Onifer Stephen M, Nunn Christine D, Decker Julie A, Payne Beth N, Wagoner Michelle R, Puckett Aaron H, Massey James M, Armstrong James, Kaddumi Ezidin G, Fentress Kimberly G, Wells Michael J, West Robert M, Calloway Charles C, Schnell Jeffrey T, Whitaker Christopher M, Burke Darlene A, Hubscher Charles H
Kentucky Spinal Cord Injury Research Center, School of Medicine, University of Louisville, Louisville, KY 40292, USA.
Exp Neurol. 2007 Oct;207(2):238-47. doi: 10.1016/j.expneurol.2007.06.012. Epub 2007 Jun 30.
Varying degrees of neurologic function spontaneously recovers in humans and animals during the days and months after spinal cord injury (SCI). For example, abolished upper limb somatosensory potentials (SSEPs) and cutaneous sensations can recover in persons post-contusive cervical SCI. To maximize recovery and the development/evaluation of repair strategies, a better understanding of the anatomical locations and physiological processes underlying spontaneous recovery after SCI is needed. As an initial step, the present study examined whether recovery of upper limb SSEPs after contusive cervical SCI was due to the integrity of some spared dorsal column primary afferents that terminate within the cuneate nucleus and not one of several alternate routes. C5-6 contusions were performed on male adult rats. Electrophysiological techniques were used in the same rat to determine forelimb evoked neuronal responses in both cortex (SSEPs) and the cuneate nucleus (terminal extracellular recordings). SSEPs were not evoked 2 days post-SCI but were found at 7 days and beyond, with an observed change in latencies between 7 and 14 days (suggestive of spared axon remyelination). Forelimb evoked activity in the cuneate nucleus at 15 but not 3 days post-injury occurred despite dorsal column damage throughout the cervical injury (as seen histologically). Neuroanatomical tracing (using 1% unconjugated cholera toxin B subunit) confirmed that upper limb primary afferent terminals remained within the cuneate nuclei. Taken together, these results indicate that neural transmission between dorsal column primary afferents and cuneate nuclei neurons is likely involved in the recovery of upper limb SSEPs after contusive cervical SCI.
在脊髓损伤(SCI)后的数天和数月内,人类和动物的神经功能会自发出现不同程度的恢复。例如,在颈髓挫伤后的患者中,消失的上肢体感诱发电位(SSEPs)和皮肤感觉可以恢复。为了最大限度地促进恢复以及修复策略的开发/评估,需要更好地了解SCI后自发恢复背后的解剖位置和生理过程。作为第一步,本研究检查了颈髓挫伤性SCI后上肢SSEPs的恢复是否归因于一些保留的终止于楔束核内的背柱初级传入纤维的完整性,而非几种替代途径之一。对成年雄性大鼠进行C5-6节段挫伤。在同一只大鼠中使用电生理技术来确定皮层(SSEPs)和楔束核(终末细胞外记录)中的前肢诱发神经元反应。SCI后2天未诱发出SSEPs,但在7天及以后出现,且观察到7至14天之间潜伏期发生变化(提示保留的轴突重新髓鞘化)。尽管整个颈髓损伤节段的背柱受损(组织学观察所见),但在损伤后15天而非3天,楔束核中出现了前肢诱发活动。神经解剖示踪(使用1%未结合的霍乱毒素B亚基)证实上肢初级传入终末仍保留在楔束核内。综上所述,这些结果表明背柱初级传入纤维与楔束核神经元之间的神经传递可能参与了颈髓挫伤性SCI后上肢SSEPs的恢复。