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  4. Combining robotics with enhanced serotonin-driven cortical plasticity improves post-stroke motor recovery
 
review article

Combining robotics with enhanced serotonin-driven cortical plasticity improves post-stroke motor recovery

Conti, S.
•
Spalletti, C.
•
Pasquini, M.
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August 1, 2021
Progress In Neurobiology

Despite recent progresses in robotic rehabilitation technologies, their efficacy for post-stroke motor recovery is still limited. Such limitations might stem from the insufficient enhancement of plasticity mechanisms, crucial for functional recovery. Here, we designed a clinically relevant strategy that combines robotic rehabilitation with chemogenetic stimulation of serotonin release to boost plasticity. These two approaches acted synergistically to enhance post-stroke motor performance. Indeed, mice treated with our combined therapy showed substantial functional gains that persisted beyond the treatment period and generalized to non-trained tasks. Motor recovery was associated with a reduction in electrophysiological and neuroanatomical markers of GABAergic neurotransmission, suggesting disinhibition in perilesional areas. To unveil the translational potentialities of our approach, we specifically targeted the serotonin 1A receptor by delivering Buspirone, a clinically approved drug, in stroke mice undergoing robotic rehabilitation. Administration of Buspirone restored motor impairments similarly to what observed with chemogenetic stimulation, showing the immediate translational potential of this combined approach to significantly improve motor recovery after stroke.

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Type
review article
DOI
10.1016/j.pneurobio.2021.102073
Web of Science ID

WOS:000661942400003

Author(s)
Conti, S.
Spalletti, C.
Pasquini, M.
Giordano, N.
Barsotti, N.
Mainardi, M.
Lai, S.
Giorgi, A.
Pasqualetti, M.
Micera, S.  
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Date Issued

2021-08-01

Publisher

PERGAMON-ELSEVIER SCIENCE LTD

Published in
Progress In Neurobiology
Volume

203

Article Number

102073

Subjects

Neurosciences

•

Neurosciences & Neurology

•

stroke

•

robotic rehabilitation

•

cortical plasticity

•

motor rehabilitation

•

serotonergic system

•

buspirone

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functional recovery

•

upper-limb

•

assisted therapy

•

neural plasticity

•

brain

•

neurorehabilitation

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fluoxetine

•

cortex

•

arm

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
Available on Infoscience
July 17, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/180109
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