Reorganization of Respiratory Descending Pathways following Cervical Spinal Partial Section Investigated by Transcranial Magnetic Stimulation in the Rat

PLoS One. 2016 Feb 1;11(2):e0148180. doi: 10.1371/journal.pone.0148180. eCollection 2016.

Abstract

High cervical spinal cord injuries lead to permanent respiratory deficits. One preclinical model of respiratory insufficiency in adult rats is the C2 partial injury which causes unilateral diaphragm paralysis. This model allows the investigation of a particular population of respiratory bulbospinal axons which cross the midline at C3-C6 spinal segment, namely the crossed phrenic pathway. Transcranial magnetic stimulation (TMS) is a non-invasive technique that can be used to study supraspinal descending respiratory pathways in the rat. Interestingly, a lateral C2 injury does not affect the amplitude and latency of the largest motor-evoked potential recorded from the diaphragm (MEPdia) ipsilateral to the injury in response to a single TMS pulse, compared to a sham animal. Although the rhythmic respiratory activity on the contralateral diaphragm is preserved at 7 days post-injury, no diaphragm activity can be recorded on the injured side. However, a profound reorganization of the MEPdia evoked by TMS can be observed. The MEPdia is reduced on the non-injured rather than the injured side. This suggests an increase in ipsilateral phrenic motoneurons excitability. Moreover, correlations between MEPdia amplitude and spontaneous contralateral diaphragmatic activity were observed. The larger diaphragm activity correlated with a larger MEPdia on the injured side, and a smaller MEPdia on the non-injured side. This suggests, for the first time, the occurrence of a functional neuroplasticity process involving changes in motoneuron excitability balance between the injured and non-injured sides at a short post-lesional delay.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Asphyxia / complications
  • Asphyxia / physiopathology
  • Cervical Vertebrae / physiopathology*
  • Diaphragm / physiopathology
  • Evoked Potentials, Motor
  • Male
  • Models, Biological
  • Rats, Sprague-Dawley
  • Respiration*
  • Spinal Cord Injuries / complications
  • Spinal Cord Injuries / physiopathology*
  • Transcranial Magnetic Stimulation*

Grants and funding

This work was supported by funding from the European Union Seventh framework Programme (FP7/2007-2013) under grant agreement No. 246556 (European project RBUCE-UP), HandiMedEx allocated by the French Public Investment Board, the Chancellerie des Universités de Paris (Legs Poix), the «Centre d’Assistance Respiratoire à Domicile d’Ile de France (CARDIF)», the «Fonds de Dotation de Recherche en Santé Respiratoire», LVL Medical, and Université de Versailles Saint-Quentin-en-Yvelines. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.