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Â鶹´«Ã½ÊÓƵÍøÕ¾ Queen Square Institute of Neurology

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Dr P. Kirkwood

CRDP

My core interest for many years has been the study of the control of muscles involved in respiratory movements. Because this motor act persists in experimental animals under anaesthesia, including under neuromuscular blockade, we can study the behaviour, connections and morphology of functionally defined neurones. The neurones of interest are the motoneurones and interneurones of the thoracic spinal cord and their antecedent neurones in the pathway conveying the respiratory drive from the medulla, the respiratory bulbospinal neurones. As for most neurones in motor systems, all of these neurones are multifunctional, but the stereotyped repetitive pattern of activity during respiration allows the assignment of specific roles to individual neurones during that particular motor act. The measurement of connections between individual neurones by spike-triggered averaging and cross-correlation are important experimental techniques for this. The development of these techniques and their interpretation has been a central theme in the work of the laboratory. For characterizing the interneurones we have more recently used morphological methods, including immunocytochemistry in conjunction with intracellular labelling.
It has always been the intention that such investigations should yield results that are useful in the understanding of clinical conditions, including spinal cord injury (for instance Kirkwood et al. 1984, J.Physiol. 350 : 225-251). In more recent years the direction of research has shifted more firmly in the direction of spinal cord injury and repair. One important reason for this was the results from several laboratories around the world, where success at achieving regeneration of nerve fibres across experimental lesions of the spinal cord has been achieved. In the 1980s this was only a distant prospect. When it became a reality it also became clear that good neurophysiology was a necessary, but largely missing element in the studies performed. Another reason was the realisation that the same factors which made the respiratory system a useful one for motor control studies made it equally valuable as an experimental system for developing techniques for spinal cord repair. In current work we are therefore investigating neural connections in the thoracic spinal cord, their plasticity and, hopefully, their regeneration in the situation of experimental spinal cord injury.

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Funding


International Spinal Cord Research Trust.


MRC (we are part of the MRC Co-operative Group 'Neural Control of Movement', and have one MRC studentship).


Wellcome Trust.


We are also part of the Institute ofÌýSensorimotorÌýNeuroscience.

Spinal Cord Laboratory Current Projects

Lab Head: Dr Peter Kirkwood


Spinal Cord Injury

There are two parallel themes to current work in the lab. The first is the use of the bulbospinal neurones to gain understanding of the neuronal processes underlying the functional improvement seen in experimental spinal cord repair. Considerable success has been achieved in a number of laboratories in achieving regeneration of central nerve fibres across or through lesions of the spinal cord. In the same animals a degree of behaviourally defined functional recovery is also often demonstrated, yet a direct causal causal link has generally not been established between these two phenomena. Using expiratory bulbospinal neurones as an example of 'upper motor neurons' which have well-identified direct connections to motoneurones, we are asking whether, in the context of regeneration in adult animals, their axons will make connections with the same specificity as during normal development (e.g. connections to motoneurones being mostly to motoneurones innervating expiratory muscles). Previously we have investigating changes in these connections to both motoneurones and interneurones that may occur in the segment above a chronic spinal lesion which interrupts the bulbospinal axons, as well as morphological changes in the interneurones themselves. Secondly, we are using combinations of electrophysiological and anatomical techniques to study the synaptic actions of rubrospinal and corticospinal tracts and their plasticity following lesions of the cervical spinal cord. Changes in the performance of the animals in behavioural tasks are measured in parallel, to allow correlation of these changes with the physiological and anatomical measurements.

Persistent inward currents and the respiratory drive

Persistent inward currents are believed to be an important cellular mechanism in motoneurones, whereby synaptic currents are amplified sufficiently to produce a vigourous motoneurone discharge. The extent to which this occurs in naturally evoked motor acts is unclear (Heckman et al. 2005, Muscle & NerveÌý31Ìý: 135-156), but the respiratory drive provides a useful central derived natural input for which this can be studied. In collaboration with Professor Hans Hultborn ( University of Copenhagen ), we are investigating the role of such currents in phrenic and limb motoneurones.