Abstract
Identification of the neural pathways involved in retraining the spinal central pattern generators (CPGs) by afferent input in the absence of descending supraspinal control is feasible in isolated rodent spinal cords where the locomotor CPGs are potently activated by sacrocaudal afferent (SCA) input. Here we study the involvement of sacral neurons projecting rostrally through the ventral funiculi (VF) in activation of the CPGs by sensory stimulation. Fluorescent labeling and immunostaining showed that VF neurons are innervated by primary afferents immunoreactive for vesicular glutamate transporters 1 and 2 and by intraspinal neurons. Calcium imaging revealed that 55% of the VF neurons were activated by SCA stimulation. The activity of VF neurons and the sacral and lumbar CPGs was abolished when non-NMDA receptors in the sacral segments were blocked by the antagonist CNQX. When sacral NMDA receptors were blocked by APV, the sacral CPGs were suppressed, VF neurons with nonrhythmic activity were recruited and a moderate-drive locomotor rhythm developed during SCA stimulation. In contrast, when the sacral CPGs were activated by SCA stimulation, rhythmic and nonrhythmic VF neurons were recruited and the locomotor rhythm was most powerful. The activity of 73 and 27% of the rhythmic VF neurons was in-phase with the ipsilateral and contralateral motor output, respectively. Collectively, our studies indicate that sacral VF neurons serve as a major link between SCA and the hindlimb CPGs and that the ability of SCA to induce stepping can be enhanced by the sacral CPGs. The nature of the ascending drive to lumbar CPGs, the identity of subpopulations of VF neurons, and their potential role in activating the locomotor rhythm are discussed.
Introduction
The locomotor central pattern generators (CPGs) are known to produce the rhythmic patterned output required for stepping (Gelfand et al., 1988; Rossignol et al., 1996; Arshavsky et al., 1997; Hultborn et al., 1998; Kiehn, 2006; Lev-Tov and O'Donovan, 2009). The CPGs are controlled by descending supraspinal commands; however, they can be activated in the absence of descending control in spinal cord injury (SCI) patients and spinalized animals, by afferent-input from load and joint receptors (Grillner and Rossignol, 1978; Grillner and Zanger, 1979; Duysens and Pearson, 1980; Pearson, 2004; Prochazka et al., 1997; Dietz and Duysens, 2000; Dietz et al., 2002). The ability of input from load and joint receptors to retrain the locomotor CPGs and improve motor function in humans with SCI (Dietz et al., 1997; Dietz, 2009; Edgerton et al., 2006; 2008; Wernig et al., 1998) raises questions about the functional organization of the mediating pathways and the possibility of other sensory modalities to reactivate the CPGs. Our finding that stimulation of nociceptive and non-nociceptive sacrocaudal afferents (SCAs) has an extraordinary capacity to activate the CPGs in isolated spinal cords of neonatal rats (Lev-Tov et al., 2000; Strauss and Lev-Tov, 2003; Blivis et al., 2007; also see Klein and Tresch, 2010; for rat; and Mandadi and Whelan, 2009; for mouse) provided us not only with an additional potent means for activating the CPGs, but also with an experimentally accessible model to study the neuronal circuitry linking the SCA and CPGs and their mechanism of action. Using this model, we showed that activation of the CPGs by SCA stimulation required glutamatergic synaptic excitation (Strauss and Lev-Tov, 2003) of heterogeneous groups of sacral neurons with crossed and uncrossed ascending projections through the ventral (VF) and lateral white matter funiculi (Etlin et al., 2010; Lev-Tov et al., 2010). Although a basic knowledge of the lumbar projections and functional organization of these sacral relay neurons is available from our lesion and fluorescent labeling experiments (Etlin et al., 2010; Lev-Tov et al., 2010), direct evidence of their involvement in sensory activation of the hindlimb CPGs is still missing. Thus, it is still unknown whether commissural VF neurons, which have been suggested to contribute more substantially than other sacral proprioneurons to activation of the CPGs (Etlin et al., 2010; Lev-Tov et al., 2010), are innervated by glutamatergic SCA, whether VF neurons are activated by SCA stimulation, and if so, what the relation is between their activity and the concomitant motor output. Here we address these questions by a combined approach, using confocal imaging of fluorescently labeled SCA and sacral VF neurons and immunostaining for vesicular glutamate transporters (VGluTs), calcium imaging of VF neurons with concurrent electrophysiological recordings of the motor output during SCA stimulation, and Wavelet transformation-based analyses of the correlation between the imaging and electrophysiological data in the time/frequency domain. We show that sacral VF neurons are innervated by glutamatergic primary afferents and intraspinal neurons, that rhythmic and nonrhythmic VF neurons are activated by SCA stimulation, that the activated VF neurons contribute to activation of hindlimb CPGs, and that the capacity of SCA to induce stepping is modulated by the sacral-CPGs.
Materials and Methods
All procedures were approved by and performed according to the guidelines of The Hebrew University Ethics Committee. The Hebrew University is an Association for Assessment and Accreditation of Laboratory Animal Care internationally accredited institute. The experiments were performed on newborn Sprague Dawley rats ordered from the University's official supplier (Harlan Laboratories) on the day of the experiment.
Preparations.
Spinal cords (T6-Co3) were isolated from P1-P3 isoflurane-anesthetized male or female rats (Lev-Tov and Delvolvé, 2000; Lev-Tov et al., 2000; Delvolvé et al., 2001; Blivis et al., 2007). Preparations were transferred to a recording chamber and superfused continuously with an oxygenated artificial CSF (Kremer and Lev-Tov, 1997; Lev-Tov et al., 2000; Delvolvé et al., 2001; Blivis et al., 2007).
Stimulation and recordings.
Suction electrode recordings were obtained from pairs of lumbar and sacral ventral roots using a high-gain DC or 0.1 Hz to 10 kHz AC amplifier (Fig. 1B).
Rhythmic activity.
Rhythmic activity was induced by graded electrical stimulation of SCAs traveling mainly in the first coccygeal dorsal root (Co1) (Fig. 1B). The threshold (T) was measured from the polysynaptic response produced by single pulse stimulation in the ipsilaterally recorded S2 and L2 ventral roots (Etlin et al., 2010). In some of the experiments, the incoming afferent volleys were recorded from the proximal region of the stimulated dorsal root to monitor the stimulus intensity required for activation of Group I-II and Aδ afferents (see Fig. 5A). When required, the experimental bath was divided into two compartments by a Vaseline wall to test regionally dependent effects of various drugs (see Figs. 9, 10A). The drugs used in this work were the non-NMDA receptor blocker CNQX, and the NMDA receptor blocker APV (Sigma Aldrich).
Fluorescent labeling and immunostaining.
Sacral VF neurons were labeled by loading fluorescent dextran (Invitrogen) into axon bundles peeled away from the VF (see Fig. 1A,C) at the S1-S2 (or lumbosacral, L6-S1 as specified) junction and drawn into a suction electrode containing ∼20% w/v of the dye dissolved in distilled water with or without 0.2% Triton X-100 detergent for 16–24 h (O'Donovan et al., 1993; Etlin et al., 2010). Sacrocaudal afferents were labeled by loading a different fluorescent dextran through the cut contralateral S3 dorsal roots (see Fig. 1C). Combinations of three fluorescent dextrans (Texas red, fluorescein green, or Cascade blue) were used as specified in the experiment. Isolated spinal cords were then fixed in 4% paraformaldehyde (in PBS) for 4–10 h at 4°C, subsequently embedded in warm 5% agar (in PBS), and 50- to 100-μm sections were cut with a Vibratome. Sections were collected in wells (free-floating technique) and processed for morphological analysis or immunolabeling (Mentis et al., 2005; Finkel et al., 2011; Etlin et al., 2012; Mor et al., 2012). Glutamatergic contacts were detected using antibodies against the vesicular glutamate transporters (VGluT1 and 2; Synaptic Systems) incubated in BSA and Triton at 4°C for 24 h. Immunoreactive (IR) sites were revealed by the binding of secondary antibodies conjugated to a specific fluorochrome (Jackson Immunoresearch Laboratories). Images were obtained using a confocal microscope (Fluoview, 1000 Olympus) equipped with 3 single photon lasers.
Imaging of sacral VF neuron activity with calcium-sensitive dyes.
A detailed account of retrograde labeling with calcium fluorescent indicators and the visualization techniques can be found (O'Donovan et al., 1993,1994; Lev-Tov and O'Donovan, 1995; Bonnot et al., 2002, 2005). Briefly, sacral VF neurons were retrogradely labeled by soaking narrow strips of cut VF axon bundles at the lumbosacral junction with 25–50 mm calcium-green-dextran (Invitrogen) applied through a tightly fitting suction electrode. After 12–16 h of loading, the cord was mounted in a chamber equipped for electrophysiological recording and viewed at the caudal S1 and the entire S2 segment through the ventral (in most of the cases), lateral (preparations rotated with lateral side up) and dorsal aspects (preparations mounted with dorsal side up after removing parts of the dorsal horn, in few experiments), using epifluorescence microscopy (BX51WI, Olympus) and imaged with a cooled 14bit CCD camera (EXI Aqua, QImaging). Labeled VF neurons were visualized using a water-immersed ×20 objective (NA 0.5), and their location was defined with respect to the dye injection site and distance from midline. The depth of the imaged neurons was estimated by the distance of the focal plane from the outer surface. Fluorophores were excited at the appropriate wavelength, and images were acquired at 25–30 fps during neural activity induced by SCA stimulation and stored on the computer's hard disk using the Q Capture Pro software. The imaging and electrophysiological data were synchronized using TTL pulses applied to initiate the electrophysiological data acquisition, open the shutter of the camera, start the image acquisition, trigger the stimulus trains, and finally close the shutter (for further details, see Fig. 6 and related text in Results).
Data acquisition and analyses.
Electrophysiological data were digitized (Digidata 1320A, Molecular Devices) and stored on the computer's hard disk for subsequent analyses (Gabbay et al., 2002; Strauss and Lev-Tov, 2003; Gabbay and Lev-Tov, 2004; Etlin et al., 2010). All our electrophysiological and imaging data were analyzed using “Spinalcore,” a menu-driven MATLAB-based program for electrophysiological and imaging signal-processing and for stationary and nonstationary time series analyses, developed by Mor and Lev-Tov (2007). To speed up the time consuming calculations of the analyses, we exploited graphic processing unit-based parallel processing using the NVIDIA developed Compute Unified Device Architecture (Mor et al., 2011, 2012). Wavelet and Wavelet coherence analyses were performed to detect rhythmicity, determine the phase/power between the recorded time series in time/frequency domain (Mor and Lev-Tov, 2007; Etlin et al., 2010), and examine the relation between the activity pattern of the imaged VF neurons and the concurrent motor output during SCA stimulation (see the detailed description in Fig. 6 and related text in Results).
The statistical significance of the normalized parameters of the rhythm (i.e., frequency, power, and coherence) extracted from WT analyses was tested using conventional methods for multiple comparisons of means in linear statistics (factorial ANOVA and post hoc tests) (Etlin et al., 2010), whereas the statistical significance of the phase data were examined using circular statistics procedures for directionality (Rayleigh's test) (Zar, 1999) and multiple comparisons (Watson-Williams test) (Zar, 1999).
Results
Glutamatergic innervation of sacral VF neurons
Activation of the locomotor CPGs by SCA stimulation required glutamatergic synaptic excitation (Strauss and Lev-Tov, 2003) of heterogeneous groups of sacral neurons with crossed and uncrossed ascending projections through the VF and lateral white matter funiculi (Etlin et al., 2011; Lev-Tov et al., 2010). Because sacral neurons with rostral VF projections provide the most prominent contribution to the generation of the rhythm (Etlin et al., 2010), the first part of our study was aimed to determine whether the sacral VF neurons are innervated by sacrocaudal glutamatergic input. Accordingly, we established whether sacral VF neurons with lumbar projections, receive sacrocaudal afferent innervation and whether the putative contacts between them express immunoreactivity (IR) for VGluTs. Figure 2 shows confocal projected images of cross sections through the second sacral segment after retrograde labeling of cut VF axon bundles at the lumbosacral junction with fluorescent dextran, anterograde labeling of the contralateral sacrocaudal afferents entering the S3 dorsal root with another fluorescent dextran, and immunostaining for VGluT1 (Fig. 2A,C,D). The high-power confocal micrographs of a single optical slice, shown in Figure 2E, demonstrate that the afferent terminals (cyan) contacting VF sacral neurons (red) express VGluT1 IR (yellow; Fig. 2F; see also Fig. 4A, in different colors). Thus, some of the sacral VF neurons appear to be innervated directly by VGluT1+ afferent terminals. Analyses of 375 S2 VF neurons with crossed rostral projections in two different experiments revealed that 17.8% of them were contacted directly by VGluT1+ terminal boutons of sacral afferents entering the cord through the S3-S2 dorsal root ipsilateral to their somata. The laminar distribution of S2 VF neurons innervated by S2-S3 afferent terminals with VGluT1 IR in this series of experiments (n = 2) is summarized in Table 1 (left).
Table 1.
Lamina | VF cells | VF + Aff + VGluT1 | Lamina | VF cells | VF + Aff + VGluT2 |
---|---|---|---|---|---|
IV, V | 65 | 11 | IV, V | 62 | 13 |
VII, X | 247 | 51 | VII, X | 237 | 48 |
VIII, IX | 63 | 5 | VIII, IX | 27 | 5 |
Total number | 375 | 67 | Total number | 326 | 66 |
The laminar distribution of S2 VF neurons contacted by sacral primary afferents with VGluT1 (VF + Aff + VGluT1) or VGluT2 (VF + Aff + VGluT2) immunoreactivity. Data are based on retrograde labeling of cut VF axon bundles at the lumbosacral junction, anterograde labeling of the contralateral sacrocaudal afferents entering the S2/S3 dorsal root, and immunostaining for VGluT1 (2 experiments) or VGluT2 (4 experiments). Colocalization was determined only for VF neurons with clear putative SCA contacts using high-power confocal imaging (see Fig. 4), and thus may underestimate the extent of innervation by VGluT IR primary afferents.
A similar approach was taken to study possible VGluT2+ innervation of sacral VF neurons (Figs. 3, 4B). Confocal imaging of cross sections through the S2 segment of the spinal cord after double labeling of VF neurons and sacral afferents (Fig. 3C) followed by immunostaining for VGluT2 (Fig. 3D) revealed that some of the VF neurons located mainly in the deep dorsal and intermediate gray matter laminae of S2 received VGluT2+ innervation from afferents entering the cord via the S3 dorsal root (Figs. 3C,E, 4B). However, the majority of the VGluT2+ synaptic boutons on VF neurons were not associated with sacral afferents (Fig. 3F) (Todd et al., 2003; Alvarez et al., 2004; Persson et al., 2006). The laminar distribution of VF neurons with crossed rostral projections that are innervated by VGluT2+ terminal afferents entering via the S2-S3 dorsal roots in 4 different experiments is summarized in Table 1 (right).
In summary, the results described in this section suggest that some of the rostrally projecting VF neurons are most likely innervated by Group I and II proprioceptive afferents (VGluT1-positive Figs. 2 and 4), some may also be contacted by nociceptive primary afferents (VGluT2-positive afferent contacts, Figs. 3, 4) (Todd et al., 2003; Alvarez et al., 2004; Persson et al., 2006) and many others by intraspinal neurons (VGluT2-positive but lacking afferent contacts, Fig. 3F).
The involvement of high- and low-threshold afferents in activation of the rhythm
Our previous studies have shown that mechanical and radiant heat stimulation of sacrocaudal dermatomes could induce locomotor-like activity in the neonatal rat spinal cord (Blivis et al., 2007), and the stimulus intensity required to induce the rhythm by electrical SCA stimulation activates both low- and higher-threshold sacral afferents (Delvolvé et al., 2001; Blivis et al., 2007). We next determined whether the low-threshold afferents, which cannot produce the rhythm by themselves, contribute to activation of the rhythm by higher-threshold afferents. To accomplish this, we divided the first coccygeal dorsal root (Co1) into two branches and examined the effects of low-intensity stimulation of one branch at Group I, II strength on the rhythm generated by high-intensity graded stimulation (Group I, II, and Aδ strength) of the other branch.
The afferent volleys produced during the stimulus trains were monitored using en passant suction electrode recordings from the undivided proximal region of the Co1 dorsal root, and the motor output was recorded from the left and right S2 and L2 ventral roots (Fig. 5A). Figure 5 shows that low-intensity stimulation of branch I, which elicited short latency proprioceptive afferent volley (red) in the dorsal root, failed to produce the rhythm (Fig. 5B, Br. I). Concurrent low-intensity stimulation of both branches (data not shown) also failed to produce the rhythm. However, stimulation of branch II at higher intensity elicited both fast and much slower afferent volleys in the stimulated dorsal root (blue) and elicited the rhythm (Fig. 5B, Br. II).
Next, we showed that the rhythm produced by high intensity stimulation of branch II could be enhanced by low intensity stimulation of fast conducting afferents in branch I (Fig. 5B, Br I + II). Analyses of the data using the cross-Wavelet and Wavelet coherence algorithms revealed a significant increase in the coherent cross-power of the series produced by dual-branch stimulation, in which the motor output was maintained at much higher levels than in the control recordings obtained by high-intensity single-branch stimulation (Fig. 5C). Thus, it appears that low-intensity stimulation of presumed proprioceptive sacrocaudal afferents is a powerful modulator of the rhythm produced by activation of higher-threshold sacral afferents.
We performed 9 experiments in which we examined the capacity of low-intensity stimulation of contralateral dorsal root afferents (left and right Co1 or S4, 4 experiments), or afferents in an adjacent branch of the dorsal root (S4, Co1 or Co2, 5 experiments), to modulate the rhythm produced by stimulation of higher-threshold SCA. The proprioceptive conditioning in these experiments was done either by concurrent or short repetitive trains (similar effects). The rhythmic motor output produced by graded stimulation of SCA was augmented by proprioceptive conditioning in 7 of the 9 experiments. In two experiments, proprioceptive conditioning by the Co1 branch had no effect or resulted in reduced response. Thus, changes in the excitability of the sacral networks induced by activation of low-threshold afferent input have the ability to modulate the locomotor rhythm produced by higher-threshold input.
Four different patterns of activity are exhibited by VF neurons during SCA stimulation
After demonstrating glutamatergic innervation of VF neurons by SCA (Figs. 2, 3, 4), our next step was to determine whether sacral VF neurons are indeed activated by sacrocaudal afferents, and if so, whether the activity pattern, is related to the concurrent rhythmic output.
Figure 6 demonstrates the experimental strategy used in these combined imaging and electrophysiological studies using an example of a single VF neuron, back-labeled from cut VF axon bundles at the lumbosacral junction and imaged from the outer surface of the en bloc spinal cord preparation during the SCA-induced rhythm. The fluorescence emission was measured before (Fig. 6A1) and during (Fig. 6A2) SCA stimulation. Calcium transients were recorded as changes in the mean pixel intensity (ΔF) in the soma of the imaged neuron and in 10 regions of interest (ROIs) encircling the neuron (shown in Fig. 6A2), before and during the stimulus train, and expressed as the relative change in fluorescence (ΔF/F, Fig. 6B), where F is the mean prestimulus baseline (Fig. 6A3). The encircling ROIs were used to measure nonspecific (out-of-focus) fluorescence in the vicinity of the imaged neuron. The “specific” ΔF/F of the neuron (Fig. 6B3, blue) was obtained by subtracting the mean ΔF/F of the surrounding ROIs (Fig. 6B2, red) from the ΔF/F of the neuron (Fig. 6B1,B2, black) during the stimulus train (O'Donovan et al., 1994). Then, the optical data were interpolated with the concurrently recorded motor output from the left and right L2 and S2 ventral roots (Fig. 6C1) and analyzed using the WT transformation algorithms (Fig. 6C2). The phase between the optical and electrophysiological data was calculated from the spectral density plots of the coherent power obtained after omitting noncoherent regions from the cross-WT spectrum following a Monte Carlo-based WT coherence analyses (Mor and Lev-Tov, 2007; Etlin et al., 2010). The oscillatory optical component in the example shown in Figure 6C2 was in phase with the motor output recorded from the side of the cord containing the imaged neuron (the right S2 and L2 ventral roots; i.e., contralateral to the filled VF axons; Fig. 6). Using this strategy and focusing our attention on individual rather than clusters of labeled VF neurons, we imaged the activity of 341 individual VF neurons of 621 labeled neurons (48 experiments, Fig. 7A), located at the sacral segments and visualized from different aspects of the cord surface. In some cases, the activity of VF neurons located within the deep gray matter was imaged from the dorsal aspect of the cord after removal of parts or of the entire dorsal horn (data not shown).
Figure 7, B and C, shows few examples of the relative change in fluorescence of VF neurons imaged from the en bloc spinal cord preparation during low- and higher-intensity stimulus trains applied to the coccygeal dorsal roots. In one of these experiments (Fig. 7B), low-intensity stimulation of SCA produced a short fluorescence transient in the imaged neuron (left). However, when the stimulus intensity was increased from 2.5 to 10 μA, the cell exhibited an oscillatory drive that was in phase with the motor output recorded from the left lumbar and sacral ventral roots. In another experiment (Fig. 7C), 3 different VF neurons were imaged during 12 and 20 μA stimulus trains. Note the diverse responses of these three neurons at the lower- and higher-stimulation intensities and the appearance of different patterns of activity when the rhythm was generated at the higher-stimulus intensity.
To evaluate the drive delivered by VF neurons to the lumbar networks during SCA stimulation, based on Wavelet analysis, we classified the responding VF neurons according to their activity patterns into a nonrhythmic and a rhythmic group. The nonrhythmic group included cells with monotonic (M) and irregular bursting (IB) activity patterns. The rhythmic group was subdivided into cells with rhythmic (R) pattern, and cells in which the oscillatory component was superimposed on a monotonic drive (RM). These four classes are shown in Figure 8A. Analysis of the activity patterns of the 322 VF neurons that responded to SCA stimulation revealed 52.5% rhythmic (18% R and 34.5% RM type) and 47.5% nonrhythmic (41.3% M and 6.2% IB type) VF neurons (Fig. 8B1).
Analyses of the relation between the oscillatory fluorescence changes and the rhythmic motor output were performed on the 169 (52.5%) neurons belonging to the rhythmic group (R and RM classes) of VF neurons (Figure 8B2, histogram). Figure 8C shows an example of the analysis of the relation between the activity of 2 of the imaged VF cells in one of the experiments and the concurrently recorded motor output (data shown in Fig. 8C1). Cross-WT analyses followed by coherence testing (Fig. 8C2) showed that the fluorescence changes in cell 1 (VF1) during SCA stimulation were in phase with the motor output recorded from the right S2 and L2 ventral roots, whereas the ΔF/F of cell 2 was in phase with the motor output recorded from the opposite side of the cord. Our results are summarized in Figure 8D. We found that the fluorescence oscillations of 73.3% of 161 contralaterally labeled VF cells belonging to the R-RM group (Fig. 8D1) were in phase with motor output recorded ipsilaterally to their somata (mean phase shift = 14.6 ± 29.3°, r-vector = 0.88, Rayleigh Test: p < 0.001). The activity of the 8 ipsilaterally labeled VF neurons (Fig. 8D2) was also in phase with the ipsilateral motor output (mean phase shift = 13.2 ± 20°, r-vector = 0.94, Rayleigh Test: p < 0.001). However, in 26.7% of the contralaterally labeled R-RM neurons, the fluorescence oscillations were in phase with the S2-L2 motor output on the opposite side of the cord to their somata (mean phase shift = 2.18 ± 36.4°, r-vector = 0.82, Rayleigh Test: p < 0.001).
The contribution of VF neurons with tonic and rhythmic activity patterns to activation of the thoracolumbar CPGs
Selective pharmacological manipulations were performed to determine the source of rhythmic and nonrhythmic activity of sacral VF neurons during SCA stimulation and evaluate its relevance to the motor output. These experiments were performed on VF neurons with crossed lumbar projections. In the first series of experiments, we examined whether the oscillatory calcium transients of sacral VF neurons persisted after a selective block of the thoracolumbar rhythmicity. Bath application of the non-NMDA receptor antagonist CNQX to the thoracolumbar segments of the cord blocked the lumbar but failed to abolish either the sacrocaudal rhythmic output, or the oscillatory ΔF/F of the two sacral VF neurons imaged in this experiment (Fig. 9A). Similar results were observed for 5 additional VF neurons belonging to the rhythmic group (4 type R and 1 type RM) imaged in 3 different experiments. The activity patterns of nonrhythmic VF neurons imaged in these experiments (3 type M, 1 type IB) also persisted after addition of CNQX to the rostral compartment of the experimental bath, whereas the oscillatory drive of one of the RM type neurons was reduced. Thus, the rhythmic and nonrhythmic ΔF/F of VF neurons can be attributed mainly to activity of the sacrocaudal networks.
In contrast, when CNQX was added to the sacrocaudal segments of the spinal cord, the sacral rhythm was abolished together with the activity of all VF neurons, and SCA stimulation failed to activate the hindlimb pattern generators (Fig. 9B). Similar findings were observed in 7 experiments where the activity of 21 of 22 imaged neurons was completely abolished by sacral CNQX, and the activity of one of the neurons was severely attenuated but not completely blocked.
The experiments described above showed that the activity of VF neurons during SCA stimulation could be attributed to the functional non-NMDA receptor-mediated synaptic transmission in the sacral segments. However, it was not clear whether the activation of the VF neurons and thoracolumbar CPGs depended on activation of the rhythmogenic circuitry in the sacrocaudal segments. Strauss and Lev-Tov (2003) showed that it was possible to activate the lumbar CPGs by SCA stimulation when the sacrocaudal rhythm was blocked in the presence of the NMDA receptor antagonist APV in the sacral segments. Therefore, we next imaged the activity of VF neurons and recorded the lumbar motor output when the activity of the sacral CPGs was nearly blocked by APV. Indeed, bath application of the NMDA receptor antagonist APV (20 μm, 15 min, Fig. 10A1) to the sacral compartment of the dual-chamber experimental bath nearly blocked the sacral rhythm and the rhythmic transients of the 3 imaged VF neurons (VF1–VF3), but did not affect the tonic change in fluorescence of the 3 neurons (Fig. 10A1, Caudal APV). The lumbar rhythm produced under these conditions was not blocked. It persisted with a more moderate drive and regularity (Fig. 10A1, Caudal APV). These effects are demonstrated quantitatively in the histograms in Figure 10, A2 and A3. These histograms show the mean normalized power calculated from the coherent cross-power density plots of the activity produced in S2 and L2 before (black) and after (gray) addition of APV to the sacral segments (Fig. 10A2), and the mean normalized power calculated from the respective auto-WT spectra, describing the activity of the 3 imaged neurons under these conditions (Fig. 10A3). There was a substantial drop in the normalized coherent power of the sacral activity in the presence of APV, whereas the decrease in power of the lumbar activity was generally more moderate, especially toward the end of the stimulus train (compare the regions, marked as the third consecutive epoch, in Fig. 10A2 for the S2 and L2 histograms). At the same time, the rhythmic component of the activity of the 3 imaged neurons (Fig. 10A3) was virtually blocked throughout the stimulus train in one of the neurons (VF1) and during 66% of the train (first two epochs) in the two other cells (VF2 and VF3). A residual lower-power rhythmic activity appeared in these two cells only toward the end of the stimulus train (third epoch).
Analyses of the 30 imaged VF neurons in 7 experiments performed in this series revealed that the oscillations of the R type cells were blocked in 6, and attenuated substantially in 4 of them. The oscillatory drive of the RM cells was blocked in 7 and diminished in 5 of them, without affecting the monotonic component. The 5 cells with monotonic activity (M) patterns remained active, 3 of them with a slightly reduced drive. Three of the imaged neurons belonged to the IB type. One of them was blocked, one was nearly blocked, and the other was unaffected by sacral APV.
In some of our experiments, we managed to demonstrate the differential consequences of blocking the non-NMDA and NMDA receptor-mediated synaptic transmission in the sacral segments on the same VF cells. One of these experiments is demonstrated in Figure 10B. Addition of APV to the sacral segments reduced the sacral motor output, virtually eliminated the oscillatory fluorescence changes of the imaged VF neuron, markedly reduced the sacrocaudal rhythmicity, and had a much lesser effect on the lumbar rhythmic output (Caudal APV). The “tonic” fluorescence changes of the imaged cell were unaffected or slightly augmented. The control pattern of the optical and electrophysiological signals (Control) reappeared after washing the APV for 35 min (APV wash) and were totally abolished 10 min after addition of the non-NMDA receptor blocker CNQX (10 μm) to the sacral chamber (Caudal CNQX). This block could be alleviated after washing the CNQX for 60 min (CNQX wash). In summary, our dual-chamber pharmacological experiments suggest that nonrhythmic monotonic firing of VF neurons and lumbar rhythm can be generated when the sacrocaudal rhythmicity is nearly blocked, and that the rhythmic drive generated in sacral VF neurons when the sacral rhythm is produced during SCA stimulation augments the activation of the lumbar CPGs.
Discussion
Activation of the locomotor CPGs by SCA in the isolated spinal cord of the neonatal rat is mediated by a heterogeneous population of sacral relay neurons that project rostrally through the lateral and ventral white matter (Etlin et al., 2010). Here, we provide evidence for glutamatergic connectivity between sacral afferents and VF neurons and demonstrate the contribution of low- and high-threshold SCAs to activation of the hindlimb CPGs. The activity pattern of VF neurons during SCA stimulation was determined using calcium imaging, and its contribution to the activity of the hindlimb CPGs was evaluated using Wavelet analysis.
Primary afferent and intraspinal glutamatergic innervation of VF neurons
Previously, we showed that the generation of the locomotor-like rhythm by SCA stimulation was abolished when the non-NMDA receptor blocker CNQX was applied to the sacral segments and that application of the NMDA receptor antagonist APV to the sacral segments virtually blocked the sacral but not the lumbar rhythm during SCA stimulation (Strauss and Lev-Tov, 2003). Thus, glutamatergic activation of sacral relay neurons is required for the generation of the locomotor rhythm by SCA stimulation. Here, we provide anatomical evidence for direct glutamatergic activation of sacral VF neurons by sacral afferent input. VGluT1+ or VGluT2+ primary afferent boutons were found to contact some of the sacral VF neurons. VGluT1+ synaptic boutons have been found on various types of spinal interneuron and tract neurons (Todd et al., 2003; Alvarez et al., 2004; Persson et al., 2006; Hantman and Jessell, 2010). Most VGluT1+ boutons express markers of cutaneous and muscle mechanoreceptors and disappear after dorsal rhizotomy (Alvarez et al., 2004). Therefore, we suggest that some of the sacral VF neurons receive proprioceptive innervation from sacrocaudal segments. Our finding that VF neurons received substantial VGluT2+ innervation from other intraspinal neurons is consistent with earlier work showing that many propriospinal interneurons are contacted by VGluT2+ terminals, the majority of which survive dorsal rhizotomy (Alvarez et al., 2004). During SCA stimulation, sacral VF neurons receiving VGluT2+ inputs may be activated by second-order sensory neurons or by other constituents of sacral networks, thereby participating in the successive recruitment of intraspinal neurons that has been postulated as one of the mechanisms responsible for activation of the locomotor CPGs during SCA stimulation (Etlin et al., 2010).
We do not know whether the VGluT2+ primary afferent connectivity we have described is unique to the sacral segments of the newborn rodent or whether it is preserved in the adult. However, because our experiments consistently showed VGluT2+ primary afferent connectivity with deep dorsal, lamina VII and, to a lesser extent, with some of the ventral laminae VF neurons, we suggest that, at least at this postnatal age, some sacral VF neurons can be activated directly, not only by VGluT1+, but also by VGluT2+ primary afferent contacts that may originate from pain-delivering pathways (Alvarez et al., 2004; Liu et al., 2010; Scherrer et al., 2010; Rogoz et al., 2012).
Proprioceptive modulation of the rhythm produced by graded SCA stimulation
Proprioceptive hindlimb afferents (Group I and II) are known to modulate the locomotor rhythm in numerous vertebrate preparations and to control the timing and pattern of stepping (for review, see: McCrea, 2002; Pearson, 2004). In the present work, we showed that, although activation of sacral afferents by low-intensity stimulation (Group I-II strength) fails to produce the rhythm, it can effectively enhance the motor output produced by both low and higher-threshold afferents during stimulation at higher intensities. Thus, the rhythmic motor output of the hindlimb CPGs can be effectively modulated by proprioceptive sacral input. This latter finding is consistent with a recent report showing that the combination of rhythmic activation of sacral afferents and asynchronous input is the most potent means for generating the locomotor rhythm in the isolated spinal cord of the neonatal rat by electrical stimulation of the cauda equina or SCA (Taccola, 2011).
VF neurons and pattern generation
Using calcium imaging, we showed that 55% of the labeled sacral VF neurons responded to graded electrical stimulation of SCA and that very little activity was exhibited by the VF neurons during low-intensity (Group I-II strength) stimulation. The neurons were activated in rhythmic (R and RM) and nonrhythmic (M and IB) modes as the intensity of the stimulus train exceeded the threshold required for activation of the sacral and locomotor CPGs. Moreover, the activity of the rhythmic VF neurons (R and RM) was in phase with the motor output recorded ipsilaterally and contralaterally to their somata in 73% and 27% of the cells, respectively. Our dual-chamber pharmacological experiments showed that the activity of rhythmic (R and RM type) and nonrhythmic (M and IB type) VF cells was blocked together with that of the sacral and lumbar rhythmogenic networks when the antagonist CNQX was added to the sacral segments, and it persisted with the sacral rhythm when the lumbar segments were exposed to CNQX. Thus, the ability of SCA stimulation to activate the VF neurons and the CPGs depends on non-NMDA receptor-mediated synaptic transmission in the sacral segments. In addition, non-NMDA receptor-mediated synaptic transmission in the sacral segments was found to be the minimal prerequisite for activation of nonrhythmic VF neurons and the locomotor CPGs by SCA stimulation.
The ability of SCA stimulation to activate the lumbar CPGs when the sacral CPGs were nearly blocked by APV indicates that activity of the sacral CPGs is not required for activation of the lumbar CPGs by SCA stimulation. However, during SCA stimulation, activation of VF neurons and the locomotor CPGs was maximized when the sacrocaudal CPGs were also activated. This suggests that the discharge of VF neurons contributes causally to activation of the lumbar CPGs during SCA stimulation once the sacrocaudal rhythmogenic network has been activated. Collectively, these findings imply that the potency of SCA stimulation for locomotor CPGs activation is the result in part of activation of the body stabilizing sacral rhythmogenic network.
The nature of the ascending drive delivered to the lumbar segments through the VF
Etlin et al. (2010) showed that the drive produced by activation of sacral neurons in S2 and below was sufficient for activation of lumbar CPGs when synaptic transmission was blocked between rostral S2 and caudal L2. The S2 VF neurons studied in the present work were labeled at mid-L6 through their ascending projections so that their activity during SCA stimulation seems likely to have contributed to the ascending drive to the lumbar CPGs.
Unlike the thoracolumbar network, the reciprocal inhibition between flexor and extensor motoneurons in the sacrocaudal network is suppressed during the rhythm, and the two sacral hemicords define hypothetical half centers producing the alternating left-right excitation and crossed-inhibition responsible for the alternating rhythmic output (Lev-Tov and Delvolvé, 2000; Delvolvé et al., 2001). Therefore, it is tempting to suggest that the rhythmic VF neurons with contralateral phase preference may be linked to phasic excitation and those with ipsilateral phase preference are involved in activation of phasic inhibitory drive. Interestingly, studies of lumbar V0 commissural neurons in the mouse revealed that 70% of them were inhibitory and 30% were excitatory (Lanuza et al., 2004). Moreover, recent intracellular studies revealed that lamina VII GABAergic commissural neurons in the lumbar cord fired in phase with the motor output ipsilateral to their somata (Wu et al., 2011). These neurons have been suggested to produce rhythmic inhibition that is part of the hypothesized drive of the locomotor CPGs. Although plausible, the relation we suggest between the phase preference of VF neurons and the polarity of the ascending rhythmic drive remains hypothetical and must await further studies of the properties of the imaged VF neurons and their lumbar projections.
Ascending pathways from sacral VF neurons, which may mediate sensory activation of CPGs
The “direct” ascending pathways involved in activation of the CPGs may include long axonal projections of proprioneurons as well as spinal collaterals of tract neurons (Bras et al., 1988; Grottel et al., 1998; Dutton et al., 2006) projecting to the thalamus, reticular formation and cerebellum (Leah et al., 1988; Edgley and Grant, 1991; Yamada et al., 1991; Katter et al., 1996; Matsushita, 1998; Garifoli et al., 2006). The capacity of SCA input to produce locomotor activity in isolated rat spinal cords depends not only on the long ascending pathways, but also on recruitment of sacral proprioneurons interposed between the second-order neurons and the hindlimb CPGs (Etlin et al., 2010). Our results suggest that some of the VF neurons are innervated by sacral nociceptive afferents whose activation can produce the rhythm. These VF neurons and other second-order, sensory VF neurons associated with pain-delivering pathways may participate in activation of the locomotor CPGs (Etlin et al., 2010). However, VF neurons are only part of a heterogeneous population of sacral relay neurons, and more effort is required to clarify the mechanisms involved in this potent activation of the locomotor CPGs to pave the way for the development of novel ways for activating the locomotor CPGs in spinal cord injury patients.
Footnotes
This work was supported by the Israel Science Foundation Grants 129/04, 1591/08, 1930/08 to A.L.-T. and the United States–Israel Binational Science Foundation Grants 2001010 and 2005020 to A.L.-T. and M.J.O.
The authors declare no competing financial interests.
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