Motor recovery and axonal plasticity with short-term amphetamine after stroke
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Background and Purpose— There is considerable debate regarding the efficacy of amphetamine to facilitate motor recovery after stroke or experimental brain injury. Different drug dosing and timing schedules and differing physical rehabilitation strategies may contribute to outcome variability. The present study was designed to ascertain (1) whether short-term amphetamine could induce long-term functional motor recovery in rats after an ischemic lesion modeling stroke in humans; (2) how different levels of physical rehabilitation interact with amphetamine to enhance forelimb-related functional outcome; and (3) whether motor improvement was associated with axonal sprouting from intact corticoefferent pathways originating in the contralesional forelimb motor cortex. Methods— After permanent middle cerebral artery occlusion, rats received vehicle or amphetamine during the first postoperative week (2 mg/kg, subcutaneously on Postoperative Days 2, 5, and 8). In both treatment groups, separate cohorts of rats were exposed to different levels of “physical rehabilitation” represented by a control environment, enriched environment, or enriched environment with additional sessions of focused activity. Skilled forelimb performance was assessed using the forelimb reaching task and ladder rung walk test. Anterograde tracing with biotinylated dextran amine was used to assess new fiber outgrowth to denervated motor areas. Results— All treatment groups showed significant motor improvement as compared with control-housed, vehicle-treated animals. However, animals housed in an enriched environment that received amphetamine paired with focused activity sessions performed significantly better than any other treatment group and was the only group to achieve complete motor recovery (ie, reached preoperative performance) by 8 weeks. This recovery was associated with axonal sprouting into deafferentated subcortical areas from contralesional projection neurons. Conclusions— This study suggests that, after stroke, short-term pairing of amphetamine with sufficiently focused activity is an effective means of inducing long-term improvement in forelimb motor function. The anatomic data suggests that corticoefferent plasticity in the form of axonal sprouting contributes to the maintenance of motor recovery.
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Axonal growth responses are relatively uniform across different treatment types, with contralesional sprouting evident after growth factors, anti-NogoA antibodies, neurostimulants, and cell-based therapeutics.
“Importantly, axonal growth responses are relatively uniform for different types of treatment: contralesional sprouting was evident after delivery of growth factors,19,24 neutralising antibodies directed against the axonal growth inhibitor NogoA,11,17 neurostimulants (eg, amphetamine), 29 and cell-based therapeutics, namely bone-marrow-derived stromal cells12,30 or neural pre cursor cells.15”
From Promoting brain remodelling and plasticity for stroke recovery: therapeutic promise and potential pitfalls of clinical translation (2012) · cites this paper as [29]
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- Authors
- Papadopoulos, C. M., Tsai, S.-Y., Guillen, V., Ortega, J., Kartje, G. L., & Wolf, W. A.
- Affiliations
- Loyola University Medical Center (US)
- ORCID
- Tsai, Shih-Yen
- Venue
- Stroke
- Published
- 2009-01
- Volume
- 40
- Issue
- 1
- Pages
- 294-302
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- PMC
- PMC3806086
- OpenAlex
- W2125770638
- Cited by
- 74
- References
- 71
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 11 · 2014: 6 · 2013: 3 · 2012: 4
- FWCI
- 7.48
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Stroke (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (I01 RX000828)
- National Institute of Neurological Disorders and Stroke (NS40960, R01NS040960, R56NS040960)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD 44772, R01HD044772)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Keywords
- amphetamine, motor recovery, axonal sprouting, environmental enrichment, physical rehabilitation, middle cerebral artery occlusion, forelimb function, deafferentation, contralesional motor cortex
- MeSH terms
- Amphetamines, Central Nervous System Stimulants, Animals, Disease Models, Animal, Drug Administration Schedule, Efferent Pathways, Forelimb, Male, Motor Cortex, Movement Disorders, Nerve Regeneration, Neuronal Plasticity, Paresis, Treatment Outcome, Recovery of Function, Infarction, Middle Cerebral Artery, Rats, Long-Evans, Growth Cones, Stroke, Rats
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