Taccola G, Nistri A
Neurobiology Sector and INFM Unit, International School for Advanced Studies, Trieste, Italy.
Neuroscience. 2005;132(4):1187-97. doi: 10.1016/j.neuroscience.2005.02.012.
4-Aminopyridine (4-AP) is suggested to improve symptomatology of spinal injury patients because it may facilitate neuromuscular transmission, spinal impulse flow and the operation of the locomotor central pattern generator (CPG). Since 4-AP can also induce repetitive discharges from dorsal root afferents, this phenomenon might interfere with sensory signals necessary to modulate CPG activity. Using electrophysiological recording from dorsal and ventral roots of the rat isolated spinal cord, we investigated 4-AP-evoked discharges and their relation with fictive locomotor patterns. On dorsal roots 4-AP (5-10 microM) induced sustained synchronous oscillations (3.3+/-0.8 s period) smaller than electrically evoked synaptic potentials, persistent after sectioning off the ventral region and preserved in an isolated dorsal quadrant, indicating their dorsal horn origin. 4-AP oscillations were blocked by tetrodotoxin, or 6-cyano-7-nitroquinoxaline-2,3-dione and d-amino-phosphonovalerate, or strychnine and bicuculline, suggesting they were network mediated via glutamatergic, glycinergic and GABAergic transmission. Isolated ventral horn areas could not generated 4-AP oscillations, although their intrinsic disinhibited bursting was accelerated by 4-AP. Thus, ventral horn areas contained 4-AP sensitive sites, yet lacked the network for 4-AP induced oscillations. Activation of fictive locomotion by either application of N-methyl-D-aspartate and serotonin or stimulus trains to a single dorsal root reversibly suppressed dorsal root oscillations induced by 4-AP. This suppression was due to depression of dorsal network activity rather than simple block of root discharges. Since dorsal root oscillations evoked by 4-AP were turned off when the fictive locomotor program was initiated, these discharges are unlikely to interfere with proprioceptive signals during locomotor training in spinal patients.
4-氨基吡啶(4-AP)被认为可改善脊髓损伤患者的症状,因为它可能促进神经肌肉传递、脊髓冲动传导以及运动中枢模式发生器(CPG)的运作。由于4-AP还可诱发背根传入纤维的重复放电,这种现象可能会干扰调节CPG活动所需的感觉信号。我们利用大鼠离体脊髓背根和腹根的电生理记录,研究了4-AP诱发的放电及其与模拟运动模式的关系。在背根上,4-AP(5-10微摩尔)诱发持续的同步振荡(周期为3.3±0.8秒),其幅度小于电诱发的突触电位,在切断腹侧区域后仍持续存在,并保留在分离的背侧象限中,表明其起源于背角。4-AP振荡可被河豚毒素、6-氰基-7-硝基喹喔啉-2,3-二酮和d-氨基磷酸戊酸或士的宁和荷包牡丹碱阻断,提示它们是通过谷氨酸能、甘氨酸能和GABA能传递介导的网络振荡。尽管4-AP可加速分离的腹角区域内在的去抑制性爆发,但该区域不能产生4-AP振荡。因此,腹角区域含有4-AP敏感位点,但缺乏4-AP诱发振荡的网络。通过应用N-甲基-D-天冬氨酸和5-羟色胺或对单个背根施加刺激序列激活模拟运动,可可逆地抑制4-AP诱发的背根振荡。这种抑制是由于背侧网络活动的抑制而非简单地阻断神经根放电。由于当模拟运动程序启动时,4-AP诱发的背根振荡会停止,因此这些放电不太可能在脊髓损伤患者的运动训练过程中干扰本体感觉信号。