Axonal remodeling in the corticospinal tract atfer stroke:how does rehabilitative training modulate

来源 :中国神经再生研究(英文版) | 被引量 : 0次 | 上传用户:DK7531672
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Stroke causes long-term disability, and rehabilitative training is commonly used to improve the consecutive functional recovery. Following brain damage, surviving neurons undergo morphological alterations to re-construct the remaining neural network. In the motor system, such neural network remodeling is observed as a motor map reorganization. Because of its signiifcant correlation with functional recovery, motor map reorganization has been regarded as a key phenomenon for functional recovery after stroke. Although the mechanism underlying motor map reorganization remains unclear, increasing evidence has shown a critical role for axonal remodeling in the corticospinal tract. In this study, we review previous studies in-vestigating axonal remodeling in the corticospinal tract atfer stroke and discuss which mechanisms may underlie the stimulatory effect of rehabilitative training. Axonal remodeling in the corticospinal tract can be classiifed into three types based on the location and the original targets of corticospinal neurons, and it seems that all the surviving corticospinal neurons in both ipsilesional and contralesional hemisphere can participate in axonal remodeling and motor map reorganization. hTrough axonal remodeling, corticospinal neurons alter their output selectivity from a single to multiple areas to compensate for the lost function. hTe remodeling of the corticospinal axon is inlfuenced by the extent of tissue destruction and promoted by various therapeutic interventions, including rehabilitative training. Although the precise molecular mech-anism underlying rehabilitation-promoted axonal remodeling remains elusive, previous data suggest that rehabilitative training promotes axonal remodeling by upregulating growth-promoting and downregulating growth-inhibiting signals.
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