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It has long been suggested that hyperexcitability of motoneurons induces excitotoxicity in Amyotrophic Lateral Sclerosis. However this assumption had received little support so far. In my talk, I will review recent data that we have obtained in our laboratory. We have studied the properties of spinal motoneurons in ALS mouse models: first in adult animals, using an in vivo preparation that we have recently developed and which allows us to perform intracellular recordings of type-identified motoneurons; and then in neonatal animals, using whole cell-recordings of motoneurons in lumbar slices. Our data indicate that intrinsic hyperexcitability is confined to neonatal S-type motoneurons, which are resistant inALS. In sharp contrast FF and FR types motoneurons that degenerate in ALS tend to become hypoexcitable in adults in the days that precede their degeneration. Our results show that, as far as intrinsic hyperexcitability is concerned, it is unlikely to trigger motoneuron degeneration. However, firing does not depend solely on intrinsic properties but also on the synaptic inputs received by the cell. Indeed, motoneuron excitotoxicity might still arise, if a strong unbalance of excitatory versus inhibitory inputs exists in ALS mice. An unbalance towards more excitation could overcome the intrinsic hypoexcitability of vulnerable motoneurons and force them to discharge more than usual. In this perspective, I will also present preliminary experiments in which we have started investigating whether excitatory and inhibitory pathways to motoneurons are dysfunctional or not in ALS.
BACKGROUND AND AIMS: Glutamate excitotoxicity has long been suggested to contribute to the degeneration of motoneurons in Amyotrophic Lateral Sclerosis (ALS). However, it has recently been shown that spinal motoneurons do not display an intrinsic hyperexcitability just prior to their degeneration in SOD1 G93A mice, the standard model of ALS. Furthermore average densities of excitatory (VGLUT1 and VGLUT2) and inhibitory (VGAT) boutons on the dendritic tree and the soma of affected motoneurons were unchanged. However glutamate excitotoxicity can still take place if excitatory pathways are more active. Therefore the aim of this study was to investigate the excitability of the monosynaptic Ia pathway in SOD1 mice. METHODS: Eight SOD1 G93A and six SOD WT control mice were used in this study. Intracellularly penetrated motoneurons were identified as a medial gastrocnemius (MG) or lateral gastrocnemius (LG) motoneurons by their threshold for antidromic activation. Ia monosynaptic EPSPs were recorded from these motoneurons after stimulation of their homonymous nerve. In parallel the afferent Ia volley was recorded from the cord dorsum. Increasing stimulation intensities were used to obtain minimum and maximum Ia Volleys and EPSPs. RESULTS: The average amplitudes of monosynaptic Ia EPSPs in SOD1 motoneurons were significantly smaller when compared to SOD WT controls (1.40 mV and 2.24 mV, respectively). Moreover the EPSP difference was mainly visible for the group of motoneurons characterized by high input resistance (above 3 MΩ). On the other hand, the recruitment curves (normalized amplitude vs. stim intensity) of Ia volleys and EPSPs were unchanged, suggesting no change in excitability of Ia fibers but alterations in Ia monosynaptic synapses. CONCLUSIONS: Results indicate alterations in Ia monosynaptic pathway in presymptomatic SOD1 ALS mouse model. This can stem from several reasons, e.g. increased presynaptic inhibition of Ia terminals or reduced efficacy of post-synaptic receptors.
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