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J Neurophysiol (March 14, 2007). doi:10.1152/jn.01168.2006
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Submitted on November 1, 2006
Accepted on March 7, 2007

Role of endogenous release of norepinephrine in muscle spasms after chronic spinal cord injury

Michelle M Rank1, Xiaole Li1, Dave J. Bennett2, and Monica A. Gorassini3*

1 Centre for Neuroscience, University of Alberta, Edmonton, Canada
2 Rehabilitation Medicine Faculty, University of Alberta, Edmonton, Canada
3 Biomedical Engineering, University of Alberta, Edmonton, Canada

* To whom correspondence should be addressed. E-mail: monica.gorassini{at}ualberta.ca.

The recovery of persistent inward currents (PICs) and motoneuron excitability following chronic spinal cord transection is mediated by the development of supersensitivity to residual monoamines below the lesion. The purpose of this paper is to investigate if, like serotonin (5HT), endogenous sources of norepinephrine (NE) facilitate motoneuron PICs after chronic spinal transection. Cutaneous-evoked reflex responses in tail muscles of awake chronic spinal rats were measured after increasing presynaptic release of NE by administration of amphetamine. An increase in reflex responses, especially long-lasting reflexes, known to be mediated by the calcium component of the PIC (CaPIC), was observed even at low doses (0.1-0.2 mg/Kg) of amphetamine. These findings were repeated in a reduced S2 in vitro preparation, demonstrating that the increased long-lasting reflexes by amphetamine were neural. Under intracellular voltage clamp, amphetamine application led to a large facilitation of the motoneuron CaPIC. This indicates that the increases in long-lasting reflexes induced by amphetamine in the awake animal were, in part, due to actions directly on the motoneuron. Reflex responses in acutely spinal animals were facilitated by amphetamine similar to chronic animals, but only at doses that were ten times greater than that required in chronic animals (0.2 mg/Kg chronic vs 2.0 mg/Kg acute), pointing to a development of supersensitivity to endogenous NE in chronic animals. In summary, the increases in long-lasting reflexes and associated motoneuron CaPICs by amphetamine are likely due to an increased release of endogenous NE which motoneurons become supersensitive to in the chronic stages of spinal cord injury.




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