Is beta-APP a marker of axonal damage in short-surviving head injury?

被引:151
作者
McKenzie, KJ
McLellan, DR
Gentleman, SM
Maxwell, WL
Gennarelli, TA
Graham, DI
机构
[1] UNIV GLASGOW,SO GEN HOSP,INST NEUROL SCI,DEPT NEUROPATHOL,NHS TRUST,GLASGOW G51 4TF,LANARK,SCOTLAND
[2] CHARING CROSS & WESTMINSTER MED SCH,DEPT ANAT,LONDON W6 8RF,ENGLAND
[3] UNIV GLASGOW,LAB HUMAN ANAT,GLASGOW G51 4TF,LANARK,SCOTLAND
[4] MED COLL PENN & HAHNEMANN UNIV,DEPT NEUROSURG,PHILADELPHIA,PA
关键词
head injury; axonal bulbs; beta-amyloid precursor protein (beta-APP); immunocytochemistry; diffuse axonal injury;
D O I
10.1007/s004010050568
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
beta-Amyloid precursor protein (beta-APP), a normal constituent of neurons which is conveyed by fast a axonal transport, has been found to be a useful marker for axonal damage in cases of fatal head injury. Immunocytochemistry or beta-APP is a more sensitive technique for identifying axonal injury than conventional silver impregnation, This study was designed to determine how quickly evidenc of axonal damage and bulb formation appears. Using this method a variety of brain areas were studied from 55 patients who died within 24 h of a head injury, Immunocytochemical evidence of axonal injury was first detected after 2 h survival, axonal bulbs were first identified after 3 h survival, and the amount of axonal damage and axonal bulb formation increased the longer the survival time.
引用
收藏
页码:608 / 613
页数:6
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