The Miami Project to Cure Paralysis, Department of Neurological Surgery, University of Miami Miller School of MedicineMiami, FL, United States.
Front Neural Circuits. 2017 Aug 30;11:59. doi: 10.3389/fncir.2017.00059. eCollection 2017.
Spinal cord neurons active during locomotion are innervated by descending axons that release the monoamines serotonin (5-HT) and norepinephrine (NE) and these neurons express monoaminergic receptor subtypes implicated in the control of locomotion. The timing, level and spinal locations of release of these two substances during centrally-generated locomotor activity should therefore be critical to this control. These variables were measured in real time by fast-cyclic voltammetry in the decerebrate cat's lumbar spinal cord during fictive locomotion, which was evoked by electrical stimulation of the mesencephalic locomotor region (MLR) and registered as integrated activity in bilateral peripheral nerves to hindlimb muscles. Monoamine release was observed in dorsal horn (DH), intermediate zone/ventral horn (IZ/VH) and adjacent white matter (WM) during evoked locomotion. Extracellular peak levels (all sites) increased above baseline by 138 ± 232.5 nM and 35.6 ± 94.4 nM (mean ± SD) for NE and 5-HT, respectively. For both substances, release usually began prior to the onset of locomotion typically earliest in the IZ/VH and peaks were positively correlated with net activity in peripheral nerves. Monoamine levels gradually returned to baseline levels or below at the end of stimulation in most trials. Monoamine oxidase and uptake inhibitors increased the release magnitude, time-to-peak (TTP) and decline-to-baseline. These results demonstrate that spinal monoamine release is modulated on a timescale of seconds, in tandem with centrally-generated locomotion and indicate that MLR-evoked locomotor activity involves concurrent activation of descending monoaminergic and reticulospinal pathways. These gradual changes in space and time of monoamine concentrations high enough to strongly activate various receptors subtypes on locomotor activated neurons further suggest that during MLR-evoked locomotion, monoamine action is, in part, mediated by extrasynaptic neurotransmission in the spinal cord.
在运动过程中活跃的脊髓神经元被下行轴突支配,这些轴突释放单胺递质血清素(5-HT)和去甲肾上腺素(NE),这些神经元表达参与运动控制的单胺能受体亚型。因此,这两种物质在中枢产生的运动活动期间的释放时间、水平和脊髓位置对于这种控制应该是至关重要的。在电刺激中脑运动区(MLR)诱发的虚构运动期间,通过快速循环伏安法在去脑猫的腰脊髓中实时测量这些变量,并作为双侧外周神经到后肢肌肉的整合活动进行记录。在诱发的运动过程中,在背角(DH)、中间区/腹角(IZ/VH)和相邻的白质(WM)中观察到单胺释放。与基线相比,NE 和 5-HT 的细胞外峰水平(所有部位)分别增加了 138±232.5 nM 和 35.6±94.4 nM(平均值±标准差)。对于这两种物质,释放通常在运动开始之前开始,通常在 IZ/VH 中最早开始,并且峰值与外周神经中的净活动呈正相关。在大多数试验中,在刺激结束时,单胺水平逐渐恢复到基线水平或以下。单胺氧化酶和摄取抑制剂增加了释放幅度、达峰时间(TTP)和下降至基线。这些结果表明,脊髓单胺释放是在与中枢产生的运动同步的秒级时间尺度上调节的,表明 MLR 诱发的运动活动涉及下行单胺能和网状脊髓途径的同时激活。单胺浓度在空间和时间上的这些逐渐变化,足以强烈激活运动激活神经元上的各种受体亚型,进一步表明,在 MLR 诱发的运动过程中,单胺作用部分是通过脊髓中的突触外神经传递介导的。