Norton Jonathan A, Bennett David J, Knash Michael E, Murray Katie C, Gorassini Monica A
Department of Biomedical Engineering, University of Alberta, Edmonton, Alberta, Canada T6G 2S2.
Brain. 2008 Jun;131(Pt 6):1478-91. doi: 10.1093/brain/awn050. Epub 2008 Mar 15.
Following spinal cord injury (SCI), prolonged muscle spasms are readily triggered by brief sensory stimuli. Animal and indirect human studies have shown that a substantial portion of the depolarization of motoneurons during a muscle spasm comes from the activation of persistent inward currents (PICs). The brief (single pulse) sensory stimuli that trigger the PICs and muscle spasms in chronically spinalized animals evoke excitatory post-synaptic potentials (EPSPs) that are broadened to more than 500 ms, the duration of depolarization required to activate a PIC in the motoneuron. Thus, in humans, we investigated if post-synaptic potentials (PSPs) evoked from brief (<20 ms) sensory stimulation are changed after SCI and if they are broadened to > or =500 ms to more readily activate motoneuron PICs and muscle spasms. To estimate both the shape and duration of PSPs in human subjects we used peristimulus frequencygrams (PSFs), which are plots of the instantaneous firing frequency of tonically active single motor units that are time-locked to the occurrence of the sensory stimulus. PSFs in response to cutaneomuscular stimulation of the medial arch or toe of the foot, a sensory stimulus that readily triggers muscle spasms, were compared between non-injured control subjects and in spastic subjects with chronic (>1 year), incomplete SCI. In non-injured controls, a single shock or brief (<20 ms) train of cutaneomuscular stimulation produced PSFs consisting of a 300 ms increase in firing rate above baseline with an interposed period of reduced firing. Parallel intracellular experiments in motoneurons of adult rats revealed that a 300 ms EPSP with a fast intervening inhibitory PSP (IPSP) reproduced the PSF recorded in non-injured subjects. In contrast, the same brief sensory stimulation in subjects with chronic SCI produced PSFs of comparatively long duration (1200 ms) with no evidence for IPSP activation, as reflected by a lack of reduced firing rates after the onset of the PSF. Thus, unlike non-injured controls, the motoneurons of subjects with chronic SCI are activated by very long periods of pure depolarization from brief sensory activation. It is likely that these second-long EPSPs securely recruit slowly activating PICs in motoneurons that are known to mediate, in large part, the many seconds-long activation of motoneurons during involuntary muscle spasms.
脊髓损伤(SCI)后,短暂的感觉刺激很容易引发长时间的肌肉痉挛。动物研究和间接人体研究表明,肌肉痉挛期间运动神经元去极化的很大一部分来自持续性内向电流(PICs)的激活。在慢性脊髓损伤动物中,触发PICs和肌肉痉挛的短暂(单脉冲)感觉刺激会诱发兴奋性突触后电位(EPSPs),其持续时间延长至500毫秒以上,这是激活运动神经元中PIC所需的去极化持续时间。因此,在人类中,我们研究了脊髓损伤后,短暂(<20毫秒)感觉刺激诱发的突触后电位(PSPs)是否发生变化,以及它们是否延长至≥500毫秒,从而更易激活运动神经元PICs和肌肉痉挛。为了估计人类受试者PSPs的形状和持续时间,我们使用了刺激后频率图(PSFs),它是与感觉刺激发生时间锁定的紧张性活动单运动单位的瞬时放电频率图。将非损伤对照受试者与慢性(>1年)、不完全性脊髓损伤的痉挛性受试者对足底内侧弓或脚趾进行皮肤肌肉刺激(一种容易触发肌肉痉挛的感觉刺激)的PSFs进行比较。在非损伤对照中,单次电击或短暂(<20毫秒)的皮肤肌肉刺激序列产生的PSFs包括放电率比基线增加300毫秒,中间有一段放电减少期。对成年大鼠运动神经元进行的平行细胞内实验表明,一个300毫秒的EPSP与一个快速的中间抑制性突触后电位(IPSP)可重现非损伤受试者记录的PSF。相比之下,慢性脊髓损伤受试者中相同的短暂感觉刺激产生的PSFs持续时间较长(1200毫秒),没有IPSP激活的证据,PSF开始后放电率没有降低即反映了这一点。因此,与非损伤对照不同,慢性脊髓损伤受试者的运动神经元是由短暂感觉激活产生的非常长时间的纯去极化激活的。很可能这些长达一秒的EPSPs可靠地募集了运动神经元中缓慢激活的PICs,已知这些PICs在很大程度上介导了非自愿肌肉痉挛期间运动神经元长达数秒的激活。