Introduction
The capacity of the adult cortex to undergo reorganization was first demonstrated in the pioneering studies of Merzenich, Kaas and colleagues [42,43]. In these studies the median nerve, which innervates the medial volar surface of the hand in primates, was transected and electrophysiological recordings were carried out in the somatosensory cortex. Acute mapping revealed that islands of novel receptive field inputs conveyed by the intact radial and ulnar nerves were immediately expressed in the “median nerve cortex” [42]. These “latent inputs” [24] continued to expand over the ensuing weeks, with peripheral stimulation of innervated skin surface representations coming to reliably evoke neuronal activity throughout the former median nerve territory [43]. In a subsequent experiment employing a median nerve constriction paradigm, it was demonstrated that the cortex also went through a period of reorganization over the first month after nerve compression [59]. Continued remapping demonstrated the reinstatement of the original peripheral inputs as the median nerve regenerated down the intact neural sheath. These studies have provided useful platforms to study the mechanisms of adult neural plasticity [7, 8, 20, 21, 22, 23, 26, 49, 60].
More recently, we have begun exploring the molecular mechanisms that permit reorganizational plasticity. Specifically, we have investigated receptor subunit specific changes that occur within the cortex and brainstem during recovery from peripheral nerve compression. [45, 46, 47, 51]. The current study extends these investigations of AMPA and GABA receptor subunits to the cuneate nucleus one and five months after nerve compression.
Methods
We report data from the cuneate nucleus of 5 adult squirrel monkeys (Saimiri sciureus) that received median nerve compressions 1 (n = 2) and 5 (n = 3) months prior to immunohistochemical staining. Methods for nerve injury, immunohistochemical staining, and data quantification have been previously described in detail [45,46,47,51]. All procedures were approved by the Indiana University Institutional Animal Care and Use Committee. After 30 or 150 days of recovery, animals were anesthetized with isoflurane gas and transcardially perfused with cold 0.9% saline solution followed by 400 ml of 4% paraformaldehyde in .1 M phosphate buffer (pH 7.4). The brainstem was dissected out and coronal sections were cut (40 μm) using a freezing microtome. Sections containing the cuneate nucleus at the level of the pars rotunda, which contains the glabrous inputs [15,16, 65] were kept for immuno-histochemical staining. Alternating tissue sections were stained in antisera containing GluR1 (1:1000 Chemicon), GluR2/3 (1:1000 Thermo Scientific), GABAAα1 (1:1000 Thermo Scientific), GABAB1a (1:1000 Alpha Diagnostics International), or GABAB1b (1:1000 Alpha Diagnostics International) receptor subunits. These brainstem slices were stained contemporaneously with cortical slices prepared from the same animals.
The entire hand representation is present in each nucleus, and digit/palm representations were visible to the trained observer. Within the region corresponding to the injured median nerve, inputs from the intact nerve representations (ulnar, radial) were in close proximity, therefore soma staining intensity quantification was carried out in the more distal regions of the median nerve representation digit 2 in deprived and homologous intact regions of cuneate nucleus pars rotunda (see Figure 1A). A 100 μm by 100 μm bounding box was placed within the region of interest at low magnification (4×) and then cell contours were traced at higher magnification (40×) using the Stereo Investigator software (MBF Bioscience; Williston, VT, USA). Staining intensity measurements were generated using the luminance function (densitometry) in control and deprived cuneate nuclei (~30 per section × 3 sections).
Results
AMPA and GABAA/B receptors 1 month
The average soma subunit staining intensities in the control cuneate nucleus were compared within animals to experimental cuneate nucleus in monkeys 1 month after median nerve compression (N = 2). Figure 1 presents the qualitative and quantitative differences in GluR1, GluR2/3, GABAA α1, GABABR1a, and GABABR1b staining intensity between experimental and control cuneate nuclei 1 month after nerve injury. Figure 1A illustrates the region of interest where subunit staining intensity data was collected. The pars rotunda of the brainstem (Cartoon top left) was dissected out and then sliced coronally (Illustration, bottom left) throughout the hand representation. Photomicrograph (Figure 1A, right) illustrates the hand representation of the cuneate nucleus and how the overlaid tracing grid framed a bounding box around the region of interest (~ digit 2) that was used for all data collection.
Representative examples of GluR1 and GluR2/3 subunit staining (Figure 1B) demonstrate the non-significant increase in GluR1 and significant increase in GluR2/3 subunit staining intensity 1 month after median nerve compression [Mean ± SEM; GluR1∷ Ctrl 39.6 ± 8.5 vs Exp 46.5 ± 5.0; t (3) = 2.68 p = .074; t (3) = 2.68 p = .074; GluR2/3: Ctrl 19.2 ± 1.9 vs Exp 27.4 ± 2.1; t (3) = 3.39 p = .042]. Representative examples of GABAA α1, GABABR1a, and GABABR1b subunit staining (Figure 1C) demonstrates the significant decrease in GABAA α1, the decrease in GABABR1a, and the significant decrease in GABABR1b subunit staining intensity 1 month after median nerve compression [Mean ± SEM; GABAA α1: Ctrl 25.3 ± 1.9 vs Exp 20.3 ± 1.0; t (3) = 3.22 p = .04; GABABR1a: Ctrl 19.6 ± 1.4 vs Exp 10.3 ± 2.5; t (3) = 3.13 p = .051; GABABR1b: Ctrl 33.6 ± 0.3 vs Exp 25.8 ± 3.5;t (3) = 3.95 p = .028]. Figure 1D shows the quantified data (average subunit intensity and SEMs) for each monkey (circles) and the group means and SEMs (squares).
AMPA and GABAA/B receptors 5 months
The average soma subunit staining intensities in the control cuneate nucleus were compared within animals (N = 3) to experimental cuneate nucleus in monkeys 5 months after median nerve compression. Representative examples of GluR1 and GluR2/3 subunit staining (Figure 2A) demonstrate the significant increase in GluR1 and GluR2/3 subunit staining intensity 5 months after median nerve compression [Figure 2B: Mean ± SEM; GluR1: Ctrl 38.0 ± 2.4 vs Exp 44.4 ± 3.4; t (5) = 3.7 p = .013; GluR2/3: Ctrl 20.7 ± 0.3 vs Exp 25.5 ± 0.8; t (5) = 3.9 p = .011]. Representative examples of GABAA α1, GABABR1a, and GABABR1b subunit staining (Figure 2C) demonstrate the lack of difference in GABAA α1 expression, the significant increase in GABABR1a expression, and the significant decrease in GABABR1b subunit staining intensity 5 months after median nerve compression [Figure 2D: Mean ± SEM; GABAA α1: Ctrl 25.1 ± 1.7 vs Exp 25.6 ± 1.2; t (5) = .01 p = .99; GABABR1a: Ctrl 28.4 ± 1.5 vs Exp 33.2 ± 1.7; t (5) = 3.3 p = .021; GABABR1b: Ctrl 31.5 ± 0.6 vs Exp 29.2 ± 0.6; t (5) = 2.8 p = .036]. Figure 2B/D shows the quantified data (average subunit intensity) for each monkey (circles) and the group means and SEMs (squares).
AMPA and GABAA/B receptor changes throughout recovery
A ratio of the group average for control to experimental subunit staining intensities was used to illustrate changes in receptor subunit over time. These data are presented as percentage differences from control values 1 week, 1 month, and 5 months after nerve injury for both AMPA (Figure 2E) and GABA subunits (Figure 2F). Data for one week were derived from previously published data (46, 51).
Discussion
This study investigated the changes to AMPA and GABAA/B receptor subunit expression within the cuneate nucleus of adult primates at two specific points during the recovery from a regenerating peripheral nerve injury. The pattern of AMPA and GABAA/B subunit expression within cuneate nucleus shows signs of reorganizational plasticity after one month of recovery, and continues to display significant changes in the pattern of subunit expression at a time when peripheral nerve regeneration has presumably reinnervated its original cutaneous inputs [59]. At both one and five months of recovery, the brainstem displays a pattern of subunit expression that is very similar to that seen in the corticofugal layers of cortex from the same animals [47]. This suggests that the cortex and brainstem are governed by homogeneous types of receptor plasticity following peripheral nerve injury, which further agrees with the functional roles that exist between them in vivo [63,64,65].
The time course of mechanisms driving brainstem plasticity
This study concludes an investigation into the similarities and differences between AMPA and GABA receptor subunit expression in the brainstem and cortex throughout recovery from nerve injury. In all of these studies, experimental data were compared to control data gathered from regions associated with homologous digit representations. Therefore it is important to note that bilateral cortical plasticity has been reported after unilateral nerve injuries [eg 3, 10]. Because of this we cannot rule out that plasticity could be occurring in the intact hand region contemporaneously. Figure 2E/F plots the reported changes in receptor expression between experimental and control cuneate nucleus one week, one month, and five months after nerve injury. It remains unknown whether these shifts in expression manifest lineally or abruptly; however, studies investigating developmental and adult plasticity offer important clues as to the time course of the plasticity mechanisms governing these changes.
1 week
Previously we have reported that brainstem and cortex undergo a period of developmental recapitulation around 1 week after nerve injury [45, 46, 51]. Developmental plasticity happens considerably faster (hours/days) than more prolonged forms of adult plasticity (weeks/months). Rapid shifts in subunit expression occur during the critical period of brainstem nuclei development [eg 34, 35] and a rapid decrease in cortical GABAAR expression occurs within hours of nerve injury in adults [60]. Our studies suggest that shifts in specific subclasses of receptor phenotype (eg increased homomeric, decreased heteromeric) can be hidden by autoradiography techniques that quantify net changes in receptors [26]. Therefore we would hypothesize that wide-scale shifts in receptor expression can occur less linearly and more abruptly approximate to nerve injury.
1 month
One month after nerve injury, the cortex [47] displays patterns of subunit expression that have been observed during somatosensory reorganization [26]. Currently we report a pattern of subunit expression in cuneate nucleus of these same animals that is very similar to that reported in infragranular cortex (Figure 1D). This suggests that both the infragranular cortex and the cuneate brainstem nuclei share conserved forms of plasticity. Considering that the cortex forms a feedback loop with cuneothalamic relay neurons via infragranular corticofugal output neurons, the question remains as to whether brainstem plasticity drives upstream reorganization or whether cortical plasticity governs subcortical reorganization.
Within this loop, the somatosensory cortex imposes center surround control of ascending somatotopic input. This has substantial influence on receptive field expression at lower levels of the ascending neuroaxis [1,2, 3,5, 34, 35, 38, 39, 40, 54, 56 57, 58]. While corticofugal feedback does play an important role in both immediate unmasking and reorganization within subcortical structures [6, 13, 17, 27, 31, 58], the time-course and extent of changes occurring in the brainstem impose important limitations on cortical reorganization.
The entire sensory neuroaxis immediately expresses unmasked latent inputs following loss of dominant sensory input [7, 8, 14, 24, 63, 64]; however, only receptive field changes occurring at the level of the brainstem are faithfully re-expressed in the thalamus and cortex during reorganization [29, 30, 61]. More importantly, receptive field changes at the level of the brainstem are essential for the expression of reorganization at the level of the cortex [32]. Thus, the pattern and extent of cortical reorganization is highly correlated with representational changes evident at subcortical levels [17].
Electrophysiological studies have revealed that the time course of reorganization for cortical [42, 43], thalamic, and brainstem [8] somatosensory regions occur over many weeks to months. During reorganization we would suggest that subunit shifts occur slowly as NMDAR plasticity potentiates local circuits across the sensory neuroaxis [49]. Significant changes in receptor subunit expression, like the ones reported in our studies, are presumably observed as system’s level changes to receptive field expression become predominant.
5 months
Five months after nerve compression, the pattern of AMPA and GABA subunit expression in the cuneate nucleus is very similar to the pattern of granular and infragranular cortical expression of these same animals (Figure 2B/D). This provides further evidence that both the infragranular cortex and the cuneate brainstem nuclei share conserved forms of plasticity. Recovery from peripheral nerve injury occurs slowly (~ 2mm/day), and therefore it takes many months for the distal digit tips to be reinnervated [59]. Therefore, receptor shifts associated with reinnervation would likely occur slowly as cutaneous receptors were reinnervated on a receptor by receptor basis. It is unknown how reorganized inputs would compete with original inputs prior to the re-emergence of original somatotopy [59]; however, traces of receptive field plasticity and original somatotopy are maintained after the induction of adult plasticity [28, 41, 44, 52, 53, 62].
In humans with long standing nerve injuries (amputations) the original somatotopy is perceived following electrical activation of the nerve stump [44, 52].Similarly, after median nerve transection with ligation in monkeys, responsiveness to electrical stimulation of the proximal median nerve stump is still present after radial nerve inputs have established a “normal” profile in the “median nerve cortex”[53].
To that end we hypothesize that the consistent elevation in GluR1 and GluR2/3 receptor subunits within the brainstem could be representative of increased numbers of Glur1/2 and GluR2/3 containing AMPARs delivered to synapses that form both acutely [11, 12] and chronically [9, 30, 55, 61] following nerve injury. In this way the engram [see, 19]. of the reorganized circuit could be masked by corticofugal feedback [18, 32, 33 50, 58], while being maintained within the network.
Highlights.
Nerve compression injuries induce reorganization prior to reinnervation.
Changes to AMPAR and GABAR in cuneate nucleus during reinnervation are reported.
These results are compared to cortical data from the same adult animals
Similar changes occur in adult brainstem and cortex throughout reinnervation
Footnotes
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