Bovine placental extracellular vesicles carry the fusogenic syncytin BERV-K1

Syncytins are endogenous retroviral envelope proteins which induce the fusion of membranes. A human representative of this group, endogenous retrovirus group W member 1 envelope (ERVW-1) or syncytin-1 is present in trophoblast-derived extracellular vesicles and supports the incorporation of these extracellular vesicles into recipient cells. During pregnancy, placenta-derived extracellular vesicles participate in feto-maternal communication. Bovine fetal binucleate trophoblast cells express the syncytin, bovine endogenous retroviral envelope protein K1 (BERV-K1). These cells release extracellular vesicles into the maternal stroma, but it is unclear whether BERV-K1 is included in these extracellular vesicles. Here, extracellular vesicles were isolated from bovine placental tissue using collagenase digestion, ultracentrifugation, and size exclusion chromatography. They were characterized with transmission electron microscopy, nanoparticle tracking analysis, immunoblotting and mass spectrometry. Immunohistochemistry and immunoelectron microscopy were used to localize BERV-K1 within the bovine placental tissue. The isolated extracellular vesicles range between 50 and 300 nm, carrying multiple extracellular vesicle biomarkers. Proteomic analysis and immunoelectron microscopy confirmed BERV-K1 presence on the isolated extracellular vesicles. Further, BERV-K1 was localized on intraluminal vesicles in secretory granules of binucleate trophoblast cells. The presence of BERV-K1 on bovine placental extracellular vesicles suggests their role in feto-maternal communication and potential involvement of BERV-K1 in uptake of extracellular vesicles by target cells.

The recruitment of TRiC chaperonin in rotavirus viroplasms correlates with virus replication

Rotavirus (RV) replication takes place in the viroplasms, cytosolic inclusions that allow the synthesis of virus genome segments and their encapsidation in the core shell, followed by the addition of the second layer of the virion. The viroplasms are composed of several viral proteins, including NSP5, which serves as the main building block. Microtubules, lipid droplets, and miRNA-7 are among the host components recruited in viroplasms. We investigated the interaction between RV proteins and host components of the viroplasms by performing a pull-down assay of lysates from RV-infected cells expressing NSP5-BiolD2. Subsequent tandem mass spectrometry identified all eight subunits of the tailless complex polypeptide I ring complex (TRiC), a cellular chaperonin responsible for folding at least 10% of the cytosolic proteins. Our confirmed findings reveal that TRiC is brought into viroplasms and wraps around newly formed double-layered particles. Chemical inhibition of TRiC and silencing of its subunits drastically reduced virus progeny production. Through direct RNA sequencing, we show that TRiC is critical for RV replication by controlling dsRNA genome segment synthesis, particularly negative-sense single-stranded RNA. Importantly, cryo-electron microscopy analysis shows that TRiC inhibition results in defective virus particles lacking genome segments and polymerase complex (VP1/VP3). Moreover, TRiC associates with VP2 and NSP5 but not with VP1. Also, VP2 is shown to be essential for recruiting TRiC in viroplasms and preserving their globular morphology. This study highlights the essential role of TRiC in viroplasm formation and in facilitating virion assembly during the RV life cycle.

IMPORTANCE

The replication of rotavirus takes place in cytosolic inclusions termed viroplasms. In these inclusions, the distinct 11 double-stranded RNA genome segments are co-packaged to complete a genome in newly generated virus particles. In this study, we show for the first time that the tailless complex polypeptide I ring complex (TRiC), a cellular chaperonin responsible for the folding of at least 10% of the cytosolic proteins, is a component of viroplasms and is required for the synthesis of the viral negative-sense single-stranded RNA. Specifically, TRiC associates with NSP5 and VP2, the cofactor involved in RNA replication. Our study adds a new component to the current model of rotavirus replication, where TRiC is recruited to viroplasms to assist replication.

TiO2 nanoparticles abrogate the protective effect of the Crohn's disease-associated variation within the PTPN22 gene locus

OBJECTIVE

Inflammatory bowel disease (IBD) is a multifactorial condition driven by genetic and environmental risk factors. A genetic variation in the protein tyrosine phosphatase non-receptor type 22 (PTPN22) gene has been associated with autoimmune disorders while protecting from the IBD subtype Crohn's disease. Mice expressing the murine orthologous PTPN22-R619W variant are protected from intestinal inflammation in the model of acute dextran sodium sulfate (DSS)-induced colitis. We previously identified food-grade titanium dioxide (TiO₂, E171) as a neglected IBD risk factor. Here, we investigate the interplay of the PTPN22 variant and TiO₂-mediated effects during IBD pathogenesis.

DESIGN

Acute DSS colitis was induced in wild-type and PTPN22 variant mice (PTPN22-R619W) and animals were treated with TiO₂ nanoparticles during colitis induction. Disease-triggering mechanisms were investigated using bulk and single-cell RNA sequencing.

RESULTS

In mice, administration of TiO₂ nanoparticles abrogated the protective effect of the variant, rendering PTPN22-R619W mice susceptible to DSS colitis. In early disease, cytotoxic CD8⁺ T-cells were found to be reduced in the lamina propria of PTPN22-R619W mice, an effect reversed by TiO₂ administration. Normalisation of T-cell populations correlated with increased Ifng expression and, at a later stage of disease, the promoted prevalence of proinflammatory macrophages that triggered severe intestinal inflammation.

CONCLUSION

Our findings indicate that the consumption of TiO₂ nanoparticles might have adverse effects on the gastrointestinal health of individuals carrying the PTPN22 variant. This demonstrates that environmental factors interact with genetic risk variants and can reverse a protective mechanism into a disease-promoting effect.

Input and output organization of the supplementary motor area

Recent work on the supplementary motor area (SMA) in Macaca fascicularis led to the conclusion that this area is involved mainly in the preparation of self-paced movements. Results are presented indicating that the posterior portion of the SMA is also directly involved in movement execution and that it receives various sensory inputs. The main results are as follows: (1) The SMA has direct access to the spinal cord by way of corticospinal neurons, but the density of these neurons is lower than in the primary motor cortex (MI). (2) Intracortical microstimulation effects can be elicited in the SMA. Facilitatory effects on ongoing EMG activity can even be produced by single micropulses (8/s). The shortest latencies are compatible with an oligosynaptic or monosynaptic transmission. (3) SMA neurons respond (as do MI neurons) to external perturbations. (4) Anatomical tracing studies revealed that basal ganglia outflow to the SMA via the thalamus is important; our results suggest that dentate outflow contributes as well. (5) Many cells of the SMA may covary with conditioned movements in the same way as MI neurons do. It is argued that it is difficult to compare the lead-time of MI and SMA neurons since 'early' discharges may be coupled with anticipatory postural events.

Kinematics of a coordinated goal-directed bimanual task

The experiments address the problem of bimanual coordination in a familiar task of everyday life. A goal-directed drawer-pulling task, with asymmetrical assignments among hands, was analyzed with the objective to detect discrete kinematic events ('anchors') that potentially could serve in proper goal synchronization. The left hand reached out for the drawer and opened it while the right hand performed a prehension movement to pick up a peg from the drawer. The task was smoothly performed, independently of vision. Typically, trajectories and velocity profiles of the leading pull-hand were more stereotypical than the more variable ones of the pick-hand. The pull-hand had a large velocity peak during reaching, followed by a small peak during pulling. Velocity profiles of the pick-hand were not bell-shaped and exhibited one or two broad waves, often with an irregular and probing evolution. Velocity profiles of both hands were aligned with the first or the second velocity peak of the leading pull-hand. In the majority of cases, temporal associations of events in the kinematics of the two limbs could thus be identified, which could serve to synchronize the hands at the goal. The nearly straight biphasic reach-and-pull trajectory of the leading hand contrasted with the more curved trajectory of the right pick-hand whereas, in the same unimanual action, the latter trajectories were quasi-rectilinear. Changing constraints (no vision, cutaneous anesthesia of pulling fingers) could change the coordination pattern. We argue that bimanual coordination relies on two interacting mechanisms: (1) feedforward control on the basis of sensorimotor memory; (2) temporal adjustments during the evolving bimanual synergy. Multiple strategies, imposed by the leading pull-hand, appeared to be responsible for feedback-induced corrections in the pick-hand and were found to contribute to the goal-invariance and to the principle of motor equivalence.

Regulation of grasping forces during bimanual in-phase and anti-phase coordination

When a hand-held object is moved, grip force is adapted in an anticipatory manner to load force due to a dynamic coupling between both forces. The present study addressed the issue of grip-load force regulation when moving rhythmically two hand-held objects in the vertical dimension, and more specifically the divergence of force control when performing according to the in-phase versus anti-phase mode. Results revealed that grip-load force ratio profiles were similar in both bimanual conditions. That is, force ratio was not constant throughout the movement cycles but followed a fairly regular pattern with maxima and minima, attained at upward and downward hand positions, respectively. However, anti-phase patterns showed an increased maximum grip-load force ratio as compared to in-phase patterns, whereas the latter did not differ from unimanual movements. The magnification of maximum force ratio during anti-phase movements suggests that rescaling occurred. This is likely due to the complexity of the anti-phase mode that necessitates increased monitoring and attention relative to the other performance conditions, creating a coordinative situation that imposes an additional degree of uncertainty. Therefore, the safety margin is amplified during anti-phase movements, probably as a strategy to prevent a potential destabilization of the grip during an asymmetrical load condition. Accordingly, these findings also demonstrate that grip-load force regulation is more proficiently controlled during bimanual in-phase than anti-phase movements. Herewith, the data add content to earlier work illustrating kinematic dissimilarities between both coordination modes.

Bimanual organization of manipulative forces: evidence from erroneous feedforward programming of precision grip

The objective of the present study was to investigate grip-load force regulation during a bimanual lifting task with two hand-held objects. Various conditions were included during which the weight of one or both objects was changed in an unpredictable order every fourth trial. Results showed that force control of heavy weight movements preceded by light weight movements was not strongly influenced across trials. Conversely, force responses of light weight movements preceded by heavy weight movements were overestimated due to an augmented degree of grip force. However, successful updating of force output occurred after one trial. Furthermore, bimanual interactions between the grasping forces were observed, suggestive of a coordinative command that assimilated the individual response specifications. The latter also became apparent from a similar grip-load force ratio for both hands when the objects' physical properties had become predictable, independent of the forces that were produced according to the individual weight requirements. These data indicate that the grip-load force ratio is the controlled variable for bimanual manipulative behaviour.

Role of the corpus callosum in bimanual coordination: a comparison of patients with congenital and acquired callosal damage

The objective of the study was to investigate temporal control in patients with congenital as compared to acquired pathology of the corpus callosum during two different bimanual paradigms: (i) a drawer-opening task during which one hand opened a drawer while the other hand reached and grasped a small object, and (ii) rhythmical circling movements that were executed according to the in-phase or antiphase mode. Synchronization values revealed that patients with acquired callosal dysfunction generally showed optimal behaviour during the goal-directed and familiar drawer-opening task but demonstrated strong tendencies towards desynchronization during circling movements, which became most apparent for antiphase coordination. Whereas one patient with callosal agenesis showed a similar performance, the other acallosal patients performed both activities successfully. These observations indicate that patients with congenital absence of the corpus callosum can make use of compensatory mechanisms for allowing temporal synchronization during bimanual movements whereas patients with acquired callosal dysfunction are severely hampered when the task places significant demands on the control processes. The data also underline that the ability of callosal patients to precisely time events in coordinated actions depend on the task constraints.

Toward a physiological understanding of human dexterity

Dexterity, defined as the skillful manipulation of the hands, is now amenable to physiological investigation. Two topics are discussed here: grasping (i.e., hand-object coupling) and bimanual coordination. Dexterity depends on powerful, distributed neural networks and is particularly vulnerable to brain lesions. A knowledge of physiological mechanisms is needed to deal with these neurological problems.

Neurological problems affecting hand dexterity

The first objective of this review is to summarize how grip force and load force (holding and transporting forces) are coordinated. Usually, the two forces vary in parallel, thereby resulting in a constant force ratio. Departures from this rule have been observed, however, depending on dynamic task constraints. The second objective is to summarize some of the pathophysiology of grasping in movement disorders. By means of a drawer-pulling task, regulation of grip force was analyzed when pulling was perturbed either by self-induced or externally applied load disturbances. Normal subjects automatically increased grip force in anticipation to the expected load. In the same situation, hemiparetic patients failed to generate proactive grip force and frequent slips were observed. Cerebellar patients were shown to adopt a 'default' strategy in producing high grip force output when the drawer had to be pulled up to its mechanical stop. This differed from the more flexible normal mode of raising grip force in accord with the pulling speed. In patients with Huntington's Chorea, grip/load force coordination differed from that of normal subjects, as expressed in an overscaled grip force. This might be a secondary, less flexible 'default' strategy to overcome the failure in adapting grip force to upcoming disturbances. Writer's cramp patients overscaled grip force in both the dominant and non-dominant hand, and grip force further increased when hand muscles were vibrated, suggesting an abnormal sensorimotor integration. The results illustrate the degrading consequences of cortical and subcortical pathology on manual dexterity, which is sometimes partly compensated for by new, less flexible default strategies.

Damage to the parietal lobe impairs bimanual coordination

Moving the upper limbs at a common tempo according to a mirror or parallel mode represents elementary coordination dynamics. Previously, the role of the medial wall areas have been emphasized for successful production of these bimanual patterns. The involvement of the parietal lobe is less clear despite its importance for the representation of motor skill and sensorimotor integration. The objective of this study was to investigate temporal control in patients with parietal pathology when performing isofrequency configurations. As compared to control subjects, these patients showed desynchronization of movement trajectories that was most apparent during parallel patterns. These observations suggest the significant role of the parietal lobe for bimanual coordination which becomes increasingly relevant as a function of task complexity.

Grip force scaling and sequencing of events during a manipulative task in Huntington's disease

The aim of the study was to investigate force regulation and sequencing of events in Huntington's disease (HD) patients when performing a drawer opening task using the precision grip. Results revealed that HD patients used excessive grip force levels that were unrelated to the actual task demands. Also, they demonstrated a higher grip force value at load force onset in addition to an increased delay between initiation of grip force and load (pulling) force. These data indicate a deficit in the coordinated activation of both forces due to HD. Furthermore, the patients showed bradykinesia along with a prolonged interval between the movement phases underlying the task, denoting an impairment in encoding serially ordered events. Together, these results illustrate the deteriorating effect of striatal pathology on manual function. Accordingly, an amended control of grasping forces and serial encoding of movement-related events due to HD are likely to affect the proficiency of common manipulative skills.

Different ipsilateral representations for distal and proximal movements in the sensorimotor cortex: activation and deactivation patterns

Each hemisphere is known to be also involved in controlling the ipsilateral arm, but with an asymmetry favoring the dominant hemisphere. However, the relative role of primary and secondary motor areas in ipsilateral control is not well defined. We used whole brain functional magnetic resonance imaging in healthy human subjects to differentiate between contributions from primary and secondary areas during discrete unilateral distal finger and proximal shoulder movements. It was found that ipsilateral distal movements activated secondary areas only, while sparing or even significantly deactivating the primary sensorimotor cortex. Ipsilateral proximal movements substantially activated both SM1 and secondary areas. A newly defined small territory within the precentral gyrus, extending from the premotor cortex and intruding toward SM1, showed an activation pattern corresponding to secondary motor areas. Finally, the effects of hemispheric dominance were confirmed, but attributed exclusively to secondary areas. These new imaging findings agree well with functional requirements as well as established anatomical and neurophysiological data.

Dissociation of grip/load-force coupling during a bimanual manipulative assignment

The aim of the present study was to examine interlimb interactions of grasping forces during a bimanual manipulative assignment that required the execution of a drawer-opening task with the left hand and an object-holding task with the right hand. Compared with the unimanual performance, the grip/load-force ratio of the object-holding task was shifted towards that of the simultaneously executed drawer-opening task. This shows that force parameterization of the dynamic activity interacted with that of the static activity. That the increased force ratio only involved modification of grip force, while load force was held constant, indicates a disruption of the commonly observed co-variation of both forces during a manipulative action. These data are consistent with the notion that the coordinative constraint between grip and load force is a flexible parameter.

A higher-order mechanism overrules the automatic grip-load force constraint during bimanual asymmetrical movements

The aim of the present study was to examine grip-load force regulation during unimanual and bimanual movements. Two protocols were included which manipulated the object's weight and covered distance. Results showed that grip-load ratio was adapted to the task requirements. During unimanual and bimanual symmetrical movements, an increased grip-load force ratio for long versus short amplitude movements as well as for light versus heavy weight movements was noted. These findings could be related to the observed movement speed variations associated with the tasks. During bimanual asymmetrical movements, the grip-load force ratio became comparable for both sides. When transporting different object's weights to constant distances, the grip-load force ratio of light weight movements decreased towards that of heavy weight movements. As movement speed was reduced, it indicates that grasping forces were adapted accordingly. When transporting constant object's weights to different distances, the grip-load force ratio of short amplitude movements increased towards that of long amplitude movements. Since movement speed was decreased, it suggests that a bimanual coordinative command overruled the automatic grip-load coupling. In conclusion, these data show that interlimb coupling induced a rescaling towards a common control structure, leading to similar grasping forces during bimanual movements with dissimilar actions.

Impaired proactive and reactive grip force control in chronic hemiparetic patients

OBJECTIVES

The aim of the study was to test manipulative capacities of hemiparetic patients with partial recovery in a drawer task. The main objective was to assess adjustments of grip force in the face of load perturbations.

METHODS

The task was to pull and to hold the drawer manipulandum during predictable or unpredictable perturbations with short (90 ms) load pulses (factor set).

RESULTS

The following novel observations were made. (1) Load pulses elicited, at a latency of about 70 ms, a transient grip force response and a corresponding phasic EMG response. These reactive adjustments were larger during holding than during pulling (factor task). In patients, the reactive grip force adjustments and the EMG response in the grip muscles were reduced. (2) The above deficit was set-dependent. (3) With regular perturbations, grip force was scaled already before perturbation onset. This proactive adjustment was greatly reduced in the patient group. (4) Coordination between grip force and pull force before onset of the perturbation was also disturbed in the patients who generated less grip force per unit pull force than control subjects.

CONCLUSIONS

It is concluded that the patients had difficulties in adapting proactively and reactively to external load disturbances, in addition to their hand weakness.

Disturbed sensorimotor processing during control of precision grip in patients with writer's cramp

The aim of the study was to investigate force regulation in patients with writer's cramp when performing a drawer-opening task using the precision grip. Experimental conditions included intervening load pulses and vibratory manipulations for examining grip force responses to sensory disturbances. The data revealed that grip force was increased in patients with writer's cramp compared with normal subjects, with a stronger modulation in the symptomatic compared with the asymptomatic hand. This denotes a change in force scaling capabilities and most notably for the preferred hand used in manipulative activities. Vibratory stimulation of the extrinsic hand/finger muscles resulted in an increased grip force of both hands in the patients with writer's cramp. The latter was not observed in normal subjects and supports a bilateral dysfunction in sensorimotor integration resulting from focal dystonia. In conclusion, the disturbed regulation of the precision grip during a drawer-opening task is illustrative for the inability of patients with writer's cramp to efficiently control the force output during manipulative activities.

Temporal control of a bimanual task in patients with cerebellar dysfunction

The objective of the study was to investigate whether temporal control during a goal-directed bimanual action is disturbed in cerebellar patients. The task was to open a drawer with one hand and to reach and grasp a small object with the other hand. Interlimb coupling was determined at start and end positions. Cerebellar patients as compared to normal subjects showed an increased offset for initiating the hand movements which denotes the involvement of the cerebellum for organizing the components underlying the bimanual task. The reduced simultaneity was caused by a delayed movement onset of the grasping (non-leading) hand as compared to the pulling hand. Lack of vision increased the degree of desynchronization for the patients at the start position, indicating that they depended on external cues for organizing the temporal coordinates of the combined motion pattern. At the goal, the magnitude of temporal offset was similar/smaller than at movement onset which can be related to feedforward mechanisms that are used to anticipate the limbs' end positions. These results confirm the role of the cerebellum for planning the temporal ordering of movement sequences into a synergic action.

Role of the cerebellum in tuning anticipatory and reactive grip force responses

The aim of our study was to determine if load perturbations that could destabilize grasp control are adequately controlled by cerebellar patients. We examined patients with unilateral cerebellar lesions who had largely recovered from their initial symptoms and compared grip force regulation for the affected and unaffected hand during a drawer-opening task. Two experimental paradigms were included: (1) a brief load perturbation during a self-stopped drawer pull and (2) a loading impact when the drawer was pulled out to the mechanical stop. The results showed that when a self-stopped movement was perturbed during its trajectory, anticipatory grip force increase was smaller for the affected than for the unaffected hand, illustrating a disturbed gain control due to cerebellar dysfunction. When the mechanical stop arrested the movement, the amount of grip force did not differ significantly between the affected and unaffected side; however, both hands used different control strategies. Whereas the unaffected hand anticipated the load perturbation by a ramp-like increase of grip force toward the impending impact, the affected hand increased grip force at movement onset to a default level and maintained this value until the task was ended. In addition, the latency between impact and reactive peak in grip force was prolonged for the affected hand, suggesting a delayed cerebellar transmission of reactive responses. In conclusion, these findings demonstrate that the cerebellum is involved in anticipatory and reactive mechanisms dealing with load perturbations during goal-directed behavior.

Eye-hand coordination in uni- and bimanual goal-oriented tasks

Two different drawer tasks were investigated with the aim of assessing the role of eye movements in well-coordinated hand movements. In an unimanual step-tracking task, which had a predictive and an unpredictive movement, a two-way repeated-measures ANOVA showed a significant effect of prediction on the onset of grip-force (GF) rate (300+/-39 ms for the predictive condition versus 394+/-53 ms for the non-predictive condition, P<0.0001). Correlation coefficients, computed from the eye and the hand movements were low for the right and the left hand. The saccade was more coupled with the visual step change than with the action of the hand per se. In a second bimanual pull-and-pick task, the instruction was to pull a drawer with the left hand from a closed position to a LED-cued open position and then to grasp and reinsert a small peg in the drawer with the right hand. Correlation coefficients, computed from the latencies of saccades and of the leading left hand or of the right hand, were significant in four of five subjects. Intermanual correlations were significant in all five subjects. In conclusion, we found that the initial saccade in the unimanual task was best related with the visual step change, but was poorly correlated with the pulling/pushing hand. In the bimanual task, a moderate, but significant temporal coupling between the eyes and hand events was observed. This coupling was, however, less tight than that between both hands.

Grip-load force coordination in cerebellar patients

The study examined the anticipatory grip force modulations to load force changes during a drawer-opening task. An impact force was induced by a mechanical stop which abruptly arrested movement of the pulling hand. In performing this task, normal subjects generated a typical grip force profile characterized by an initial force impulse related to drawer movement onset, followed by a ramp-like grip force increase prior to the impending load perturbation. Finally, a reactive response was triggered by the impact. In patients with bilateral cerebellar dysfunction, the drawer-opening task was performed with an alternative control strategy. During pulling, grip force was increased to a high (overestimated) default level. The latter suggests that cerebellar patients were unable to adjust and to scale precisely the grip force according to the load force. In addition, the latency between impact and reactive activity was prolonged in the patients, suggesting an impaired cerebellar transmission of the long-latency responses. In conclusion, these data demonstrate the involvement of cerebellar circuits in both proactive and reactive mechanisms in view of predictable load perturbations during manipulative behavior.

Time structure of a goal-directed bimanual skill and its dependence on task constraints

The aim of the study was to elucidate the underlying principles of bimanual coordination and to establish quantitative coordination criteria. Healthy human subjects were instructed to open a loaded drawer with the left hand and to grasp, lift and reinsert with the right hand a small peg in the drawer recess. This bimanual goal-oriented task was executed promptly and consistently after a few trials. The temporal structure of the individual limb actions was assessed for computing interlimb synchronization and temporal correlation. In all subjects, both hands were well synchronized at the goal with high intermanual correlation in reaching the goal (event times of drawer opening and grasping the peg). This temporal goal-invariance was independent of movement speed and of the highly variable timing of the individual hands and persisted when subjects were blindfolded. Unilateral loading of the pulling hand and cutaneous anesthesia of the left index finger and thumb used for grasping the drawer handle significantly increased the pull-phase. This slowing of the left hand was matched by an adaptive delay of the right non-disturbed hand, thus preserving goal invariance. As a working hypothesis, we propose that multimodal sensory signals generated in the leading arm be transmitted centrally to re-parameterize the non-disturbed arm.

Neural activity of supplementary and primary motor areas in monkeys and its relation to bimanual and unimanual movement sequences

A chronic single-unit study of motor cortical activity was undertaken in two monkeys trained to perform a bimanually coordinated task. The hypothesis was tested that the supplementary motor area plays a specific role in coordinating the two hands for common goal-oriented actions. With this objective, a special search was made for neurons that might exhibit properties exclusively related to bimanual task performance. Monkeys learned to reach for and to pull open a spring-loaded drawer with one hand, while the other hand reached out to grasp food from the drawer recess. The two hands were precisely coordinated for achievement of this goal. Monkeys also performed, in separate blocks of trials, only the pulling or grasping movements, using the same hands as in the bimanual task. Task-related activity of 348 neurons from the supplementary motor area and 341 neurons from the primary motor area, each examined in the bimanual and in both unimanual tasks, was recorded in the two hemispheres. Most neurons from the supplementary motor area were recorded within its caudal microexcitable portion. Contrary to expectation, the proportion of neurons with activity patterns related exclusively to the bimanual task was small, but somewhat higher in the supplementary motor area (5%) than in the primary motor cortex (2%). Another group of neurons that were equally modulated during the bimanual as well as to both unimanual task components might also contribute in controlling bimanual actions. Such "task-dependent" rather than "effector-dependent" activity patterns were more common in neurons of the supplementary motor area (19%) than of the primary motor cortex (5%). Bilateral receptive fields were also more numerous among the supplementary motor area neurons. However, a large majority of neurons from primary and supplementary motor areas had activity profiles clearly related only to contralateral hand movements (65% in the primary motor and 51% in the supplementary motor area). A similar group of neurons showed an additional slight modulation with ipsilateral movements; they were equally common in the two areas (14% and 16%, respectively) and their significance for bimanual coordination is questionable. Summed activity profiles of all neurons recorded in the primary and supplementary motor areas of the same hemisphere were compared. The modulations of the three histograms, corresponding to the two unimanual and the bimanual tasks, were similar for the two motor areas, i.e. prominent with bimanual and contralateral movements and weak with ipsilateral movements. It is concluded that the supplementary motor area is likely to contribute to bimanual coordination, perhaps more than the primary motor cortex, but that it is not a defining function for the former cortical area. Instead, it is suggested that the supplementary motor area is part of a callosally interconnected and distributed network of frontal and parietal cortical areas that together orchestrate bimanual coordination.

Grip force adjustments induced by predictable load perturbations during a manipulative task

The experiment examined the anticipatory modulation of grip force with respect to load force during a drawer opening task. An impact force was introduced by a mechanical stop that arrested movement of the pulling hand. The results showed a typical grip force profile which consisted of two evolving phases, one to control drawer movement onset, and the other to secure grip force at the expected impact. Initially, grip force increased with the load force that was developed to overcome the inertia of the drawer. After the first peak, a small decline was observed, followed by a proactive grip force increase prior to the time of impact. During this ramp-like increase of grip force, load force remained unchanged. In addition, a reactive response was triggered by the impact. That anticipatory control with respect to an impact force is not innate but, rather, is learned by experience was evidenced by a comparison of adults and children. Whereas adults made the characteristic grip force adjustments to anticipate the impact, children used a probing strategy with irregular build-up of force until impact. Furthermore, adults calibrated the second phase of the grip force profile in the initial trials of the task, indicating that grip force was rapidly updated with information related to the impact force. The present results demonstrate that grip-load force coordination during manipulation is a necessity for dealing with destabilizing load perturbations produced by self-induced movement and impact forces. It is concluded that grip force is adjusted automatically, but in a flexible manner, to secure grip in accordance with the characteristics of the pulling synergy.

Effects of lesions in the mesial frontal cortex on bimanual co-ordination in monkeys

The hypothesis was tested that the mesial frontal cortex, including the supplementary motor area, is engaged in bimanual co-ordination. Three monkeys, trained in a well-co-ordinated bimanual pull-and-grasp task, were subjected to unilateral or bilateral lesions of the mesial frontal cortex. With unilateral lesions, the deficit consisted in a delay in movement initiation of the contralateral arm. With a bilateral lesion, the deficit was more pronounced with marked bilateral delays in movement onset and slowing in reaching. However, in the three monkeys bimanual co-ordination at the moment of goal achievement remained intact with an excellent temporal co-variation of the two limbs. In the two unilateral cases, an adaptive strategy developed after a few sessions, either by catching up during reaching with the limb contralateral to the lesion (monkey M1) or by delaying movement initiation of the limb ipsilateral to the lesion (monkey M2). This outcome is discussed in terms of Lashley's principle of motor equivalence, i.e. invariant goal achievement with variable means. Bilateral lesions led to a transient and near-total impairment in movement self-initiation when all external cues were absent. It is concluded that in monkeys the mesial frontal cortex does not play a crucial role in bimanual co-ordination but rather in movement initiation, especially when sensory cues are absent.

Dexterity in adult monkeys following early lesion of the motor cortical hand area: the role of cortex adjacent to the lesion

Infant monkeys were subjected to unilateral lesions of the motor cortex (mainly its hand representation). After maturation, they showed normal use of the contralateral hand for global grip movements. However, as compared with the ipsilateral hand, precision grip tasks requiring relatively independent finger movements were performed with less dexterity, particularly if adjustments of the wrist position were necessary. The purpose of this study was to investigate mechanisms which may be responsible for the rather well, although not complete, preservation of manipulative behaviour of these adult monkeys. To this end, the hand representations were mapped bilaterally with intracortical microstimulation in the mature monkeys, and the dexterity of both hands assessed quantitatively in a precision grip task. The behavioural effects of reversible inactivations of the primary (M1) and supplementary (SMA) motor cortical areas were then tested. The following were found. (i) The hand contralateral to the lesion exhibited subtle but significant dexterity deficits, as compared with the ipsilateral hand; the deficit was essentially for complex movements requiring dissociation of the thumb-index finger pinch from the other digits, involving also an arm rotation. (ii) Reversible inactivation of the M1 hand representation in the intact hemisphere dramatically impaired dexterity of the opposite hand without affecting the ipsilateral hand (contralateral to the early lesion). (iii) A relatively complete hand representation was found to occupy a new territory, medial to the old lesion. (iv) The role of this new displaced representation was crucial for the preserved dexterity of the opposite hand, as evidenced by its functional inactivation. In contrast, inactivation of both SMA cortices did not interfere with the manipulative behaviour. It is thus concluded that the preserved functional capacity of manipulations with the hand opposite the early lesion can be essentially attributed to a cortical reorganization around the old lesion. Under the present experimental conditions, contributions from either the SMA or the intact M1 appear not to be crucial.

[The doctrine of brain localization and its development in the 20th century]

The discovery of the cerebral motor cortex in the last third of the 19th century has decisively influenced the doctrine of cerebral localization. It has dominated brain research from there on. Its considerable practical importance for focalized local diagnosis was recognized from the clinical point of view. As a consequence, interdisciplinary institutions for brain research developed in Europe and in the USA for the study of functional localization in the brain by means of cyto- and myeloarchitecture, electrical brain stimulation and lesion experiments in close connection with clinico-neurologic centers. From this research resulted the cerebral cortical maps with more or less numerous areas linked to either sensory, motor or 'higher' psychic functions. An intensive, emotional critique developed against the brain-localization theory from its onset. This article demonstrates that the arguments of the anti-localizationists gave rise in part to new knowledge about some principles of cerebral function. Some of these are the concept of 'diaschisis' (distant effects of acute lesions and functional recovery, von Monakow, 1902), the concept of 'motor equivalence' (Lashley, 1930) and of neuronal plasticity of the cerebral cortex (Cajal, 1911). Furthermore, modern imaging techniques (position emission tomography, functional nuclear spin resonance) show that complex functions in particular, such as the natural, targeted arm and grasp synergy, are not 'localized' within a small area of the cortex but do activate multiple neuronal networks interconnected dynamically and in alternating composition in the process of movement initiation and execution.

Transcallosal connections of the distal forelimb representations of the primary and supplementary motor cortical areas in macaque monkeys

The goal of the present neuroanatomical study in macaque monkeys was twofold: (1) to clarify whether the hand representation of the primary motor cortex (M1) has a transcallosal projection to M1 of the opposite hemisphere; (2) to compare the topography and density of transcallosal connections for the hand representations of M1 and the supplementary motor area (SMA). The hand areas of M1 and the SMA were identified by intracortical microstimulation and then injected either with retrograde tracer substances in order to label the neurons of origin in the contralateral motor cortical areas (four monkeys) or, with an anterograde tracer, to establish the regional distribution and density of terminal fields in the opposite motor cortical areas (two monkeys). The main results were: (1) The hand representation of M1 exhibited a modest homotopic callosal projection, as judged by the small number of labeled neurons within the region corresponding to the contralateral injection. A modest heterotopic callosal projection originated from the opposite supplementary, premotor, and cingulate motor areas. (2) In contrast, the SMA hand representation showed a dense callosal projection to the opposite SMA. The SMA was found to receive also dense heterotopic callosal projections from the contralateral rostral and caudal cingulate motor areas, moderate projections from the lateral premotor cortex, and sparse projections from M1. (3) After injection of an anterograde tracer (biotinylated dextran amine) in the hand representation of M1, only a few small patches of axonal label were found in the corresponding region of M1, as well as in the lateral premotor cortex; virtually no label was found in the SMA or in cingulate motor areas. Injections of the same anterograde tracer in the hand representation of the SMA, however, resulted in dense and widely distributed axonal terminal fields in the opposite SMA, premotor cortex, and cingulate motor areas, while labeled terminals were clearly less dense in M1. It is concluded that the hand representations of the SMA and M1 strongly differ with respect to the strength and distribution of callosal connectivity with the former having more powerful and widespread callosal connections with a number of motor fields of the opposite cortex than the latter. These anatomical results support the proposition of the SMA being a bilaterally organized system, possibly contributing to bimanual coordination.

The problem of bimanual coupling: a reaction time study of simple unimanual and bimanual finger responses

The properties of the sensorimotor system controlling finger movements were investigated in the simple uni- and bimanual reaction time (RT) paradigm, with emphasis on the problem of interhemispheric transfer of sensory and motor information. Unimanual and bimanual responses of the index fingers were elicited by stimulation of either left or right hand and resulting reaction times were compared to assess the degree of right-left differences and thus also of crossed-uncrossed differences (CUD). The response consisted of a force pulse (first dorsal interosseus muscle) which was elicited by a non-painful electrical stimulus applied to the base of the middle finger. In unimanual experiments, the population analysis showed that RTs obtained with contralateral stimuli were significantly longer (6 msec) than RTs elicited with ipsilateral stimuli. However, inter-subject differences were large and sometimes pointed in the non-expected direction (crossed < uncrossed). Statistically significant right-left differences in RT were detected in the bimanual response paradigm, but these differences occurred in both directions with the crossed RT either longer or shorter than uncrossed RT. The analysis of the correlation structure of bimanual RT suggested the presence of stimulus-related asymmetries of the hands. These observations provide some support for the notion of an additional processing time related to interhemispheric transmission of sensory and/or motor signals. In addition, it turned out that factors other than callosal transmission can also produce asymmetries in RTs of the two hands. Thus some subjects had consistent right-left differences which were unrelated to callosal transmission. Asymmetries were also introduced by changing the stimulation side. In the light of this multi-factorial influence, we argue that the underlying mechanisms leading to intermanual asymmetries in RT cannot be attributed exclusively to callosal transmission.

Epidemiology of IDDM in Switzerland. Increasing incidence rate and rural-urban differences in Swiss men born 1948-1972

OBJECTIVE

To determine the incidence of insulin-dependent diabetes mellitus (IDDM) in Switzerland by undertaking a retrospective analysis of the registry of the Swiss army, which contains updated medical files for all male Swiss citizens. Nation-wide data for IDDM epidemiology have not been available in Switzerland.

RESEARCH DESIGN AND METHODS

Every male Swiss citizen is obliged to enlist in the Swiss military service at 19 years of age, when a personal, continuously updated medical file is established. Diabetes is an exclusion condition for military service and is clearly marked in the file. A total number of 514,747 files, corresponding to birth year cohorts 1948-1950, 1955-1957, 1962-1964, and 1970-1972, have been manually checked for the diagnosis of IDDM.

RESULTS

IDDM was identified in 926 cases in the four groups of three age-cohorts. The incidence at < or = 15 years (per 100,000/year) was 4.5 in the age cohorts 1948-1950 and 7.2 in the age cohorts 1970-1972 (P < 0.005). An additive age-cohort Poisson regression model fits the nationwide incidences adequately, neither a period effect nor age x cohort interactions being required. In the oldest age cohorts, the age-specific incidence of IDDM was calculated up to the age of 43 and was approximately 7/100,000/year in men between 20 and 40. In these age cohorts, we found an approximately 50% higher risk to develop IDDM at age < or = 19 for men living in an urban region and a significantly (P < 0.005) increased incidence between 20 and 40 years in rural regions compared with urban regions.

CONCLUSIONS

The incidence of IDDM in Switzerland is comparable to other countries in central Europe and has been increasing in the last 20 years. This is in accordance to most recent epidemiological studies worldwide. In addition, the data suggest exogenous factors inducing IDDM at a younger age in urban regions.

Cerebellothalamocortical and pallidothalamocortical projections to the primary and supplementary motor cortical areas: a multiple tracing study in macaque monkeys

The goal of the present study was to clarify whether the primary motor cortex (M1) and the supplementary motor cortex (SMA) both receive, via the motor thalamus, input from cerebellar and basal ganglia output nuclei. This is the first investigation that explores the problem by direct comparison, in the same animal, of thalamic zones that 1) project to M1 and SMA and 2) receive cerebellar-nuclear (CN) and pallidal (GP) afferents. These four zones were mapped in two monkeys by means of two retrograde tracers for M1 and SMA injections and of two anterograde tracers for CN and GP injections. All injections were performed under electrophysiological control (microstimulation and multiunit recordings). Injections in cortical areas were restricted to the hand/arm representation; in the SMA, the tracer deposit was within the "SMA-proper" (or "area F3") and did not include its rostral extension ("pre-SMA" or "area F6"). It was found that zones of all four types formed a number of highly complex patches of labeling that were usually not confined to one cytoarchitectonically defined thalamic nucleus. The overlap of clusters of labeled terminals and perikarya was evaluated morphometrically (area measurements) on a number of coronal sections along the anteroposterior extent of the motor thalamus. In line with previous studies, the thalamic territories innervated by CN and GP afferents rarely overlapped. However, zones projecting to M1 and/or to SMA included thalamic regions receiving CN as well as GP projections, providing the first evidence of such overlap from individual animals. The present observations support the previous conclusion from this laboratory (based on transsynaptic labeling) that the SMA receives, apart from its strong pallidal transthalamic input, a CN transthalamic input. These present findings that both M1 and SMA are recipients of transthalamic inputs from GP and CN thus support the concept that a mixed subcortical input consisting of weighted contributions from cerebellum, basal ganglia, substantia nigra, and spinothalamic tract is directed to each functional component of the sensorimotor cortex.

Temporal coordination in bimanual actions

The issue of bimanual temporal coordination in human subjects is discussed for three selected movement paradigms: (i) simple, symmetric, bimanual finger movements, (ii) bimanual unloading, and (iii) a complex bimanual pull and grasp task. Temporal synchronization was found for all three experiments and was least variable for the first experiment. In the second experiment, synchronization concerned unloading with the index finger of one hand (electromyographic activation of the first dorsal interosseus muscle) and the postural adjustment of the load-bearing index finger of the other hand (electromyographic deactivation of the first dorsal interosseus muscle). In the third experiment, a goal-related temporal invariance was observed, even in the absence of visual guidance. Possible neural mechanisms for the observed temporal coordination of the three types of bimanual movements are discussed, as well as the concepts of goal invariance and motor equivalence.

Temporal structure of a bimanual goal-directed movement sequence in monkeys

The aim of the present investigation was to assess a bimanual goal-oriented movement sequence with particular emphasis on its temporal structure. The three monkeys (Macaca fascicularis) used in this study chose the left arm as the leading and more postural arm to reach out and pull back a spring-loaded drawer containing a food morsel. The right arm followed the left and picked up the food with a precision grip. Video recordings, trajectory recordings of the two index fingers, drawer displacement and the measurements of discrete events of the left and right hand revealed a considerable trial-by-trial variability in the temporal and spatial domain. The variability of latencies progressively increased from the initiation of the bimanual sequence to the left-hand and right-hand events defining goal achievement. The main result was that, in spite of this variability in each of the two limbs, there was an invariant left-right goal-related synchronization. The timing of the goal-related event pairs covaried and showed high correlation coefficients. Covariation of the two hands resulting in an invariant synchronization was particularly striking when monkeys performed the task without vision, and timing of right and left movement components was delayed with further increase in variability. The results indicate that, in the present bimanual skill, kinaesthetic signals may be sufficient to coordinate the two limbs in a goal-oriented unitary action in accord with a memorized plan.

Modulation of sustained electromyographic activity by single intracortical microstimuli: comparison of two forelimb motor cortical areas of the rat

In rats, a rostral and a caudal forelimb motor area (RFA and CFA, respectively) have been distinguished on the basis of intracortical microstimulation effects (see Neafsey et al., 1986, for a review). The goal of the present study was to assess and compare their relative connectional strength with target motor units of the forelimb. This was achieved by averaging modulation responses of sustained electromyographic (EMG) activity triggered by single intracortical microstimuli (S-ICMS) of relatively low intensity (mostly below 35 microA) to minimize both direct and transsynaptic current spread. In chronically prepared and ketamine-sedated rats, this method produced prominent peaks and troughs in the averaged EMG at short latencies with S-ICMS currents as low as 5 microA. S-ICMS at 30-50 microA in CFA sometimes even elicited visible twitches and an EMG burst of the contralateral wrist or digits following each stimulation pulse. Increasing S-ICMS currents to about 1.5 mA revealed a sudden shortening of EMG response latencies, which was most likely induced by current spread to brainstem motor centers. S-ICMS at near-threshold intensity in the majority of effective sites in both CFA and RFA produced modulation responses in more than one group of forelimb muscles, frequently also including muscles of the ipsilateral forelimb. Usually the ipsilateral responses were weaker, as were the suppression effects. Comparison of CFA and RFA revealed similar effects in terms of the number of modulated muscle groups and the response latencies. In contralateral wrist/digit muscles, facilitation responses were elicited at latencies of 9.7 +/- 1.8 msec (CFA) and 9.6 +/- 1.9 msec (RFA), with the shortest latencies around 6 msec. However, modulations by S-ICMS in RFA had significantly smaller amplitudes, had slower rates of buildup, and required higher thresholds than those obtained from S-ICMS in CFA. It is concluded, on the basis of the S-ICMS method, that both the CFA and the RFA exert a prominent and relatively direct influence on forelimb motoneurons. The present findings, together with calculations of conduction time, suggest that a contingent of corticospinal axons of the rat has oligosynaptic and possibly even monosynaptic connections with forelimb motoneurons. The recruitment of a relatively large number of muscles, including those of the ipsilateral forelimb, by S-ICMS in both areas may be explained by the prominent divergence of corticospinal axons. Further investigations are required to understand the relative positions and roles of the two areas in motor control and their possible homology with primary and nonprimary motor areas of primates.

Feedforward postural stabilization in a distal bimanual unloading task

The aim of the present study was to investigate postural adjustments and positional stability in a bimanual unloading task, involving essentially the index finger, in order to test whether proactive adjustments are also observed in distal body segments. A second goal of the study was to evaluate the concept of a central command that would be responsible for coupling movement and posture. The positional disturbance of the right load-bearing index finger of healthy human subjects was studied under two types of manipulations: passive, i.e., imposed, unloading and active unloading, by the subject's left index finger. It was found that, in such a distal task, positional stabilization of the load-bearing finger was much better (by a factor of 6) in the active situation than the passive situation. This improvement was greater than previously reported for a proximal task. An electromyogram (EMG) analysis of the mostly implicated dorsal interosseous muscles revealed a typical unloading reflex in the passive situation (reactive mode) and a suppression of EMG before unloading onset in the active situation (proactive mode). Averaged records showed an almost perfect synchronization between the EMG suppression in the load-bearing interosseous muscle and the onset of the EMG burst of the unloading index finger. A trial-by-trial analysis, however, revealed a considerable scatter in intervals of the two EMG events, with a tendency of the activity burst in the left finger to occur slightly before the suppression of EMG in the load-bearing muscle. No positive correlation was found between the precision of synchronization (intervals near zero time) and the accuracy of performance, i.e., positional stability of the unloaded finger. Although the trial-by-trial variability was large, it is suggested that at least some of this variability is caused by a nonsteady state of motoneuronal excitability. In view of the low-pass property of the muscle, the observed variability in synchronization may be sufficiently precise to maintain the hypothesis of a central temporal coupling of the events in the two hands through a common command. However, the lack of a correlation between the degree of synchronization and the performance in stability argues rather in favor of separate commands to the two hands that select the parameters in the spatial domain. Finally, an intermanual EMG or torque analysis is proposed that might be useful in assessing the accuracy in goal achievement, i.e., the maintenance of a stable finger position in spite of the "internal" perturbation.

Mapping of the motor pathways in rats: c-fos induction by intracortical microstimulation of the motor cortex correlated with efferent connectivity of the site of cortical stimulation

The general goal of the present study was to investigate structural components of a neural system anatomically as well as functionally. The rat motor system, which is reasonably well understood, was selected and a new procedure was developed to combine a functional marker with axonal tracing methods (in the same animal). This was achieved by mapping c-fos induction immunocytochemically as a result of intracortical microstimulation in the distal forelimb area of the motor cortex. The anterograde tracers Phaseolus vulgaris-leucoagglutinin or biocytin were deposited at the site of intracortical microstimulation, the former three weeks and the latter two to three days before stimulation. Neuronal nuclei, labeled for the expressed c-fos protein, were present and mapped in the following structures: motor cortex; basal ganglia (caudate-putamen, globus pallidus); thalamus (reticular, ventromedial and posterior nuclei); subthalamic nucleus; substantia nigra; tectum; red nucleus; pontine nuclei; inferior olive; external cuneate nucleus; cerebellar cortex; deep cerebellar nuclei. Labeling was often bilateral but generally more substantial ipsilaterally, except in the cerebellum where it was mainly contralateral. Axonal labeling, including terminal branches and boutons, was also found in most of the above structures with the exception of the globus pallidus, deep cerebellar nuclei, cerebellar cortex and external cuneate nucleus. These expected exceptions demonstrate that activity changes in these latter structures, as revealed by c-fos labeled neurons, were induced over more than one synapse. This combined procedure might, therefore, be useful in deciding whether two structures in a given system are linked directly (monosynaptically) or indirectly (polysynaptically) to each other. In contrast to the 2-deoxyglucose technique, functional mapping by means of c-fos induction provides cellular resolution, making it possible to establish fine details of axonal contacts with target neurons: boutons in close apposition to c-fos labeled neurons were clearly observed here, for instance in the cerebral cortex, caudate-putamen, thalamus, subthalamic nucleus and pontine nuclei. Surprisingly, the ventrolateral and ventrobasalis nuclei of the thalamus contained numerous and dense axon terminals labeled with Phaseolus vulgaris-leucoagglutinin or biocytin, but the contacted neurons in the ventrolateral and ventrobasalis nuclei were not marked with c-fos. However, with respect to directly connected structures, there was, in general, a good correlation between structures with axonal labeling and those with c-fos labeled neurons.

Trajectory of redirected corticospinal axons after unilateral lesion of the sensorimotor cortex in neonatal rat; a phaseolus vulgaris-leucoagglutinin (PHA-L) tracing study

The corticospinal neurons of the rat project almost exclusively to the contralateral spinal cord. Retrograde and anterograde tracing experiments showed that only about 2-4% of the corticospinal neurons of the sensorimotor cortex project to the ipsilateral spinal cord in the normal rat. The large majority of corticospinal axons (more than 90%) travel at spinal level at the base of the contralateral dorsal funiculus; in addition a few axons run in the contralateral lateral funiculus and at the base of the dorsal horn. The undecussated axons run in the ipsilateral dorsal (about 1-2%) and ventral (about 1-2%) funiculi. The rearrangement of the corticospinal projections was studied with various tracing methods in rats subjected to unilateral lesion of the sensorimotor cortex at Postnatal Day 2 to 4. Spinal injections of the tracer WGA-HRP that were restricted to the side opposite to the cortical lesion showed a significant increase of retrogradely labeled corticospinal neurons in the intact cortex as compared to the proportion of ipsilateral projections in control experiments. This was consistent with an increased density of anterogradely labeled corticospinal terminals in the spinal cord ipsilateral to an injection of WGA-HRP in the motor cortex opposite to neonatal lesion, in comparison to normal rats. The trajectory of these "aberrant" ipsilateral corticospinal projections resulting from the neonatal lesion of the opposite sensorimotor cortex was analyzed by means of the anterograde tracer phaseolus vulgaris-leucoagglutinin (PHA-L), injected in the motor cortex. These data indicated that decussated corticospinal axons recross at spinal levels, close to their terminal zone, where they appear to ramify and terminate in the spinal gray including the motoneurons. Such recrossing axons thus represent one new possible mechanism, among other previously reported ones, contributing to the increase of ipsilateral corticospinal projections in rats subjected to neonatal cortical lesion.

Corticomotoneuronal connections in the rat: evidence from double-labeling of motoneurons and corticospinal axon arborizations

In order to investigate the possibility of direct corticomotoneuronal (CM) connections in the rat, an anterograde-retrograde double-labeling method was developed. Phaseolus vulgaris-leucoagglutinin (PHA-L) anterograde tracing of corticospinal axons was combined with retrograde labeling of spinal motoneurons either by a conjugate of choleragen subunit B with horseradish peroxidase (CB-HRP) or by wheat germ agglutinin (WGA). The location of PHA-L injection unilaterally in the forelimb area of sensorimotor cortex and the CB-HRP or WGA injections in corresponding contralateral wrist or digit extensors or flexors were determined and matched on the basis of movement responses elicited by intracortical microstimulation. Light microscopic observation showed, in addition to the main contralateral dorsal corticospinal tract (CST), the presence of four other CST minor components in the contralateral lateral, ipsilateral ventral, and ipsilateral dorsal funiculi of the cervical spinal white matter and at the base of contralateral dorsal horn of the gray matter, respectively. PHA-L-labeled CST axonal arbors were observed from Rexed's lamina I through lamina X of contralateral spinal gray matter, most extensively in laminae VI and VII; some CST axons reached the zone of motoneuronal somata in lamina IX and a few of them also entered the lateral and occasionally the ventral funiculi, ramifying in the white matter. Between the zones of PHA-L-labeled CST axonal arbors on the one hand and CB-HRP/WGA labeled spinal motoneuronal somata with their extensive dendritic trees on the other, there was a large overlap, covering partly both the gray and the white matter. PHA-L-labeled axonal boutons (en passant or terminaux) were seen to contact the dendrites or even the somata of motoneurons in the gray matter, according to light-microscopic criteria for identification of synaptic contacts. Axodendritic CM contacts were occasionally observed in the lateral funiculus of the white matter as well. In general, only a single contact was observed between an individual PHA-L-labeled CST axon and a given retrogradely labeled motoneuron. In contrast to the common notion that direct CM connections are a specialty of primates, the present morphological data support the presence of direct CM connections also in some other mammals, such as the rat.

Patterns of corticothalamic terminations following injection of Phaseolus vulgaris leucoagglutinin (PHA-L) in the sensorimotor cortex of the rat

The morphology and spatial distribution of terminals emitted by corticothalamic axons originating from the rat motor cortex (as defined by intracortical microstimulations) were studied using Phaseolus vulgaris leucoagglutinin (PHA-L) as an anterograde tracer. After PHA-L injection in the face, forelimb or hindlimb motor cortical areas, small and densely packed boutons (about 1 micron in diameter), en passant and terminaux, were seen in the ventrolateral nucleus of the thalamus and, more sparsely, in the reticular nucleus, the nucleus ventrobasalis and the posterior nucleus of the thalamus. A separate projection with giant boutons (5-10 microns in diameter), en passant and terminaux, terminated in the posterior nucleus of the thalamus exclusively. Giant boutons originated from corticothalamic axons distinct from those providing small boutons. The corticothalamic projection originating from the motor cortex has basic organizational properties comparable to previous data obtained in the auditory and somatosensory corticothalamic projection systems.

Tizanidine-induced depression of polysynaptic cutaneous reflexes in nonanesthetized monkeys is mediated by an alpha 2-adrenergic mechanism

Previous studies in anesthetized or reduced preparations of nonprimate animals revealed that the alpha 2-adrenergic agonist tizanidine, clinically used as an antispastic drug, effectively reduces polysynaptic flexor reflexes. To further clarify the invoked adrenergic mechanism for physiological motor functions, and in view of the clinical relevance of tizanidine, the effect of this substance was reinvestigated in awake, nonanesthetized monkeys. Systemic applications of tizanidine dose-dependently reduced the magnitude of the electromyographic response of the flexor reflex that was induced by nonnoxious stimulation of cutaneous afferents. Whereas the effects on the flexor response were consistent, the changes of the background electromyogram were much more variable, often not paralleling those of the reflex. The reflex depression produced by tizanidine could be prevented by pretreatment with the alpha 2-antagonist yohimbine. It is concluded that the action of tizanidine on spinal reflexes, and therefore probably also on hyperactive reflexes of spastic patients, is mediated via the alpha 2-adrenergic properties of the drug. On the basis of the present results, taken together with previous observations that tizanidine transiently inactivates neurons of the nucleus locus coeruleus, it is proposed that the reflex depression may be caused by a removal of a descending noradrenergic facilitation exerted on spinal reflex transmission. This interpretation leaves open further possible actions of tizanidine exerted directly on spinal interneurons.

Comparison of neural activity in the supplementary motor area and in the primary motor cortex in monkeys

Neuronal activity recorded from the primary motor cortex (MI) and from the supplementary motor area (SMA) was compared in two monkeys trained to perform conditioned arm movements. A handle had to be held in a central waiting position until a visual go and cueing signal indicated to the monkey to move the handle either to a medial or to a lateral target zone (choice reaction time paradigm). Unit and representative electromyographic data were analyzed in relation either to the go signal or to movement onset. In 240 penetrations, 431 SMA neurons and 353 MI neurons were found with activity related to the task. The majority of neurons (303 in MI, 290 in SMA) displayed activity changes after the go signal and before movement onset. Of these "short-lead neurons", 71% in MI and 41% in SMA were clearly related to movement execution. The distribution of lead times in MI and SMA neurons was completely overlapping without any statistical difference among subgroups. The remaining neurons were as well related to the go signal as to movement onset, or were better related to the visual go signal. The response latencies to this signal were not statistically different in SMA and MI neurons. Activity changes during the waiting period was observed more frequently in SMA (47%) than in MI (32%); modulations restricted to the waiting period occurred in 14% of SMA neurons, but were exceptional in MI neurons (3%). It is concluded from these experiments that a surprisingly large proportion of SMA neurons have "MI-like" properties, in that they are temporally recruited together with MI neurons, with similar patterns of discharges during the task. This then suggests that the two interconnected areas operate in parallel. A population of SMA neurons is involved in some processing that is not as predominantly expressed in MI. This activity could relate to sensory, timing, or other higher-order aspects of response preparation, and/or motor functions such as postural stabilization.

Concomitant depression of locus coeruleus neurons and of flexor reflexes by an alpha 2-adrenergic agonist in rats: a possible mechanism for an alpha 2-mediated muscle relaxation

The alpha 2-agonist tizanidine, clinically used as an antispastic drug, also strongly reduces polysynaptic flexor reflexes. The hypothesis was tested that the noradrenergic coerulespinal system exerts a tonic facilitation on spinal reflexes and that the depressant effects of tizanidine may be explained by an alpha 2-mediated autoinhibition of the tonic activity of locus coeruleus neurons, resulting in a disfacilitation of the spinal reflexes. The following results support this working hypothesis: (1) systemic injections of tizanidine markedly decreased the spontaneous activity of locus coeruleus neurons, but not of non-locus coeruleus neurons. The alpha 2-antagonist yohimbine reversed this effect. (2) The time course of diminished locus coeruleus activity paralleled that of depressed flexor reflexes. (3) Flexor reflexes were also markedly depressed by the alpha 1-adrenergic antagonist prazosin, administered alone, which is in line with the proposition that the noradrenergic system exerts a tonic facilitation on spinal neurons by way of alpha 1-adrenergic receptor activation. (4) Flexor reflexes were facilitated by conditioning microstimulation of locus coeruleus neurons, and this effect was reversed by prazosin. (5) Flexor reflexes significantly diminished in size following placement of an irreversible lesion in the ipsilateral locus coeruleus. Although these results strongly support the above hypothesis regarding a descending modulatory function of the descending locus coeruleus system on spinal reflexes, possible additional mechanisms, perhaps also involving the ascending projection of the locus coeruleus to supraspinal motor structures, remain to be elucidated.

What is the role of the supplementary motor area in movement initiation?

The hierarchical position of the supplementary motor area (SMA) relative to the primary motor cortex is discussed on the basis of neurological observations and of animal experiments. In the last 10 years evidence has accumulated, especially from studies on the human brain, that the supplementary motor area is a hierarchically superior structure involved in the processes of movement initiation. Single unit studies in subhuman primates also revealed neuronal populations related to aspects of movement preparation rather than to the movement per se. However, we report that a surprisingly large subpopulation of SMA neurones has features classically found in the primary motor cortex (MI). These MI-like neurones precede movement onset by a relatively short interval. The occurrence of such "short-lead neurones" was somewhat higher in MI, but the histograms of lead-times were completely overlapping in the two areas. Taken together with the fact that the SMA is microexcitable and is part of the origin of the pyramidal tract, these findings suggest that the SMA functions also in parallel with MI as concluded by Woolsey and coworkers (1952). Finally, the SMA and MI are reciprocally interconnected, a situation which is not unlike that of the cortical visual areas.

Sensory inputs to the agranular motor fields: a comparison between precentral, supplementary-motor and premotor areas in the monkey

Kinesthetic responses of neurones in the motor cortex, including the primary motor (MI), the supplementary motor (SMA) and the postarcuate premotor (PMC) areas, were investigated in the awake, chronically prepared monkey. In all three subareas, neurones were recorded which responded to passive elbow flexions and extensions induced by a torque motor. In the SMA, such cells were restricted to its posterior portion where intracortical microstimulation produced limb and trunk movements. The majority of SMA cells responds to both displacement directions, a quarter to either flexion or extension. Although the total proportion of SMA neurones responding to arm displacements was low (15%), it was noted that in 'correct' somatotopic penetrations, the responsiveness could be prominent. The latency distribution of the kinesthetic responses was similar to that of MI neurones with slightly less response latencies shorter than 20 ms in the SMA. With manually applied stimuli, SMA neurones responded mostly to joint rotations, but not to light cutaneous stimuli. Only two SMA neurones with somatosensory responses were identified as descending projection neurones, and some neurones were found to be modulated also during active grasping. In the PMC, a higher proportion of neurones (27%) reacted to the standardized arm displacements, the majority again responding to both directions. The latency distribution of the kinesthetic responses was similar to that of SMA neurones. In contrast to SMA neurones, many PMC neurones responded to light cutaneous stimuli. It was found that some of the 'somatosensory' PMC neurones were sometimes driven also by moving visual and, rarely, by auditory stimuli. Although there are obvious differences in the nature and possibly also in the amount of sensory inputs to the three motor cortical areas, the present results indicate that all three subareas receive somatosensory feedback and that they might therefore all be implicated in the generation of sensory-driven motor output.

The adrenergic agonist tizanidine has differential effects on flexor reflexes of intact and spinalized rat

Tizanidine with its predominant alpha 2-adrenergic properties is a potent myorelaxant drug used clinically in spastic patients. The aim of this study is to analyse further the mechanisms by which this substance exerts its influence on spinal reflexes. It was found that tizanidine dose-dependently diminished flexor reflexes in intact chloralose-anaesthetized rats, and also, but slightly less, in unanaesthetized decerebrate rats. In spinalized rats (1-5 days postoperatively), flexor reflexes were, however, enhanced by tizanidine, especially by the higher doses. Pretreatment with the alpha 2-blocker yohimbine antagonized the depressant action of tizanidine in intact rats whereas the alpha 1-blocker prazosin antagonized the facilitatory action of tizanidine in the spinalized rats. The reflex depression might be explained by a removal of a tonic facilitation of spinal neurons by the descending noradrenergic fibres, because tizanidine is likely to reduce, like clonidine, the spontaneous activity of locus coeruleus neurons by presynaptic autoinhibition. In spinalized preparations, a net facilitatory alpha 1-mediated action may be revealed by the higher doses of tizanidine that would be unopposed by the alpha 2-mediated disfacilitation.

Transient responses to load perturbations of the forearm in a monkey with a chronic lesion in the internal capsule

Small electrolytic lesions were produced in the internal capsule of a monkey. The changes in muscle tone were quantified by studying the EMG responses of elbow muscles and the mechanical responses of the forearm to pseudo-random torque perturbations applied to the elbow joint. Immediately following the lesion, the EMG responses of both biceps and triceps muscles were depressed. Subsequently, biceps responses recovered and became eventually greater than in the control. Triceps responses, instead, remained low throughout the follow-up period (3 months). The mechanical behavior of the forearm was characterized in terms of the dynamic relationship between the applied torque perturbations and the resulting changes in elbow angle. After the lesion, the damping of the elbow responses decreased relative to the control. Possible mechanisms for the observed changes in the EMG and mechanical behavior are discussed.