Respiratory neuroplasticity and cervical spinal cord injury: translational perspectives.
Respiratory neuroplasticity and cervical spinal cord injury: translational perspectives.
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DOI:
10.1016/j.tins.2008.07.002
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发表时间:
2008-10
影响因子:
15.9
通讯作者:
Reier, Paul J.
中科院分区:
文献类型:
--
作者:
Lane, Michael A.;Fuller, David D.;White, Todd E.;Reier, Paul J.
Paralysis of the diaphragm is a severe consequence of cervical spinal cord injury. This condition can be experimentally modeled by lateralized, high cervical lesions that interrupt descending inspiratory drive to the corresponding phrenic nucleus. Although partial recovery of ipsilateral diaphragm function occurs over time, recent findings show persisting chronic deficits in ventilation and phrenic motoneuron activity. Some evidence suggests, however, that spontaneous recovery can be enhanced by modulating neural pathways to phrenic motoneurons via synaptic circuitries which appear more complex than previously envisioned. The present review highlights these and other recent experimental multi-disciplinary findings pertaining to respiratory neuroplasticity in the rat. Translational considerations are also emphasized, with specific attention directed at the clinical and interpretational strengths of different lesion models and outcome measures.
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