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Peer-reviewedCC BY 4.0Frontiers in Neuroscience

Caudal optogenetic spinal stimulation promotes better therapeutic outcomes than rostral optogenetic stimulation following a cervical spinal cord injury

  1. 1Department of Rehabilitation Medicine, University of Washington
  2. 2Center for Neurotechnology

Abstract

Purpose: Spinal stimulation, including optogenetic stimulation, is a promising therapeutic approach for promoting functional recovery after spinal cord injury (SCI). To date, most studies have delivered stimulation caudal to the level of the lesion. Therefore, there is a lack of understanding of how spinal stimulation rostral to the lesion may affect recovery. Here, we investigate the effects of optogenetic spinal stimulation rostral to the lesion site on forelimb functional recovery and axonal growth in a rat model of cervical SCI.

Methods: Female Long-Evans rats received a C4 hemicontusion, intraspinal injections of an optogenetic viral vector rostral to the injury site, and a micro-light-emitting diode (μLED) implant for optogenetic stimulation. Beginning 6 weeks post-injury, rats received 6 weeks of optogenetic or sham stimulation alongside forelimb reaching rehabilitation. Forelimb reaching success and growth-associated protein 43 (GAP43) percent area were compared with those in our previous study, which evaluated an identical paradigm, but with optogenetic stimulation positioned caudal to the injury.

Results: The present results indicate that rostral stimulation did not enhance forelimb recovery on the forelimb reaching task and that forelimb reaching success was significantly higher in the caudal optogenetic stimulation group compared to the rostral stimulation group. Additionally, rostral stimulation did not enhance axonal growth within the cervical spinal cord compared with sham stimulation, whereas caudal optogenetic stimulation promoted significantly more axonal growth than rostral optogenetic stimulation.

Conclusion: Overall, these results indicate that caudal optogenetic stimulation promotes a greater therapeutic impact than rostral optogenetic stimulation.

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BibTeX
@article{myers2026caudal,
  title = {{Caudal optogenetic spinal stimulation promotes better therapeutic outcomes than rostral optogenetic stimulation following a cervical spinal cord injury}},
  author = {R. J. Myers and V. Dang and M. N. McGiffin and M. L. Trinh and S. E. Mondello},
  journal = {Frontiers in Neuroscience},
  year = {2026},
  month = oct,
  doi = {10.3389/fnins.2026.1939104},
  url = {https://www.frontiersin.org/articles/10.3389/fnins.2026.1939104/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Caudal optogenetic spinal stimulation promotes better therapeutic outcomes than rostral optogenetic stimulation following a cervical spinal cord injury
AU  - R. J. Myers
AU  - V. Dang
AU  - M. N. McGiffin
AU  - M. L. Trinh
AU  - S. E. Mondello
PY  - 2026
DA  - 2026/10/20
JO  - Frontiers in Neuroscience
DO  - 10.3389/fnins.2026.1939104
UR  - https://www.frontiersin.org/articles/10.3389/fnins.2026.1939104/full
AB  - Purpose: Spinal stimulation, including optogenetic stimulation, is a promising therapeutic approach for promoting functional recovery after spinal cord injury (SCI). To date, most studies have delivered stimulation caudal to the level of the lesion. Therefore, there is a lack of understanding of how spinal stimulation rostral to the lesion may affect recovery. Here, we investigate the effects of optogenetic spinal stimulation rostral to the lesion site on forelimb functional recovery and axonal growth in a rat model of cervical SCI.  Methods: Female Long-Evans rats received a C4 hemicontusion, intraspinal injections of an optogenetic viral vector rostral to the injury site, and a micro-light-emitting diode (μLED) implant for optogenetic stimulation. Beginning 6 weeks post-injury, rats received 6 weeks of optogenetic or sham stimulation alongside forelimb reaching rehabilitation. Forelimb reaching success and growth-associated protein 43 (GAP43) percent area were compared with those in our previous study, which evaluated an identical paradigm, but with optogenetic stimulation positioned caudal to the injury.  Results: The present results indicate that rostral stimulation did not enhance forelimb recovery on the forelimb reaching task and that forelimb reaching success was significantly higher in the caudal optogenetic stimulation group compared to the rostral stimulation group. Additionally, rostral stimulation did not enhance axonal growth within the cervical spinal cord compared with sham stimulation, whereas caudal optogenetic stimulation promoted significantly more axonal growth than rostral optogenetic stimulation.  Conclusion: Overall, these results indicate that caudal optogenetic stimulation promotes a greater therapeutic impact than rostral optogenetic stimulation.
SN  - 1662-453X
SN  - 1662-4548
ER  -