Sigler Albrecht, Mohajerani Majid H, Murphy Timothy H
Department of Psychiatry, Kinsmen Laboratory of Neurological Research, Brain Research Center, University of British Columbia, Vancouver, BC, Canada.
Proc Natl Acad Sci U S A. 2009 Jul 14;106(28):11759-64. doi: 10.1073/pnas.0812695106. Epub 2009 Jul 1.
Evidence suggests that recovery from stroke damage results from the production of new synaptic pathways within surviving brain regions over weeks. To address whether brain function might redistribute more rapidly through preexisting pathways, we examined patterns of sensory-evoked depolarization in mouse somatosensory cortex within hours after targeted stroke to a subset of the forelimb sensory map. Brain activity was mapped with voltage-sensitive dye imaging allowing millisecond time resolution over 9 mm(2) of brain. Before targeted stroke, we report rapid activation of the forelimb area within 10 ms of contralateral forelimb stimulation and more delayed activation of related areas of cortex such as the hindlimb sensory and motor cortices. After stroke to a subset of the forelimb somatosensory cortex map, function was lost in ischemic areas within the forelimb map center, but maintained in regions 200-500 microm blood flow deficits indicating the size of a perfused, but nonfunctional, penumbra. In many cases, stroke led to only partial loss of the forelimb map, indicating that a subset of a somatosensory domain can function on its own. Within the forelimb map spared by stroke, forelimb-stimulated responses became delayed in kinetics, and their center of activity shifted into adjacent hindlimb and posterior-lateral sensory areas. We conclude that the focus of forelimb-specific somatosensory cortex activity can be rapidly redistributed after ischemic damage. Given that redistribution occurs within an hour, the effect is likely to involve surviving accessory pathways and could potentially contribute to rapid behavioral compensation or direct future circuit rewiring.
有证据表明,中风损伤后的恢复是在数周内通过存活脑区中新突触通路的产生实现的。为了研究脑功能是否可能通过预先存在的通路更快地重新分布,我们在对前肢感觉图谱的一个子集进行靶向中风后的数小时内,检查了小鼠体感皮层中感觉诱发去极化的模式。利用电压敏感染料成像绘制脑活动图,可在9平方毫米的脑区实现毫秒级的时间分辨率。在靶向中风前,我们发现对侧前肢刺激后10毫秒内前肢区域迅速激活,而相关皮层区域(如后肢感觉和运动皮层)的激活则延迟更多。对前肢体感皮层图谱的一个子集进行中风后,前肢图谱中心的缺血区域功能丧失,但在血流减少200 - 500微米的区域功能得以维持,这表明存在一个灌注但无功能的半暗带。在许多情况下,中风仅导致前肢图谱部分丧失,这表明体感域的一个子集可以独立发挥功能。在中风未累及的前肢图谱内,前肢刺激反应的动力学延迟,其活动中心转移到相邻的后肢和后外侧感觉区域。我们得出结论,缺血损伤后前肢特异性体感皮层活动的焦点可迅速重新分布。鉴于这种重新分布在一小时内发生,其作用可能涉及存活的辅助通路,并可能有助于快速的行为补偿或直接促进未来的神经回路重新布线。