PMID- 24291254 OWN - NLM STAT- MEDLINE DCOM- 20140310 LR - 20140421 IS - 1090-2430 (Electronic) IS - 0014-4886 (Linking) VI - 252 DP - 2014 Feb TI - Plasticity beyond peri-infarct cortex: spinal up regulation of structural plasticity, neurotrophins, and inflammatory cytokines during recovery from cortical stroke. PG - 47-56 LID - S0014-4886(13)00350-6 [pii] LID - 10.1016/j.expneurol.2013.11.019 [doi] AB - Stroke induces pathophysiological and adaptive processes in regions proximal and distal to the infarct. Recent studies suggest that plasticity at the level of the spinal cord may contribute to sensorimotor recovery after cortical stroke. Here, we compare the time course of heightened structural plasticity in the spinal cord against the temporal profile of cortical plasticity and spontaneous behavioral recovery. To examine the relation between trophic and inflammatory effectors and spinal structural plasticity, spinal expression of brain derived neurotrophic factor (BDNF), neurotrophin-3 (NT-3), tumor necrosis factor-alpha (TNF-alpha), and interleukin-6 (IL-6) was measured. Growth-associated protein 43 (GAP-43), measured at 3, 7, 14, or 28 days after photothrombotic stroke of the forelimb sensorimotor cortex (FL-SMC) to provide an index of periods of heightened structural plasticity, varied as a function of lesion size and time after stroke in the cortical hemispheres and the spinal cord. Notably, GAP-43 levels in the cervical spinal cord were significantly increased after FL-SMC lesion, but the temporal window of elevated structural plasticity was more finite in spinal cord relative to ipsilesional cortical expression (returning to baseline levels by 28 post-stroke). Peak GAP-43 expression in spinal cord occurred during periods of accelerated spontaneous recovery, as measured on the Montoya Staircase reaching task, and returned to baseline as recovery plateaued. Interestingly, spinal GAP-43 levels were significantly correlated with spinal levels of the inflammatory cytokines TNF-alpha and IL-6 as well as the neurotrophin NT-3, while a transient increase in BDNF levels preceded elevated GAP-43 expression. These data identify a significant but time-limited window of heightened structural plasticity in the spinal cord following stroke that correlates with spontaneous recovery and the spinal expression of inflammatory cytokines and neurotrophic factors. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Sist, Bernice AU - Sist B AD - Centre for Neuroscience, University of Alberta, Edmonton, Alberta T6G 2R3, Canada; Neurochemical Research Unit, University of Alberta, Edmonton, Alberta T6G 2R3, Canada. Electronic address: sist@ualberta.ca. FAU - Fouad, Karim AU - Fouad K AD - Centre for Neuroscience, University of Alberta, Edmonton, Alberta T6G 2R3, Canada; Faculty of Rehabilitative Medicine, University of Alberta, Edmonton, Alberta T6G 2R3, Canada. Electronic address: karim.fouad@ualberta.ca. FAU - Winship, Ian R AU - Winship IR AD - Centre for Neuroscience, University of Alberta, Edmonton, Alberta T6G 2R3, Canada; Department of Psychiatry, University of Alberta, Edmonton, Alberta T6G 2R3, Canada; Neurochemical Research Unit, University of Alberta, Edmonton, Alberta T6G 2R3, Canada. Electronic address: iwinship@ualberta.ca. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131126 PL - United States TA - Exp Neurol JT - Experimental neurology JID - 0370712 RN - 0 (Cytokines) RN - 0 (GAP-43 Protein) RN - 0 (Nerve Growth Factors) SB - IM CIN - Exp Neurol. 2014 Apr;254:195-9. PMID: 24518486 MH - Analysis of Variance MH - Animals MH - Cytokines/*metabolism MH - Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Functional Laterality MH - GAP-43 Protein/metabolism MH - Gene Expression Regulation/physiology MH - Intracranial Thrombosis/complications MH - Laser Capture Microdissection MH - Male MH - Nerve Growth Factors/*metabolism MH - Neuronal Plasticity/*physiology MH - Photic Stimulation/adverse effects MH - Rats MH - Rats, Sprague-Dawley MH - Recovery of Function/*physiology MH - Spinal Cord/metabolism/*pathology MH - Stroke/etiology/metabolism/*pathology MH - Time Factors OTO - NOTNLM OT - BDNF OT - CC OT - CSC OT - FL-SMC OT - GAP-43 OT - IC OT - IL-6 OT - Inflammation OT - Ischemia OT - LSC OT - NT-3 OT - Neurotrophins OT - Plasticity OT - Sensorimotor cortex OT - Spinal cord OT - TNF-alpha OT - TNF-alpha OT - brain derived neurotrophic factor OT - cervical spinal cord OT - contralesional cortex OT - forelimb sensorimotor cortex OT - growth associated protein-43 OT - interleukin 6 OT - ipsilesional cortex OT - lumbar spinal cord OT - neurotrophin-3 OT - tumor necrosis factor-alpha EDAT- 2013/12/03 06:00 MHDA- 2014/03/13 06:00 CRDT- 2013/12/03 06:00 PHST- 2013/07/25 00:00 [received] PHST- 2013/10/24 00:00 [revised] PHST- 2013/11/20 00:00 [accepted] PHST- 2013/12/03 06:00 [entrez] PHST- 2013/12/03 06:00 [pubmed] PHST- 2014/03/13 06:00 [medline] AID - S0014-4886(13)00350-6 [pii] AID - 10.1016/j.expneurol.2013.11.019 [doi] PST - ppublish SO - Exp Neurol. 2014 Feb;252:47-56. doi: 10.1016/j.expneurol.2013.11.019. Epub 2013 Nov 26.