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Green S, Karunakaran KD, Labadie R, Kussman B, Mizrahi-Arnaud A, Morad AG, Berry D, Zurakowski D, Micheli L, Peng K, Borsook D. fNIRS brain measures of ongoing nociception during surgical incisions under anesthesia. NEUROPHOTONICS 2022; 9:015002. [PMID: 35111876 PMCID: PMC8794294 DOI: 10.1117/1.nph.9.1.015002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 12/10/2021] [Indexed: 06/14/2023]
Abstract
Significance: Functional near-infrared spectroscopy (fNIRS) has evaluated pain in awake and anesthetized states. Aim: We evaluated fNIRS signals under general anesthesia in patients undergoing knee surgery for anterior cruciate ligament repair. Approach: Patients were split into groups: those with regional nerve block (NB) and those without (non-NB). Continuous fNIRS measures came from three regions: the primary somatosensory cortex (S1), known to be involved in evaluation of nociception, the lateral prefrontal cortex (BA9), and the polar frontal cortex (BA10), both involved in higher cortical functions (such as cognition and emotion). Results: Our results show three significant differences in fNIRS signals to incision procedures between groups: (1) NB compared with non-NB was associated with a greater net positive hemodynamic response to pain procedures in S1; (2) dynamic correlation between the prefrontal cortex (PreFC) and S1 within 1 min of painful procedures are anticorrelated in NB while positively correlated in non-NB; and (3) hemodynamic measures of activation were similar at two separate time points during surgery (i.e., first and last incisions) in PreFC and S1 but showed significant differences in their overlap. Comparing pain levels immediately after surgery and during discharge from postoperative care revealed no significant differences in the pain levels between NB and non-NB. Conclusion: Our data suggest multiple pain events that occur during surgery using devised algorithms could potentially give a measure of "pain load." This may allow for evaluation of central sensitization (i.e., a heightened state of the nervous system where noxious and non-noxious stimuli is perceived as painful) to postoperative pain levels and the resulting analgesic consumption. This evaluation could potentially predict postsurgical chronic neuropathic pain.
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Affiliation(s)
- Stephen Green
- Boston Children’s Hospital, Harvard Medical School, The Center for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Keerthana Deepti Karunakaran
- Boston Children’s Hospital, Harvard Medical School, The Center for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Robert Labadie
- Boston Children’s Hospital, Harvard Medical School, The Center for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Barry Kussman
- Boston Children’s Hospital, Harvard Medical School, Division of Cardiac Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Arielle Mizrahi-Arnaud
- Boston Children’s Hospital, Harvard Medical School, Division of Perioperative Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Andrea Gomez Morad
- Boston Children’s Hospital, Harvard Medical School, Division of Perioperative Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Delany Berry
- Boston Children’s Hospital, Harvard Medical School, The Center for Pain and the Brain, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - David Zurakowski
- Boston Children’s Hospital, Harvard Medical School, Division of Biostatistics, Department of Anesthesiology, Critical Care and Pain Medicine, Boston, Massachusetts, United States
| | - Lyle Micheli
- Boston Children’s Hospital, Harvard Medical School, Sports Medicine Division, Department of Orthopedic Surgery, Boston, Massachusetts, United States
| | - Ke Peng
- Université de Montréal, Département en Neuroscience, Centre de Recherche du CHUM, Montréal, Quebec, Canada
| | - David Borsook
- Massachusetts General Hospital, Harvard Medical School, Departments of Psychiatry and Radiology, Boston, Massachusetts, United States
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Carvalho J, Renken RJ, Cornelissen FW. Predictive masking of an artificial scotoma is associated with a system-wide reconfiguration of neural populations in the human visual cortex. Neuroimage 2021; 245:118690. [PMID: 34758382 DOI: 10.1016/j.neuroimage.2021.118690] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 10/19/2021] [Accepted: 10/28/2021] [Indexed: 11/29/2022] Open
Abstract
The visual brain has the remarkable capacity to complete our percept of the world even when the information extracted from the visual scene is incomplete. This ability to predict missing information based on information from spatially adjacent regions is an intriguing attribute of healthy vision. Yet, it gains particular significance when it masks the perceptual consequences of a retinal lesion, leaving patients unaware of their partial loss of vision and ultimately delaying diagnosis and treatment. At present, our understanding of the neural basis of this masking process is limited which hinders both quantitative modeling as well as translational application. To overcome this, we asked the participants to view visual stimuli with and without superimposed artificial scotoma (AS). We used fMRI to record the associated cortical activity and applied model-based analyzes to track changes in cortical population receptive fields and connectivity in response to the introduction of the AS. We found that throughout the visual field and cortical hierarchy, pRFs shifted their preferred position towards the AS border. Moreover, extrastriate areas biased their sampling of V1 towards sections outside the AS projection zone, thereby effectively masking the AS with signals from spared portions of the visual field. We speculate that the signals that drive these system-wide population modifications originate in extrastriate visual areas and, through feedback, also reconfigure the neural populations in the earlier visual areas.
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Affiliation(s)
- Joana Carvalho
- Laboratory of Experimental Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; Laboratory of Preclinical MRI, Champalimaud Centre for the Unknown, Avenida de Brasília, Lisbon, Portugal 1400-038.
| | - Remco J Renken
- Cognitive Neuroscience Center, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Frans W Cornelissen
- Laboratory of Experimental Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Montejo N, Noreña AJ. Dynamic representation of spectral edges in guinea pig primary auditory cortex. J Neurophysiol 2015; 113:2998-3012. [PMID: 25744885 PMCID: PMC4416612 DOI: 10.1152/jn.00785.2014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Accepted: 03/02/2015] [Indexed: 11/22/2022] Open
Abstract
The central representation of a given acoustic motif is thought to be strongly context dependent, i.e., to rely on the spectrotemporal past and present of the acoustic mixture in which it is embedded. The present study investigated the cortical representation of spectral edges (i.e., where stimulus energy changes abruptly over frequency) and its dependence on stimulus duration and depth of the spectral contrast in guinea pig. We devised a stimulus ensemble composed of random tone pips with or without an attenuated frequency band (AFB) of variable depth. Additionally, the multitone ensemble with AFB was interleaved with periods of silence or with multitone ensembles without AFB. We have shown that the representation of the frequencies near but outside the AFB is greatly enhanced, whereas the representation of frequencies near and inside the AFB is strongly suppressed. These cortical changes depend on the depth of the AFB: although they are maximal for the largest depth of the AFB, they are also statistically significant for depths as small as 10 dB. Finally, the cortical changes are quick, occurring within a few seconds of stimulus ensemble presentation with AFB, and are very labile, disappearing within a few seconds after the presentation without AFB. Overall, this study demonstrates that the representation of spectral edges is dynamically enhanced in the auditory centers. These central changes may have important functional implications, particularly in noisy environments where they could contribute to preserving the central representation of spectral edges.
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Affiliation(s)
- Noelia Montejo
- Laboratoire de Neurosciences Intégratives et Adaptatives, Aix Marseille Université, CNRS UMR 7260, Marseille, France
| | - Arnaud J Noreña
- Laboratoire de Neurosciences Intégratives et Adaptatives, Aix Marseille Université, CNRS UMR 7260, Marseille, France
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4
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Cortical inhibition reduces information redundancy at presentation of communication sounds in the primary auditory cortex. J Neurosci 2013; 33:10713-28. [PMID: 23804094 DOI: 10.1523/jneurosci.0079-13.2013] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
In all sensory modalities, intracortical inhibition shapes the functional properties of cortical neurons but also influences the responses to natural stimuli. Studies performed in various species have revealed that auditory cortex neurons respond to conspecific vocalizations by temporal spike patterns displaying a high trial-to-trial reliability, which might result from precise timing between excitation and inhibition. Studying the guinea pig auditory cortex, we show that partial blockage of GABAA receptors by gabazine (GBZ) application (10 μm, a concentration that promotes expansion of cortical receptive fields) increased the evoked firing rate and the spike-timing reliability during presentation of communication sounds (conspecific and heterospecific vocalizations), whereas GABAB receptor antagonists [10 μm saclofen; 10-50 μm CGP55845 (p-3-aminopropyl-p-diethoxymethyl phosphoric acid)] had nonsignificant effects. Computing mutual information (MI) from the responses to vocalizations using either the evoked firing rate or the temporal spike patterns revealed that GBZ application increased the MI derived from the activity of single cortical site but did not change the MI derived from population activity. In addition, quantification of information redundancy showed that GBZ significantly increased redundancy at the population level. This result suggests that a potential role of intracortical inhibition is to reduce information redundancy during the processing of natural stimuli.
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5
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Sanchez-Jimenez A, Torets C, Panetsos F. Complementary processing of haptic information by slowly and rapidly adapting neurons in the trigeminothalamic pathway. Electrophysiology, mathematical modeling and simulations of vibrissae-related neurons. Front Cell Neurosci 2013; 7:79. [PMID: 23761732 PMCID: PMC3671571 DOI: 10.3389/fncel.2013.00079] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2012] [Accepted: 05/08/2013] [Indexed: 11/13/2022] Open
Abstract
TONIC (SLOWLY ADAPTING) AND PHASIC (RAPIDLY ADAPTING) PRIMARY AFFERENTS CONVEY COMPLEMENTARY ASPECTS OF HAPTIC INFORMATION TO THE CENTRAL NERVOUS SYSTEM: object location and texture the former, shape the latter. Tonic and phasic neural responses are also recorded in all relay stations of the somatosensory pathway, yet it is unknown their role in both, information processing and information transmission to the cortex: we don't know if tonic and phasic neurons process complementary aspects of haptic information and/or if these two types constitute two separate channels that convey complementary aspects of tactile information to the cortex. Here we propose to elucidate these two questions in the fast trigeminal pathway of the rat (PrV-VPM: principal trigeminal nucleus-ventroposteromedial thalamic nucleus). We analyze early and global behavior, latencies and stability of the responses of individual cells in PrV and medial lemniscus under 1-40 Hz stimulation of the whiskers in control and decorticated animals and we use stochastic spiking models and extensive simulations. Our results strongly suggest that in the first relay station of the somatosensory system (PrV): (1) tonic and phasic neurons process complementary aspects of whisker-related tactile information (2) tonic and phasic responses are not originated from two different types of neurons (3) the two responses are generated by the differential action of the somatosensory cortex on a unique type of PrV cell (4) tonic and phasic neurons do not belong to two different channels for the transmission of tactile information to the thalamus (5) trigeminothalamic transmission is exclusively performed by tonically firing neurons and (6) all aspects of haptic information are coded into low-pass, band-pass, and high-pass filtering profiles of tonically firing neurons. Our results are important for both, basic research on neural circuits and information processing, and development of sensory neuroprostheses.
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Affiliation(s)
- Abel Sanchez-Jimenez
- Department of Applied Mathematics (Biomathematics), Faculty of Biology, Complutense University of Madrid Madrid, Spain ; Neurocomputing and Neurorobotics Research Group, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Universidad Complutense de Madrid Madrid, Spain
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Noreña AJ. Stimulating the Auditory System to Treat Tinnitus: From Alleviating the Symptoms to Addressing the Causes. SPRINGER HANDBOOK OF AUDITORY RESEARCH 2012. [DOI: 10.1007/978-1-4614-3728-4_10] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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7
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Noreña AJ. An integrative model of tinnitus based on a central gain controlling neural sensitivity. Neurosci Biobehav Rev 2011; 35:1089-109. [PMID: 21094182 DOI: 10.1016/j.neubiorev.2010.11.003] [Citation(s) in RCA: 292] [Impact Index Per Article: 20.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2010] [Revised: 10/20/2010] [Accepted: 11/12/2010] [Indexed: 02/03/2023]
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8
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Boudreau SA, Farina D, Falla D. The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders. ACTA ACUST UNITED AC 2010; 15:410-4. [DOI: 10.1016/j.math.2010.05.008] [Citation(s) in RCA: 109] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2010] [Accepted: 05/16/2010] [Indexed: 01/26/2023]
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9
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Scholl B, Wehr M. Disruption of Balanced Cortical Excitation and Inhibition by Acoustic Trauma. J Neurophysiol 2008; 100:646-56. [DOI: 10.1152/jn.90406.2008] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Sensory deafferentation results in rapid shifts in the receptive fields of cortical neurons, but the synaptic mechanisms underlying these changes remain unknown. The rapidity of these shifts has led to the suggestion that subthreshold inputs may be unmasked by a selective loss of inhibition. To study this, we used in vivo whole cell recordings to directly measure tone-evoked excitatory and inhibitory synaptic inputs in auditory cortical neurons before and after acoustic trauma. Here we report that acute acoustic trauma disrupted the balance of excitation and inhibition by selectively increasing and reducing the strength of inhibition at different positions within the receptive field. Inhibition was abolished for frequencies far below the trauma-tone frequency but was markedly enhanced near the edges of the region of elevated peripheral threshold. These changes occurred for relatively high-level tones. These changes in inhibition led to an expansion of receptive fields but not by a simple unmasking process. Rather, membrane potential responses were delayed and prolonged throughout the receptive field by distinct interactions between synaptic excitation and inhibition. Far below the trauma-tone frequency, decreased inhibition combined with prolonged excitation led to increased responses. Near the edges of the region of elevated peripheral threshold, increased inhibition served to delay rather than abolish responses, which were driven by prolonged excitation. These results show that the rapid receptive field shifts caused by acoustic trauma are caused by distinct mechanisms at different positions within the receptive field, which depend on differential disruption of excitation and inhibition.
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Franchi G, Veronesi C. Short-term reorganization of input-deprived motor vibrissae representation following motor disconnection in adult rats. J Physiol 2006; 574:457-76. [PMID: 16690708 PMCID: PMC1817759 DOI: 10.1113/jphysiol.2006.109116] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
It has been proposed that abnormal vibrissae input to the motor cortex (M1) mediates short-term cortical reorganization after facial nerve lesion. To test this hypothesis, we cut first the infraorbital nerve (ION cut) and then the facial nerve (VII cut) in order to evaluate M1 reorganization without any aberrant, facial-nerve-lesion-induced sensory feedback. In each animal, M1 output was assessed in both hemispheres by mapping movements induced by intracortical microstimulation. M1 output was compared in different types of peripheral manipulations: (i) contralateral intact vibrissal pad (intact hemispheres), (ii) contralateral VII cut (VII hemispheres), (iii) contralateral ION cut (ION hemispheres), (iv) contralateral VII cut after contralateral ION cut (ION + VII hemispheres), (v) contralateral pad botulinum-toxin-injected after ION cut (ION + BTX hemispheres). Right and left hemispheres in untouched animals were the reference for normal M1 map (control hemispheres). Findings demonstrated that: (1) in ION hemispheres, the mean size of the vibrissae representation was not significantly different from those in intact and control hemispheres; (2) reorganization of the vibrissae movement representation clearly emerged only in hemispheres where the contralateral vibrissae pad had undergone motor output disconnection (VII cut hemispheres); (3) the persistent loss of vibrissae input did not change the M1 reorganization pattern during the first 48 h after motor paralysis (ION + VII cut and ION + BTX hemispheres). Thus, after motor paralysis, vibrissa input does not provide the gating signal necessary to trigger M1 reorganization.
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Affiliation(s)
- Gianfranco Franchi
- Dipartimento di Scienze Biomediche e Terapie Avanzate, Sezione di Fisiologia umana, Università di Ferrara, 44100 Ferrara, Italy.
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11
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Ramer LM, Ramer MS, Steeves JD. Setting the stage for functional repair of spinal cord injuries: a cast of thousands. Spinal Cord 2005; 43:134-61. [PMID: 15672094 DOI: 10.1038/sj.sc.3101715] [Citation(s) in RCA: 100] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Here we review mechanisms and molecules that necessitate protection and oppose axonal growth in the injured spinal cord, representing not only a cast of villains but also a company of therapeutic targets, many of which have yet to be fully exploited. We next discuss recent progress in the fields of bridging, overcoming conduction block and rehabilitation after spinal cord injury (SCI), where several treatments in each category have entered the spotlight, and some are being tested clinically. Finally, studies that combine treatments targeting different aspects of SCI are reviewed. Although experiments applying some treatments in combination have been completed, auditions for each part in the much-sought combination therapy are ongoing, and performers must demonstrate robust anatomical regeneration and/or significant return of function in animal models before being considered for a lead role.
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Affiliation(s)
- L M Ramer
- ICORD (International Collaboration on Repair Discoveries), The University of British Columbia, Vancouver, BC, Canada
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Leysen I, Van der Gucht E, Eysel UT, Huybrechts R, Vandesande F, Arckens L. Time-dependent changes in the expression of the MEF2 transcription factor family during topographic map reorganization in mammalian visual cortex. Eur J Neurosci 2004; 20:769-80. [PMID: 15255987 DOI: 10.1111/j.1460-9568.2004.03535.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Removal of retinal input from a restricted region of adult mammalian visual cortex leads to a substantial reorganization of the retinotopy within the lesion projection zone (LPZ) of primary visual cortex (area 17). Little is known about the molecular mechanisms underlying such cortical plasticity. We investigated whether small but homonymous central retinal lesions induced differences in gene expression patterns between central area 17, the LPZ, vs. peripheral area 17 of the adult cat. Systematic differential mRNA display screening revealed higher levels for the mRNA encoding the transcription factor MEF2A in the LPZ. Semi-quantitative PCR confirmed this dependency of mef2A mRNA expression on visual eccentricity in area 17 of animals with retinal lesions in contrast to normal animals. Western blotting experiments extended these data to the protein level and to two other members of the MEF2 transcription factor family, i.e. MEF2C and MEF2D. Quantitative analysis of the Western blotting experiments further revealed a post-lesion survival time-dependent change in expression for all three MEF2 family members. The lesion effect was maximal at 3 days and 1 month post-lesion, but only minor at 2 weeks post-lesion. Interestingly, complete removal of retinal input from area 17 by surgery did not significantly alter the expression of the MEF2 transcription factors, excluding a definite correlation between neuronal activity and MEF2A expression levels. MEF2A immunocytochemistry confirmed both qualitatively and quantitatively the Western blotting observations in all animal models. Together, our findings identified a brain plasticity-related expression pattern for the MEF2 transcription factor family in adult mammalian neocortex.
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Affiliation(s)
- Inge Leysen
- Laboratory of Neuroplasticity and Neuroproteomics, Katholieke Universiteit Leuven, Naamsesstraat 59, B-3000 Leuven, Belgium
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Dunlop SA. Axonal sprouting in the optic nerve is not a prerequisite for successful regeneration. J Comp Neurol 2003; 465:319-34. [PMID: 12966558 DOI: 10.1002/cne.10782] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Axonal sprouting, the production of axons additional to the parent one, occurs during optic nerve regeneration in goldfish and the frog Rana pipiens, with numbers of regenerate axons exceeding normal values four- to sixfold (Murray [1982] J. Comp. Neurol. 209:352-362; Stelzner and Strauss [1986] J. Comp. Neurol. 245:83-103). To determine whether axonal sprouting is a prerequisite for regeneration, the frog Litoria moorei was examined, a species that undergoes successful optic nerve regeneration but with a different time course compared with R. pipiens. Sprouting was assessed, as in goldfish and R. pipiens, from electron microscopic counts between the lesion and chiasm. However, disconnected axons that persist after axotomy would have falsely elevated the counts. The suspected overlap of these two axon populations was confirmed by labeling regenerate axons anterogradely with DiI (1,1'-dioctadecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate) and disconnected ones retrogradely with DiA (4-4-dihexadecylaminostyrl 1-N methylpyridinium iodide). Numbers of disconnected axons were estimated after preventing regeneration and subtracted from numbers in regenerate nerves. Throughout, the total number of regenerate axons was approximately one third lower than normal (P < 0.05) supporting a previous finding of minimal axonal sprouting in L. moorei (Dunlop et al. [2002] J. Comp. Neurol. 446:276-287). The validity of the subtractive electron microscopic method was confirmed by retrograde labeling to estimate numbers of retinal ganglion cells whose axons had crossed the lesion; values were approximately one third lower than normal. The data suggest that sprouting is not essential for either axon outgrowth or topographic map refinement.
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Affiliation(s)
- Sarah A Dunlop
- Neurobiology Laboratory, School of Animal Biology, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia.
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