PMID- 19759317 OWN - NLM STAT- MEDLINE DCOM- 20091002 LR - 20211020 IS - 1529-2401 (Electronic) IS - 0270-6474 (Print) IS - 0270-6474 (Linking) VI - 29 IP - 37 DP - 2009 Sep 16 TI - Voluntary motor output is altered by spike-timing-dependent changes in the human corticospinal pathway. PG - 11708-16 LID - 10.1523/JNEUROSCI.2217-09.2009 [doi] AB - Repeated pairs of timed presynaptic and postsynaptic potentials cause lasting changes in efficacy of transmission at many synapses. The corticospinal tract is the major pathway controlling voluntary movement in humans, and corticospinal neurons have monosynaptic connections to motoneurons of many muscles. We hypothesized that corticospinal transmission in humans could be altered by delivering, to the corticospinal-motoneuronal synapses, timed pairs of presynaptic volleys (produced by cortical stimulation) and antidromic postsynaptic volleys (by peripheral nerve stimulation). To test corticospinal transmission, electrical cervicomedullary stimuli evoked motor responses [cervicomedullary motor-evoked potentials (CMEPs)] in biceps brachii before and for 1 h after conditioning with 50 paired cortical and peripheral nerve stimuli. Seven interstimulus intervals (ISIs) of conditioning stimulus pairs were tested on different days. With one ISI (+3 ms; cortical before peripheral nerve stimulation), CMEPs were significantly increased in size by 33 +/- 30% (mean +/- SD; n = 7) from 4 until 32 min after conditioning. With two other ISIs (-13 ms, +22 ms), CMEPs were decreased from approximately 30 until 60 min after conditioning (by 25 +/- 23% and 27 +/- 32%; n = 8). The remaining ISIs produced no changes. In a second study, subjects performed weak bilateral voluntary elbow flexion contractions before and after conditioning of the right elbow flexors. Conditioning ISIs that increased or decreased CMEPs similarly increased or decreased voluntary force and EMG on the right. Thus, depending on their timing, repeated paired stimuli can potentiate or depress corticospinal transmission, and these changes are functionally relevant. We suggest that bidirectional spike-timing-dependent plasticity can be induced at corticospinal-motoneuronal synapses and can influence voluntary motor output. FAU - Taylor, Janet L AU - Taylor JL AD - Prince of Wales Medical Research Institute and University of New South Wales, Sydney, New South Wales 2031, Australia. j.taylor@powmri.edu.au FAU - Martin, Peter G AU - Martin PG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Neurosci JT - The Journal of neuroscience : the official journal of the Society for Neuroscience JID - 8102140 SB - IM MH - Adolescent MH - Adult MH - Afferent Pathways/physiology MH - Analysis of Variance MH - Electric Stimulation/methods MH - Electromyography/methods MH - Evoked Potentials, Motor/*physiology MH - Female MH - Humans MH - Male MH - Models, Neurological MH - Motor Neurons/*physiology MH - Movement/*physiology MH - Muscle Contraction/physiology MH - Muscle, Skeletal/physiology MH - Peripheral Nerves/physiology MH - Pyramidal Tracts/cytology/*physiology MH - Reaction Time/physiology MH - Synaptic Potentials/*physiology MH - Time Factors MH - Transcutaneous Electric Nerve Stimulation MH - Young Adult PMC - PMC6665756 EDAT- 2009/09/18 06:00 MHDA- 2009/10/03 06:00 PMCR- 2010/03/16 CRDT- 2009/09/18 06:00 PHST- 2009/09/18 06:00 [entrez] PHST- 2009/09/18 06:00 [pubmed] PHST- 2009/10/03 06:00 [medline] PHST- 2010/03/16 00:00 [pmc-release] AID - 29/37/11708 [pii] AID - 3526972 [pii] AID - 10.1523/JNEUROSCI.2217-09.2009 [doi] PST - ppublish SO - J Neurosci. 2009 Sep 16;29(37):11708-16. doi: 10.1523/JNEUROSCI.2217-09.2009.