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  4. Serotonergic innervation of respiratory motor nuclei after cervical spinal injury: impact of intermittent hypoxia

Serotonergic innervation of respiratory motor nuclei after cervical spinal injury: impact of intermittent hypoxia

Exp Neurol, 2021 · DOI: 10.1016/j.expneurol.2021.113609 · Published: April 1, 2021

Spinal Cord InjuryPhysiologyNeurology

Simple Explanation

This research explores how nerve fibers containing serotonin, a chemical important for nerve function, regrow in the spinal cord after a neck injury. Specifically, it looks at nerve regrowth near the areas that control breathing muscles. The study also examines whether exposing the rats to periods of low oxygen (intermittent hypoxia, IH) can help or hinder this nerve regrowth. IH is similar to what happens in sleep apnea. The findings suggest that nerves do regrow after injury, but IH doesn't significantly change this regrowth. This information is important for developing therapies to improve breathing after spinal cord injuries.

Study Duration
12 weeks post-C2 hemisection, IH exposure for 28 days
Participants
79 adult male Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Spontaneous serotonergic reinnervation of the phrenic and intercostal motor nuclei is substantial 12 weeks post-C2Hx.
  • 2
    Following injury, fewer but larger serotonergic structures characterized reinnervation of phrenic and intercostal motor nuclei.
  • 3
    Ipsilateral phrenic reinnervation results from sprouting in spared crossed-spinal serotonergic pathways.

Research Summary

This study investigated serotonergic reinnervation of respiratory motor nuclei (phrenic and intercostal) following cervical spinal hemisection (C2Hx) in rats, and the impact of different intermittent hypoxia (IH) protocols on this process. The results showed substantial spontaneous reinnervation 12 weeks post-C2Hx, characterized by fewer but larger serotonergic structures, with total serotonin immunolabeling increased (phrenic) or restored (intercostal). IH protocols had limited effects on serotonergic reinnervation after C2Hx, although chronic IH increased serotonergic innervation in the phrenic motor nucleus of uninjured rats. The reinnervation appears due to sprouting of spared crossed-spinal serotonergic projections.

Practical Implications

Therapeutic Potential

The substantial serotonergic reinnervation suggests potential for serotonin-targeted therapies to enhance respiratory function after SCI.

AIH Optimization

Further research is needed to optimize intermittent hypoxia protocols to enhance respiratory plasticity after SCI.

Sprouting Mechanisms

Understanding the mechanisms of serotonergic sprouting may lead to new strategies to promote recovery after spinal injury.

Study Limitations

  • 1
    The functional significance of abnormal serotonin immunoreactive structure number and size remains uncertain.
  • 2
    Intensity measurements were limited as an indicator of antigen concentration.
  • 3
    CIH may accelerate recovery, but this was not specifically tested.

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