Autonomic NS plasticity after spinal cord injury

The injured spinal cord often becomes hyper-responsive resulting in autonomic dysfunction and devastating chronic pain syndromes. Spinal preganglionic sympathetic neurons are the sympathetic output neurons of the CNS and are located in thoracic and upper lumbar spinal segments. Loss of brain controls to SPNs after spinal injury leads to an unregulated circuitry strongly influenced by afferent input from pain systems, which can produce autonomic dysreflexia.

Sympathetic postganglionic neurons (SPNs) represent the final common sympathetic motor output. Thoracic SPNs (tSPNs) located in paravertebral chain ganglia receive convergent input from preganglionic neurons, providing the dominant sympathetic control of vascular function in the trunk and upper extremities. Given their strategic nodal site in autonomic signaling to body, any plasticity in tSPNs is likely to be of high significance. Yet tSPNs are inaccessible for in vivo study, so operational principles are inferred from studies in cervical and lumbar chain ganglia. To date, only a few in vitro studies have revealed tSPN electrophysiological properties, and there are still no accurate recordings of their cellular integrative properties or underlying recruitment principles.

Figs from CRCNS submission etc 11-1-15b page3Figs from CRCNS submission etc 11-1-15b page8

Figs from CRCNS submission etc 11-1-15b page9

We developed an adult mouse ex vivo preparation with intact segmental preganglionic and rostrocaudal interganglionic connections and have begun the first whole cell recordings of tSPN synaptic and cellular properties. Observed synaptic integrative and firing properties are fundamentally different than previously observed with sharp electrodes due to impalement injury. In combination with morphological studies, our results already support tSPNs as overtly unique compared to SPNs characterized elsewhere. We are undertaking studies including optogenetic approaches to characterize tSPN recruitment principles and their integrative properties as an essential launchpad to interrogate mechanisms that generate persistent bouts of hyperexcitability after spinal cord injury as seen in autonomic dysreflexia.

Figs from CRCNS submission etc 11-1-15b page11

Figs from CRCNS submission etc 11-1-15b page18

Figs from CRCNS submission etc 11-1-15b page16