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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 6

Optogenetic stimulation improves other forelimb less-specific skilled and locomotor functional recovery.

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Optogenetic stimulation improves other forelimb less-specific skilled an...
(A) Grid walking test showed no foot drops (as mistakes) on both the left (LF) and right (RF) forelimbs in the sham groups. Significantly increased foot drops were found in the ipsilesional forelimbs of the RH + Nonstim group at 2, 4, and 6 weeks after injury as compared with the RH + Stim group. n = 5–14 per group. (B) Rotarod test was performed at 2 different speeds, i.e., 18 and 30 rotations per minute (rpm). Optogenetic stimulation showed improvements in both the slow (18 rpm) and fast (30 rpm) speeds as compared with the nonstimulation control after the C5 RH. n = 6–14 per group. (C) Cylinder test showed that optogenetic stimulation significantly reduced the usage of the left hand (intact hand) and increased the usage of both hands (both the intact and impaired hands) at 8 weeks after injury, indicating improvement of the impaired hand function on the right side. n = 5–7 per group. Data were presented as the mean ± SEM; 2-way ANOVA followed by Tukey’s multiple comparisons test; *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001. RF, right forelimb; LF, left forelimb; BF, both forelimbs; Stim, stimulation; Nonstim, nonstimulation.

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