Department of Medical Neurobiology, Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem 91010, Israel.
J Neurosci. 2010 Aug 4;30(31):10324-36. doi: 10.1523/JNEUROSCI.1208-10.2010.
Afferent input from load and joint receptors has been shown to reactivate the central pattern generators for locomotion (CPGs) in spinal cord injury patients and thereby improve their motor function and mobility. Elucidation of the pathways interposed between the afferents and CPGs is critical for the determination of the capacity of sensory input to activate the CPGs when the continuity of the white matter tracts is impaired following spinal cord injury. Using electrophysiological recordings, confocal imaging studies of spinal neurons and surgical manipulations of the white matter, we show that the capacity of sacrocaudal afferent (SCA) input to produce locomotor activity in isolated rat spinal cords depends not only on long ascending pathways, but also on recruitment of sacral proprioneurons interposed between the second order neurons and the hindlimb CPGs. We argue that large heterogeneous populations of second-order and proprioneurons whose crossed and uncrossed axons project rostrally through the ventral, ventrolateral/lateral and dorsolateral white matter funiculi contribute to the generation of the rhythm by the stimulated sacrocaudal input. The complex organization and multiple projection patterns of these populations enable the sacrocaudal afferent input to activate the CPGs even if the white matter pathways are severely damaged. Further studies are required to clarify the mechanisms involved in SCA-induced locomotor activity and assess its potential use for the rescue of lost motor functions after spinal cord injury.
来自负荷和关节感受器的传入输入已被证明可以重新激活脊髓损伤患者的运动中枢模式发生器(CPG),从而改善其运动功能和活动能力。阐明传入与 CPG 之间的通路对于确定感觉输入激活 CPG 的能力至关重要,因为在脊髓损伤后白质束连续性受损时,感觉输入的能力会受到影响。我们使用电生理记录、脊髓神经元共聚焦成像研究以及白质的手术操作,表明骶骨传入(SCA)输入在分离的大鼠脊髓中产生运动活动的能力不仅取决于长的上行通路,还取决于中间神经元和后肢 CPG 之间的骶骨前体细胞的募集。我们认为,大量的第二级和前体细胞的异质性群体,其交叉和未交叉的轴突通过腹侧、腹外侧/外侧和背外侧白质束向头侧投射,有助于由刺激的骶骨传入产生节律。这些群体的复杂组织和多种投射模式使骶骨传入输入能够激活 CPG,即使白质通路受到严重损伤。需要进一步研究来阐明 SCA 诱导的运动活动涉及的机制,并评估其在脊髓损伤后恢复丧失的运动功能方面的潜在用途。