Walvekar, S. | Search bioRxiv

bioRxiv2022

Serotonergic Modulation of Spinal Circuitry Restores Motor Function after Chronic Spinal Cord Injury

Electrical stimulation of the nervous system has been employed to enhance the recovery of motor function produced by use-dependent rehabilitation, which is the current gold standard of treatment, following spinal cord injury. However, the therapeutic effects almost always rely on the sustained activation of muscles or neurons, making the benefits largely contingent on continued delivery of stimulation. In the present study, we describe a neuromodulatory intervention that combined intraspinal delivery of serotonergic agonists with use-dependent rehabilitation to restore motor function after a chronic moderate-to-severe cervical contusion in rats that produces impairments in upper-limb movements and dexterity. We show that targeted delivery of quipazine, a broad-spectrum serotonergic agonist, caudal to the lesion increased the effectiveness of physical rehabilitation, leading to substantially improved motor-recovery outcomes in severely-injured, but not moderately-injured, animals. Delivery of quipazine significantly augmented recovery of skilled reach and grasp movements after a severe injury, but moderately-injured animals received no additional benefit from quipazine over physical rehabilitation alone. This difference was perhaps due to a greater loss of serotonin after a severe injury and a resulting environment in which exogenously-applied serotonin can improve circuit function. Our experiments highlight an important role for serotonin in restoration of motor function that is dependent on the severity of the spinal cord injury. They also allude to a potential role for residual serotonin as a biomarker of injury severity. Remarkably, quipazine-mediated behavioral improvements persisted for weeks after termination of neuromodulator delivery, signaling repair of severely-damaged adult spinal circuitry that drives lasting motor recovery. Significance StatementWe describe a neuromodulatory intervention that combined intraspinal delivery of serotonergic agonists with use-dependent physical rehabilitation, which is the current standard of treatment, to promote motor recovery after a chronic moderate-to-severe spinal-contusion injury. Our results show that targeted delivery of serotonergic agonists caudal to the lesion increased the effectiveness of use-dependent rehabilitation, leading to substantially improved motor-recovery outcomes in severely-injured, but not moderately-injured, animals. Notably, therapeutic gains persisted for weeks after termination of neuromodulator delivery--a finding that is both unique and clinically relevant--signaling plasticity induction and repair in chronically-damaged adult spinal circuitry. Our experiments provide important insights into serotonergic modulation of spinal circuitry and highlight a potential role for residual serotonin as a neurochemical biomarker of injury severity.

neuroscience↗

bioRxiv2021

Movement-Dependent Electrical Stimulation for Volitional Strengthening of Cortical Connections in Behaving Monkeys

Correlated activity of neurons can lead to long-term strengthening or weakening of the connections between them. In addition, the behavioral context, imparted by execution of physical movements or the presence of a reward, can modulate the plasticity induced by Hebbian mechanisms. In the present study, we have combined behavior and induced neuronal correlations to strengthen connections in the motor cortex of adult behaving monkeys. Correlated activity was induced using an electrical-conditioning protocol in which stimuli gated by voluntary movements were used to produce co-activation of neurons at motor-cortical sites involved in those movements. Delivery of movement-dependent stimulation resulted in small increases in the strength of associated cortical connections immediately after conditioning. Remarkably, when paired with further repetition of the movements that gated the conditioning stimuli, there were substantially larger gains in the strength of cortical connections, that occurred in a use-dependent manner, without delivery of additional conditioning stimulation. In the absence of such movements, little change was observed in the strength of motor-cortical connections. Performance of the motor behavior in the absence of conditioning also did not produce any changes in connectivity. Our results show that combining movement-gated stimulation with further natural use of the "conditioned" pathways after stimulation ends can produce use-dependent strengthening of connections in adult primates, highlighting an important role for behavior in cortical plasticity. Our data also provide strong support for combining movement-gated stimulation with use-dependent physical rehabilitation for strengthening connections weakened by a stroke or spinal-cord injury. Significance StatementWe describe an electrical-conditioning protocol in adult behaving monkeys in which stimuli gated by voluntary movements were used to strengthen connections between motor-cortical neurons involved in those movements. Movement-gated stimulation created a plastic landscape in which repetition of the movements that gated conditioning stimuli produced strengthening of cortical connections, in a use-dependent manner, long after stimulation had ended, a finding that is both novel and unique. In the absence of such behavior, little change was observed in the strength of connections. Similarly, movements alone did not produce any changes in connectivity. Our data highlight a critical role for behavior in plasticity and provide strong support for combining movement-gated stimulation with use-dependent rehabilitation for strengthening connections weakened by injury or disease.

neuroscience↗