A Latent Propriospinal Network Can Restore Diaphragm Function after High Cervical Spinal Cord Injury

Research output: Contribution to journalJournal articleResearchpeer-review

  • Cregg, Jared
  • Kevin A Chu
  • Lydia E Hager
  • Rachel S J Maggard
  • Daimen R Stoltz
  • Michaela Edmond
  • Warren J Alilain
  • Polyxeni Philippidou
  • Lynn T Landmesser
  • Jerry Silver

Spinal cord injury (SCI) above cervical level 4 disrupts descending axons from the medulla that innervate phrenic motor neurons, causing permanent paralysis of the diaphragm. Using an ex vivo preparation in neonatal mice, we have identified an excitatory spinal network that can direct phrenic motor bursting in the absence of medullary input. After complete cervical SCI, blockade of fast inhibitory synaptic transmission caused spontaneous, bilaterally coordinated phrenic bursting. Here, spinal cord glutamatergic neurons were both sufficient and necessary for the induction of phrenic bursts. Direct stimulation of phrenic motor neurons was insufficient to evoke burst activity. Transection and pharmacological manipulations showed that this spinal network acts independently of medullary circuits that normally generate inspiration, suggesting a distinct non-respiratory function. We further show that this "latent" network can be harnessed to restore diaphragm function after high cervical SCI in adult mice and rats.

Original languageEnglish
JournalCell Reports
Volume21
Issue number3
Pages (from-to)654-665
Number of pages12
ISSN2211-1247
DOIs
Publication statusPublished - 17 Oct 2017
Externally publishedYes

Bibliographical note

Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

    Research areas

  • Animals, Animals, Newborn, Cervical Vertebrae/physiopathology, Diaphragm/innervation, Interneurons/pathology, Light, Lumbar Vertebrae/physiopathology, Mice, Motor Neurons/pathology, Nerve Net/physiopathology, Paralysis/physiopathology, Phrenic Nerve/physiopathology, Respiration, Spinal Cord Injuries/physiopathology, Synaptic Transmission/physiology, Thoracic Vertebrae/physiopathology

ID: 248114012