Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury

IntroductionSpinal cord injury in the high cervical cord can impair breathing due to disruption of pathways between brainstem respiratory centers and respiratory motor neurons in the spinal cord. Electrical stimulation of limb afferents can increase ventilation in healthy humans and animals, but it...

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Main Authors: Ian Walling, Sarah Baumgartner, Mitesh Patel, Steven A. Crone
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neural Circuits
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Online Access:https://www.frontiersin.org/articles/10.3389/fncir.2024.1480291/full
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author Ian Walling
Ian Walling
Sarah Baumgartner
Mitesh Patel
Steven A. Crone
Steven A. Crone
Steven A. Crone
author_facet Ian Walling
Ian Walling
Sarah Baumgartner
Mitesh Patel
Steven A. Crone
Steven A. Crone
Steven A. Crone
author_sort Ian Walling
collection DOAJ
description IntroductionSpinal cord injury in the high cervical cord can impair breathing due to disruption of pathways between brainstem respiratory centers and respiratory motor neurons in the spinal cord. Electrical stimulation of limb afferents can increase ventilation in healthy humans and animals, but it is not known if limb afferent stimulation can improve breathing following a cervical injury.MethodsWe stimulated the sciatic nerve while using electromyography to measure diaphragm function in anesthetized mice following a cervical (C2) hemisection spinal cord injury, as well as in uninjured controls. The amplitude and frequency of inspiratory bursts was analyzed over a range of stimulation thresholds.ResultsWe show that electrical stimulation (at sufficient current thresholds) of either the left or right sciatic nerve could restore inspiratory activity to the previously paralyzed diaphragm ipsilateral to a C2 hemisection injury at either acute (1 day) or chronic (2 months) stages after injury. We also show that sciatic nerve stimulation can increase the frequency and amplitude of diaphragm inspiratory bursts in uninjured mice.DiscussionOur findings indicate that therapies targeting limb afferents could potentially be used to improve breathing in patients with cervical spinal cord injury and provide an experimental model to further investigate the neural pathways by which limb afferents can increase respiratory muscle activity.
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spelling doaj-art-0b3c97c204af48c18ae55805cab1d2022025-01-22T07:11:16ZengFrontiers Media S.A.Frontiers in Neural Circuits1662-51102025-01-011810.3389/fncir.2024.14802911480291Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injuryIan Walling0Ian Walling1Sarah Baumgartner2Mitesh Patel3Steven A. Crone4Steven A. Crone5Steven A. Crone6Neuroscience Graduate Program, University of Cincinnati, College of Medicine, Cincinnati, OH, United StatesMedical Scientist Training Program, University of Cincinnati, College of Medicine, Cincinnati, OH, United StatesDivision of Neurosurgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United StatesNeurobiology Program, University of Cincinnati, College of Arts and Sciences, Cincinnati, OH, United StatesDivision of Neurosurgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United StatesDivision of Developmental Biology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United StatesDepartment of Neurosurgery, University of Cincinnati, College of Medicine, Cincinnati, OH, United StatesIntroductionSpinal cord injury in the high cervical cord can impair breathing due to disruption of pathways between brainstem respiratory centers and respiratory motor neurons in the spinal cord. Electrical stimulation of limb afferents can increase ventilation in healthy humans and animals, but it is not known if limb afferent stimulation can improve breathing following a cervical injury.MethodsWe stimulated the sciatic nerve while using electromyography to measure diaphragm function in anesthetized mice following a cervical (C2) hemisection spinal cord injury, as well as in uninjured controls. The amplitude and frequency of inspiratory bursts was analyzed over a range of stimulation thresholds.ResultsWe show that electrical stimulation (at sufficient current thresholds) of either the left or right sciatic nerve could restore inspiratory activity to the previously paralyzed diaphragm ipsilateral to a C2 hemisection injury at either acute (1 day) or chronic (2 months) stages after injury. We also show that sciatic nerve stimulation can increase the frequency and amplitude of diaphragm inspiratory bursts in uninjured mice.DiscussionOur findings indicate that therapies targeting limb afferents could potentially be used to improve breathing in patients with cervical spinal cord injury and provide an experimental model to further investigate the neural pathways by which limb afferents can increase respiratory muscle activity.https://www.frontiersin.org/articles/10.3389/fncir.2024.1480291/fullspinal cord injuryrespirationnerve stimulationsciatic nervesensory afferentelectromyography
spellingShingle Ian Walling
Ian Walling
Sarah Baumgartner
Mitesh Patel
Steven A. Crone
Steven A. Crone
Steven A. Crone
Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
Frontiers in Neural Circuits
spinal cord injury
respiration
nerve stimulation
sciatic nerve
sensory afferent
electromyography
title Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
title_full Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
title_fullStr Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
title_full_unstemmed Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
title_short Electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
title_sort electrical stimulation of the sciatic nerve restores inspiratory diaphragm function in mice after spinal cord injury
topic spinal cord injury
respiration
nerve stimulation
sciatic nerve
sensory afferent
electromyography
url https://www.frontiersin.org/articles/10.3389/fncir.2024.1480291/full
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