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Transhemispheric cortex remodeling promotes forelimb recovery after spinal cord injury
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
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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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 2

Optogenetic stimulation modulates transhemispheric remapping which enhances electrophysiological responses.

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Optogenetic stimulation modulates transhemispheric remapping which enhan...
(A) Schematic drawing illustrates how the mapping was conducted; (B) Mice with optogenetic stimulation showed enhanced transhemispheric cortical map shift. Left, cortical map reorganization at 8 weeks after a C5-RH in mice with or without stimulation. Pink square, the responsive mapping area at 8 weeks after the C5-RH with optogenetic modulation. Blue square, the responsive mapping area at 8 weeks after C5*RH without optogenetic modulation. RFA, rostral forelimb area. Right, representative heat map shows the increased response in optogenetic stimulation group at 8 weeks after the C5-RH compared with the nonstimulation group. Right bottom, the coordinates of the spot with maximum amplitude at different time points. (C) Representative EMG traces with an arrow indicating the onset of laser stimulation in C5-RH mice. (D) Representative heat maps of the ipsilesional biceps recording after laser stimulation at the ipsilesional motor cortex in both the stimulation and nonstimulation groups at different time points after injury. (E) Maximum amplitude projection on x and y axes. (F–H) Quantitative comparison of spot number, response area, and amplitude between the stimulated and nonstimulated groups. n = 6 per group. Data are presented as the mean ± SEM; statistical evaluation was carried out with 2-way ANOVA repeated measure followed by Tukey’s multiple comparisons test; *P < 0.05, **P < 0.01, ***P < 0.001.

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