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Transhemispheric cortex remodeling promotes forelimb recovery after spinal cord injury
Wei Wu, … , Xiaoming Jin, Xiao-Ming Xu
Wei Wu, … , Xiaoming Jin, Xiao-Ming Xu
Published May 12, 2022
Citation Information: JCI Insight. 2022;7(12):e158150. https://doi.org/10.1172/jci.insight.158150.
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Research Article Neuroscience Therapeutics

Transhemispheric cortex remodeling promotes forelimb recovery after spinal cord injury

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Abstract

Understanding the reorganization of neural circuits spared after spinal cord injury in the motor cortex and spinal cord would provide insights for developing therapeutics. Using optogenetic mapping, we demonstrated a transhemispheric recruitment of neural circuits in the contralateral cortical M1/M2 area to improve the impaired forelimb function after a cervical 5 right-sided hemisection in mice, a model mimicking the human Brown-Séquard syndrome. This cortical reorganization can be elicited by a selective cortical optogenetic neuromodulation paradigm. Areas of whisker, jaw, and neck, together with the rostral forelimb area, on the motor cortex ipsilateral to the lesion were engaged to control the ipsilesional forelimb in both stimulation and nonstimulation groups 8 weeks following injury. However, significant functional benefits were only seen in the stimulation group. Using anterograde tracing, we further revealed a robust sprouting of the intact corticospinal tract in the spinal cord of those animals receiving optogenetic stimulation. The intraspinal corticospinal axonal sprouting correlated with the forelimb functional recovery. Thus, specific neuromodulation of the cortical neural circuits induced massive neural reorganization both in the motor cortex and spinal cord, constructing an alternative motor pathway in restoring impaired forelimb function.

Authors

Wei Wu, Tyler Nguyen, Josue D. Ordaz, Yiping Zhang, Nai-Kui Liu, Xinhua Hu, Yuxiang Liu, Xingjie Ping, Qi Han, Xiangbing Wu, Wenrui Qu, Sujuan Gao, Christopher B. Shields, Xiaoming Jin, Xiao-Ming Xu

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Figure 1

C5-RH completely eliminates the ipsilesional hemicord.

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C5-RH completely eliminates the ipsilesional hemicord.
(A) Schematic dra...
(A) Schematic drawing shows the normal (left), and optogenetic-modulated (right) projection of the corticospinal tract. (B) Schematic illustration of a precise C5-RH. Left, a vibrating blade was used to cut the right spinal cord along the midline at C5; right, a modified needle, with a groove facing the lesion side. A fine blade was inserted into the groove and moved down to cut the spared ventral spinal tissue. (C) A C5-RH under a surgical microscope. An arrow indicates the midline and a Vibraknife cut on the right side. (D) A horizontal section shows a cut on the right side with a needle track next to the midline. BDA, CST (red); GFAP, astrocyte (green); Scale bar: 200μm. (E) A representative image shows a cross section of the remaining intact left hemicord; Scale bar: 200 μm. (F) GFAP immunofluorescent staining on a cross section of the spinal cord caudal to the C5 RH showed ipsilesional reactive astrogliosis (GFAP+, insert, yellow arrow). Such astrogliotic response was not found on the contralesional side; Scale bar: 200 μm; Insert: 50 μm (G) Timelines of the experiment.(H) Topographic representation of contralateral cortical recording of the CST on left/right side prior to and at 1 day after the C5-RH. Stars indicate bregma. EMG responses were represented by a hot spot. Statistical analysis of the dot numbers confirmed that ipsilesional control from the left motor cortex was complete disrupted, while the contralesional control from the right motor cortex was intact, indicating the preciseness and completeness of this injury model. Data were presented as mean ± SEM; n = 6 mice per group; 2-tailed paired Student’s t test; ****P < 0.0001.

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