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Taccola G, Kissane R, Culaclii S, Apicella R, Liu W, Gad P, Ichiyama RM, Chakrabarty S, Edgerton VR. Dynamic electrical stimulation enhances the recruitment of spinal interneurons by corticospinal input. Exp Neurol 2024; 371:114589. [PMID: 37907125 DOI: 10.1016/j.expneurol.2023.114589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 10/12/2023] [Accepted: 10/25/2023] [Indexed: 11/02/2023]
Abstract
Highly varying patterns of electrostimulation (Dynamic Stimulation, DS) delivered to the dorsal cord through an epidural array with 18 independent electrodes transiently facilitate corticospinal motor responses, even after spinal injury. To partly unravel how corticospinal input are affected by DS, we introduced a corticospinal platform that allows selective cortical stimulation during the multisite acquisition of cord dorsum potentials (CDPs) and the simultaneous supply of DS. Firstly, the epidural interface was validated by the acquisition of the classical multisite distribution of CDPs and their input-output profile elicited by pulses delivered to peripheral nerves. Apart from increased EMGs, DS selectively increased excitability of the spinal interneurons that first process corticospinal input, without changing the magnitude of commands descending from the motor cortex, suggesting a novel correlation between muscle recruitment and components of cortically-evoked CDPs. Finally, DS increases excitability of post-synaptic spinal interneurons at the stimulation site and their responsiveness to any residual supraspinal control, thus supporting the use of electrical neuromodulation whenever the motor output is jeopardized by a weak volitional input, due to a partial disconnection from supraspinal structures and/or neuronal brain dysfunctions.
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Affiliation(s)
- Giuliano Taccola
- Neuroscience Department, International School for Advanced Studies (SISSA), Bonomea 265, Trieste, Italy; School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK.
| | - Roger Kissane
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK; Department of Musculoskeletal & Ageing Science, University of Liverpool, The William Henry Duncan Building, 6 West Derby Street, Liverpool L7 8TX, UK
| | - Stanislav Culaclii
- Department of Bioengineering, University of California, Los Angeles, CA 90095, USA
| | - Rosamaria Apicella
- Neuroscience Department, International School for Advanced Studies (SISSA), Bonomea 265, Trieste, Italy
| | - Wentai Liu
- Department of Bioengineering, University of California, Los Angeles, CA 90095, USA; UCLA California NanoSystems Institute, University of California, Los Angeles, CA, USA
| | - Parag Gad
- SpineX Inc, Los Angeles, CA 90064, USA
| | - Ronaldo M Ichiyama
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK
| | - Samit Chakrabarty
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds LS2 9JT, UK
| | - V Reggie Edgerton
- Rancho Research Institute, Los Amigos National Rehabilitation Center, Downey, CA 90242, USA; University of Southern California Neurorestoration Center, Keck School of Medicine, Los Angeles, CA 90033; USA; Institut Guttmann, Hospital de Neurorehabilitació, Institut Universitari adscrit a la Universitat Autònoma de Barcelona, Barcelona, Badalona 08916, Spain
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Taccola G, Kissane R, Culaclii S, Apicella R, Liu W, Gad P, Ichiyama RM, Chakrabarty S, Edgerton VR. Spinal facilitation of descending motor input. bioRxiv 2023:2023.06.30.547229. [PMID: 37461548 PMCID: PMC10349979 DOI: 10.1101/2023.06.30.547229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 07/25/2023]
Abstract
Highly varying patterns of electrostimulation (Dynamic Stimulation, DS) delivered to the dorsal cord through an epidural array with 18 independent electrodes transiently facilitate corticospinal motor responses, even after spinal injury. To partly unravel how corticospinal input are affected by DS, we introduced a corticospinal platform that allows selective cortical stimulation during the multisite acquisition of cord dorsum potentials (CDPs) and the simultaneous supply of DS. Firstly, the epidural interface was validated by the acquisition of the classical multisite distribution of CDPs on the dorsal cord and their input-output profile elicited by pulses delivered to peripheral nerves. Apart from increased EMGs, DS selectively increased excitability of the spinal interneurons that first process corticospinal input, without changing the magnitude of commands descending from the motor cortex, suggesting a novel correlation between muscle recruitment and components of cortically-evoked CDPs. Finally, DS increases excitability of post-synaptic spinal interneurons at the stimulation site and their responsiveness to any residual supraspinal control, thus supporting the use of electrical neuromodulation whenever the motor output is jeopardized by a weak volitional input, due to a partial disconnection from supraspinal structures and/or neuronal brain dysfunctions.
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Affiliation(s)
- Giuliano Taccola
- Neuroscience Department, International School for Advanced Studies (SISSA), Bonomea 265, Trieste, Italy
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, LS2 9JT, UK
| | - Roger Kissane
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, LS2 9JT, UK
- Department of Musculoskeletal & Ageing Science, University of Liverpool, The William Henry Duncan Building, 6 West Derby Street, Liverpool L7 8TX, UK
| | - Stanislav Culaclii
- Department of Bioengineering, University of California, Los Angeles, CA 90095, USA
| | - Rosamaria Apicella
- Neuroscience Department, International School for Advanced Studies (SISSA), Bonomea 265, Trieste, Italy
| | - Wentai Liu
- Department of Bioengineering, University of California, Los Angeles, CA 90095, USA
- UCLA California NanoSystems Institute, University of California, Los Angeles, CA, USA
| | - Parag Gad
- Rancho Research Institute, Downy, CA 90242, USA; Los Amigos National Rehabilitation Center
- University of Southern California Neurorestoration Center, Keck School of Medicine, Los Angeles, CA 90033; USA
| | - Ronaldo M. Ichiyama
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, LS2 9JT, UK
| | - Samit Chakrabarty
- School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, LS2 9JT, UK
| | - V. Reggie Edgerton
- Rancho Research Institute, Downy, CA 90242, USA; Los Amigos National Rehabilitation Center
- University of Southern California Neurorestoration Center, Keck School of Medicine, Los Angeles, CA 90033; USA
- Institut Guttmann. Hospital de Neurorehabilitació, Institut Universitari adscrit a la Universitat Autònoma de Barcelona, Barcelona, 08916 Badalona, Spain
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