Abstract
Identification of neural networks and pathways involved in activation and modulation of spinal central pattern generators (CPGs) in the absence of the descending control from the brain is important for further understanding of neural control of movement and for developing innovative therapeutic approaches to improve the mobility of spinal cord injury patients. Activation of the hindlimb innervating segments by sacrocaudal (SC) afferent input and by specific application of neurochemicals to the sacral networks is feasible in the isolated spinal cord preparation of the newborn rat. Here we review our recent studies of sacral relay neurons with lumbar projections and evaluate their role in linking the sacral and thoracolumbar (TL) networks during different motor behaviors. Our major findings show that: (1) heterogeneous groups of dorsal, intermediate and ventral sacral-neurons with ventral and lateral ascending funicular projections mediate the activation of the locomotor CPGs through sacral sensory input; and (2) rhythmic excitation of lumbar flexor motoneurons, produced by bath application of alpha-1 adrenoceptor agonists to the sacral segments is mediated exclusively by ventral clusters of sacral-neurons with lumbar projections through the ventral funiculus.
Introduction: the thoracolumbar limb-moving and sacrocaudal body-stabilizing rhythmogenic networks are tightly coupled
Spinal neuronal networks known as central pattern generators (CPGs) produce the rhythmic patterned output required for coordinated movements such as swimming and stepping in many species of vertebrates including humans (for reviews see Alford et al., ; Kiehn, ; Hultborn and Nielsen, ; Frigon, ). The CPGs are controlled by descending supraspinal commands and can be modulated to produce different patterns and behaviors. However, the CPGs can be also activated and modulated in the absence of descending control from brain by afferent-input and neuroactive compounds. Indeed, recent clinical studies have shown that reactivation of the CPGs in spinal cord injury patients by afferent input is possible and that it improves the motor function and mobility of some of the patients (for review see Hubli and Dietz, ). Therefore, it is of particular interest and significance to elucidate the networks and pathways involved in activation and modulation of the CPGs in accessible experimental models. The pattern generating circuitry in rodents activates the limb, trunk, and axial muscles innervating-segments to produce stabilized and coordinated locomotion under different conditions. The rhythmogenic capacity of these networks is preserved in vitro, in the isolated spinal cord preparation of newborn rodents (e.g., Kudo and Yamada, ; Smith et al., ). Therefore, this preparation can be used as an ideal model to study the mechanisms and interactions of the body stabilizing and limb moving networks in the absence of supraspinal control. In previous studies we described a rhythmogenic network in the sacrocaudal (SC) segments of the neonatal rat spinal cord that controls the axial and tail musculature during various movements (Lev-Tov and Delvolvé, ; Lev-Tov et al., ; Delvolvé et al., ; Gabbay et al., ). The SC-rhythmogenic network could be activated in surgically detached sacral spinal segments by stimulation of sacrocaudal afferents (SCA; Lev-Tov et al., ; Delvolvé et al., ), by bath application of noradrenaline (NA) and NMDA (Gabbay and Lev-Tov, ) and by the alpha1-adrenoceptor agonist, methoxamine (Gabbay and Lev-Tov, ). Figure 1 shows that the SC rhythmogenic network is co-activated with the hindlimb CPGs in the isolated spinal cord of the neonatal rat in the absence and presence of bath-applied neurochemicals. Coordinated activation of the SC- and locomotor-CPGs could be also demonstrated in response to electrical stimulation of the ventromedial medulla (VMM; Blivis et al., ; e.g., Zaporozhets et al., ) or SCA in the isolated brainstem-spinal cord preparation (Figure 1A, see Blivis et al., ; e.g., Gordon et al., ).
Figure 1
Most of the studies of rodent rhythmogenesis used various combinations of NMDA and monoamines to produce the rhythm (reviewed in Miles and Sillar, ). Figure 1B shows that the NMDA/5HT induced rhythm in the sacral spinal segments is nearly abolished when the spinal cord is transected at the lumbosacral junction, while the 0.25–1 Hz lumbar rhythm produced in the presence of methoxamine disappears when the sacral segments are disconnected from the lumbar spinal cord (Figure 1C). These findings suggest that the lumbar-CPGs drive the sacral-CPGs in the presence of NMDA/5HT and that the sacral-CPGs drive the rostral-lumbar segments to produce rhythmic bursting in the presence of methoxamine (see also Gabbay and Lev-Tov, ). The coupling between the thoracolumbar (TL) and SC-CPGs during the rhythm induced by sensory and brainstem stimulation was found to be in the rostro-caudal direction (Bonnot et al., ; Lev-Tov and O’Donovan, ; Etlin et al., ; Lev-Tov et al., ; Strauss, ). On the other hand, caudo-rostral coupling between spinal networks is also well known in many vertebrates (see changes in the direction of propagation when switching from forward to backwards swimming in lampreys, Islam et al., ) including the neonatal rat spinal cord preparation during neurochemically induced motor rhythms (Falgairolle and Cazalets, ).
Our interest in the SC-network stems from two main reasons. First, it provides basic knowledge regarding stabilization of the body axis and the use of the tail musculature during rhythmic limb movements. Second, SC-interneurons may serve as important relays onto the locomotor generators during a nocifensive/escape type of behavior triggered by stimulation of SC dermatomes (Smith et al., ; Lev-Tov and Delvolvé, ; Lev-Tov et al., ; Whelan et al., ; Delvolvé et al., ; Bonnot et al., ; Strauss and Lev-Tov, ). Moreover, the ability to activate the locomotor CPGs in the absence of descending control from the brain via sacral relays has a potential clinical significance for future treatments of spinal cord injury patients (see below).
More specifically, the capacity to produce the locomotor rhythm by SCA depends largely on synaptic activation of sacral relay neurons with lumbar projections (Strauss and Lev-Tov, ; Blivis et al., ; Etlin et al., , ; Lev-Tov et al., ). The ability of sacral CPGs to produce an alternating left-right lumbar-flexor bursting in response to sacral application of methoxamine, also depends on activation of sacral relay neurons with rostral lumbar projections (Gabbay and Lev-Tov, ; as in Figure 1C). Here we briefly review our studies of the mediating relay neurons and the pathways involved in linking the sacral and lumbar networks under these conditions and discuss possible mechanisms and implications of our findings.
I- Activation of locomotor CPGs by sacrocaudal afferent input
Mediation of SCA-induced locomotor activity by sacral relay-neurons with lumbar projections
Afferent input is a potent activator of the locomotor CPGs in the absence of the descending control from the brain in humans and experimental mammalian models (Grillner and Rossignol, ; Grillner and Zangger, ; Duysens and Pearson, ; Pearson and Rossignol, ; Prochazka et al., ; Dietz and Duysens, ; Dietz et al., ; Pearson, ; for reviews see Edgerton et al., ; Dietz, ). We showed that mechanical and radiant heat stimulation of SC dermatomes (Lev-Tov et al., ; and Blivis et al., , respectively; e.g., Mandadi and Whelan, ) as well as electrical stimulation of SCA induces coordinated activation of the locomotor and SC-CPGs (Lev-Tov et al., ; Strauss and Lev-Tov, ; Klein and Tresch, ; for the mouse see Whelan et al., ).
The SCA-induced locomotor rhythm in the newborn rat spinal cord, could be blocked by bathing the sacral segments in low-calcium high-magnesium Kreb’s saline, by selective sacral application of the non-NMDA receptor blocker CNQX (Strauss and Lev-Tov, ) or the mu-opioid agonist DAMGO (Blivis et al., ). Using surgical and pharmacological manipulations of the spinal cord, we found that the sacral relay neurons, activated by SCA to produce the locomotor rhythm, project to the lumbar segments through the ventral (VF), ventrolateral/lateral (VLF/LF) and dorsolateral (DLF) white matter funiculi (Strauss and Lev-Tov, ; Etlin et al., ; Lev-Tov et al., ). These studies further showed that the capacity of SCA input to produce the locomotor rhythm depends not only on activation of sacral relay-neurons with direct projections to the lumbar CPGs, but also on serial recruitment of multi-funicular sacral-propriospinal neurons interposed between the second order neurons and the hindlimb-CPGs.
Segmental and spatial distribution of sacral relay neurons with lumbar projections
Confocal imaging of sacral relay neurons with lumbar projections, back-labeled through cut VF, VLF/LF and DLF axon bundles at the lumbosacral junction, was used to map their segmental and spatial distribution, and lumbar projection patterns (Etlin et al., ; Lev-Tov et al., ). Figure 2 shows low-power projected confocal images of sacral relay-neurons in whole-mount transparent preparations of the spinal cord, labeled through the cut VF (Figure 2A) and the combined VLF/LF (“VLF”, Figure 2B) axons at the left lumbosacral junction (see, respective scheme above each micrograph; also Etlin et al., ). These confocal micrographs demonstrate that most of the lumbar VF projections are crossed, and the majority of the lumbar VLF/LF projections are un-crossed (see also the schemes in A and B: crossed projections in blue, uncrossed projections in white). The DLF lumbar projections (not shown) were uncrossed. The back-labeled DLF-neurons were revealed mainly within the dorsal horn laminae, while most of the VF- and VLF/LF-neurons were in laminae VII, VIII and IX and the deep dorsal horn laminae (Etlin et al., ).
Figure 2
Sacrocaudal primary afferents and intraspinal neurons innervate sacral relay-neurons with lumbar projections
After mapping the distribution of sacral relay-neurons and their lumbar projection patterns, we examined whether these neurons are contacted by SCA, and whether these contacts are glutamatergic as predicted by Strauss and Lev-Tov (
Sacral VF-neurons serve as an important link between SCA and the hindlimb-CPGs
Etlin et al. (
Figure 3 demonstrates calcium imaging of back-filled VF-neurons and concurrent electrophysiological recordings of the motor-output produced in the rostral-lumbar and sacral segments of the isolated spinal cord during SCA stimulation (Figure 3A). Recordings were obtained from the ventral surface of the cord after prolonged back-loading with the calcium sensor (Calcium green dextran) through cut bundles of right VF-axons at the lumbosacral junction. The fluorescence changes (ΔF/F) produced by calcium transients during the stimulus trains applied to SCA at two different intensities are shown in Figures 3B,C. The rhythmic ΔF/F of the imaged left VF-neuron during the higher-intensity stimulus train, exhibits a characteristic rhythmic pattern, in phase with the left ventral root bursting (Figure 3C). Our experiments revealed that more than 50% of the back-labeled VF-neurons could be activated by SCA stimulation. Forty-one percent of the activated VF-neurons exhibited tonic pattern, 18% showed pure rhythmic pattern, 34.5% had a tonic pattern with superimposed oscillations, and 6.2% fired irregularly during the stimulus trains. Analysis of the 161 crossed-projecting VF-neurons that exhibited oscillatory drive (with and without background tonic activity), revealed that ~70% of them were in phase with the ipsilateral-motor output and ~30% were in phase with the contralateral motor output (Etlin et al.,
Figure 3

Correlation between the activity of VF neurons and the motor output during SCA stimulation. (A) Illustration of the experimental set up used for simultaneous imaging of VF neurons and electrophysiological recordings of the motor output during the rhythm produced by SCA stimulation. Sacral relay neurons are loaded with calcium green dextran through the cut VF at the lumbosacral junction (L6/S1) in the isolated spinal cord preparation of the neonatal rat (VF fill). The preparation is mounted with ventral side up (in this example) in a dual chamber experimental bath (dashed line at the L6/S1 denotes the Vaseline barrier separating the two chambers). The motor output produced by stimulation of Co1 or S4 dorsal roots (SCA stimulation) is recorded from the left and right L2 and S2 ventral roots. Calcium transients produced in fluorescently labeled sacral VF-neurons are imaged simultaneously using epifluorescence microscopy with attached 14 bit CCD camera (for further details see Etlin et al.,
Another interesting finding involves the relation between rhythmic bursting of the sacral CPG, the activity pattern of VF-neurons, and lumbar motor-output. Figure 3D demonstrates that application of the NMDA-receptor blocker APV to the sacral segments reduces the activity of the sacral-CPGs without blocking the concomitant lumbar-rhythm. Under these conditions, the tonic drive of the imaged VF-neurons is not altered (compare Sacral APV to APV wash) while the oscillatory drive of the neurons is completely blocked in ~60% of the cells with the combined rhythmic/tonic pattern and of the cells with the rhythmic pattern, and is markedly attenuated in the remaining ~40% of these cells (Etlin et al.,
II. Caudo-rostral coupling between sacral and rostral lumbar networks during alpha1-adrenoceptor agonist activation of the sacral CPGs
The spinal cord receives extensive noradrenergic innervation (e.g., Gabbay and Lev-Tov,
Figure 4

The methoxamine-induced 0.25–1 Hz rhythm in the sacral spinal segments is relayed to the rostral lumbar network by sub-clusters of ventrally located sacral VF neurons. (A) Intracellular recordings from a left S2 motoneuron (L-S2 MN) are superimposed with concurrent recordings from the left and right S2 ventral roots in the presence of bath-applied methoxamine (100 μM) to the surgically detached sacral segments of the spinal cord. (B) Recordings from the left and right L2 and S2 ventral roots showing alternating left-right bursting when methoxamine is applied to the sacral compartment (colored rectangle) of a dual chamber experimental bath. (C) Recordings from the left and right L2 and S2 ventral roots in the experiment described in (B) after washing the sacrally applied methoxamine and adding methoxamine to the TL compartment (colored rectangle) of the experimental bath. The sacral rhythmic activity is blocked, while a slow rhythm appears in the lumbar segments. (D) Confocal micrograph of a 70 μm cross section through the S2 spinal segment shows left sacral neurons back-loaded with fluorescein-dextran through the right VF at the lumbosacral junction (dye back-loading is illustrated on the left). (E) Imaging the activity developed in a ventral S2 VF-neuron back-loaded with Calcium green dextran and viewed from the ventral aspect of the isolated spinal cord (blue, ΔF/F) and the concurrently recorded motor output from the left L2 and the left and right S2 ventral roots, 5 and 10 min after addition of methoxamine to the experimental bath. The 0.1 Hz–10 Khz ventral root recordings were not high-pass filtered to reveal the early subthreshold activity in L–L2.
What is the nature of the lumbar bursting produced by sacrally applied methoxamine? Gabbay and Lev-Tov (
We suggest that sub-clusters of ventrally located sacral-neurons mediate the generation of the rhythmic bursting in lumbar flexor-motoneurons by sacrally applied methoxamine. Studies of trans-synaptic labeling of sacral VF- and other sacral-interneurons, using GFP-encoded retrograde virus injection to hindlimb muscles (e.g., Hadas et al.,
Conclusions and suggestions
In this manuscript, we focused on the mediating role of sacral-neurons in linking the sacral and lumbar networks during rhythmic motor activity produced by SCA input and by selective activation of sacral-neurons by alpha1 adrenoceptor agonists. While SCA stimulation activates successfully both the sacral and lumbar CPGs, sacrally applied methoxamine activates the sacral CPGs and thereby produces alternating left-right bursting in rostral lumbar motoneurons. The lumbar rhythmic bursting produced by SCA stimulation is mediated mainly by relay-neurons with direct and indirect multifunicular lumbar-projections, while the methoxamine-induced rhythm is mediated by sacral-neurons that project rostrally only through the VF. We provided evidence that the drive produced by the activated VF relay neurons and the pathways associated with them, may turn-on the locomotor pattern generators when the sacral afferents are stimulated, and stimulate lumbar flexor motoneurons in the presence of methoxamine. Thus, sub-populations of sacral VF-neurons are suggested to project to flexor motoneurons that are driven by the more excitable and dominant rostral lumbar oscillators (e.g., Cazalets et al.,
Further studies are required to clarify the role of short- and long-ascending propriospinal pathways from the sacral to the lumbar cord (Bras et al.,
Statements
Acknowledgments
This work was supported by grants from The Israel Science Foundation (ISF) 1591/08, 1930/08, 491/12 to Aharon Lev-Tov, and ISF 685/01 and MDA to Lili Anglister.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
sacrocaudal afferents, calcium imaging, spinal interneurons, ascending pathways, central pattern generators, locomotor, alpha1 adrenoceptors
Citation
Cherniak M, Etlin A, Strauss I, Anglister L and Lev-Tov A (2014) The sacral networks and neural pathways used to elicit lumbar motor rhythm in the rodent spinal cord. Front. Neural Circuits 8:143. doi: 10.3389/fncir.2014.00143
Received
16 June 2014
Accepted
11 November 2014
Published
03 December 2014
Volume
8 - 2014
Edited by
Brian R. Noga, University of Miami, USA
Reviewed by
Uner Tan, Cukurova University, Turkey; Patrick John Whelan, University of Calgary, Canada; Kristine C. Cowley, University of Manitoba, Canada
Copyright
© 2014 Cherniak, Etlin, Strauss, Anglister and Lev-Tov.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution and reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Aharon Lev-Tov, Department of Medical Neurobiology, Institute for Medical Research – Israel-Canada, IMRIC, The Hebrew University Medical School, P.O. Box 12272, Jerusalem 9112102, Israel e-mail: aharonl@ekmd.huji.ac.il
This article was submitted to the journal Frontiers in Neural Circuits.
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