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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 7

Correlation analysis shows various degrees of correlation between optogenetic stimulation and different behavioral outcomes.

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Correlation analysis shows various degrees of correlation between optoge...
Optogenetic stimulation is positively related to different forelimb functional recoveries in various behavior tests. The correlation of the numbers shown next to the lines connecting light stimulation to the 4 behavioral outcomes are the correlation coefficients between optogenetic stimulation and behavioral outcomes. CST-specific effects (yellow in pie chart) are the percentages of change in R2 associated with optogenetic stimulation in behavior recovery outcomes when axonal sprouting below the injury site was included as an explanatory variable, representing the proportion in the effects of optogenetic stimulation on behavioral outcomes that were accounted for by axonal sprouting. CST-related effects (blue in pie chart) indicate the percentage of function recovery is mediated possibly through other descending pathways receiving CST projections in other regions of brain or spinal cord.

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