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1.
Science ; 372(6540): 385-393, 2021 04 23.
Article in English | MEDLINE | ID: mdl-33888637

ABSTRACT

Motor and sensory functions of the spinal cord are mediated by populations of cardinal neurons arising from separate progenitor lineages. However, each cardinal class is composed of multiple neuronal types with distinct molecular, anatomical, and physiological features, and there is not a unifying logic that systematically accounts for this diversity. We reasoned that the expansion of new neuronal types occurred in a stepwise manner analogous to animal speciation, and we explored this by defining transcriptomic relationships using a top-down approach. We uncovered orderly genetic tiers that sequentially divide groups of neurons by their motor-sensory, local-long range, and excitatory-inhibitory features. The genetic signatures defining neuronal projections were tied to neuronal birth date and conserved across cardinal classes. Thus, the intersection of cardinal class with projection markers provides a unifying taxonomic solution for systematically identifying distinct functional subsets.


Subject(s)
Neural Pathways , Neurons/physiology , Spinal Cord/cytology , Transcriptome , Animals , Cervical Cord/cytology , Female , Male , Mice , Motor Neurons/physiology , Proprioception , RNA-Seq , Sensory Receptor Cells/physiology , Single-Cell Analysis , Spatial Analysis , Spinal Cord/embryology , Transcription Factors/genetics , Transcription Factors/metabolism
2.
Nat Commun ; 12(1): 435, 2021 01 19.
Article in English | MEDLINE | ID: mdl-33469022

ABSTRACT

Epidural electrical stimulation (EES) of lumbosacral sensorimotor circuits improves leg motor control in animals and humans with spinal cord injury (SCI). Upper-limb motor control involves similar circuits, located in the cervical spinal cord, suggesting that EES could also improve arm and hand movements after quadriplegia. However, the ability of cervical EES to selectively modulate specific upper-limb motor nuclei remains unclear. Here, we combined a computational model of the cervical spinal cord with experiments in macaque monkeys to explore the mechanisms of upper-limb motoneuron recruitment with EES and characterize the selectivity of cervical interfaces. We show that lateral electrodes produce a segmental recruitment of arm motoneurons mediated by the direct activation of sensory afferents, and that muscle responses to EES are modulated during movement. Intraoperative recordings suggested similar properties in humans at rest. These modelling and experimental results can be applied for the development of neurotechnologies designed for the improvement of arm and hand control in humans with quadriplegia.


Subject(s)
Cervical Cord/physiopathology , Motor Neurons/physiology , Quadriplegia/therapy , Recruitment, Neurophysiological/physiology , Spinal Cord Injuries/therapy , Spinal Cord Stimulation/methods , Afferent Pathways/physiopathology , Animals , Cervical Cord/cytology , Cervical Cord/diagnostic imaging , Cervical Cord/injuries , Computer Simulation , Disease Models, Animal , Electrodes, Implanted , Epidural Space , Female , Ganglia, Spinal/cytology , Ganglia, Spinal/diagnostic imaging , Ganglia, Spinal/physiopathology , Humans , Macaca fascicularis , Magnetic Resonance Imaging , Male , Models, Neurological , Muscle, Skeletal/innervation , Quadriplegia/etiology , Quadriplegia/physiopathology , Spinal Cord Injuries/complications , Spinal Cord Injuries/diagnosis , Spinal Cord Injuries/physiopathology , Spinal Cord Stimulation/instrumentation , Upper Extremity/innervation
3.
Brain Struct Funct ; 224(1): 57-72, 2019 Jan.
Article in English | MEDLINE | ID: mdl-30251026

ABSTRACT

The diaphragm is driven by phrenic motoneurons that are located in the cervical spinal cord. Although the anatomical location of the phrenic nucleus and the function of phrenic motoneurons at a single cellular level have been extensively analyzed, the spatiotemporal dynamics of phrenic motoneuron group activity have not been fully elucidated. In the present study, we analyzed the functional and structural characteristics of respiratory neuron population in the cervical spinal cord at the level of the phrenic nucleus by voltage imaging, together with histological analysis of neuronal and astrocytic distribution in the cervical spinal cord. We found spatially distinct two cellular populations that exhibited synchronized inspiratory activity on the transversely cut plane at C4-C5 levels and on the ventral surface of the mid cervical spinal cord in the isolated brainstem-spinal cord preparation of the neonatal rat. Inspiratory activity of one group emerged in the central portion of the ventral horn that corresponded to the central motor column, and the other appeared in the medial portion of the ventral horn that corresponded to the medial motor column. We identified by retrogradely labeling study that the anatomical distributions of phrenic and scalene motoneurons coincided with optically detected central and medial motor regions, respectively. Furthermore, we anatomically demonstrated closely located features of putative motoneurons, interneurons and astrocytes in these regions. Collectively, we report that phrenic and scalene motoneuron populations show synchronized inspiratory activities with distinct anatomical locations in the mid cervical spinal cord.


Subject(s)
Cervical Cord/physiology , Diaphragm/innervation , Inhalation , Motor Neurons/physiology , Action Potentials , Animals , Animals, Newborn , Brain Stem/physiology , Cervical Cord/cytology , Cervical Vertebrae , Female , In Vitro Techniques , Male , Neural Pathways/physiology , Neuroanatomical Tract-Tracing Techniques/methods , Rats, Wistar , Time Factors , Voltage-Sensitive Dye Imaging
4.
Cell ; 171(2): 440-455.e14, 2017 Oct 05.
Article in English | MEDLINE | ID: mdl-28942925

ABSTRACT

Corticospinal neurons (CSNs) represent the direct cortical outputs to the spinal cord and play important roles in motor control across different species. However, their organizational principle remains unclear. By using a retrograde labeling system, we defined the requirement of CSNs in the execution of a skilled forelimb food-pellet retrieval task in mice. In vivo imaging of CSN activity during performance revealed the sequential activation of topographically ordered functional ensembles with moderate local mixing. Region-specific manipulations indicate that CSNs from caudal or rostral forelimb area control reaching or grasping, respectively, and both are required in the transitional pronation step. These region-specific CSNs terminate in different spinal levels and locations, therefore preferentially connecting with the premotor neurons of muscles engaged in different steps of the task. Together, our findings suggest that spatially defined groups of CSNs encode different movement modules, providing a logic for parallel-ordered corticospinal circuits to orchestrate multistep motor skills.


Subject(s)
Cervical Cord/physiology , Motor Skills , Neural Pathways , Animals , Calcium/analysis , Cerebral Cortex/cytology , Cerebral Cortex/physiology , Cervical Cord/cytology , Forelimb/physiology , Joints/physiology , Mice , Mice, Inbred C57BL
5.
Sci Rep ; 7(1): 884, 2017 04 13.
Article in English | MEDLINE | ID: mdl-28408761

ABSTRACT

Vascular pathology, including blood-CNS barrier (B-CNS-B) damage via endothelial cell (EC) degeneration, is a recently recognized hallmark of Amyotrophic Lateral Sclerosis (ALS) pathogenesis. B-CNS-B repair may be a new therapeutic approach for ALS. This study aimed to determine effects of transplanted unmodified human bone marrow CD34+ (hBM34+) cells into symptomatic G93A mice towards blood-spinal cord barrier (BSCB) repair. Thirteen weeks old G93A mice intravenously received one of three different doses of hBM34+ cells. Cell-treated, media-treated, and control mice were euthanized at 17 weeks of age. Immunohistochemical (anti-human vWF, CD45, GFAP, and Iba-1) and motor neuron histological analyses were performed in cervical and lumbar spinal cords. EB levels in spinal cord parenchyma determined capillary permeability. Transplanted hBM34+ cells improved behavioral disease outcomes and enhanced motor neuron survival, mainly in high-cell-dose mice. Transplanted cells differentiated into ECs and engrafted within numerous capillaries. Reduced astrogliosis, microgliosis, and enhanced perivascular end-feet astrocytes were also determined in spinal cords, mostly in high-cell-dose mice. These mice also showed significantly decreased parenchymal EB levels. EC differentiation, capillary engraftment, reduced capillary permeability, and re-established perivascular end-feet astrocytes in symptomatic ALS mice may represent BSCB repair processes, supporting hBM34+ cell transplantation as a future therapeutic strategy for ALS patients.


Subject(s)
Amyotrophic Lateral Sclerosis/therapy , Astrocytes/cytology , Bone Marrow Cells/cytology , Endothelial Cells/cytology , Amyotrophic Lateral Sclerosis/immunology , Animals , Blood-Brain Barrier , Cervical Cord/cytology , Cervical Cord/immunology , Disease Models, Animal , Disease Progression , Humans , Male , Mice , Mice, Transgenic , Motor Neurons/cytology , Motor Neurons/immunology , Spinal Cord/cytology , Spinal Cord/immunology , Stem Cell Transplantation , Treatment Outcome
6.
Neuroscience ; 343: 459-471, 2017 02 20.
Article in English | MEDLINE | ID: mdl-28039040

ABSTRACT

In the spinal cord, glycine and γ-amino butyric acid (GABA) are inhibitory neurotransmitters. However, the ontogeny of the glycinergic network remains unclear. To address this point, we examined the developmental formation of glycinergic terminals by immunohistochemistry for glycine transporter 2 (GlyT2), a marker of glycinergic terminals, in developing mouse cervical spinal cord. Furthermore, the developmental localization of GlyT2 was compared with that of glutamic acid decarboxylase (GAD), a marker of GABAergic terminals, and vesicular GABA transporter (VGAT), a marker of inhibitory terminals, by single and double immunolabeling. GlyT2-positive dots (glycinergic terminals) were first detected in the marginal zone on embryonic day 14 (E14). In the ventral horn, they were detected at E16 and increased in observed density during postnatal development. Until postnatal day 7 (P7), GAD-positive dots (GABAergic terminals) were dominant and GlyT2 immunolabeling was localized at GAD-positive dots. During the second postnatal week, GABAergic terminals markedly decreased and glycinergic terminals became dominant. In the dorsal horn, glycinergic terminals were detected at P0 in lamina IV and P7 in lamina III and developmentally increased. GlyT2 was also localized at GAD-positive dots, and colocalizing dots were dominant at P21. VGAT-positive dots (inhibitory terminals) continued to increase until P21. These results suggest that GABAergic terminals first appear during embryonic development and may often change to colocalizing terminals throughout the gray matter during development. The colocalizing terminals may remain in the dorsal horn, whereas in the ventral horn, colocalizing terminals may give rise to glycinergic terminals.


Subject(s)
Anterior Horn Cells/metabolism , Cervical Cord/growth & development , Cervical Cord/metabolism , Glycine/metabolism , Posterior Horn Cells/metabolism , Synapses/metabolism , Animals , Animals, Newborn , Anterior Horn Cells/cytology , Cervical Cord/cytology , Glycine Plasma Membrane Transport Proteins/metabolism , Immunohistochemistry , Male , Microscopy, Electron , Posterior Horn Cells/cytology , Vesicular Inhibitory Amino Acid Transport Proteins/metabolism , gamma-Aminobutyric Acid/metabolism
7.
J Neurophysiol ; 117(3): 1014-1029, 2017 03 01.
Article in English | MEDLINE | ID: mdl-27974450

ABSTRACT

Midcervical spinal interneurons form a complex and diffuse network and may be involved in modulating phrenic motor output. The intent of the current work was to enable a better understanding of midcervical "network-level" connectivity by pairing the neurophysiological multielectrode array (MEA) data with histological verification of the recording locations. We first developed a method to deliver 100-nA currents to electroplate silver onto and subsequently deposit silver from electrode tips after obtaining midcervical (C3-C5) recordings using an MEA in anesthetized and ventilated adult rats. Spinal tissue was then fixed, harvested, and histologically processed to "develop" the deposited silver. Histological studies verified that the silver deposition method discretely labeled (50-µm resolution) spinal recording locations between laminae IV and X in cervical segments C3-C5. Using correlative techniques, we next tested the hypothesis that midcervical neuronal discharge patterns are temporally linked. Cross-correlation histograms produced few positive peaks (5.3%) in the range of 0-0.4 ms, but 21.4% of neuronal pairs had correlogram peaks with a lag of ≥0.6 ms. These results are consistent with synchronous discharge involving mono- and polysynaptic connections among midcervical neurons. We conclude that there is a high degree of synaptic connectivity in the midcervical spinal cord and that the silver-labeling method can reliably mark metal electrode recording sites and "map" interneuron populations, thereby providing a low-cost and effective tool for use in MEA experiments. We suggest that this method will be useful for further exploration of midcervical network connectivity.NEW & NOTEWORTHY We describe a method that reliably identifies the locations of multielectrode array (MEA) recording sites while preserving the surrounding tissue for immunohistochemistry. To our knowledge, this is the first cost-effective method to identify the anatomic locations of neuronal ensembles recorded with a MEA during acute preparations without the requirement of specialized array electrodes. In addition, evaluation of activity recorded from silver-labeled sites revealed a previously unappreciated degree of connectivity between midcervical interneurons.


Subject(s)
Cervical Cord/cytology , Cervical Cord/physiology , Electroporation/methods , Interneurons/cytology , Interneurons/physiology , Neuroanatomical Tract-Tracing Techniques/methods , Silver Staining/methods , Action Potentials , Animals , Microelectrodes , Motor Neurons/cytology , Motor Neurons/physiology , Neural Pathways/cytology , Neural Pathways/physiology , Phrenic Nerve/cytology , Phrenic Nerve/physiology , Rats , Rats, Sprague-Dawley
8.
Neuroscience ; 343: 39-54, 2017 02 20.
Article in English | MEDLINE | ID: mdl-27939302

ABSTRACT

The central canal along the spinal cord (SC.) and medulla is characterized by the presence of a specific population of neurons that contacts the cerebrospinal fluid (CSF). These medullo-spinal CSF-contacting neurons (CSF-cNs) are identified by the selective expression of the polycystin kidney disease 2-like 1 ionic channel (PKD2L1 or polycystin-L). In adult, they have been shown to express doublecortin (DCX) and Nkx6.1, two markers of juvenile neurons along with the neuron-specific nuclear protein (NeuN) typically expressed in mature neurons. They were therefore suggested to remain in a rather incomplete maturation state. The aim of this study was to assess whether such juvenile state is stable in postnatal animals or whether CSF-cNs may reach maturity at older stages than neurons in the parenchyma. We show, in the cervical SC. and the brainstem that, in relation to age, CSF-cN density declines and that their cell bodies become more distant from the cc, except in its ventral part. Moreover, in adults (from 1month) by comparison with neonatal mice, we show that CSF-cNs have evolved to a more mature state, as indicated by the increase in the percentage of cells positive for NeuN and of its level of expression. In parallel, CSF-cNs exhibit, in adult, lower DCX immunoreactivity and do not express PSA-NCAM and TUC4, two neurogenic markers. Nevertheless, CSF-cNs still share in adult characteristics of juvenile neurons such as the presence of phospho-CREB and DCX while NeuN expression remained low. This phenotype persists in 12-month-old animals. Thus, despite a pursuit of neuronal maturation during the postnatal period, CSF-cNs retain a durable low differentiated state.


Subject(s)
Cervical Cord/growth & development , Medulla Oblongata/growth & development , Neurons/cytology , Prosencephalon/growth & development , Aging/pathology , Aging/physiology , Animals , Animals, Newborn , Cell Count , Cervical Cord/cytology , Cervical Cord/physiology , DNA-Binding Proteins , Doublecortin Domain Proteins , Doublecortin Protein , Female , Fluorescent Antibody Technique , Male , Medulla Oblongata/cytology , Medulla Oblongata/physiology , Mice, Transgenic , Microtubule-Associated Proteins/metabolism , Nerve Tissue Proteins/metabolism , Neural Cell Adhesion Molecule L1/metabolism , Neurons/physiology , Neuropeptides/metabolism , Nuclear Proteins/metabolism , Prosencephalon/cytology , Prosencephalon/physiology , Sialic Acids/metabolism
9.
Brain Res ; 1648(Pt A): 512-523, 2016 10 01.
Article in English | MEDLINE | ID: mdl-27544422

ABSTRACT

The neural pathways underlying the respiratory variation dependent on vigilance states remain unsettled. In the present study, we examined the orexinergic innervation of Kölliker-Fuse nucleus (KFN) neurons sending their axons to the rostral ventral respiratory group (rVRG) and phrenic nucleus (PhN) as well as to the hypoglossal nucleus (HGN) by using a combined retrograde tracing and immunohistochemistry. After injection of cholera toxin B subunit (CTb) into the KFN, CTb-labeled neurons that are also immunoreactive for orexin (ORX) were found prominently in the perifornical and medial regions and additionally in the lateral region of the hypothalamic ORX field. After injection of fluorogold (FG) into the rVRG, PhN or HGN, we found an overlapping distribution of ORX-immunoreactive axon terminals and FG-labeled neurons in the KFN. Within the neuropil of the KFN, asymmetrical synaptic contacts were made between these terminals and neurons. We further demonstrated that many neurons labeled with FG injected into the rVRG, PhN, or HGN are immunoreactive for ORX receptor 2. Present data suggest that rVRG-, PhN- and HGN-projecting KFN neurons may be under the excitatory influence of the ORXergic neurons for the state-dependent regulation of respiration.


Subject(s)
Cervical Cord/cytology , Kolliker-Fuse Nucleus/cytology , Medulla Oblongata/cytology , Neurons/cytology , Orexins/metabolism , Respiration , Spinal Cord/cytology , Animals , Axons/metabolism , Cervical Cord/metabolism , Hypothalamus/cytology , Immunohistochemistry , Kolliker-Fuse Nucleus/ultrastructure , Male , Medulla Oblongata/metabolism , Neural Pathways/cytology , Neural Pathways/metabolism , Neuroanatomical Tract-Tracing Techniques , Neurons/metabolism , Orexin Receptors/metabolism , Rats , Rats, Wistar , Spinal Cord/metabolism
10.
J Neurophysiol ; 115(1): 324-44, 2016 Jan 01.
Article in English | MEDLINE | ID: mdl-26581870

ABSTRACT

Animals and human beings sense and react to real/potential dangerous stimuli. However, the supraspinal mechanisms relating noxious sensing and nocifensive behavior are mostly unknown. The collateralization and spatial organization of interrelated neurons are important determinants of coordinated network function. Here we electrophysiologically studied medial medullary reticulospinal neurons (mMRF-RSNs) antidromically identified from the cervical cord of anesthetized cats and found that 1) more than 40% (79/183) of the sampled mMRF-RSNs emitted bifurcating axons running within the dorsolateral (DLF) and ventromedial (VMF) ipsilateral fascicles; 2) more than 50% (78/151) of the tested mMRF-RSNs with axons running in the VMF collateralized to the subnucleus reticularis dorsalis (SRD) that also sent ipsilateral descending fibers bifurcating within the DLF and the VMF. This percentage of mMRF collateralization to the SRD increased to more than 81% (53/65) when considering the subpopulation of mMRF-RSNs responsive to noxiously heating the skin; 3) reciprocal monosynaptic excitatory relationships were electrophysiologically demonstrated between noxious sensitive mMRF-RSNs and SRD cells; and 4) injection of the anterograde tracer Phaseolus vulgaris leucoagglutinin evidenced mMRF to SRD and SRD to mMRF projections contacting the soma and proximal dendrites. The data demonstrated a SRD-mMRF network interconnected mainly through collaterals of descending axons running within the VMF, with the subset of noxious sensitive cells forming a reverberating circuit probably amplifying mutual outputs simultaneously regulating motor activity and spinal noxious afferent input. The results provide evidence that noxious stimulation positively engages a reticular SRD-mMRF-SRD network involved in pain-sensory-to-motor transformation and modulation.


Subject(s)
Axons/physiology , Cervical Cord/physiology , Medulla Oblongata/physiology , Neurons/physiology , Nociception/physiology , Action Potentials , Animals , Cats , Cervical Cord/cytology , Hot Temperature , Male , Medulla Oblongata/cytology , Neural Pathways/cytology , Neural Pathways/physiology , Neurons/cytology
11.
Zhongguo Zhen Jiu ; 36(7): 727-733, 2016 Jul 12.
Article in Chinese | MEDLINE | ID: mdl-29231413

ABSTRACT

OBJECTIVE: To observe the impacts of electroacupuncture (EA) on microgliacytes and astrocytes of cervical spinal cord in rats with thyroid incisional pain and explore the mechanism of acupuncture anesthesia in thyroid surgery. METHODS: Sixty Wistar male rats were randomized into a normal group, a model group, a Futu (LI 18) group, a Hegu (LI 4)-Neiguan (PC 6) group and a Zusanli (ST 36)-Yanglingquan (GB 34) group, 12 rats in each one. Except the normal group, a longitudinal incision, about 1.5 cm in length was done along the neck midline in the rats of the rest groups to prepare the model of thyroid incisional pain. In the Futu (LI 18) group, the Hegu (LI 4)-Neiguan (PC 6) group and the Zusanli (ST 36)-Yanglingquan (GB 34) group, after modeling for 4 h, 24 h and 48 h, EA was applied to bilateral "Futu" (LI 18), "Hegu" (LI 4) "Neiguan" (PC 6) and"Zusanli" (ST 36) "Yanglingquan" (GB 34) separately, once a day, continuously for 3 days. In the normal group and the model group, no any intervention was applied. The thermal radiant apparatus was used to detect the thermal pain threshold (PT). The fluorescence quantitative RT-PCR and the Western blotting (WB) were used to determine the expressions of protein and gene of microglia activation markers Iba1 and CD11b and the astrocyte specific protein marker, glial fibrillary acid protein (GFAP) in cervical spinal cord (C2 to C6) after intervention in the rats of each group. RESULTS: After intervention, as compared with the normal group, in the model group, the neck PT was reduced apparently (P<0.05), the expressions of Iba1 and CD11b and GFAP mRNA as well as the protein expressions in the spinal cord of C2 to C6 were up-regulated apparently (P<0.05, P<0.01). As compared with the model group, in the Futu (LI 18) and the Hegu (LI 4)-Neiguan (PC 6) group, PT was increased significantly (both P<0.05) and that did not change apparently in the Zusanli (ST 36)-Yanglingquan (GB 34) group (P>0.05). In the Futu (LI 18) group, the protein and gene expressions of Iba1, CD11b and GFAP were lower than those in the model group (all P<0.05). In the Hegu (LI 4)-Neiguan (PC 6) group, the expressions of Iba1 mRNA, CD11b protein, GFAP mRNA and protein were all lower apparently than those in the model group (all P<0.05). In the Zusanli (ST 36)-Yanglingquan (GB 34) group, the expressions of Iba1, CD11b and GFAP proteins were not different significantly as compared with the model group (all P>0.05). In the Zusanli (ST 36)-Yanglingquan (GB 34) group, the expressions of Iba1 mRNA and CD11b mRNA and protein expressions in the spinal cord of C2 to C6 were higher apparently than those in the Futu (LI 18) group (P<0.01, P<0.05); the expressions of Iba1 mRNA and CD11b protein expressions were higher than those in the Hegu (LI 4)-Neiguan (PC 6) group (all P<0.05); GFAP mRNA and protein expressions were higher apparently than those in the Futu (LI 18) group and the Hegu (LI 4)-Neiguan (PC 6) group (all P<0.05). CONCLUSIONS: EA at "Futu" (LI 18) or "Hegu" (LI 4), "Neiguan" (PC 6) relieves the acute neck incisional pain in the rats and its effect may be closely relevant with the down-regulation of the activities of microgliacytes and astrocytes in the spinal cords.


Subject(s)
Acupuncture Points , Astrocytes/physiology , Cervical Cord/cytology , Electroacupuncture/methods , Microglia/physiology , Pain, Procedural/therapy , Thyroid Gland/surgery , Animals , Cervical Cord/metabolism , Humans , Male , Pain Threshold , Pain, Procedural/etiology , Random Allocation , Rats , Rats, Sprague-Dawley , Rats, Wistar , Spinal Cord
12.
J Vis Exp ; (98)2015 Apr 07.
Article in English | MEDLINE | ID: mdl-25938297

ABSTRACT

Magnetic resonance imaging (MRI) is the state of the art approach for assessing the status of the spinal cord noninvasively, and can be used as a diagnostic and prognostic tool in cases of disease or injury. Diffusion weighted imaging (DWI), is sensitive to the thermal motion of water molecules and allows for inferences of tissue microstructure. This report describes a protocol to acquire and analyze DWI of the rat cervical spinal cord on a small-bore animal system. It demonstrates an imaging setup for the live anesthetized animal and recommends a DWI acquisition protocol for high-quality imaging, which includes stabilization of the cord and control of respiratory motion. Measurements with diffusion weighting along different directions and magnitudes (b-values) are used. Finally, several mathematical models of the resulting signal are used to derive maps of the diffusion processes within the spinal cord tissue that provide insight into the normal cord and can be used to monitor injury or disease processes noninvasively.


Subject(s)
Cervical Cord/anatomy & histology , Diffusion Magnetic Resonance Imaging/methods , Animals , Body Weight , Cervical Cord/cytology , Rats
13.
Pain ; 156(5): 942-950, 2015 May.
Article in English | MEDLINE | ID: mdl-25734990

ABSTRACT

Chronic dry eye disease (DE) is associated with an unstable tear film and symptoms of ocular discomfort. The characteristics of symptoms suggest a key role for central neural processing; however, little is known about central neuroplasticity and DE. We used a model for tear deficient DE and assessed effects on eye blink behavior, orbicularis oculi muscle activity (OOemg), and trigeminal brainstem neural activity in male rats. Ocular-responsive neurons were recorded at the interpolaris/caudalis transition (Vi/Vc) and Vc/upper cervical cord (Vc/C1) regions under isoflurane, whereas OOemg activity was recorded under urethane. Spontaneous tear volume was reduced by ∼50% at 14 days after exorbital gland removal. Hypertonic saline-evoked eye blink behavior in awake rats was enhanced throughout the 14 days after surgery. Saline-evoked neural activity at the Vi/Vc transition and in superficial and deep laminae at the Vc/C1 region was greatly enhanced in DE rats. Neurons from DE rats classified as wide dynamic range displayed enlarged convergent periorbital receptive fields consistent with central sensitization. Saline-evoked OOemg activity was markedly enhanced in DE rats compared with controls. Synaptic blockade at the Vi/Vc transition or the Vc/C1 region greatly reduced hypertonic saline-evoked OOemg activity in DE and sham rats. These results indicated that persistent tear deficiency caused sensitization of ocular-responsive neurons at multiple regions of the caudal trigeminal brainstem and enhanced OOemg activity. Central sensitization of ocular-related brainstem circuits is a significant factor in DE and likely contributes to the apparent weak correlation between peripheral signs of tear dysfunction and symptoms of irritation.


Subject(s)
Brain Stem/physiopathology , Dry Eye Syndromes/physiopathology , Eye/physiopathology , Neural Pathways/physiopathology , Tears/metabolism , Trigeminal Nerve/physiopathology , Animals , Blinking , Cervical Cord/cytology , Cervical Cord/physiopathology , Disease Models, Animal , Electromyography , Eye/metabolism , Eyelids/physiopathology , Male , Muscle, Skeletal/physiopathology , Orbit/physiopathology , Rats , Rats, Sprague-Dawley
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