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Department of Anatomy and Cell Biology, The Hebrew University Medical School, Jerusalem 91120, Israel
Submitted 2 March 2004; accepted in final form 5 April 2004
| ABSTRACT |
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1-adrenoceptor antagonist prazosin but not by 120 µM of the
2-adrenoceptor blocker yohimbine, it could be initiated and maintained by
1-adrenoceptor agonists, and it was accompanied by a slow nonlocomotor rhythm. Transection at the lumbosacral junction abolished the fast-thoracolumbar (TL) rhythm while the fast-SC and slow-TL rhythms were unaffected. The N-methyl-D-aspartate (NMDA) receptor antagonist 2-amino-5-phosphonopentanoic acid (AP5) abolished the slow- and did not interrupt the fast rhythm. Thus
1-adrenoceptor agonists induce an NMDA receptor-independent rhythm in the SC cord and modulate NMDA receptor-dependent rhythmicity in TL segments. Injection of current steps into S2 and flexor-dominated L2 motoneurons during the fast rhythm revealed a 2030% decrease in input-resistance (RN), coinciding with contralateral bursting. The RN of extensor-dominated L5 motoneurons did not vary with the fast rhythm. The rhythmic fluctuations of RN in L2 motoneurons were abolished, but the alternating left-right pattern of the fast rhythm was unchanged in midsagittally split TL cords. We suggest that the locomotor generators were not activated during the fast rhythm, that crossed-inhibitory pathways activated by SC projections controlled the rhythmic decrease in RN in L2 motoneurons, and that the alternating pattern of the split TL cord was maintained by excitatory SC projections. | INTRODUCTION |
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2, and to lesser extent
1, adrenoceptors (Chau et al. 1998
Although it is clear that monoamines are important regulators of locomotion in the adult spinal cord, their role in the neonatal spinal cord is less clear. Although many noradrenergic terminals are present in the cervical and lumbar cords of rats during the first postnatal week (Rajaofetra et al. 1992
; Tanaka et al. 1996
), it has been difficult to establish a clear functional role for NA or adrenoceptor agonists in locomotion. For example, bath application of NA failed to produce a locomotor rhythm in the neonatal rat spinal cord preparation (Kiehn et al. 1999
; Sqalli-Houssaini and Cazalets 2000
). Interestingly, dopamine, the precursor of NA has been shown to induce a slow and organized motor pattern in the neonatal rat spinal cord (Kiehn et al. 1996
; Smith et al. 1988
), and its presence facilitates the expression of the locomotor rhythm in isolated spinal cords of young adult mice (Jiang et al. 1999a; for review see Bonnot et al. 2002b
).
The apparent differences in the response of the adult and neonatal cord to adrenoceptor agonists may reflect the relative immaturity of the central pattern generators in the younger cords. However, we now show, in contrast to earlier studies, that adrenoceptor agonists can produce a transient rhythm with a 1- to 4-s cycle time and an organized alternating-left-right pattern in rostral lumbar and sacrococcygeal segments of the neonatal rat spinal cord. In this paper, we investigate the receptors associated with the generation of the rhythm, its segmental origin, the organization of the networks involved in its generation, and the induced motor behavior. Our findings provide further insights into the maturation of vertebrate locomotor pattern generating circuitry.
| METHODS |
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Spinal cord preparations (T6Co3) were isolated from P2P4 ether-anesthetized rats with or without an intact tail (Delvolvé et al. 2001
; Lev-Tov and Delvolvé 2000
; Lev-Tov et al. 2000
). The cord was transferred to a recording chamber and superfused continuously with an oxygenated Krebs saline (e.g., Delvolvé et al. 2001
; Kremer and Lev-Tov 1997
; Lev-Tov et al. 2000
).
Stimulation and recordings
Ventral root potentials (VRPs) were recorded by suction electrodes from pairs of lumbar and sacral ventral roots (DC or 0.1 Hz to 10 kHz) using a high gain DC/AC amplifier. Sharp electrode intracellular recordings were obtained from L2, L5, and S2 motoneurons impaled from the ventral or ventrolateral aspect of the cord and identified by the presence of antidromic spikes. Microwire EMG recordings (100 Hz to 10 kHz) were obtained from left and right tail flexors and extensors (see Delvolvé et al. 2001
; Gabbay et al. 2002
; Lev-Tov et al. 2000
). Rhythmic activity was induced by bath application of NA or the
1 adrenoceptor agonist methoxamine or phenylephrine.
Data acquisition and statistical analysis
Recorded data, were digitized (Digidata 1320A, Axon Instruments), and stored on the computer's hard disk for subsequent analyses (see Gabbay et al. 2002
; Strauss and Lev-Tov 2003
). VRP data were low-pass filtered at 50100 Hz and analyzed using either Clampfit 9 (Axon Instruments) or the time series routines of STATISTICA 6 (StatSoft 2001). A detailed description of the time series analysis can be found in Strauss and Lev-Tov (2003)
. Briefly, rhythmic data were divided into equal consecutive segments, the frequency of the rhythm, and the phase shift between any given pair of time series variables were extracted using Fourier bivariate (cross spectral) analysis. The cycle time data were analyzed using linear statistical methods. Data were pooled when required if one-way ANOVA revealed no significant differences between the data samples. The phase data were analyzed using circular statistics to calculate the mean phase-lag and the r vector describing the concentration of phase-lag values around the mean under each experimental condition (Delvolvé et al. 2001
; Gabbay et al. 2002
; Lev-Tov et al. 2000
). Data were pooled when required if the Watson and Williams test revealed no significant differences between the tested samples. The Rayleigh's test (Zar 1984
) was used to determine whether the phase values were uniformly distributed around the circle (see Delvolvé et al. 2001
; Gabbay et al. 2002
). Multi-sample testing was performed to compare the mean phase values of any pair of tested factors (the Watson-Williams test) (Zar 1984
).
| RESULTS |
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NA has been reported to produce irregular bursting or a very slow rhythm in the lumbar cord of neonatal rats (Kiehn et al. 1999
; Sqalli-Houssaini and Cazalets 2000
). Figure 1 shows that NA also produced a "fast" alternating-left-right rhythm in lumbar and sacral segments of the spinal cord (A). Analysis of this rhythm revealed a mean cycle time of 2.8 ± 1.2 (SD) s, a robust alternating pattern with a mean left-right phase shift (
L-R) of 0.51 ± 0.09 cycles, r vector = 0.84 (7 experiments), and a coupled activity of the rostral-lumbar and ipsilateral sacrococcygeal segments with a mean phase shift (
LL2-LS2) of 0.92 ± 0.07 cycles (r vector = 0.92, 6 experiments).
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20 mV) and that the bursts of spikes elicited during the depolarizing phases of these oscillations were in phase with the ipsilateral ventral root firing. The fast rhythm induced by NA was short-lasting, it slowed down within 12 min, decomposed into irregular packets of short alternating bursts mixed with occasional longer bursts (Fig. 1C), and finally (
5 min) blocked.
Fast rhythm is mediated mainly by activation of
1-adrenoceptors
The pharmacological basis of the fast NA-induced rhythm was examined in a series of eight experiments. The fast rhythm (Fig. 2A) could be induced when NA was added to the bath 20 min after application of the
2-adrenoceptor blocker yohimbine (1 µM, Fig. 2B). The rhythm persisted in the presence of 2, 5, and 10 µM yohimbine and, in some of the experiments, in the presence of 20 µM of the drug and exhibited various perturbations when the concentration of yohimbine exceeded 20 µM. By contrast, application of the
1-adrenoceptor blocker prazosin (1 µM) to the preparation prevented the ability of NA to initiate the rhythm (Fig. 2C). Similar results were obtained in each of the experiments performed in this series. These results suggested that the fast NA-induced rhythm is accounted for mainly by activation of
1-adrenoceptors, a suggestion that was further supported by the finding that the fast rhythm could be initiated by bath application of the
1-adrenoceptor agonists methoxamine (Fig. 2D) or phenylephrine (not shown). The methoxamine-induced rhythm was superimposed on a tonic depolarization (11.7 mV, this experiment; mean = 13.8 ± 5.4 mV, n = 18, pooled methoxamine and NA data) and was accompanied by a significant increase in input resistance (48.2 ± 21.3%, sampled during nonrhythmic epochs in the 5 tested cases, P < 0.01, 2-tailed t-test). The cycle time of the methoxamine induced rhythm was 2.7 ± 0.85 s, and the left-right phase was 0.5 ± 0.001 cycles, r vector = 0.89 (10 experiments). Unlike the NA-induced rhythm, the rhythm produced by methoxamine was long-lasting. It slowed down gradually and persisted for tens of minutes (3060 min). To test whether the rhythm produced by
1-adrenoceptors required an activation of NMDA receptors, we tried to induce the rhythm by methoxamine in the presence of the NMDA receptor blocker 2-amino-5-phosphonopentanoic acid (AP5, 200 µM).
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LL2-RL2 = 0.49 ± 0.02 cycles, r vector = 0.83,
LS2-RS2 = 0.49 ± 0.09 cycles, r vector = 0.86; AP5:
LL2-RL2 = 0.51 ± 0.1 cycles, r vector = 0.81,
LS2-RS2 = 0.47 ± 0.1 cycles, r vector = 0.83, respectively, 5 experiments)
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In a previous study, we have shown that NA induced rhythmic tail movements characterized by left-right alternations of the tail musculature and by coactivation of flexors, extensors, and abductors on a given side of the tail (Gabbay et al. 2002
). Similar movements and patterns were induced by bath-applied methoxamine (not shown). To determine the pattern of flexor-extensor activation at the lumbar cord during the rhythm, we recorded the activity produced by methoxamine from flexor (L1L4)- and extensor (L5)-dominated segments of the lumbar spinal cord. Recordings from the left L2L5 ventral roots and from the left and right S2 ventral roots are shown in Fig. 4. Immediately (23 min) after addition of methoxamine to the bath, fast rhythmic bursts appeared in L2L4 and S2 (cycle time: 3.14 ± 0.4 s, 5 experiments) but not in L5 (A). Analyses of the temporal relation among L2, L3, and S2 (5 experiments) revealed that
LL2-LS2 was 0.96 ± 0.003 cycles, r vector = 0.99, meaning that the L2 rhythm lagged by 125 ± 8 ms after that of the ipsilateral S2, thereby, suggesting a caudorostral spread of the rhythm. The phase shift between L2 and L3 (
LL2-LL3) was 0.003 ± 0.0001 cycles (r vector = 0.99), and the phase shift between the left and right S2 (
LS2-RS2) was 0.49 ± 0.001 cycles, r vector = 0.98. At a later stage, (510 min after addition of methoxamine, B), the fast rhythm in the flexor-dominating lumbar segments was accompanied by a superimposed slow rhythm (B,
). The slow rhythm that had a cycle time of 64 ± 34.4 s (data pooled from 5 experiments in this series and 9 additional experiments) compares to 3.14 ± 0.4 s, 5 experiments of the fast rhythm (see histograms in C), appeared in all the recorded lumbar (L2L5) and sacral segments, exhibiting ipsilateral synchronicity of flexor- and extensor-dominated segments of the lumbar cord (
LL2-LL5 = 0.02 ± 0.03 cycles, r vector = 0.98, 5 experiments in this series and 4 additional experiments).
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L-R = 0.998 ± 0.06 cycles, r vector = 0.93), an alternating left right pattern (Fig. 5D, 3/13 experiments,
L-R = 0.55 ± 0.18 cycles, r vector = 0.76) or a mixed and irregular (uniformly distributed, Rayleigh's test) pattern (3/13 experiments, not shown). Transection of the spinal cord at the lumbosacral junction or at mid L5 blocked immediately the fast alternating lumbar rhythm without impairing the slow lumbar rhythm. The fast alternating-left-right rhythm of the sacral cord persisted under these conditions with a robust alternating-left-right pattern. Analysis of eight transection experiments revealed that the cycle time of the S2 rhythm was 2.7 ± 0.8 and 2.6 ± 1.1 s, and the left-right phase shift (
LS2-RS2) was 0.5 ± 0.07 cycles, r vector = 0.91, and 0.51 ± 0.09 cycles, r vector = 0.86, before and after the transection, respectively.
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LS2-RS2 = 0.5 ± 0.07 cycles, r vector = 0.92, and 0.47 ± 0.1 cycles, r vector = 0.82, in the absence and presence of AP5, respectively]. The unchanged frequency of the fast SC rhythm in the presence of AP5 suggests that AP5 did not affect the SC CPGs and that the prolonged cycle time observed in preparations with attached SC segments in the presence of AP5 (Fig. 3) was probably due to changes in interactions between the TL and SC cords after the suppression of NMDA receptor-depended connectivity.
As mentioned in the preceding text, the fast rhythm generated in the SC spinal segments appeared also in flexor- but not extensor-dominated segments of the lumbar cord. In a previous study, we have shown that changes in input resistance of motoneurons and their relation to efferent firing of the segmental ventral roots could be used to detect rhythmic changes in somatic inhibition produced by the sacrococcygeal rhythmogenic circuitry in neonatal rats (Lev-Tov et al. 2000
). Therefore to infer about the organization of the pattern generating circuitry in the SC spinal segments and the recruitment of flexor and extensor half centers in the lumbar cord, we used repetitive intracellular injection of hyperpolarizing current steps to examine changes in input resistance of motoneurons in S2, the flexor-dominated L2, and the extensor-dominated L5 segments during the methoxamine induced rhythm. Our results are described in the following text:
Rhythmic fluctuations in input resistance of S2 and lumbar flexor motoneurons
Figure 6A shows simultaneous ventral root recordings from S2 and intracellular recordings from an S2 motoneuron in a surgically detached SC cord in the presence of methoxamine (1 of 3 experiments performed in this series). A fast alternating rhythm with similar characteristics to the rhythm described in S2 motoneurons of intact TL-SC preparations (e.g., Fig. 2) was produced under these conditions. The firing of the recorded motoneurons was blocked by injection of hyperpolarizing current (0.75 nA), and the voltage transients produced by repetitive injection of hyperpolarizing current steps (0.5 nA, 100 ms, 2 Hz) to the motoneuron were monitored. Continuous recordings of these voltage transients during the rhythm are shown with DC recordings of the left and right S2 VRPs, in Fig. 6B. A substantial decrease in the amplitude of the voltage transients was evident during the troughs of the rhythmic oscillation in membrane potential. To analyze the relation between the voltage transients and the rhythmic activity, we averaged the voltage transients and the left and right S2 VRPs produced during the last 20 ms of each current step and plotted the resultant mean amplitudes as a function of time in Fig. 6C. The rhythmic variations in voltage transients and their relation to the contralateral ventral root potentials (VRPs) were examined using cross-correlation analysis (Fig. 6C, right). This analysis revealed significant rhythmic changes in the amplitude of the voltage transients (reflecting rhythmic changes in input resistance) and an inverse correlation between the amplitude of the transients and that of the contralateral VRPs, i.e., the drop in input resistance was in phase with contralateral activity.
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Recordings from motoneurons in the extensor-dominated L5 segments were performed in six different experiments to examine whether these motoneurons exhibit rhythmic inhibition during the activation of lumbar flexors. Figure 8 shows the voltage transients produced in a left L5 motoneuron and the efferent activity recorded from the left and right L5 and L2 ventral roots in the presence of bath-applied methoxamine (A). The displayed records show no indication for systematic variations in input resistance of the recoded L5 motoneuron during the rhythm. This notion is supported by the cross-correlation analysis of these data (B). A clear and significant alternating-left-right pattern of the L2 rhythm is evident from the cross-correlogram of the amplitude of the left versus right L2 VRPs (Fig. 8B, left). At the same time, there was no significant correlation between the amplitude of the voltage transients produced in the recorded L5 motoneuron and the amplitude of the ipsilateral L2 VRPs (B, right). Similar findings were observed in each of the experiments performed in this series. A summary plot of a regression analysis of the pooled standardized data obtained in these experiments is shown in Fig. 8C. The slope of the regression line between the amplitude of the voltage transients produced in L5 motoneurons and the ipsilateral rhythmic activity 0.03 ± 0.024 was not significantly different from 0 (R2 = 0.001 P < 0.15).
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| DISCUSSION |
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The effects of NA and adrenoceptor agonists on rhythmogenic networks in the mammalian spinal cord have been described in detail in a number of preparations (vide ante). In contrast to the ability of adrenoceptor agonists to induce locomotion or locomotor like activity in spinal cats (for review see Rossignol 1998
), bath application of NA to isolated spinal cords of neonatal rats has been shown to induce a slow rhythmic activity with irregular patterns in the lumbar (Kiehn et al. 1999
; Sqalli-Houssaini and Cazalets 2000
) and cervical cord (Morin et al. 2000
). These effects of NA have been reported to be mimicked by bath applied
1-adrenoceptor (Sqalli-Houssaini and Cazalets 2000
; Morin et al. 2000
) but not
2- or
-adrenoceptor agonists (Sqalli-Houssaini and Cazalets 2000
). In the present work, we showed that in addition to the slow and irregular rhythmic activity, bath-applied NA produced a fast alternating transient rhythm in the sacral (e.g., Gabbay et al. 2002
) and rostral lumbar segments of the neonatal rat spinal cord. This rhythm has not been reported in previous studies (Kiehn et al. 1999
; Sqalli-Houssaini and Cazalets 2000
) probably due to its short-lasting nature and the appearance of the slow accompanying rhythm. We also showed that the fast rhythm could be induced and maintained for tens of minutes when the
1-adrenoceptor agonist methoxamine was used instead of NA. Thus the transient nature of the fast NA-induced rhythm may be ascribed to activation of
2- and/or
-adrenoceptors, which have been shown to slow down and inhibit the serotonin/NMDA-induced rhythm in the neonatal rat spinal cord (Sqalli-Houssaini and Cazalets 2000
).
The slow and fast rhythms induced by
1-adrenoceptor agonists differ not only in their cycle times but also in their segmental origin and the receptors involved in their generation. Our findings that the fast rhythm persisted in the SC spinal segments and was abolished in the TL segments after transecting the cord at the lumbosacral junction, and that the slow rhythm continued in the detached TL and not the SC cord, suggested that the fast rhythm originates in the SC segments and the slow one is produced by the TL circuitry. The finding that the slow rhythm was blocked by the NMDA antagonist AP5, whereas the fast rhythm persisted in the presence of high concentrations of AP5, indicated that the slow rhythm reflects modulation of the NMDA-receptor-dependent rhythmicity of the TL cord similar to the suggestion of Kiehn et al. (1999)
, Sqalli-Houssaini and Cazalets (2000)
and Morin et al. (2000)
, whereas the fast rhythm does not depend on NMDA receptors, and it may be actually initiated by activation of
1-adrenoceptors in the SC cord.
The reasons for the differential responsiveness of the TL and the SC central pattern generators (CPGs) to
1-adrenoceptor agonists are not known mainly due to lack of data concerning noradrenergic innervation of the tail moving networks in neonates. The differential responsiveness may arise from regional differences in the density and spatial distribution of adrenoceptors, from differences in the proportion of the known subtypes of adrenoceptors over constituents of the TL and SC CPGs, and from differential properties of the pattern generating circuitry of the TL and SC spinal segments. Further understanding of the ability of monoamines to induce NMDA-independent rhythmic patterns in the isolated SC and not in the isolated TL spinal segments should await additional physiological and histochemical studies of noradrenergic innervation of these regions.
The mechanisms involved in the generation of the fast rhythm by NA are not known. NA has been shown to decrease the potassium conductance and the input resistance of neonatal rat motoneurons and to depolarize them and increase their excitability (Morin et al. 2000
; Parkis et al. 1995
; White et al. 1991
). These effects of NA were mimicked by
1-adrenoceptor agonists (Morin et al. 2000
; Parkis et al. 1995
). In adult motoneurons, NA has been shown to increase the voltage-dependent persistent inward currents (IPIC) (Lee and Heckman 1999
) involved in generation of plateau potentials that are capable of producing a prolonged neuronal discharge in response to a transient activation and thereby shape the motor output (for review, see Perrier et al. 2002
). Plateau potentials have been described in various spinal neurons, including putative pattern generating interneurons of the neonatal rat spinal cord (Kiehn et al. 1996
), and their possible activation in the presence of NA may contribute to rhythmogenesis. Our attempts to detect plateau potentials in P2P4 spinal motoneurons in the presence of NA and to affect the SC rhythmicity by application of nifedipine, a blocker of the L-type calcium channel whose activation is a major source of IPIC (Hounsgaard and Kiehn, 1989; Russo and Hounsgaard 1996
; for review, see Perrier et al. 2002
), have not been successful (A. Medini and A. Lev-Tov unpublished results), possibly due to the immature nature of the L-type channel at this postnatal age (Jiang et al. 1999b). Additional studies in this regard are currently performed in our laboratory.
Source of the fast rhythmic drive potential
As mentioned in the preceding text, the fast lumbar rhythm is significantly delayed comparing to the SC rhythm, and it depends on the presence of SC spinal segments (e.g., Fig. 4). An important question is whether its generation involves activation of the TL locomotor pattern generators by SC projections. The pattern of the fast lumbar rhythm is different from that of the locomotor rhythm. The locomotor rhythm is characterized by alternating flexor-extensor and by alternating-left-right patterns, while the fast lumbar rhythm is manifested as an alternating activation of the flexor-dominating segments of the cord.
Generally speaking a hypothetical agonistic half-center can be activated separately from its antagonistic half-center (Hochman and Schmidt 1998
). If this was the case, the anticipated rhythmic drive potential of lumbar flexor motoneurons would be either composed of phasic-excitation alone (see Hochman and Schmidt 1998
) or phasic excitation alternating with phasic inhibition (originating from the contralateral half-center) (see Kjaerulff and Kiehn 1997
). In either case, one would expect evidence of phasic inhibition of the extensor motoneurons (e.g., in L5). However, intracellular recordings of extensor-dominated L5 motoneurons and injection of current steps into these motoneurons revealed no rhythmic changes in their input resistance in the presence of methoxamine (Fig. 8). This finding suggests a lack of rhythmic inhibitory input in L5 motoneurons from components of an ipsilateral half-center as well as an absence of crossed inhibitory input.
In addition, a substantial decrease in input resistance of both sacral (Fig. 6) and the flexor-dominated L2 motoneurons (Fig. 7) was detected during the troughs of the rhythmic drive potential induced by methoxamine. This rhythmic inhibition of L2 motoneurons coincided with the contralateral ventral root firing and was abolished in the midsagittally split TL cord. This suggests it was due to activation of crossed inhibitory pathways as has been proposed for the sacral rhythm produced by repetitive stimulation of sacrocaudal afferents (Lev-Tov et al. 2000
). Interestingly, the alternating pattern of the fast lumbar rhythm could be maintained for many minutes in the absence of the phasic inhibitory drive in the midsagittally split thoracolumbar cord (Fig. 7). These observations suggest that the purely excitatory rhythmic drive potential observed in L2 motoneurons of midsagittally split thoracolumbar segments originates from ascending/propriospinal projections of the ipsilateral sacral cord, while the left-right phase is maintained under these conditions by crossed inhibitory pathways between the left and right sacral pattern generators. Given that axons of commissural neurons cross the midline at the segmental level of their somata (Eide et al. 1999
; Stokke et al. 2002
), this suggestion implies that the crossed inhibition found in rostral lumbar motoneurons of bilaterally intact TL cords during the rhythm is not due to axons from the sacrocaudal inhibitory interneurons that project rostrally and cross at the lumbar cord but rather due to lumbar commissural interneurons activated by ascending/propriospinal excitatory projections from the sacral cord. Schematic representation of this hypothesis is illustrated in Fig. 9.
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What is the functional significance of the fast rhythm? As mentioned in the preceding text, the fast rhythm was generated primarily in the SC spinal segments by adrenoceptors activation, and it produces rhythmic tail movements and rhythmic activation of the regional axial musculature. In this way, descending noradrenergic projections onto the sacrococcygeal cord may be able to control tail movements during different behavioral repertoires. Moreover, in the present study, we showed that the fast rhythm appeared also in flexor-dominating segments of the lumbar cord. Thus the activated SC circuitry is capable of increasing the probability of recruiting lumbar flexors, a feature that may be used to facilitate the combined appearance of rhythmic tail movements and locomotor activity in response to stimulation of sacrocaudal dermatomes (Bonnot et al. 2002a
; Delvolvé et al. 2001
; Lev-Tov and Delvolvé 2000
; Lev-Tov et al. 2000
; Smith et al. 1988
; Strauss and Lev-Tov 2003
; Whelan et al. 2000
) during a nocifencive/escape type of behavior.
Finally, the ability of the NMDA/serotonin-dependent rhythmicity of the TL pattern generators to drive the SC networks in the presence or absence of NA (Cazalets and Bertrand 2000
; Gabbay et al. 2002
; Kremer and Lev-Tov 1997
) may be used to produce coordinated limb and tail movements with the required frequency during swimming (Cook et al. 2001
; Gabbay et al. 2002
), climbing, and turning (Bennett et al. 1999
; Wada and Shikaki 1999
; Walker et al. 1998
).
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Address for reprint requests and other correspondence: A. Lev-Tov, Dept. of Anatomy and Cell Biology, The Hebrew University Medical School, P.O. Box 12272, Jerusalem 91120, Israel (E-mail: aharony{at}md.huji.acil).
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