J. Exp. Med., 2019 · DOI: https://doi.org/10.1084/jem.20181406 · Published: November 4, 2019
Following a spinal cord injury, the brain can sometimes rewire itself to regain some function. This rewiring involves the formation of new connections between brain cells and spinal cord cells. The study found that the selection of appropriate synaptic connections between cortical projection and spinal relay neurons depends on neuronal activity. By using genetic and chemogenetic tools, the researchers demonstrated that neuronal activity, specifically NMDAR signaling and CREB-mediated transcription, plays a critical role in maintaining these new connections during a specific period of circuit remodeling.
The existence of a defined window of endogenous post-injury remodeling has implications for the timing of therapies aimed at modulating neuronal activity, suggesting they would be most beneficial if initiated during this time.
Strategies that enhance physiological activity patterns of relay neurons based on optogenetic or chemogenetic approaches, electrical stimulation, or rehabilitative measures might be harnessed to strengthen corticospinal connectivity and improve functional recovery.
Understanding the principles of contact selection helps ensure that functionally advantageous connections are formed and maintained while disadvantageous ones are removed, improving post-injury circuit remodeling.