Optogenetically stimulating intact rat corticospinal tract post-stroke restores motor control through regionalized functional circuit formation

Autor: Martin E. Schwab, Fritjof Helmchen, Benjamin V. Ineichen, Uta Büchler, Anna-Sophia Wahl, Hansjörg Kasper, André W. Brändli, Biagio Brattoli, Björn Ommer, Simon Musall
Přispěvatelé: University of Zurich, Wahl, A S
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
medicine.medical_treatment
Pyramidal Tracts
General Physics and Astronomy
Stimulation
Transcranial Direct Current Stimulation
0302 clinical medicine
Medicine
lcsh:Science
Stroke
Neurons
Multidisciplinary
Transcranial direct-current stimulation
Motor Cortex
Anatomy
3100 General Physics and Astronomy
Biomechanical Phenomena
Female
Algorithms
Science
610 Medicine & health
1600 General Chemistry
Optogenetics
General Biochemistry
Genetics and Molecular Biology

Article
03 medical and health sciences
1300 General Biochemistry
Genetics and Molecular Biology

Gene silencing
Animals
Humans
Rats
Long-Evans

10242 Brain Research Institute
business.industry
Motor control
General Chemistry
Recovery of Function
medicine.disease
Axons
Nerve Regeneration
030104 developmental biology
Corticospinal tract
Post stroke
570 Life sciences
biology
lcsh:Q
business
Neuroscience
030217 neurology & neurosurgery
Zdroj: Nature Communications, Vol 8, Iss 1, Pp 1-16 (2017)
Nature Communications
Nature Communications, 8 (1)
ISSN: 2041-1723
DOI: 10.1038/s41467-017-01090-6
Popis: Current neuromodulatory strategies to enhance motor recovery after stroke often target large brain areas non-specifically and without sufficient understanding of their interaction with internal repair mechanisms. Here we developed a novel therapeutic approach by specifically activating corticospinal circuitry using optogenetics after large strokes in rats. Similar to a neuronal growth-promoting immunotherapy, optogenetic stimulation together with intense, scheduled rehabilitation leads to the restoration of lost movement patterns rather than induced compensatory actions, as revealed by a computer vision-based automatic behavior analysis. Optogenetically activated corticospinal neurons promote axonal sprouting from the intact to the denervated cervical hemi-cord. Conversely, optogenetically silencing subsets of corticospinal neurons in recovered animals, results in mistargeting of the restored grasping function, thus identifying the reestablishment of specific and anatomically localized cortical microcircuits. These results provide a conceptual framework to improve established clinical techniques such as transcranial magnetic or transcranial direct current stimulation in stroke patients.
Nature Communications, 8 (1)
ISSN:2041-1723
Databáze: OpenAIRE