Perez Monica A, Cohen Leonardo G
Human Cortical Physiology Section and Stroke Neurorehabilitation Clinic, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA.
J Neurosci. 2008 May 28;28(22):5631-40. doi: 10.1523/JNEUROSCI.0093-08.2008.
Performance of a unimanual hand motor task results in functional changes in both primary motor cortices (M1(ipsilateral) and M1(contralateral)). The neuronal mechanisms controlling the corticospinal output originated in M1(ipsilateral) and the resting hand during a unimanual task remain unclear. Here, we assessed functional changes within M1(ipsilateral) and in interhemispheric inhibition (IHI) associated with parametric increases in unimanual force. We measured motor-evoked potential (MEP) recruitment curves (RCs) and short-interval intracortical inhibition (SICI) in M1(ipsilateral), IHI from M1(contralateral) to M1(ipsilateral), and the influence of IHI over SICI using transcranial magnetic stimulation at rest and during 10, 30, and 70% of maximal right wrist flexion force. EMG from the left resting flexor carpi radialis (FCR) muscle was comparable across conditions. Left FCR MEP RCs increased, and SICI decreased with increasing right wrist force. Activity-dependent (rest and 10, 30, and 70%) left FCR maximal MEP size correlated with absolute changes in SICI. IHI decreased with increasing force at matched conditioned MEP amplitudes. IHI and SICI were inversely correlated at increasing forces. In the presence of IHI, SICI decreased at rest and 70% force. In summary, we found activity-dependent changes in (1) SICI in M1(ipsilateral), (2) IHI from M1(contralateral) to M1(ipsilateral), and (3) the influence of IHI over SICI in the left resting hand during force generation by the right hand. Our findings indicate that interactions between GABAergic intracortical circuits mediating SICI and interhemispheric glutamatergic projections between M1s contribute to control activity-dependent changes in corticospinal output to a resting hand during force generation by the opposite hand.
单手手部运动任务的执行会导致两侧初级运动皮层(M1(同侧)和M1(对侧))出现功能变化。在单手任务中,控制源自M1(同侧)的皮质脊髓输出以及静止手部的神经元机制尚不清楚。在此,我们评估了与单手力量参数增加相关的M1(同侧)内的功能变化以及半球间抑制(IHI)。我们测量了M1(同侧)的运动诱发电位(MEP)募集曲线(RCs)和短间隔皮质内抑制(SICI)、从M1(对侧)到M1(同侧)的IHI,以及在静息状态和右手最大腕部屈曲力的10%、30%和70%时使用经颅磁刺激评估IHI对SICI的影响。在不同条件下,左侧静息桡侧腕屈肌(FCR)的肌电图具有可比性。随着右手腕力增加,左侧FCR的MEP RCs增大,SICI减小。活动依赖性(静息以及10%、30%和70%)的左侧FCR最大MEP大小与SICI的绝对变化相关。在匹配的条件性MEP振幅下,IHI随着力量增加而减小。在力量增加时,IHI和SICI呈负相关。在存在IHI的情况下,静息状态和70%力量时SICI减小。总之,我们发现了以下活动依赖性变化:(1)M1(同侧)的SICI;(2)从M1(对侧)到M1(同侧)的IHI;(3)在右手产生力量期间,IHI对左侧静止手部SICI的影响。我们的研究结果表明,介导SICI的GABA能皮质内回路与M1之间的半球间谷氨酸能投射之间的相互作用,有助于控制在对侧手产生力量期间,皮质脊髓向静止手部输出的活动依赖性变化。