spinal cord-connectome-part-two-connectivity
TRANSCRIPT
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.