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Serotonergic pharmacotherapy promotes cortical reorganization after spinal cord injury
Journal article   Open access   Peer reviewed

Serotonergic pharmacotherapy promotes cortical reorganization after spinal cord injury

Patrick D Ganzer, Karen A Moxon, Eric B Knudsen and Jed S Shumsky
Experimental neurology, v 241(1), pp 84-94
Mar 2013
PMID: 23262119
url
https://doi.org/10.1016/j.expneurol.2012.12.004View
Published, Version of Record (VoR) Open

Abstract

Pharmacotherapy Primary somatosensory cortex Spinal cord injury Cortical plasticity Transection
Cortical reorganization plays a significant role in recovery of function after injury of the central nervous system. The neural mechanisms that underlie this reorganization may be the same as those normally responsible for skilled behaviors that accompany extended sensory experience and, if better understood, could provide a basis for further promoting recovery of function after injury. The work presented here extends studies of spontaneous cortical reorganization after spinal cord injury to the role of rehabilitative strategies on cortical reorganization. We use a complete spinal transection model to focus on cortical reorganization in response to serotonergic (5-HT) pharmacotherapy without any confounding effects from spared fibers left after partial lesions. 5-HT pharmacotherapy has previously been shown to improve behavioral outcome after SCI but the effect on cortical organization is unknown. After a complete spinal transection in the adult rat, 5-HT pharmacotherapy produced more reorganization in the sensorimotor cortex than would be expected by transection alone. This reorganization was dose dependent, extended into intact (forelimb) motor cortex, and, at least in the hindlimb sensorimotor cortex, followed a somatotopic arrangement. Animals with the greatest behavioral outcome showed the greatest extent of cortical reorganization suggesting that the reorganization is likely to be in response to both direct effects of 5-HT on cortical circuits and indirect effects in response to the behavioral improvement below the level of the lesion. ► Since spinal cord injury induces cortical reorganization, ► We tested the effects of 5-HT therapy on cortical reorganization. ► Results show more reorganization in the hindlimb sensorimotor cortex than SCI alone. ► Reorganization was dose dependent and extended into intact (forelimb) motor cortex. ► Reorganization was correlated to behavioral outcome.

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