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前庭小脑蚓小结和蚓垂对角前庭眼反射空间定向的控制。

Control of spatial orientation of the angular vestibulo-ocular reflex by the nodulus and uvula of the vestibulocerebellum.

作者信息

Sheliga B M, Yakushin S B, Silvers A, Raphan T, Cohen B

机构信息

Department of Neurology, Mount Sinai School of Medicine, New York, New York 10029, USA.

出版信息

Ann N Y Acad Sci. 1999 May 28;871:94-122. doi: 10.1111/j.1749-6632.1999.tb09178.x.

Abstract

Eye velocity produced by the angular vestibulo-ocular reflex (aVOR) tends to align with the summed vector of gravity and other linear accelerations [gravito-inertial acceleration (GIA)]. Defined as "spatial orientation of the aVOR," we propose that it is controlled by the nodulus and uvula of the vestibulocerebellum. Here, electrical stimulation, injections of the GABAA agonist, muscimol, and single-cell recordings were utilized to investigate this spatial orientation. Stimulation, injection, and recording sites in the nodulus were determined in vivo by MRI and verified in histological sections. MRI proved to be a sensitive, reliable way to localize electrode placements. Electrical stimulation at sites in the nodulus and sublobule d of the uvula produced nystagmus whose slow-phase eye-velocity vectors were either head centric or spatially invariant. When head centric, the eye velocity vector remained within +/- 45 degrees of the vector obtained with the animal upright, regardless of head position with respect to gravity. When spatially oriented, the vector remained relatively constant in space in one on-side position, with respect to the vector determined with the animal upright. A majority of induced movements from the nodulus were spatially oriented. Spatially oriented movements were generally followed by after-nystagmus, which had the characteristics of optokinetic after-nystagmus (OKAN), including orientation to the GIA. After muscimol injections, horizontal-to-vertical cross-coupling was lost or reduced during OKAN in tilted positions. This supports the hypothesis that the nodulus mediates yaw-to-vertical or roll cross-coupling. The injections also shortened the yaw-axis time constant and produced contralateral horizontal spontaneous nystagmus, whose velocity varied as a function of head position with regard to gravity. Nodulus units were tested with static head tilt, sinusoidal oscillation around a spatial horizontal axis with the head in different orientations relative to the pitching plane, and off-vertical axis rotation (OVAR). The direction of the response vectors of the otolith-recipient units in the nodulus, determined from static and/or dynamic head tilts, were confirmed by OVAR. These vector directions lay close to the planes of the vertical canals in 7/10 units; many units also had convergent input from the vertical canals. It is postulated that the orientation properties of the aVOR result from a transfer of otolith input regarding head tilt along canal planes to canal-related zones of the nodulus. In turn, Purkinje cells in these zones project to vestibular nuclei neurons to control eye velocity around axes normal to these same canal planes.

摘要

由角向前庭眼反射(aVOR)产生的眼速度倾向于与重力和其他线性加速度的合成矢量[重力惯性加速度(GIA)]对齐。我们将其定义为“aVOR的空间定向”,并提出它受前庭小脑的蚓小结和蚓垂控制。在此,利用电刺激、注射GABAA激动剂蝇蕈醇以及单细胞记录来研究这种空间定向。通过MRI在体内确定蚓小结中的刺激、注射和记录位点,并在组织学切片中进行验证。MRI被证明是定位电极放置的一种敏感、可靠的方法。在蚓小结和蚓垂的小叶d部位进行电刺激会产生眼球震颤,其慢相眼速度矢量要么以头部为中心,要么在空间上不变。当头为中心时,无论头部相对于重力的位置如何,眼速度矢量都保持在动物直立时获得的矢量的+/-45度范围内。当在空间上定向时,该矢量在一个单侧位置相对于动物直立时确定的矢量在空间中保持相对恒定。来自蚓小结的大多数诱发运动在空间上是定向的。空间定向的运动通常随后会出现眼震后效,其具有视动眼震后效(OKAN)的特征,包括对GIA的定向。注射蝇蕈醇后,在倾斜位置的OKAN期间水平到垂直的交叉耦合消失或减弱。这支持了蚓小结介导偏航到垂直或滚动交叉耦合的假设。注射还缩短了偏航轴时间常数,并产生对侧水平自发性眼球震颤,其速度随头部相对于重力的位置而变化。用静态头部倾斜、头部相对于俯仰平面处于不同方向时围绕空间水平轴的正弦振荡以及离垂直轴旋转(OVAR)对蚓小结单元进行测试。通过OVAR证实了由静态和/或动态头部倾斜确定的蚓小结中接受耳石输入的单元的反应矢量方向。在10个单元中的7个单元中,这些矢量方向靠近垂直半规管平面;许多单元也有来自垂直半规管的汇聚输入。据推测,aVOR的定向特性源于关于头部倾斜的耳石输入沿着半规管平面转移到蚓小结的与半规管相关的区域。反过来,这些区域中的浦肯野细胞投射到前庭核神经元,以控制围绕与这些相同半规管平面垂直的轴的眼速度。

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