spinal cord-connectome-part-two-connectivity

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Spinal Cord Map v1.0, slide 1. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved. Jeffrey E. Arle 1,2 MD PhD, Nicolae Iftimia 3 BS, Longzhi Mei 1 MS, Jay L. Shils 4 PhD, and Kristen W. Carlson 1* 1 Dept. of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, MA, USA 2 Dept. of Neurosurgery, Harvard Medical School, Boston, MA, USA 3 Tufts University School of Medicine, Boston, MA, USA 4 Dept. of Anesthesiology, Rush Medical Center, Chicago, IL, USA Principal Investigators Jeffrey E. Arle Jay L. Shils Nick Iftimia, Research Longzhi Mei, Software Kris Carlson*, Computational Modeling and Simulation *Corresponding author: [email protected] The Human Spine Connectome Part 2: Connectivity

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Spinal Cord Map v1.0, slide 1. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

Jeffrey E. Arle1,2 MD PhD, Nicolae Iftimia3 BS, Longzhi Mei1 MS, Jay L. Shils4 PhD, and Kristen W. Carlson1*

1Dept. of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, MA, USA 2Dept. of Neurosurgery, Harvard Medical School, Boston, MA, USA 3Tufts University School of Medicine, Boston, MA, USA 4Dept. of Anesthesiology, Rush Medical Center, Chicago, IL, USA

Principal Investigators

Jeffrey E. Arle Jay L. Shils

Nick Iftimia, Research Longzhi Mei, Software Kris Carlson*, Computational Modeling and Simulation

*Corresponding author: [email protected]

The Human Spine Connectome Part 2: Connectivity

Main Circuit

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

other segments, laminae

somDRG

[1]

somDRG

[1]

somDRG

[1]

Lamina I

I[4]

I[2]

I[5] I[3]

I[1]

Spinal Cord Map v1.0, slide 3. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

lamina II S-L[exc]

lamina II S-L[inh], FIL, CUR, ARB

C3- NS[2]

C2- WDR

C3- NS[3]

C3- NS[1]

C1- PYR

sI-C [9]

sI-C [7]

sI-C [10]

sI-C [8]

sI-C [6]

sI-C [4]

sI-C [2]

sI-C [5]

sI-C [3]

sI-C [1]

lamina II FIL, CUR in other segments (ipsi

or contra)

excitatory inhibitory

lamina II-IV ANT in this & other segments

lamina II S-L[exc], RAD[2] in this & other segments

lamina II S-L[inh], FIL, CUR, RAD[1] in this & other segments

other segments, laminae

C, A-δ afferents

A-β afferent

CARDIAC & SMOOTH MUSCLES

other segments, laminae

visDRG[1]

visDRG[1]

Afferents: C fiber

A-δ A-β

visDRG[1]

Main Circuit

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

other segments, laminae

somDRG

[1]

somDRG

[1]

somDRG

[1]

Lamina II

Spinal Cord Map v1.0, slide 4. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES excitatory inhibitory

lamina I, III-VI C1-3

lamina I, III-VI C1-3

somDRG[2] somDRG[2] somDRG[2] somDRG[2] somDRG[2] somDRG[2]

RAD [1]

ANT [1]

RAD [2]

ANT [2]

ARB

ANT [3]

BORD

ANT [4]

S-L [5]

S-L [1]

S-L [6]

S-L [2]

S-L [7]

S-L [3]

S-L [8]

S-L [4]

CUR

FIL

invC1- PYR

invC3- NS[2]

invC2- WDR

invC3- NS[3]

invC3- NS[1]

I[4]

I[2]

I[5] I[3]

I[1]

sI-C [9]

sI-C [7]

sI-C [10]

sI-C [8]

sI-C [6]

sI-C [4]

sI-C [2]

sI-C [5]

sI-C [3]

sI-C [1]

lamina II sI-C[inh] & I in other segments

lamina II sI-C[exc] in other segments

lamina I-III (inv)C1-3 in other segments

(ipsi or contra)

lamina II S-L[exc] in other segments

lamina III sI-C[exc] in this & other segments

lamina III, IV sI-C[inh], I, & MPOL[4]

in this & other segments

lamina II sI-C in other segments

lamina I sI-C in this & other segments

lamina III-V ANT in this & other segments

lamina II S-L[inh] in other segments

lamina I sI-C[inh] & I in this & other segments

lamina I sI-C[exc] in this & other segments

C, A-δ afferents

A-β afferent

visD

RG

[2]

visD

RG

[2]

visD

RG

[2]

other segments, laminae

A-β, A-δ, C afferents CARDIAC &

SMOOTH MUSCLES

visDRG[1]

visDRG[1]

visDRG[1]

lamina III S-L[exc] in this & other segments

lamina III S-L[inh] in this & other segments

other segments, laminae

lamina III, IV C1-3, sI-C in this & other segments

lamina III sI-C[inh] & I in this & other segments

lamina III RAD[1-2] in this & other segments

Main Circuit

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

other segments, laminae

somDRG

[1]

somDRG

[1]

somDRG

[1]

Lamina III

Spinal Cord Map v1.0, slide 5. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

I[2]

I[1]

sI-C [7]

sI-C [6]

sI-C [2]

sI-C [1]

CARDIAC & SMOOTH MUSCLES

other segments, laminae

visDRG[1]

visDRG[1]

Afferents: A-δ A-β

ANT [1]

ANT [2]

ANT [3]

ANT [4]

RAD [1]

RAD [2]

S-L [5]

S-L [1]

C2- WDR

C1- PYR

MPOL[4]

excitatory inhibitory

lamina II S-L[5] in this & other segments

lamina II S-L[1] in this & other segments

lamina III S-L[exc] in other segments

lamina III S-L[inh] in other segments

lamina IV-V ANT in this & other segments

lamina III sI-C in other segments

lamina I, II sI-C in this & other segments

A-δ afferent

A-β, A-α afferents

lamina II sI-C[inh] & I in this & other segments

lamina II sI-C[exc] in this & other segments

other segments, laminae

lamina II S-L[inh], FIL, CUR

lamina II S-L[exc] lamina II FIL, CUR in other segments (ipsi

or contra)

lamina III, IV C1-3 & I in this & other segments

lamina II RAD[1] in this & other segments

lamina II RAD[2] in this & other segments

lamina II RAD[1-2] in this & other segments

lamina II FIL, CUR in other segments (ipsi

or contra)

lamina IV sI-C[inh], I, & MPOL[4] in this &

other segments

lamina IV sI-C[exc] in this & other segments

Lamina IV Main Circuit

Spinal Cord Map v1.0, slide 6. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

I[2]

I[1]

sI-C [7]

sI-C [6]

sI-C [2]

sI-C [1]

ANT [1]

ANT [2]

ANT [3]

ANT [4]

S-L [5]

S-L [1]

excitatory inhibitory

lamina II, III S-L[5] in this & other segments

lamina IV S-L[exc] in other segments

lamina IV S-L[inh] in other segments

lamina V ANT in this & other segments

lamina IV sI-C in other segments

lamina I-III sI-C in this & other segments

C3- NS[2]

C2- WDR

C3- NS[3]

C3- NS[1]

C1- PYR

CARDIAC & SMOOTH MUSCLES

other segments, laminae

visDRG[1]

visDRG[1]

Afferents: C fiber

A-δ A-β

visDRG[1]

other segments, laminae

lamina II RAD[1-2] in this & other segments

MPOL[4]

lamina II, III S-L[1] in this & other segments

lamina V C1-3 in this & other segments

lamina V C2 in this & other segments

C, A-δ afferents

A-α, II (A-β & A-γ) afferents

A-β

affe

rent

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

other segments, laminae

somDRG

[1]

somDRG

[1]

somDRG

[1]

somDRG[1] somDRG[1]

lamina III RAD[1-2] in this & other segments

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

other segments, laminae

Lamina VI Main Circuit

Spinal Cord Map v1.0, slide 7. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES excitatory inhibitory

C3- NS[2]

C2- WDR

C3- NS[3]

C3- NS[1]

C1- PYR

CARDIAC & SMOOTH MUSCLES

other segments, laminae

visDRG[1]

visDRG[1]

Afferents: C fiber

A-δ A-β

visDRG[1]

other segments, laminae

MPOL[4]

C, A-δ afferents

A-α, II (A-β & A-γ) afferents

A-β

affe

rent

somDRG

[1]

somDRG

[1]

somDRG

[1]

somDRG[1] somDRG[1]

lamina II sI-C[exc] in this & other segments

lamina II sI-C[inh] & I in this & other segments

lamina V C2 in this & other segments

lamina V MPOL[4] in this & other segments

Ib [2]

Ib [4]

Ib [1]

Ib [3]

Ib [2]

Ib [4]

Ib [1]

Ib [3]

lamina VII ag V2a, V0[exc], V3, ant RC in this & other segments

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

other segments, laminae

Lamina V Main Circuit

Spinal Cord Map v1.0, slide 8. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved.

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES excitatory inhibitory

C3- NS[2]

C2- WDR

C3- NS[3]

C3- NS[1]

C1- PYR

CARDIAC & SMOOTH MUSCLES

other segments, laminae

visDRG[1]

visDRG[1]

Afferents: C fiber

A-δ A-β

visDRG[1]

other segments, laminae

MPOL[4]

lamina VI C2 in this & other segments

C, A-δ afferents

A-α, II (A-β & A-γ) afferents

A-β

affe

rent

somDRG

[1]

somDRG

[1]

somDRG

[1]

ANT [1]

ANT [2]

ANT [3]

ANT [4]

lamina VI C1-3 in this & other segments

lamina II-IV sI-C in this & other

segments

somDRG[1] somDRG[1]

lamina II sI-C[exc] in this & other segments

lamina II sI-C[inh] & I in this & other segments

lamina IV C2 in this & other segments

lamina IV MPOL[4] in this & other segments

Main Circuit

Lamina VII

excitatory inhibitory

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

Spinal Cord Map v1.0, slide 9. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved. Note: Contralateral, inter-laminar, and inter-segmental connections are not shown.

CC HYP

CBL THAL

MED PONS ME Brainstem

RF MLR

somDRG

[1]

somDRG

[1]

somDRG

[1]

other segments, laminae

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

Afferents: Ia Ib II (A-β & A-γ)

other segments, laminae

Efferents: A-γ (dynamic)

A-γ (static) A-β (static & dynamic) A-α (tonic & phasic)

C fiber, B fiber A-β

affe

rent

som

DRG

[1]

som

DRG

[1]

C, A-δ afferents

somDR

G[1]

somDR

G[1]

CARDIAC & SMOOTH MUSCLES

vis MN

other segments, laminae

visDRG[1]

visDRG[1]

visDRG[1]

Afferents: C fiber

A-δ A-β

DNC (C8-L3)

IML (T1-L2)

SPN (S2-S4)

IMM

MPOL[1]

FUS [1]

FUS [3]

MPOL[3]

MPOL[1]

MPOL[3]

FUS [3]

FUS [1]

MPOL[1]

FUS [1]

FUS [3]

MPOL[3]

MPOL[1]

MPOL[3]

FUS [3]

FUS [1]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V0 [2]

V0 [1]

V0 [4]

V0 [3]

V0 [10]

V0 [9]

V0 [12]

V0 [11]

V0 [1]

V0 [4]

V0 [9]

V0 [12]

V0 [3]

V0 [10]

V0 [2]

V0 [11]

V2a [3]

V2a [1]

V2a [2]

V2a [4]

V2a [3]

V2a [1]

V2a [2]

V2a [4]

C2/ WDR

V0 [5]

V0 [6]

V0 [7]

V0 [8]

V0 [13]

V0 [14]

V0 [15]

V0 [16]

V3 [1]

V3 [2]

V3 [3]

V3 [4]

V3 [5]

V3 [6]

V3 [7]

V3 [8]

V3 [9]

V3 [10]

V3 [11]

V3 [12]

V0 [5]

V0 [6]

V0 [7]

V0 [8]

V0 [13]

V0 [14]

V0 [15]

V0 [16]

V3 [1]

V3 [2]

V3 [3]

V3 [4]

V3 [5]

V3 [6]

V3 [7]

V3 [8]

V3 [9]

V3 [10]

V3 [11]

V3 [12]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

vis MN

vis MN

vis MN

MPOL [1]

MPOL [3]

Ib [2]

Ib [4]

Ib [1]

Ib [3]

Ia [2]

Ia [4]

Ia [1]

Ia [3]

Ib [2]

Ib [4]

Ib [1]

Ib [3]

Ia [2]

Ia [4]

Ia [1]

Ia [3]

Endogenous bursters Endogenous bursters

RC [1]

RC [2]

RC [1]

RC [2]

Main Circuit

Lamina VIII

excitatory inhibitory

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

other segments, laminae

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

Afferents: Ia Ib II (A-β & A-γ)

somDRG

[1]

somDRG

[1]

somDRG

[1] A-

β af

fere

nt

som

DRG

[1]

som

DRG

[1]

C, A-δ afferents

somDR

G[1]

somDR

G[1]

other segments, laminae

Efferents: A-β (static & dynamic)

A-γ (static) A-γ (dynamic)

A-α (tonic & phasic)

Spinal Cord Map v1.0, slide 10. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved. Note: Contralateral, inter-laminar, and inter-segmental connections are not shown.

CC HYP

CBL THAL

MED PONS ME Brainstem

RF MLR

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V0 [2]

V0 [1]

V0 [4]

V0 [3]

V0 [10]

V0 [9]

V0 [12]

V0 [11]

V0 [1]

V0 [4]

V0 [9]

V0 [12]

V0 [3]

V0 [10]

V0 [2]

V0 [11]

Ib [2]

Ib [4]

Ib [1]

Ib [3]

Ia [2]

Ia [4]

Ia [1]

Ia [3]

Ib [2]

Ib [4]

Ib [1]

Ib [3]

Ia [2]

Ia [4]

Ia [1]

Ia [3]

V2a [3]

V2a [1]

V2a [2]

V2a [4]

V2a [3]

V2a [1]

V2a [2]

V2a [4]

C2/ WDR

γMN [2]

γMN [1]

βMN [2]

βMN [1]

γMN [2]

γMN [1]

βMN [2]

βMN [1]

V0 [5]

V0 [6]

V0 [7]

V0 [8]

V0 [13]

V0 [14]

V0 [15]

V0 [16]

V3 [1]

V3 [2]

V3 [3]

V3 [4]

V3 [5]

V3 [6]

V3 [7]

V3 [8]

V3 [9]

V3 [10]

V3 [11]

V3 [12]

V0 [5]

V0 [6]

V0 [7]

V0 [8]

V0 [13]

V0 [14]

V0 [15]

V0 [16]

V3 [1]

V3 [2]

V3 [3]

V3 [4]

V3 [5]

V3 [6]

V3 [7]

V3 [8]

V3 [9]

V3 [10]

V3 [11]

V3 [12]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

MPOL[1]

FUS [1]

FUS [3]

MPOL[3]

MPOL[1]

MPOL[3]

FUS [3]

FUS [1]

MPOL[1]

FUS [1]

FUS [3]

MPOL[3]

MPOL[1]

MPOL[3]

FUS [3]

FUS [1]

Endogenous bursters Endogenous bursters

RC [1]

RC [2]

RC [1]

RC [2]

Main Circuit

Lamina IX

excitatory inhibitory

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

other segments, laminae

som

DRG

[1]

som

DRG

[1]

som

DRG

[1]

Afferents: Ia Ib II (A-β & A-γ)

somDRG

[1]

somDRG

[1]

somDRG

[1] A-

β af

fere

nt Efferents:

A-α (tonic & phasic) A-β (static & dynamic)

A-γ (static) A-γ (dynamic)

B fiber C fiber

Spinal Cord Map v1.0, slide 11. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved. Note: Contralateral, inter-laminar, and inter-segmental connections are not shown.

CC HYP

CBL THAL

MED PONS ME Brainstem

RF MLR

other segments, laminae

CARDIAC & SMOOTH MUSCLES

vis MN

A-β afferent visDRG[1]

V0 [5]

V0 [6]

V0 [7]

V0 [8]

V0 [13]

V0 [14]

V0 [15]

V0 [16]

V3 [1]

V3 [2]

V3 [3]

V3 [4]

V3 [5]

V3 [6]

V3 [7]

V3 [8]

V3 [9]

V3 [10]

V3 [11]

V3 [12]

V0 [5]

V0 [6]

V0 [7]

V0 [8]

V0 [13]

V0 [14]

V0 [15]

V0 [16]

V3 [1]

V3 [2]

V3 [3]

V3 [4]

V3 [5]

V3 [6]

V3 [7]

V3 [8]

V3 [9]

V3 [10]

V3 [11]

V3 [12]

V2a [3]

V2a [1]

V2a [2]

V2a [4]

γMN [2]

γMN [1]

βMN [2]

βMN [1]

γMN [2]

γMN [1]

βMN [2]

βMN [1]

αMN [1]

αMN [2]

αMN [1]

αMN [2]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2a [3]

V2a [1]

V2a [2]

V2a [4]

vis MN

V2b [2]

V2b [4]

V2b [1]

V2b [3]

V2b [2]

V2b [4]

V2b [1]

V2b [3]

MPOL[1]

FUS [1]

FUS [3]

MPOL[3]

MPOL[1]

MPOL[3]

FUS [3]

FUS [1]

MPOL[1]

FUS [1]

FUS [3]

MPOL[3]

MPOL[1]

MPOL[3]

FUS [3]

FUS [1]

Endogenous bursters Endogenous bursters

RC [1]

RC [2]

RC [1]

RC [2]

Main Circuit

Lamina X

excitatory inhibitory

AGONIST (HOMONYMOUS) & SYNERGIST SKELETAL MUSCLES ANTAGONIST (HETERONYMOUS) SKELETAL MUSCLES

Spinal Cord Map v1.0, slide 12. 6/2/2016. Copyright © 2010 Dr. Jeffrey E. Arle, Lahey Clinic. All rights reserved. Note: Contralateral, inter-laminar, and inter-segmental connections are not shown.

CC HYP

CBL THAL

MED PONS ME Brainstem

RF MLR

somDRG

[1]

Afferents: II (A-β & A-γ), Ia, Ib

othe

r seg

men

ts,

lam

inae

so

mDR

G[1

]

other segments, laminae

Efferents: A-γ (dynamic)

A-γ (static) A-β (static & dynamic) A-α (tonic & phasic)

C fiber, B fiber A-β

affe

rent

som

DRG

[1]

som

DRG

[1]

C, A-δ afferents

somDR

G[1]

somDR

G[1]

CARDIAC & SMOOTH MUSCLES

vis MN

other segments, laminae

visDRG[1]

visDRG[1]

visDRG[1]

Afferents: C fiber

A-δ A-β

V2b [3]

V2b [3]

V3 [3]

V3 [4]

V3 [7]

V3 [8]

V3 [11]

V3 [12]

V2b [3]

V2b [3]

V3 [3]

V3 [4]

V3 [7]

V3 [8]

V3 [11]

V3 [12]

V2a [3]

V2a [3]

vis MN

FUS [1]

FUS [1]

FUS [1]

FUS [1]

Endogenous burster Endogenous burster

C3/ NS[2]

C2/ WDR

WHITE MATTER

Body Skin & Body

DRG primary neurons

B fibers

A-β fibers

A-α fibers

A-δ fibers

A-β fibers

C fibers

A-α fibers

interneurons in other

segments

HTHAL SC MC

tertiary neurons

MDvc

VMpo VPI VPL VPM

CL VL Pf

THAL tertiary neurons

CBL

BS

NRM RF

ME

Spinal Cord Map. Copyright © 2016 Arle Neurosimulation Lab, BIDMC/Harvard Medical School.. All rights reserved.