Contralateral pyramidal tract (PT) neurons arising in the primary motor cortex are the major route through which volitional limb movements are controlled. However, the contralateral hemiparesis that follows PT neuron injury on one side may be counteracted by ipsilateral of actions of PT neurons from the undamaged side. To investigate the spinal relays through which PT neurons may influence ipsilateral motoneurons, we analyzed the synaptic actions evoked by stimulation of the ipsilateral pyramid on hindlimb motoneurons after transecting the descending fibers of the contralateral PT at a low thoracic level. The results show that ipsilateral PT neurons can affect limb motoneurons trisynaptically by activating contralaterally descending reticulospinal neurons, which in turn activate spinal commissural interneurons that project back across to motoneurons ipsilateral to the stimulated pyramidal tract. Stimulation of the pyramids alone did not evoke synaptic actions in motoneurons but potently facilitated disynaptic EPSPs and IPSPs evoked by stimulation of reticulospinal tract fibers in the medial longitudinal fascicle. In parallel with this double-crossed pathway, corticospinal neurons could also evoke ipsilateral actions via ipsilateral descending reticulospinal tract fibers, acting through ipsilaterally located spinal interneurons. Because the actions mediated by commissural interneurons were found to be stronger than those of ipsilateral premotor interneurons, the study leads to the conclusion that ipsilateral actions of corticospinal neurons via commissural interneurons may provide a better opportunity for recovery of function in hemiparesis produced by corticospinal tract injury.
Damage to the corticospinal tract has very severe consequences for voluntary movements. In humans, such damage is followed by a loss of skilled movements with weakness or paralysis (hemiparesis) on the contralateral side (e.g., after stroke). This has been attributed to the fact that crossed descending corticospinal fibers greatly outnumber the uncrossed ones and that only the contralaterally projecting fibers form direct synaptic contacts with primate limb motoneurons (Porter and Lemon, 1993). However, the capability of the small proportion of ipsilaterally descending corticospinal tract neurons (Lacroix et al., 2004) or neurons in ipsilateral cortical motor areas to contribute to the recovery has often been postulated, for instance, by Darian-Smith et al. (1996), Chen et al. (1997), Feydy et al. (2002), and Strens et al. (2003).
In humans, it has been difficult to ascertain which neuronal systems might mediate ipsilateral actions of the motor cortex. However, in animals, some possibilities ranging from transcallosal and subcortical brainstem interconnections to actions mediated at a spinal level have been tested experimentally. In particular, Lawrence and Kuypers (1968) showed that after selective bilateral lesions of the primate pyramidal tracts in the medulla, other descending pathways permit considerable general recovery of reaching and grasping but not independent movements of the digits.
The possibility that reticulospinal (RS) neurons, which are major subcortical relays of corticospinal fibers (Kuypers and Lawrence, 1967; Keizer and Kuypers, 1984, 1989; Matsuyama and Drew, 1997), are important for recovery of function was demonstrated in cats for actions on neck motoneurons (Alstermark et al., 1983, 1992). However, it remained unknown which spinal neurons are involved in ipsilateral actions of corticospinal tract fibers, and the present study focused on interneurons mediating ipsilateral corticospinal actions evoked via reticulospinal neurons.
Previous work has shown a disynaptic coupling between some reticulospinal neurons and contralateral motoneurons via lamina VIII commissural interneurons (Bannatyne et al., 2003; Jankowska et al., 2003; Hammar et al., 2004). Our first question was whether corticofugal fibers excite those reticulospinal neurons, which excite commissural interneurons, which in turn evoke excitation or inhibition of motoneurons on the side of origin of the corticofugal fibers. Pathways that might permit this are indicated in Figure 1A.
Disynaptic coupling between reticulospinal neurons and ipsilateral motoneurons via interneurons located at the same side as motoneurons has been long known (Grillner et al., 1968; Wilson and Yoshida, 1969; Takakusaki et al., 1989; Floeter et al., 1993; Gossard et al., 1996), but whether these interneurons are activated by corticofugal fibers has not been investigated. Our second question was whether corticofugal fibers excite reticulospinal neurons, which affect motoneurons on the side of origin of the corticofugal fibers via ipsilaterally projecting premotor interneurons. Pathways that might permit this are as indicated in Figure 1B.
The results show that there is a strong facilitation of disynaptic actions of reticulospinal fibers on motoneurons, which permits the motor cortex to influence ipsilateral motoneurons. The effects mediated via commissural neurons are stronger than those mediated via ipsilateral premotor interneurons.
Materials and Methods
Preparation. The experiments were performed on seven deeply anesthetized cats weighing 2.3-3.5 kg. All experimental procedures were approved by Göteborg University Ethics Committee and followed National Institutes of Health and European Union guidelines for animal care. Anesthesia was induced with sodium pentobarbital (40-44 mg/kg, i.p.) and maintained with intermittent doses of α-chloralose (doses of 5 mg/kg administered every 1-2 hr, up to 55 mg/kg, i.v.; Rhône-Poulenc Santé, Antony, France). During recordings, neuromuscular transmission was blocked by pancuronium bromide (∼0.2 mg/kg/hr, i.v.; Pavulon, Organon, Askim, Sweden), and the animals were artificially ventilated. Additional doses of α-chloralose were given when increases in blood pressure or heart rate, which were continuously monitored, were evoked by noxious stimulation or if the pupils dilated. Mean blood pressure was kept at 100-130 mmHg and end-tidal concentration of CO2 at ∼4% by adjusting the parameters of artificial ventilation and the rate of a continuous infusion of a bicarbonate buffer solution with 5% glucose (1-2 ml/hr/kg). The core body temperature was kept at ∼37.5°C by servo-controlled infrared lamps. The experiments were terminated by a lethal dose of pentobarbital resulting in cardiac arrest.
A laminectomy exposed the fourth to seventh lumbar (L4-L7), low thoracic (Th11-Th13), and in some experiments also second to fourth cervical (C2-C4) segments of the spinal cord. The spinal cord was hemisected on the left side in the Th12 segment (after removing the dorsal columns) at the beginning of the experiment. In some experiments, the dorsal parts of the lateral funiculi at the border between the C2 and C3 segments were sectioned bilaterally at a later stage to remove all corticospinal input to the spinal cord beyond this level (see Results). A number of peripheral hindlimb nerves were transected and mounted on stimulating electrodes. Subcutaneous cuff electrodes were used for nerves accessed in the iliac fossa [ipsilateral quadriceps (Q) and sartorius (Sart) nerves; the remaining ipsilateral nerves, the posterior biceps and semitendinosus (PBST) and anterior biceps and semimembranosus (ABSM); and gastrocnemius-soleus (GS)] were mounted on pairs of silver hook electrodes in a paraffin oil pool (at 36-37°C) created by skin flaps.
The caudal part of the cerebellum was exposed by a craniotomy, and tungsten electrodes (impedance, 40-150 kΩ) were placed in the right medial longitudinal fascicle (MLF) and in the left and/or right pyramidal tract (PT) in the low medulla (Fig. 2). The electrodes were inserted at an angle of 30° (with the tip directed rostrally). The initial targets were at Horsley-Clarke coordinates P9, R0.6, and H-5 for MLF and P7, L1, H-10 and P5, R1, H-10 for the left and right PT, respectively. However, the final positions of the electrodes were adjusted on the basis of records of descending volleys evoked by single stimuli from the surface of the lateral funiculus at the Th11-Th13 and/or the C4-C5 segments (Fig. 3). The electrodes were left at sites from which distinct descending volleys were evoked at stimulus intensities of ≤20 μA. At the end of the experiments, these sites were marked with lesions (0.3 mA constant current for 10 sec). Their location was subsequently verified on 100 μm thick frontal sections of the brainstem, cut in the plane of insertion of the electrodes using a freezing microtome, and counterstained with cresyl violet. As shown in Figure 2, the MLF electrodes were placed at the level corresponding to the rostral border of the inferior olive (IO) (Fig. 2A) and the PT electrodes at the level of the caudal and rostral borders of the trapezoid body (TB) (Fig. 2 B, C). Only data obtained in experiments in which the electrodes were appropriately placed will be reported.
Stimulation and recording. Peripheral nerves were stimulated with constant voltage stimuli [0.1 msec duration; intensity expressed in multiples of threshold (T) for the most sensitive fibers in the nerve]. For activation of fibers of the reticulospinal and corticospinal tract fibers, constant current cathodal stimuli (0.2 msec; 25-150 μA in MLF, 100-150 μA for PT) were applied. Near maximal stimuli applied in MLF were expected to activate a large proportion of ponto and medullary reticulospinal tract fibers (Jankowska et al., 2003). These stimuli would also activate vestibulospinal tract fibers arising from the medial vestibular nucleus (which do not project caudally as far as the lumbar segments) but would not activate fibers from the lateral vestibular (Deiter's) nucleus (Nyberg-Hansen and Mascitti, 1964), so the effects in the lumbar segments can be attributed to reticulospinal fibers.
Descending volleys were recorded from the cord dorsum (at the lateral border of the dorsal columns at C3-C4 for PT volleys) or from the surface of the right lateral funiculus (at Th11-Th12 for MLF volleys) via intact dura mater, in both cases monopolarly.
Glass micropipettes filled with 2 m solution of potassium citrate were used for intracellular records from motoneurons. The motoneurons were identified by antidromic activation after stimulation of a muscle nerve, the ventral roots left intact. For the analysis of excitatory and inhibitory actions evoked from MLF, we preferentially sought GS and Sart motoneurons because disynaptic EPSPs and IPSPs were found previously to be mostly distinct and most frequently encountered in these motoneurons (Jankowska et al., 2003).
Analysis. Both the original data and averages of 10-20 single records were stored on-line. Any changes in the recorded potentials were estimated by comparing either the peak amplitudes or the areas of these potentials within selected time windows and also after having subtracted one from another (using a software sampling and analysis system designed by E. Eide, T. Holmström, and N. Pihlgren, Göteborg University, Göteborg, Sweden). Differences between samples of neurons were assessed for statistical significance using Student's t test.
To verify the existence of pathways between corticospinal tract neurons and ipsilateral motoneurons indicated in Figure 1A and B, all descending tract fibers were transected on one side of the spinal cord, and two experimental approaches were used. The first was to seek evidence for facilitation of the activation of reticulospinal tract fibers by conditioning stimulation of PT fibers. If this facilitation was not seen, it would be unlikely that the reticulospinal neurons projecting to the lumbosacral enlargement on the side opposite to the hemisection are excited by corticospinal neurons. However, depression or enhancement of the reticulospinal volleys would indicate interaction. A depression of the volleys might occur if the axons of RS neurons were discharged after activation by stimulation of PT fibers and made refractory. In contrast, if RS neurons were excited but not discharged by the stimulation of PT fibers, then they should be more excitable to activation through collaterals of MLF fibers, which could be reflected in an enhancement by spatial facilitation of the later components of the descending volleys. Observations related to these problems are presented below.
A second experimental approach was to analyze the effects of conditioning stimulation of PT fibers on disynaptic EPSPs and IPSPs evoked in hindlimb motoneurons by stimulation of axons of reticulospinal tract fibers in the MLF (Jankowska et al., 2003). These effects are described below.
Evidence for PT actions evoked via RS neurons based on records of descending volleys
Descending volleys evoked by stimulation of the medullary pyramid are usually difficult to see at thoracic and lumbar levels because of dispersion of the action potentials in fibers of different conduction velocities but are more readily recorded in the upper cervical segments (Illert et al., 1977; Lundberg, 1979). When recording cervical volleys evoked by a train of PT stimuli at 300-400 Hz, in addition to the direct volleys that appeared ∼0.8 msec after the stimuli, longer latency temporally facilitated components were seen (Fig. 3A, boxes). Because the differences in the onset latencies of the early and late components were ∼1 msec, the later components may be attributed to activation of additional neurons located somewhere between the PT and the recording site in the C3 segment. When submaximal PT stimuli were used, these longer latency volleys started to appear after the second or third stimulus and increased in amplitude after each successive stimulus (Fig. 3 A), as would be expected for temporarily facilitated synaptic actions. Similar effects were seen in all four experiments in which cervical descending volleys were recorded. Our hypothesis is that the additional neurons mediating the longer latency volleys were RS neurons with axons in MLF, and we sought evidence for this by interacting the volleys evoked by PT stimuli with those evoked by MLF stimulation.
Stimulation of the MLF evokes volleys with early and late components (Jankowska et al., 2003). The early volleys are evoked by direct activation of descending RS axons and have constant amplitudes after each stimulus of the train. The later components of MLF volleys are considered to reflect transsynaptic activation of RS neurons via other RS neurons (Jankowska et al., 2003), as indicated in Figure 1C; consistent with this, their amplitudes increase with successive stimuli (Fig. 3B). If stimulation of PT fibers evokes EPSPs in the same RS neurons, then the later components should be enhanced by spatial facilitation when both PT and MLF are stimulated together.
Figure 3C shows that this facilitation was readily seen; the late component evoked by the first MLF stimulus was considerably larger when the MLF stimulus was preceded by a train of conditioning PT stimuli. The facilitation was clear in recordings made at both cervical and thoracic levels. Facilitation was also evoked from the right PT in all four experiments in which it was tested. The effects evoked from the right PT were either as strong (Fig. 4D) or slightly weaker than those from the left PT.
Late components of the descending volleys recorded at a thoracic level following PT and MLF stimuli might be relayed by brainstem reticulospinal neurons (Fig. 1C) but might also reflect the activation of spinal neurons, for example long propriospinal tract neurons with cell bodies in the C3 and C4 segments that are coexcited by corticospinal and reticulospinal tract fibers (Illert et al., 1981). To estimate the relative contributions of spinal and brainstem neurons, the facilitation of the later components of the descending volleys was compared before and after lesions of PT fibers in the upper cervical segments. Because PT fibers run in the most dorsal part of the lateral funiculus at the C2 level, they could be transected while leaving intact the reticulospinal tract fibers in the more ventral part of the lateral funiculus and in the ventral funiculus. These lesions were made following the procedure of Lundberg and collaborators (Illert et al., 1975; Lundberg, 1979), enlarged until the direct PT volleys recorded a few millimeters caudal to the lesions were abolished. The lesions were made bilaterally in two experiments. The extent of these lesions in two experiments is shown in Figure 4C, D, G, and H, and the resulting disappearance of PT volleys in the lowest panels (E, F, K, L). Because the PT descending volleys recorded at the C3-C4 segments are evoked at latencies of <1 msec and are superimposed on fairly large stimulus artifacts, they can be more conveniently estimated from the difference records obtained before and after dorsolateral funiculus (DLF) lesions.
The records in Figure 4A-D show that temporal facilitation of late components of MLF volleys occurred and that spatial facilitation was evoked when a single MLF stimulus was delivered after a train of conditioning stimuli applied within either the left or the right pyramidal tracts. The arrows indicate the late components evoked by single MLF stimuli recorded from the thoracic segments. As in Figure 3, facilitation from the ipsilateral (left) PT was more potent than facilitation by two or even three MLF stimuli. Facilitation from the contralateral (right) PT was also substantial. The records in Figure 4C and D were obtained after lesions of the dorsal parts of the lateral funiculi.
In one of the experiments, the effects of the conditioning PT stimuli were tested not only on the descending volleys but also on EPSPs evoked in motoneurons. In all 10 motoneurons recorded intracellularly after DLF lesions, PT stimuli (both ipsilateral and contralateral) continued to facilitate disynaptic EPSPs evoked from MLF (see below), as illustrated in Figure 4 I and J. In this case, the effects have to be relayed via commissural neurons, and to bring these to threshold, a train of two or three MLF stimuli were required. Accordingly, the train of stimuli to the PT was delivered before the final stimulus of a train of stimuli to the MLF, rather than to a single MLF stimulus. Thus, both of these control experiments indicate that facilitatory effects of PT stimuli are associated with actions on RS rather than on propriospinal neurons in the C3-C4 segments or, more generally, on any spinal neurons located caudal to these segments.
In contrast to the late components of the MLF descending volleys, the early components of the volleys were either depressed or unaffected by PT stimuli. The depression can be explained by refractoriness: if collaterals of PT neurons excited reticulospinal neurons with axons in MLF sufficiently strongly to discharge them, they should be refractory to direct activation by MLF stimuli at short conditioning testing intervals. The results of three experiments in which amplitudes of the early and later components of the same MLF volleys were plotted as a function of the intervals between the last PT stimulus of a train and an MLF stimulus are shown in Figure 5A-C and exemplified in Figure 5F. The black symbols in A-C show that the early (i.e., direct) components of the descending MLF volleys recorded at the thoracic and lumbar levels were decreased by approximately one-half at optimal conditioning-testing intervals but did not disappear. The maximal decrease of the thoracic volleys occurred at conditioning-testing intervals of 2-2.5 msec. We estimate that ∼1.5-1.8 msec might be needed for RS neurons to be activated by nerve impulses in collaterals of corticospinal tract fibers after PT stimuli (allowing ∼0.5 msec for conduction time along these collaterals, 0.3 msec for synaptic delay, and up to 1 msec for the rise time of the asynchronously evoked EPSPs before action potentials are generated) and that the conduction time between the RS neuron somata and the site of application of the stimuli in MLF might be another 0.2 msec. The period during which the early MLF volleys were decreased is thus appropriate to coincide with the refractory periods of the axons of RS neurons. Several factors may explain why the volleys were only partly decreased but not abolished, for instance if the activation of reticulospinal neurons by PT stimulation was asynchronous, or only a fraction of RS neurons was activated (and therefore refractory), or if corticospinal neurons might provide input to only a proportion of the RS neurons that have axons in the MLF. The proportionally smaller decreases of the earliest components of MLF volleys recorded at a cervical level (compare simultaneously recorded thoracic and cervical volleys in Fig. 5G,H,E,F) suggest that a smaller proportion of the RS neurons that terminate within the cervical or upper thoracic segments is discharged by corticospinal neurons.
If the facilitation of the late components of MLF volleys is attributable to PT actions on RS neurons, then they ought to be reduced during the expected refractory period after activation of RS neurons like the early components. This was indeed the case, as indicated by the gray data points in Figure 5A, B, and D. The onset of the depression of the late components was sharper, if not earlier, than the onset of the depression of the early components. The degree of depression was likewise similar, to approximately one-half of control amplitude.
Although these results are generally in keeping with activation of RS neurons by PT fibers, they are less clear cut than the results of similar tests on the activation of vestibulospinal neurons by stimuli applied in the cerebellum (Matsuyama and Jankowska, 2004) where the experimental situation was much simpler. The main complicating factor in the present study was that activation of RS neurons by PT fibers was relatively weak. Accordingly, a train of PT stimuli was needed, and the effects of the final PT stimulus of a train were often superimposed on weak depressive (on direct volleys) and stronger facilitatory (on later volleys) effects of the penultimate stimulus. For the early components of the volleys, this resulted in two periods of depression related to the refractory periods after the third and fourth stimuli of the PT train, as indicated in Figure 5A-C by open and filled symbols, respectively.
Evidence for ipsilateral PT actions evoked via RS neurons and commissural lamina VIII interneurons based on intracellular records from motoneurons
Reticulospinal tract neurons evoke disynaptic EPSPs and IPSPs via commissural neurons in a particularly high proportion of contralateral GS and Sart motoneurons, respectively (Jankowska et al., 2003). Intracellular recordings were therefore sought principally from GS and Sart motoneurons but also included other motoneuron types to test whether any PSPs evoked in them from MLF could be facilitated by PT stimuli. The experimental arrangement was as outlined in Figure 1A, and intracellular recordings were made from motoneurons ipsilateral to the spinal hemisection. Disynaptic PSPs were evoked by two or three MLF stimuli and, after adjusting the intensity of these stimuli such that at least the first one was sub- or near-threshold, were interacted with PT stimuli. Trains of PT stimuli were used for conditioning because, as shown above, two to four stimuli were needed to facilitate synaptic activation of reticulospinal neurons. The EPSPs and IPSPs in motoneurons were the result of spatial and temporal facilitation at the level of both reticulospinal and spinal commissural interneurons.
Potent facilitation of EPSPs of MLF origin could be evoked from both the left and right pyramids, as illustrated in Figure 6C and D. The effects of PT stimuli were in this case tested on EPSPs evoked at such a low stimulus intensity (25 μA) (Fig. 6A) that they showed marginal temporal facilitation. Distinct temporal facilitation was evoked when stronger MLF stimuli (50 μA) (Fig. 6B) were used. Conditioning stimulation of the left or the right PT coupled with MLF stimulation evoked EPSPs that were greatly facilitated (Fig. 6C,D), exceeding the amplitude of those evoked by a train to the MLF at 50 μA. Because the PT stimuli at this intensity did not evoke any PSPs when delivered alone (Fig. 6E,F), facilitation must have occurred at a premotoneuronal level.
In order for facilitation to occur, several conditions had to be fulfilled. Facilitation was found when the test EPSPs were near threshold and, as illustrated in Figure 7E and F, was much more potent when trains of four (rather than three) PT stimuli were used. The frequency of the train of PT stimuli was critical, because facilitation was weak with trains at 200 Hz but was more effective with trains at 300 or 400 Hz. The difference between effects of 200 and 300 Hz stimuli is illustrated in Figure 7D and E. Finally, the time intervals between the final stimuli of the trains to the PT and MLF had to be appropriate.
Two example plots of the time course of facilitation of the EPSPs are shown in Figure 8. The most consistent feature of these plots was that the peak of the facilitation occurred at an interval of ∼5 msec between the final stimulus of the train to the PT and the MLF stimulus (as in Fig. 8A). The peak effect thus occurred ∼1 msec later than the peak of facilitation of the MLF volleys that are illustrated in Figure 5. The precise onset of the facilitation was difficult to define, even in the plots with the sharpest rising slopes (as in Fig. 8A). It began at conditioning-testing intervals of ∼2-3 msec (i.e., closely following the time of onset of the facilitation of MLF volleys). Failure of facilitation, which would correspond to the refractory period (at intervals 1.5-2.5 msec) in the plots of the MLF volleys in Figure 5, was not seen. However, some facilitation could have been induced by the third as well as the fourth PT stimulus, which might mask any effects of the refractory period after the fourth stimulus. The time courses of facilitation of EPSPs recorded in nine other motoneurons and of IPSPs recorded in another motoneuron were similar.
Using the optimal stimulus parameters and intervals (4-7 msec) between conditioning stimuli applied within the left (ipsilateral) pyramid and test stimuli to the right (contralateral) MLF, facilitation of disynaptic EPSPs could be demonstrated in all motoneurons tested. These included 15 GS, 5 Q, 1 PBST, 1 Sart, and 3 unidentified motoneurons. The facilitated EPSPs evoked by the third MLF stimulus of a train, measured from the area within a time window of 1.5-2.0 msec from the onset, had amplitudes up to 8-10 times larger than the areas of test EPSPs. The mean increase was 3.04 ± 0.38 times (mean ± SEM; n = 25) (Fig. 9A). Conditioning stimulation of the right (contralateral) pyramid produced a similar degree of facilitation (increasing EPSPs evoked in the same 25 motoneurons 2.75 ± 0.38 times). Disynaptic EPSPs were also facilitated in 10 additional motoneurons recorded after lesions of the descending corticospinal tract fibers between the C2 and C3 segments, indicating that the facilitation occurred supraspinally. Records from one of these neurons are illustrated in Figure 4E-H.
The records in Figure 10 show that IPSPs evoked in motoneurons by the MLF stimuli were also facilitated by ipsilateral PT stimuli. In this case, a train of three near-maximal stimuli to the MLF evoked small disynaptic IPSPs (Fig. 10A), but distinct larger IPSPs appeared on joint stimulation of the MLF and a train of stimuli to the left or right PT at 150 μA (Fig. 10B,D), whereas PT stimuli by themselves were ineffective (Fig. 10C,E). Facilitation was found in all of the 16 motoneurons tested, including 2 GS, 3 Q, and 11 Sart motoneurons. On average, the facilitated IPSPs were 4.83 ± 0.87 times larger than the test IPSPs (Fig. 9A). The effects of stimulation of the left and right pyramids were compared in six of these motoneurons. There were no significant differences between the effects evoked from left and right side, although there was a tendency for the IPSPs that followed stimulation of the ipsilateral (in this case, left) PT to be somewhat larger (Fig. 9A).
Evidence for ipsilateral PT actions involving RS neurons but not commissural lamina interneurons
Reticulospinal tract neurons may act on various populations of spinal interneurons in addition to lamina VIII commissural interneurons, some of which are premotor interneurons that act on motoneurons located on the same side of the spinal cord (Takakusaki et al., 1989; Davies and Edgley, 1994). Another possible route for ipsilateral actions evoked by corticospinal neurons thus might be via ipsilaterally projecting RS neurons and ipsilaterally projecting interneurons. To explore this possibility, the effects of stimulation of the right pyramid were tested on 26 motoneurons located on the right side of the spinal cord in preparations in which the spinal cord was hemisected on the left side (the same preparations in which the effects from the left pyramids described above were investigated, as indicated in the diagram of Fig. 1B). Under these conditions, facilitation of disynaptic EPSPs and IPSPs evoked by MLF stimulation was more difficult to estimate because the MLF stimuli sometimes evoked monosynaptic EPSPs in motoneurons (as in the records in Fig. 11A-C). However, in motoneurons in which they were distinct, disynaptic EPSPs (n = 6) and IPSPs (n = 9) were increased 1.13 ± 0.13 and 2.10 ± 0.45 times, respectively, by conditioning stimulation of the right (ipsilateral) PT. The degree of facilitation of EPSPs and IPSPs mediated by ipsilateral premotor interneurons thus appeared to be somewhat weaker than the facilitation of PSPs mediated by commissural interneurons (Fig. 9, compare A and B).
Although facilitation of disynaptic EPSPs by conditioning stimulation of the left and right PT was similar in motoneurons on the right (Fig. 11B,C), facilitation of disynaptic IPSPs was much more potent from the left PT than from the right PT (Fig. 11E,F). Thus, stimulation of corticospinal tract fibers from the left PT (which descended on the intact right side of the spinal cord) increased these IPSPs more than 10-fold (Figs. 9B, 11E), and a strong effect was seen in almost all motoneurons. In contrast, these IPSPs were facilitated to about the same extent as the disynaptic EPSPs by stimulation of the right PT. The asymmetry in these observations also provides evidence that the effects of stimuli that we used may be attributed to the fibers in the stimulated pyramid, even if stronger stimuli might have activated some fibers on the opposite side.
Pathways from the corticospinal tract to ipsilateral motoneurons
The results provide new observations on indirect pathways via which corticospinal tract neurons may excite or inhibit ipsilateral hindlimb motoneurons and show that these pathways involve reticulospinal tract neurons with axons in MLF and lamina VIII excitatory and inhibitory commissural interneurons.
In these experiments, all direct actions of ipsilaterally descending fibers, including the small proportion of corticospinal fibers that descend ipsilaterally (Armand and Kuypers, 1980; Armand et al., 1985; Li and Martin, 2000; Lacroix et al., 2004), were eliminated by hemisection of the spinal cord. Some of the crossed corticospinal axons descending on the intact side might have contributed by decussating below the hemisection (Armand and Kuypers, 1980; Armand et al., 1985; Li and Martin, 2000; Lacroix et al., 2004), but they were not essential because additional bilateral corticospinal tract lesions of the DLF in upper cervical segments (Fig. 4) did not affect PSPs evoked in ipsilateral motoneurons. This leads to the conclusion that the main relay of the corticospinal actions we observed in ipsilateral motoneurons was in the brainstem and the descending pathway that mediated them was not the corticospinal tract. The persistence of ipsilateral PT actions after DLF lesions also eliminates an essential contribution from spinal neurons located rostral to these lesions, including the long propriospinal tract neurons in the C3-C5 segments, which are coexcited by both PT and RS neurons (Alstermark et al., 1987).
Given that the actions of ipsilateral corticospinal neurons are mediated by brainstem neurons, the two most likely relays are via reticulospinal or rubrospinal neurons. However, the upper cervical DLF lesions would also have transected rubrospinal fibers, arguing against a major contribution from them. Furthermore, rubrospinal fibers decussate on exiting the nucleus before descending, and there is no information on potential ipsilateral actions adding to strong contralateral actions (Hongo et al., 1969).
A major role can thus be attributed to reticulospinal neurons. Three lines of evidence support this conclusion. First, there is substantial morphological evidence for bilateral projections from corticospinal tract neurons to reticular formation neurons (Keizer and Kuypers, 1984, 1989; Ugolini and Kuypers, 1986; Matsuyama and Drew, 1997; Kably and Drew, 1998) and direct electrophysiological evidence for excitation of reticulospinal cells by PT fibers (He and Wu, 1985; Canedo and Lamas, 1993), which is supported by our observations that descending volleys evoked by stimulation of axons of RS neurons are substantially facilitated by PT stimulation. Second, stimulation of the ipsilateral pyramid produced effects that were very similar to the actions of reticulospinal neurons reported previously (Jankowska et al., 2003). Third, the relay is in the brainstem where the reticulospinal neurons are located.
Nevertheless, we cannot exclude that pathways via propriospinal or rubrospinal neurons may contribute to the overall effects of PT stimulation in parallel with reticulospinal neurons in preparations with DLF intact. The similarity of the effects after DLF lesions suggests that, if present, these contributions are minor. However, experiments in which corticospinal effects would be tested after lesions of the reticular formation or reticulospinal tract fibers and leaving only the C3-C5 propriospinal neurons and rubrospinal neurons intact were not performed.
Because the left side of the spinal cord was transected above the lumbosacral enlargement, the effects of stimulation of the pyramids might be attributed to relays via lumbar commissural interneurons at the right side. An alternative route would be via the small number of reticulospinal tract axon collaterals that cross the midline at a lumbar level (Matsuyama et al., 1988, 1997), which might contact motoneurons, although this is rare (Jankowska et al., 2003), or activate premotor interneurons located on the same side as the motoneurons. However, because the number of reticulospinal neurons activated by pyramidal tract fibers would be even smaller than the number activated by stimuli applied in the MLF, the probability of activating ipsilaterally located premotor interneurons by axon collaterals crossing at segmental level would be considerably lower than in the case of more directly activated RS neurons (for other arguments, see Jankowska et al., 2003). Candidate commissural neurons that form synapses with contralateral motoneurons have been described in the midlumbar segments of the spinal cord (Bannatyne et al., 2003; Jankowska et al., 2003; Hammar et al., 2004).
The results of this study suggest that the minimal coupling between corticospinal tract neurons and ipsilateral motoneurons via commissural interneurons is trisynaptic, assuming that the RS neurons that activate lumbar commissural interneurons are monosynaptically activated by collaterals of PT fibers (He and Wu, 1985; Canedo and Lamas, 1993; Matsuyama and Drew, 1997). The latencies of the late, temporally facilitated components of PT volleys were in keeping with monosynaptic activation of descending tract neurons (∼1 msec), and the onset of facilitation of the second components of MLF volleys and the disynaptic EPSPs and IPSPs of MLF origin was appropriate for direct actions of PT fibers on RS neurons.
The proposed basis for facilitation of activation of RS neurons is shown in Figure 1C. This depends on temporal facilitation of the actions of successive nerve impulses in PT fibers and of mutual spatial facilitation between these actions and synaptic actions evoked by the MLF stimuli via axon collaterals of reticulospinal or locally projecting reticuloreticular neurons. Although the specific connections remain unknown, Canedo and Lamas (1993) showed that many reticulospinal neurons were excited by corticofugal fibers at latencies longer than those of the monosynaptic EPSPs and were considered to be generated disynaptically. In addition, MLF stimulation generates monosynaptic EPSPs in a high proportion of reticular neurons (Ito and McCarley, 1987; McCarley et al., 1987). If this excitation was mediated by recurrent axon collaterals of RS neurons, then it would increase the number of recruited RS neurons by a kind of positive feedback. In the diagram in Figure 1C, the collaterals shown arise from reticulospinal neurons with cell bodies located either on the same side or opposite side; both combinations seem to be possible (Matsuyama et al., 1988, 1993). Another possibility might be that the PT collaterals act not on RS neurons but on other reticular formation neurons that provide input to the RS neurons. However, as shown in Figures 2C and E and 4B, C, and D, the later components of descending MLF volleys were facilitated to a greater extent by PT stimuli than by MLF stimuli, suggesting that input from PT fibers to RS neurons might be stronger than input via RS recurrent collaterals and more compatible with direct than with relayed actions of PT fibers.
The demonstration of a trisynaptic pathway through which corticospinal neurons can influence ipsilateral motoneurons provides a new potential for the treatment of motor dysfunctions after unilateral injuries of the corticospinal tract (e.g., after stroke, tumors, or other injuries at supraspinal or spinal levels). If crossed corticospinal actions become deficient, recovery of function might involve ipsilateral actions of intact corticospinal neurons, as indicated by both clinical observations (Weiller et al., 1992; Feydy et al., 2002; Strens et al., 2003) and behavioral experiments in animals (Kucera and Wiesendanger, 1985; Darian-Smith et al., 1996; Whishaw et al., 1998; Liu and Rouiller, 1999; Pettersson et al., 2000). If these ipsilateral actions, which are normally much weaker than contralateral actions, can be enhanced at spinal and/or bulbar levels, then this represents a new opportunity to restore function. There is already evidence for spinal “detour circuits” that involve plastic changes in spinal interneuronal circuits and their input connections (Galea and Darian-Smith, 1997; Bareyre et al., 2004). Identification of a route through reticulospinal tract neurons and commissural neurons that can mediate ipsilateral corticospinal actions provides another potential “detour” pathway as a target for intervention. Previous studies have revealed that activation of commissural interneurons is powerfully modulated by presynaptic inhibition (Edgley et al., 2003) and by monoamines (Hammar et al., 2004), both of which might provide a potential means for influencing their excitability (e.g., pharmacologically). Modulation by serotonin and noradrenaline represents a particularly interesting possibility, because both enhance the activation of commissural interneurons by reticulospinal fibers (Hammar et al., 2004). However, serotonin and noradrenaline also act on other spinal interneurons and motoneurons, and their effects at supraspinal level (e.g., on the reticulospinal neurons) would also have to be considered. Another possibility might be to use different rehabilitation procedures to raise and maintain activity in pathways involving commissural interneurons at a high level, facilitating their activation by descending commands. Again, our knowledge of how this could be achieved will depend on analysis of the functional connections of the commissural interneurons. Finally, although the pathways using ipsilaterally located interneurons were less effective than commissural pathways, they also represent a potential route for the recovery of function. An understanding of the neuronal networks that mediate connections between corticospinal neurons and ipsilateral motoneurons should be of clinical use in both rehabilitation and pharmacological procedures.
This study was supported by National Institutes of Health Grant NS 40 863. We thank Rauni Larsson for her invaluable assistance.
Correspondence should be addressed to E. Jankowska, Department of Physiology, Medicinaregatan 11, Box 432, 405 30 Göteborg, Sweden. E-mail:.
Copyright © 2004 Society for Neuroscience 0270-6474/04/247804-10$15.00/0