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Is Marcus Gunn jaw winking a primitive reflex？ Rat neuroanatomy

International Journal of Ophthalmology(English edition) 2018年第3期11卷 382-388页

作者： Hou-Cheng Liang Jing-Dong Zhang Pi-Fu Luo Ying Qiao An-Le Su Ying Zhang Hong-Na Zhu Xi'an BRIGHT Eye Hospital Xi'an 710068 Shaanxi Province China Department of Ophthalmology the Second Affiliated Hospital of Xi'an Jiaotong University (Xibei Hospital) Xi'an 710002 Shaanxi Province China Shaanxi Provincial Eye Research Institute and Xi'an Eye Hospital Xi'an 710002 Shaanxi Province China Department of Anesthesiology University of Cincinnati College of Medicine Cincinnati 45267 OH USA Department of Pathology King Med Diagnostics Intemational Bioisland Guangzhou 510050 Guangdong Province China

AIM： To investigate a possible trigeminal proprioceptive- oculomotor neural pathway and explore possible synaptic connections between neurons in this pathway. Attempt to bring a new insight to mechanism of Marcus Gunn syndrome （MGS）. METHODS： anterograde and retrograde tract tracing was applied and combined with immunofluorescent stain in rats. After electrophysiological identifying mesencephalic trigeminal nucleus （Vine） neurons, intracellular injection of tracer was performed to trace axon trajectory. RESULTS： Following injections of anterograde tracers into the Vine, labeled terminals were observed ipsilateral in oculomotor and trochlear nuclei （Ill/IV）, as well as in their premotor neurons in interstitial nucleus of Cajal and Darkschewitsch nucleus （INC/DN）. Combining with choline acetyltransferase （CHAT） immunofluorescent stain, it showed that Vme projecting terminals contact upon ChAT positive Ill/IV motoneurons under confocal microscope. By retrograde labeling premotor neurons of the III, it showed that Vme neuronal terminals contact with retrogradely labeled pre-oculomotor neurons in the INCIDN. Axons of intraceiiularly labeled Vme neurons that respond to electric stimuli of the masseter nerve traveled into the ipsilateral III. CONCLUSION： There may exist a trigeminal propdoceptive- oculomotor system neural circuit in the rat, which is probably related to vertical-torsional eye movements. Possible association of this pathway with MGS etiology was discussed.

关键词： mesencephalic trigeminal nucleus oculomotorand trochlear nuclei interstitial nucleus of Cajal and Darkschewitsch nucleus anterograde and retrograde tract tracing intracellular tract tracing

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