep red in color but cannot be classified histologically as having typical red fibers. The muscle fibers are homogeneous and average 29.6 ± 5.3 μm in diameter, one-fifth the diameter of the adjacent hypaxialis fibers. Each muscle fiber contains thin, ribbonlike myofibrils which are radially arranged around a central core of mitochondria, glycogen, and sarcoplasmic reticulum. Myofibrils are extremely regular in pattern. Triads occur at the Z line. Numerous mitochondria and muscle nuclei are located at the periphery of each muscle fiber. The muscle fibers are multiply innervated with motor endplates distributed along their entire lengths. Well-developed folding of the postsynaptic membrane, not previously reported in fishes, is present at the motor endplate.


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