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Perisomatic innervation and neurochemical features of giant pyramidal neurons in both hemispheres of the human primary motor cortex. Brain Struct Funct 2020; 226:281-296. [PMID: 33355694 PMCID: PMC7817582 DOI: 10.1007/s00429-020-02182-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 11/24/2020] [Indexed: 12/11/2022]
Abstract
Betz cells-the gigantopyramidal neurons found in high amount in the primary motor cortex-are among of the most characteristic neuronal cells. A part of them contains the calcium-binding protein parvalbumin (PV) in primates. However, less is known about these cells in the human motor cortex despite their important role in different neurological disorders. Therefore, the aim of our study was to investigate the neurochemical features and perisomatic input properties of Betz cells in control human samples with short post-mortem interval. We used different microscopic techniques to investigate the primary motor cortex of both hemispheres. The soma size and density, and expression of PV of the Betz cells were investigated. Furthermore, we used confocal fluorescent and electron microscopy to examine their perisomatic input. The soma size and density showed moderate variability among samples and hemispheres. Post-mortem interval and hemispherical localization did not influence these features. Around 70% of Betz cells expressed PV, but in less intensity than the cortical interneurons. Betz neurons receive dense perisomatic input, which are mostly VIAAT- (vesicular inhibitory amino acid transporter) and PV immunopositive. In the electron microscope, we found PV-immunolabelled terminals with asymmetric-like synaptic structure, too. Terminals with morphologically similar synaptic specialisation were also found among vGluT2- (vesicular glutamate transporter type 2) immunostained terminals contacting Betz cells. Our data suggest that Betz cells' morphological properties showed less variability among subjects and hemispheres than the density of them. Their neurochemical and perisomatic input characteristics support their role in execution of fast and precise movements.
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Jacobs B, Garcia ME, Shea-Shumsky NB, Tennison ME, Schall M, Saviano MS, Tummino TA, Bull AJ, Driscoll LL, Raghanti MA, Lewandowski AH, Wicinski B, Ki Chui H, Bertelsen MF, Walsh T, Bhagwandin A, Spocter MA, Hof PR, Sherwood CC, Manger PR. Comparative morphology of gigantopyramidal neurons in primary motor cortex across mammals. J Comp Neurol 2017; 526:496-536. [PMID: 29088505 DOI: 10.1002/cne.24349] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Revised: 10/19/2017] [Accepted: 10/24/2017] [Indexed: 12/11/2022]
Abstract
Gigantopyramidal neurons, referred to as Betz cells in primates, are characterized by large somata and extensive basilar dendrites. Although there have been morphological descriptions and drawings of gigantopyramidal neurons in a limited number of species, quantitative investigations have typically been limited to measures of soma size. The current study thus employed two separate analytical approaches: a morphological investigation using the Golgi technique to provide qualitative and quantitative somatodendritic measures of gigantopyramidal neurons across 19 mammalian species from 7 orders; and unbiased stereology to compare the soma volume of layer V pyramidal and gigantopyramidal neurons in primary motor cortex between 11 carnivore and 9 primate species. Of the 617 neurons traced in the morphological analysis, 181 were gigantopyramidal neurons, with deep (primarily layer V) pyramidal (n = 203) and superficial (primarily layer III) pyramidal (n = 233) neurons quantified for comparative purposes. Qualitatively, dendritic morphology varied considerably across species, with some (sub)orders (e.g., artiodactyls, perissodactyls, feliforms) exhibiting bifurcating, V-shaped apical dendrites. Basilar dendrites exhibited idiosyncratic geometry across and within taxonomic groups. Quantitatively, most dendritic measures were significantly greater in gigantopyramidal neurons than in superficial and deep pyramidal neurons. Cluster analyses revealed that most taxonomic groups could be discriminated based on somatodendritic morphology for both superficial and gigantopyramidal neurons. Finally, in agreement with Brodmann, gigantopyramidal neurons in both the morphological and stereological analyses were larger in feliforms (especially in the Panthera species) than in other (sub)orders, possibly due to specializations in muscle fiber composition and musculoskeletal systems.
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Affiliation(s)
- Bob Jacobs
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Madeleine E Garcia
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Noah B Shea-Shumsky
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Mackenzie E Tennison
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Matthew Schall
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Mark S Saviano
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Tia A Tummino
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Anthony J Bull
- Human Biology and Kinesiology, Colorado College, Colorado Springs, Colorado
| | - Lori L Driscoll
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Mary Ann Raghanti
- Department of Anthropology and School of Biomedical Sciences, Kent State University, Kent, Ohio
| | | | - Bridget Wicinski
- Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Hong Ki Chui
- Laboratory of Quantitative Neuromorphology, Neuroscience Program, Colorado College, Colorado Springs, Colorado
| | - Mads F Bertelsen
- Center for Zoo and Wild Animal Health, Copenhagen Zoo, Fredericksberg, Denmark
| | - Timothy Walsh
- Smithsonian National Zoological Park, Washington, District of Columbia
| | - Adhil Bhagwandin
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Muhammad A Spocter
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.,Department of Anatomy, Des Moines University, Des Moines, Iowa.,Biomedical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa
| | - Patrick R Hof
- Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Chet C Sherwood
- Department of Anthropology and Center for the Advanced Study of Human Paleobiology, The George Washington University, Washington, District of Columbia
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Fuller HR, Marani L, Holt I, Woodhams PL, Webb MM, Gates MA. Monoclonal antibody Py recognizes neurofilament heavy chain and is a selective marker for large diameter neurons in the brain. Brain Struct Funct 2016; 222:867-879. [PMID: 27311890 DOI: 10.1007/s00429-016-1252-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Accepted: 06/08/2016] [Indexed: 01/04/2023]
Abstract
Almost 30 years ago, the monoclonal antibody Py was developed to detect pyramidal neurons in the CA3 region of the rat hippocampus. The utility of this antibody quickly expanded when several groups discovered that it could be used to identify very specific populations of neurons in the normal, developing, and diseased or injured central nervous system. Despite this body of literature, the identity of the antigen that the Py antibody recognizes remained elusive. Here, immunoprecipitation experiments from the adult rat cortex identified the Py antigen as neurofilament heavy chain (NF-H). Double immunolabeling of sections through the rat brain using Py and NF-H antibodies confirmed the identity of the Py antigen, and reveal that Py/NF-H+ neurons appear to share the feature of being particularly large in diameter. These include the neurons of the gigantocellular reticular formation, pyramidal neurons of layers II/III and V of the cortex, cerebellar Purkinje neurons as well as CA3 pyramidal neurons. Taken together, this finding gives clarity to past work using the monoclonal Py antibody, and immediately expands our understanding of the importance of NF-H in neural development, functioning, and disease.
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Affiliation(s)
- Heidi R Fuller
- Wolfson Centre for Inherited Neuromuscular Disease, RJAH Orthopaedic Hospital, Oswestry, SY10 7AG, UK
- Institute for Science and Technology in Medicine, Keele University, Staffordshire, ST5 5BG, UK
| | - Lucia Marani
- School of Sports, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK
| | - Ian Holt
- Wolfson Centre for Inherited Neuromuscular Disease, RJAH Orthopaedic Hospital, Oswestry, SY10 7AG, UK
- Institute for Science and Technology in Medicine, Keele University, Staffordshire, ST5 5BG, UK
| | - Peter L Woodhams
- National Institute for Medical Research, Mill Hill, London, NW7 1AA, UK
| | - Michael M Webb
- Mitobridge Inc, 1030 Massachusetts Avenue, Cambridge, MA, 02138, USA
| | - Monte A Gates
- Institute for Science and Technology in Medicine, Keele University, Staffordshire, ST5 5BG, UK.
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Johnson CB, Schall M, Tennison ME, Garcia ME, Shea-Shumsky NB, Raghanti MA, Lewandowski AH, Bertelsen MF, Waller LC, Walsh T, Roberts JF, Hof PR, Sherwood CC, Manger PR, Jacobs B. Neocortical neuronal morphology in the Siberian Tiger (Panthera tigris altaica) and the clouded leopard (Neofelis nebulosa). J Comp Neurol 2016; 524:3641-3665. [DOI: 10.1002/cne.24022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Revised: 04/18/2016] [Accepted: 04/19/2016] [Indexed: 12/13/2022]
Affiliation(s)
- Cameron B. Johnson
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
| | - Matthew Schall
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
| | - Mackenzie E. Tennison
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
| | - Madeleine E. Garcia
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
| | - Noah B. Shea-Shumsky
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
| | - Mary Ann Raghanti
- Department of Anthropology and School of Biomedical Sciences; Kent State University; Kent Ohio 44242
| | | | - Mads F. Bertelsen
- Center for Zoo and Wild Animal Health; Copenhagen Zoo; 2000 Fredericksberg Denmark
| | - Leona C. Waller
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
| | - Timothy Walsh
- Smithsonian National Zoological Park; Washington DC 20008
| | - John F. Roberts
- Thompson Bishop Sparks State Diagnostic Laboratory, Alabama Department of Agriculture and Industries; Auburn Alabama 36849
| | - Patrick R. Hof
- Fishberg Department of Neuroscience and Friedman Brain Institute; Icahn School of Medicine at Mount Sinai; New York New York 10029
| | - Chet C. Sherwood
- Department of Anthropology; The George Washington University; Washington DC 20052
| | - Paul R. Manger
- School of Anatomical Sciences, Faculty of Health Sciences; University of the Witwatersrand; Johannesburg 2000 South Africa
| | - Bob Jacobs
- Laboratory of Quantitative Neuromorphology, Neuroscience Program; Colorado College; Colorado Springs Colorado 80903
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Butti C, Janeway CM, Townshend C, Wicinski BA, Reidenberg JS, Ridgway SH, Sherwood CC, Hof PR, Jacobs B. The neocortex of cetartiodactyls: I. A comparative Golgi analysis of neuronal morphology in the bottlenose dolphin (Tursiops truncatus), the minke whale (Balaenoptera acutorostrata), and the humpback whale (Megaptera novaeangliae). Brain Struct Funct 2014; 220:3339-68. [PMID: 25100560 DOI: 10.1007/s00429-014-0860-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 07/25/2014] [Indexed: 12/12/2022]
Abstract
The present study documents the morphology of neurons in several regions of the neocortex from the bottlenose dolphin (Tursiops truncatus), the North Atlantic minke whale (Balaenoptera acutorostrata), and the humpback whale (Megaptera novaeangliae). Golgi-stained neurons (n = 210) were analyzed in the frontal and temporal neocortex as well as in the primary visual and primary motor areas. Qualitatively, all three species exhibited a diversity of neuronal morphologies, with spiny neurons including typical pyramidal types, similar to those observed in primates and rodents, as well as other spiny neuron types that had more variable morphology and/or orientation. Five neuron types, with a vertical apical dendrite, approximated the general pyramidal neuron morphology (i.e., typical pyramidal, extraverted, magnopyramidal, multiapical, and bitufted neurons), with a predominance of typical and extraverted pyramidal neurons. In what may represent a cetacean morphological apomorphy, both typical pyramidal and magnopyramidal neurons frequently exhibited a tri-tufted variant. In the humpback whale, there were also large, star-like neurons with no discernable apical dendrite. Aspiny bipolar and multipolar interneurons were morphologically consistent with those reported previously in other mammals. Quantitative analyses showed that neuronal size and dendritic extent increased in association with body size and brain mass (bottlenose dolphin < minke whale < humpback whale). The present data thus suggest that certain spiny neuron morphologies may be apomorphies in the neocortex of cetaceans as compared to other mammals and that neuronal dendritic extent covaries with brain and body size.
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Affiliation(s)
- Camilla Butti
- Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, Box 1639, One Gustave L. Levy Place, New York, NY, 10029, USA.
| | - Caroline M Janeway
- Laboratory of Quantitative Neuromorphology, Psychology, Colorado College, 14 E. Cache La Poudre, Colorado Springs, CO, 80903, USA
| | - Courtney Townshend
- Laboratory of Quantitative Neuromorphology, Psychology, Colorado College, 14 E. Cache La Poudre, Colorado Springs, CO, 80903, USA
| | - Bridget A Wicinski
- Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, Box 1639, One Gustave L. Levy Place, New York, NY, 10029, USA
| | - Joy S Reidenberg
- Center for Anatomy and Functional Morphology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, 10029, USA
| | - Sam H Ridgway
- National Marine Mammal Foundation, 2240 Shelter Island Drive, San Diego, CA, 92106, USA
| | - Chet C Sherwood
- Department of Anthropology, The George Washington University, 2110 G Street NW, Washington, DC, 20052, USA
| | - Patrick R Hof
- Fishberg Department of Neuroscience and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, Box 1639, One Gustave L. Levy Place, New York, NY, 10029, USA
| | - Bob Jacobs
- Laboratory of Quantitative Neuromorphology, Psychology, Colorado College, 14 E. Cache La Poudre, Colorado Springs, CO, 80903, USA
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The neocortex of cetartiodactyls. II. Neuronal morphology of the visual and motor cortices in the giraffe (Giraffa camelopardalis). Brain Struct Funct 2014; 220:2851-72. [PMID: 25048683 DOI: 10.1007/s00429-014-0830-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2014] [Accepted: 06/21/2014] [Indexed: 12/24/2022]
Abstract
The present quantitative study extends our investigation of cetartiodactyls by exploring the neuronal morphology in the giraffe (Giraffa camelopardalis) neocortex. Here, we investigate giraffe primary visual and motor cortices from perfusion-fixed brains of three subadults stained with a modified rapid Golgi technique. Neurons (n = 244) were quantified on a computer-assisted microscopy system. Qualitatively, the giraffe neocortex contained an array of complex spiny neurons that included both "typical" pyramidal neuron morphology and "atypical" spiny neurons in terms of morphology and/or orientation. In general, the neocortex exhibited a vertical columnar organization of apical dendrites. Although there was no significant quantitative difference in dendritic complexity for pyramidal neurons between primary visual (n = 78) and motor cortices (n = 65), there was a significant difference in dendritic spine density (motor cortex > visual cortex). The morphology of aspiny neurons in giraffes appeared to be similar to that of other eutherian mammals. For cross-species comparison of neuron morphology, giraffe pyramidal neurons were compared to those quantified with the same methodology in African elephants and some cetaceans (e.g., bottlenose dolphin, minke whale, humpback whale). Across species, the giraffe (and cetaceans) exhibited less widely bifurcating apical dendrites compared to elephants. Quantitative dendritic measures revealed that the elephant and humpback whale had more extensive dendrites than giraffes, whereas the minke whale and bottlenose dolphin had less extensive dendritic arbors. Spine measures were highest in the giraffe, perhaps due to the high quality, perfusion fixation. The neuronal morphology in giraffe neocortex is thus generally consistent with what is known about other cetartiodactyls.
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Maxwell WL, MacKinnon MA, Stewart JE, Graham DI. Stereology of cerebral cortex after traumatic brain injury matched to the Glasgow outcome score. ACTA ACUST UNITED AC 2009; 133:139-60. [PMID: 19897544 DOI: 10.1093/brain/awp264] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Magnetic resonance imaging provides evidence for loss of both white and grey matter, in terms of tissue volume, from the cerebral hemispheres after traumatic brain injury. However, quantitative histopathological data are lacking. From the archive of the Department of Neuropathology at Glasgow, the cerebral cortex of 48 patients was investigated using stereology. Patients had survived 3 months after traumatic brain injury and were classified using the Glasgow Outcome Scale as follows: moderately disabled (n = 13), severely disabled (n = 12) and vegetative state (n = 12); and controls. Some patients from the archive were diagnosed with diffuse axonal injury post-mortem. Comparisons of changes in cortical neuron population across Glasgow Outcome Scale groups between diffuse axonal injury and non-diffuse axonal injury patients were undertaken using effect size analyses. The hypotheses tested were that (i) thinning of the cerebral cortex occurred after traumatic brain injury; (ii) changes in thickness of cortical layers in Brodmann areas 11, 10, 24a and 4 differed; and (iii) different changes occurred for neuronal number, their size and nearest neighbour index across Glasgow Outcome Scale groups. There was a greater loss of large pyramidal and large non-pyramidal neurons with a more severe score on the Glasgow Outcome Scale from all four cortical regions, with the greatest loss of neurons from the prefrontal cortex of patients with diffuse axonal injury. There were differences in the changes of number of medium and small pyramidal and non-pyramidal neurons between different cortical regions, and between patients with and without diffuse axonal injury. Generally, a decrease in the somatic diameter of pyramidal and non-pyramidal neurons was associated with a more severe clinical outcome. However, in the motor cortex a more severe Glasgow Outcome Scale was associated with an increased diameter of medium pyramidal neurons and small non-pyramidal cells. Pyramidal and non-pyramidal neurons did not follow a Poisson distribution within the neuropil of control patients. Pyramidal neurons were usually scattered while medium and small non-pyramidal neurons were clustered. An increased spacing between remaining neurons usually occurred across Glasgow Outcome Scale groups. It is concluded that loss of neurons resulted in reduced executive and integrative capability in patients after traumatic head injury.
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Affiliation(s)
- William L Maxwell
- Anatomy, Thomson Building, Institute of Biomedical and Life Sciences, Gilmorehill, Glasgow, G12 8QQ, UK.
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Abstract
Bunina bodies, which are small eosinophilic intraneuronal inclusions in the remaining lower motor neurons, are generally considered to be a specific pathologic hallmark of amyotrophic lateral sclerosis (ALS). One year before a publication by Bunina, van Reeth et al. described similar intracytoplasmic inclusions in the anterior horn cells in a patient with Pick's dementia with atypical ALS. At present, only two proteins have been shown to be present in Bunina bodies, one is cystatin C and the other is transferrin. Bunina bodies consist of amorphous electron-dense material surrounded by tubular and vesicular structures on electron microscopy. Although the nature and significance of Bunina bodies in ALS are not yet clear, the bodies may be abnormal accumulations of unknown proteinous materials.
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Affiliation(s)
- Koichi Okamoto
- Department of Neurology, Gunma University Graduate School of Medicine, Gunma, Japan.
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Badlangana NL, Bhagwandin A, Fuxe K, Manger PR. Observations on the giraffe central nervous system related to the corticospinal tract, motor cortex and spinal cord: what difference does a long neck make? Neuroscience 2007; 148:522-34. [PMID: 17664045 DOI: 10.1016/j.neuroscience.2007.06.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2007] [Revised: 06/05/2007] [Accepted: 06/08/2007] [Indexed: 12/01/2022]
Abstract
The mammalian corticospinal tract is known to contain axons that travel from the cerebral cortex to various levels of the spinal cord and its main function is thought to be the mediation of voluntary movement. The current study describes neuroanatomy related to the corticospinal tract of the giraffe. This animal presents a specific morphology that may present challenges to this neural pathway in terms of the metabolism required for correct functioning and maintenance of potentially very long axons. The spinal cord of the giraffe can be up to 2.6 m long and forms the conus medullaris at the level of the sacral vertebrae. Primary motor cortex was found in a location typical of that of other ungulates, and the cytoarchitectonic appearance of this cortical area was similar to that previously reported for sheep, despite the potential distance that the axons emanating from the layer 5 gigantopyramidal neurons must travel. A typically mammalian dorsal striatopallidal complex was transected by a strongly coalesced internal capsule passing through to the pons and forming clearly identifiable but somewhat flattened (in a dorsoventral plane) pyramidal tracts. These tracts terminated in a spinal cord that exhibited no unique anatomical features related to its length. Our results, at least at the level of organization investigated herein, show that the corticospinal tract of the giraffe resembled that of a typical ungulate.
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Affiliation(s)
- N L Badlangana
- School of Anatomical Sciences, Faculty of Health Sciences, University of Witwatersrand, 7 York Road, Parktown, 2193 Johannesburg, Republic of South Africa
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Cudkowicz M, Qureshi M, Shefner J. Measures and markers in Amyotrophic Lateral Sclerosis. Neurotherapeutics 2004. [DOI: 10.1007/bf03206611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Abstract
Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder characterized by loss of spinal and cortical motor neurons, leading to progressive weakness and ultimately, death. Clinically, there appears to be an anatomic focus at disease onset, from which the disease then spreads. Because the focus of initial symptoms and the subsequent direction of spread can vary from patient to patient, disease monitoring is difficult, especially in a clinical trial, in which outcome measures must be identical and able to capture progression of all types. Thus, the search for markers of disease progression is especially important in ALS. Many approaches have been taken, from voluntary strength assessment and functional rating scales to physiological and pathological sampling of affected portions of nervous system. No proposed marker has been demonstrated to meet the desired criteria of biological meaning, sensitivity to disease progression, clear relationship to overall prognosis and survival, and ease of measurement. However, progress is being made in all of these regards.
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Affiliation(s)
- Merit Cudkowicz
- Neurology Clinical Trial Unit, Massachusetts General Hospital, Charlestown, Massachusetts 02129, USA.
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Rivara CB, Sherwood CC, Bouras C, Hof PR. Stereologic characterization and spatial distribution patterns of Betz cells in the human primary motor cortex. THE ANATOMICAL RECORD. PART A, DISCOVERIES IN MOLECULAR, CELLULAR, AND EVOLUTIONARY BIOLOGY 2003; 270:137-51. [PMID: 12524689 DOI: 10.1002/ar.a.10015] [Citation(s) in RCA: 74] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Betz cells are giant motoneurons located in layer Vb of the primate primary motor cortex. We conducted stereological analyses of Betz cells and neighboring pyramidal cells from the brains of six neurologically normal elderly humans to determine their volume, total number, and spatial distribution, and to relate these data to functional localization. The distribution of cellular volumes exhibits a bimodal pattern, delineating two different subpopulations. Betz cell volumes follow a mediolateral gradient, the largest Betz cells being located on the most medial part of the motor cortex. Additionally, the shape of Betz cells varies between the rostral and caudal parts of the primary motor cortex, supporting the notion that there are anatomically distinct zones in primary motor cortex. The total number of Betz cells per hemisphere accounts for about one-tenth of the total number of pyramidal cells in layer Vb. Analysis of spatial distribution using Voronoi tessellation revealed maximal clustering of Betz cells in a zone situated two-thirds from the midline along the mediolateral axis of the primary motor cortex. These data suggest that Betz cells have a discrete subregional distribution that may correspond to certain aspects of the functional parcellation of area 4. These results may offer a histological correlate of functional imaging studies and are relevant in the context of neurodegenerative diseases such as amyotrophic lateral sclerosis, progressive supranuclear palsy, and Guamanian amyotrophic lateral sclerosis/Parkinsonism-dementia, and in studies of normal brain aging.
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Affiliation(s)
- Claire-Bénédicte Rivara
- Department of Psychiatry, Neuropsychiatry Division, HUG Belle-Idée, University of Geneva School of Medicine, Geneva, Switzerland
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Chapter 2 Pathology of Motor Neuron Disorders. ACTA ACUST UNITED AC 2003. [DOI: 10.1016/s1877-3419(09)70103-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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