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  4. Cortico–reticulo–spinal circuit reorganization enables functional recovery after severe spinal cord contusion
 
research article

Cortico–reticulo–spinal circuit reorganization enables functional recovery after severe spinal cord contusion

Asboth, Leonie
•
Friedli, Lucia
•
Beauparlant, Janine
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2018
Nature Neuroscience

Severe spinal cord contusions interrupt nearly all brain projections to lumbar circuits producing leg movement. Failure of these projections to reorganize leads to permanent paralysis. Here we modeled these injuries in rodents. A severe contusion abolished all motor cortex projections below injury. However, the motor cortex immediately regained adaptive control over the paralyzed legs during electrochemical neuromodulation of lumbar circuits. Glutamatergic reticulospinal neurons with residual projections below the injury relayed the cortical command downstream. Gravity-assisted rehabilitation enabled by the neuromodulation therapy reinforced these reticulospinal projections, rerouting cortical information through this pathway. This circuit reorganization mediated a motor cortex–dependent recovery of natural walking and swimming without requiring neuromodulation. Cortico–reticulo–spinal circuit reorganization may also improve recovery in humans

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Type
research article
DOI
10.1038/s41593-018-0093-5
Author(s)
Asboth, Leonie
Friedli, Lucia
Beauparlant, Janine
Martinez-Gonzalez, Cristina
Anil, Selin
Rey, Elodie
Baud, Laetitia
Pidpruzhnykova, Galyna
Anderson, Mark A.
Shkorbatova, Polina
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Date Issued

2018

Published in
Nature Neuroscience
Volume

21

Issue

4

Start page

576

End page

588

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

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Available on Infoscience
October 26, 2018
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/149468
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