Direct Evidence for Sensory Innervation of the Dorsal Portion of the Co5/6 Coccygeal Intervertebral Disc in Rats

作者：Orita Sumihisa^*; Ohtori Seiji; Taniguchi Aya; Yamashita Masaomi; Yamauchi Kazuyo; Inoue Gen; Suzuki Munetaka; Eguchi Yawara; Ochiai Nobuyasu; Kishida Shunji; Takaso Masashi; Aoki Yasuchika; Takahashi Kazuhisa; Kawakami Mamoru

来源：Spine, 2010, 35(14): 1346-1352.

DOI：10.1097/BRS.0b013e3181c099b0

• coccygeal intervertebral disc
• tail
• sensory innervation
• discogenic low back pain
• neurotracing
• calcitonin gene-related peptide (CGRP)
• isolectin B4 (IB4)
• dorsal root ganglion(DRG)

Study Design. We examined the sensory innervation of the coccygeal (Co) 5/6 intervertebral disc in rats using a retrograde neurotracing method and immunohistochemistry.
Objective. To investigate the properties of the sensory innervation of the rat coccygeal disc.
Summary of Background Data. Developing a rat disease model for degenerative intervertebral disc compression using lumbar discs is technically impractical because of their location. Coccygeal intervertebral discs are more readily accessible and several reports of morphologic evaluation of degenerative coccygeal intervertebral discs using compression devices exist. However, their sensory innervation and properties have not yet been characterized.
Methods. FluoroGold neurotracer was applied to the Co5/6 intervertebral discs of intraperitoneally anesthetized Sprague Dawley rats (n = 10). Subsequently, the discs and the L1-S4 dorsal root ganglions (DRGs) were resected and sectioned. The discs were double-stained for immunoreactivity to the neuronal marker beta-tubulin (Tuj-1) and biotin-labeled isolectinB4 (IB4), a neuropathic pain marker, or Tuj-1 and calcitonin gene-related peptide (CGRP), an inflammatory pain marker. The DRGs were double-stained for IB4-binding and CGRP immunoreactivity (IR). The proportions of IB4-binding or CGRP-IR DRG neurons were assessed by cell counting and compared.
Results. The disc immunohistochemistry showed evidence of sensory nerve fibers lying in the outermost layer of the anulus fibrosus. FluoroGold labeled DRG neurons mainly derived from S1 to S3 DRGs, especially S2 and S3. No labeled neurons were observed in the S4 DRG. The histochemistry of the DRGs showed a predominance of CGRP-IR DRG neurons (3.5 +/- 1.7% IB4-binding and 15.4 +/- 5.6% CGRP-IR on average).
Conclusion. This study showed evidence for nerve fibers in the discs and predominant innervation by CGRP-IR DRG neurons. The neurons innervating the discs mostly derived from S1 to S3 DRGs, especially S2 and S3. These findings may be useful in developing rat models of disease involving degenerative intervertebral disc compression.

• 出版日期2010-6-15