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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 4

Transcranial optogenetic stimulation promotes intact contralesional CST axons to sprout into the ipsilesional hemicord at 10 weeks after the C5-RH, a long-term observation.

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Transcranial optogenetic stimulation promotes intact contralesional CST ...
(A and B) Representative spinal cord cross sections caudal to a C5-RH show that the contralesional CST axons sprouted across the midline to innervate the ipsilesional hemicord in the RH + Stim group (n = 9) as compared with the RH + Nonstim group (n = 8). Scale bars: 100 μm (C) Quantification of the intact CST axons projecting to the contralesional (left) side at levels both rostral and caudal to the injury. Like the short-term (6 weeks) group, optogenetic stimulation enhanced axonal length of the CST on the contralesional side. (D) Quantification of intact CST axons projecting to the ipsilesional (right) side at levels both rostral and caudal to the injury. Robust CST axonal sprouting across the midline at various distances was only observed in cases receiving optogenetic stimulation as compared with the nonstimulation cases at levels rostral and caudal to the injury. (E) schematic drawing shows that ipsilesional spinal cord caudal to the lesion was examined. (F) BDA-labeled CST axons crossed the midline to the ipsilesional spinal gray matter and contacted the target neurons. At higher magnification, triple labeling of BDA-labeled CST axons (green), MAP2-labeled neurons (red) and dendrites, and a presynaptic marker synaptophysin (blue) were found (white, arrows), indicating new synaptic formation between sprouted CST axons and target neurons in the ipsilesional gray matter. Scale bars: 100 μm (left), 10 μm (right) (G) Statistical comparison of synapse formation between the nonstimulated group and stimulated groups was shown. 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, ****P < 0.0001. Stim, stimulation; Nonstim, nonstimulation.

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