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  4. The diversity and plasticity of descending motor pathways rewired after stroke and trauma in rodents

The diversity and plasticity of descending motor pathways rewired after stroke and trauma in rodents

Frontiers in Neural Circuits, 2025 · DOI: 10.3389/fncir.2025.1566562 · Published: March 21, 2025

Neurology

Simple Explanation

Descending neural pathways to the spinal cord plays vital roles in motor control. They are often damaged by brain injuries such as stroke and trauma, which lead to severe motor impairments. Accumulating evidence shows that residual circuits of the descending pathways are dynamically reorganized after injury and contribute to motor recovery. Understanding the basic structural and functional properties of each descending pathway and the principles of the induction and outcome of the rewired circuits will provide therapeutic insights to enhance interactive rewiring of the multiple descending pathways for motor recovery.

Study Duration
Not specified
Participants
Mice and rats
Evidence Level
Review

Key Findings

  • 1
    The corticospinal tract (CST), rubrospinal tract (RbST), and reticulospinal tract (RtST) are three major descending pathways that serve as neural substrates for recovery.
  • 2
    Damage to the CST caused by stroke, spinal cord injury (SCI), or experimental transection called pyramidotomy leads to motor impairments
  • 3
    The RtST plays pivotal roles in locomotor control.

Research Summary

This review focuses on three major descending pathways—the corticospinal tract (CST), rubrospinal tract (RbST), and reticulospinal tract (RtST)—summarizing their structures and functions, particularly in rodent models. The review discusses the reorganization induced in these pathways following injury, which compensates for lost connections for recovery, emphasizing the importance of understanding the structural and functional properties of each pathway. The authors suggest that understanding the basic structural and functional properties of each descending pathway and the principles of the induction and outcome of the rewired circuits will provide therapeutic insights to enhance interactive rewiring of the multiple descending pathways for motor recovery.

Practical Implications

Therapeutic Insights

Understanding the rewiring mechanisms can lead to therapies that enhance motor recovery after CNS injuries.

Rehabilitation Strategies

Optimized rehabilitation programs can be developed based on the specific rewiring patterns of descending pathways.

Targeted Interventions

Molecular targets involved in rewiring can be identified to promote axon growth and functional connections.

Study Limitations

  • 1
    Rodent models may not fully replicate the complexity of human motor control.
  • 2
    Rewiring patterns can vary depending on the type, size, and location of the injury.
  • 3
    Complete recovery to pre-injury levels is challenging, suggesting further research is needed.

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