Lumbar V3 Interneurons Provide Direct Excitatory Synaptic Input Onto Thoracic Sympathetic Preganglionic Neurons, Linking Locomotor And Autonomic Spinal Systems
Bibliographic record
Abstract
Abstract Spinal cord injury (SCI) is a life-altering event causing sensation loss, motor paralysis and impaired autonomic function. Electrical spinal cord stimulation has shown promise for restoring lost motor, and impaired autonomic function, despite targeting lumbar locomotor networks. Sympathetic preganglionic neurons (SPNs), primarily located in the intermediate laminae of thoracic and upper lumbar segments (T1-L2), provide neural input to excite sympathetic tissues and organs that provide homeostatic and metabolic support during movement and exercise. We hypothesized that ascending propriospinal neurons located in the lumbar spinal cord provide synaptic input to thoracic SPNs, providing a spinal neural mechanism explaining improved motor and autonomic function in response to spinal cord stimulation. Here, we demonstrate that synaptic contacts from locomotor-related V3 interneurons (INs) are present in all thoracic laminae. Injection of an anterograde tracer into lumbar segments demonstrated that 8-20% of glutamatergic input onto SPNs originated from lumbar V3 INs and displayed a somatotopographical organization of synaptic input to thoracic SPNs, with rostral lumbar V3 INs projecting to rostral thoracic, and caudal lumbar V3 INs projecting to caudal thoracic SPNs. Whole cell patch clamp recording in SPNs demonstrated prolonged depolarizations or action potentials in response to optical activation of either lumbar V3 INs in spinal cord preparations or in response to optical activation of V3 terminals in thoracic slice preparations. This work demonstrates a direct intraspinal connection between lumbar locomotor and thoracic sympathetic networks and suggests communication between motor and autonomic systems may be a general function of the spinal cord. Key points We provide direct anatomical and electrophysiological evidence of an ascending intraspinal synaptic connection between lumbar motor and thoracic sympathetic autonomic neural systems. These connections are formed between lumbar locomotor related V3 interneurons and thoracic sympathetic preganglionic neurons (SPNs) V3 synaptic input accounts for ∼ 20% of glutamatergic input to SPNs. Optical activation of lumbar V3 interneurons elicit action potentials in thoracic SPNs. This intraspinal pathway may explain why electrical stimulation of the lumbar region in persons with long-standing motor complete spinal cord injury improves both motor and sympathetic function. These findings suggest communication between motor and autonomic systems may be a general feature of spinal cord function and await further research to explore this concept.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".