Phylogenetic view of the compensatory mechanisms in motor and sensory systems after neuronal injury

Tadashi Isa , Takamichi Tohyama , Masaharu Kinoshita
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引用次数: 1

Abstract

Through phylogeny, novel neural circuits are added on top of ancient circuits. Upon injury of a novel circuit which enabled fine control, the ancient circuits can sometimes take over its function for recovery; however, the recovered function is limited according to the capacity of the ancient circuits. In this review, we discuss two examples of functional recovery after neural injury in nonhuman primate models. The first is the recovery of dexterous hand movements following damage to the corticospinal tract. The second is the recovery of visual function after injury to the primary visual cortex (V1). In the former case, the functions of the direct cortico-motoneuronal pathway, which specifically developed in higher primates for the control of fractionated digit movements, can be partly compensated for by other descending motor pathways mediated by rubrospinal, reticulospinal, and propriospinal neurons. However, the extent of recovery depends on the location of the damage and which motor systems take over its function. In the latter case, after damage to V1, which is highly developed in primates, either the direct pathway from the lateral geniculate nucleus to extrastriate visual cortices or that from the midbrain superior colliculus–pulvinar–extrastriate/parietal cortices partly takes over the function of V1. However, the state of visual awareness is no longer the same as in the intact state, which might reflect the limited capacity of the compensatory pathways in visual recognition. Such information is valuable for determining the targets of neuromodulatory therapies and setting treatment goals after brain and spinal cord injuries.

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神经元损伤后运动和感觉系统代偿机制的系统发育观点
通过系统发育,在古老的神经回路之上增加了新的神经回路。当能够精细控制的新电路受到损伤时,古老的电路有时可以接管其功能进行恢复;然而,受古代电路容量的限制,恢复的功能是有限的。在这篇综述中,我们讨论了两个非人灵长类动物模型神经损伤后功能恢复的例子。第一个是皮质脊髓束损伤后灵巧手运动的恢复。二是初级视觉皮层损伤后视觉功能的恢复。在前一种情况下,直接皮质-运动神经元通路的功能,特别是在高等灵长类动物中发展起来的,用于控制分趾运动,可以部分补偿其他下行运动通路,这些下行运动通路由红脊髓、网状脊髓和本体脊髓神经元介导。然而,恢复的程度取决于损伤的位置和哪些运动系统接管其功能。后一种情况下,灵长类动物高度发达的V1受损后,从外侧膝状核到纹外视觉皮层的直接通路或从中脑上丘-枕状-纹外/顶叶皮层的直接通路部分接管了V1的功能。然而,视觉意识的状态不再与完整状态相同,这可能反映了视觉识别中代偿通路的能力有限。这些信息对于确定脑和脊髓损伤后神经调节治疗的目标和设定治疗目标是有价值的。
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