Hu Ke-Hui, Li Yang-An, Jia Wei, Wu Guang-Yan, Sun Lin, Wang San-Rong, Yu Le-Hua
Department of Rehabilitation Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400038, China; Department of Rehabilitation Medicine, Suining Central Hospital, The Affiliated Hospital of Chongqing Medical University, Suining 629000, China.
Department of emergency, Suining Central Hospital, The Affiliated Hospital of Chongqing Medical University, Suining 629000, China.
Behav Brain Res. 2019 Feb 1;359:81-88. doi: 10.1016/j.bbr.2018.10.029. Epub 2018 Oct 23.
Ischemic stroke is a major cause of disability and mortality worldwide, while no unequivocally efficacious drug is currently available to treat post-stroke functional impairments. Animal and clinical investigations suggest that the motor cortex stimulation constitutes a particularly promising approach for promoting function recovery after stroke. However, the cell types and mechanisms involved in stimulation-induced recovery are not well understood. Here, we used chemogenetic technique to selectively activate glutamatergic neurons in the primary motor cortex and investigated whether activation of glutamatergic neurons in the primary motor cortex can promote functional recovery after ischemic stroke in rats. The results showed that chemogenetic activation of the motor cortex glutamatergic neurons significantly decreased the neurological deficit scores, as well as significantly increased the grip test scores and the hanging time. Moreover, the glutamatergic neuronal activation also significantly decreased the escape latencies, increased the swimming speed, target quadrant time, and numbers of crossing platform position in the Morris water maze test. These results demonstrate that selective activation of the glutamatergic neurons in primary motor cortex is sufficient to promote functional recovery after ischemic stroke, and may be of importance in understanding the neural cellular mechanisms underlying the motor cortex stimulation-induced functional recovery.
缺血性中风是全球范围内导致残疾和死亡的主要原因,然而目前尚无明确有效的药物来治疗中风后的功能障碍。动物和临床研究表明,运动皮层刺激是促进中风后功能恢复的一种特别有前景的方法。然而,刺激诱导恢复所涉及的细胞类型和机制尚不清楚。在此,我们使用化学遗传学技术选择性激活初级运动皮层中的谷氨酸能神经元,并研究初级运动皮层中谷氨酸能神经元的激活是否能促进大鼠缺血性中风后的功能恢复。结果表明,运动皮层谷氨酸能神经元的化学遗传学激活显著降低了神经功能缺损评分,同时显著提高了握力测试评分和悬挂时间。此外,谷氨酸能神经元的激活在莫里斯水迷宫试验中也显著缩短了逃避潜伏期,提高了游泳速度、目标象限时间以及穿越平台位置的次数。这些结果表明,选择性激活初级运动皮层中的谷氨酸能神经元足以促进缺血性中风后的功能恢复,并且对于理解运动皮层刺激诱导功能恢复的神经细胞机制可能具有重要意义。