Monoamines increase the excitability of spinal neurones in the neonatal rat by hyperpolarizing the threshold for action potential production

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1 J Physiol (2004) pp RAPID REPORT Monoamines increase the excitability of spinal neurones in the neonatal rat by hyperpolarizing the threshold for action potential production Brent Fedirchuk and Yue Dai Department of Physiology, University of Manitoba, 730 William Avenue, Winnipeg, MB, Canada R3E 3J7 During fictive locomotion in the adult decerebrate cat, motoneurone excitability is increased by a hyperpolarization of the threshold potential at which an action potential is elicited (V th ). This lowering of V th occurs at the onset of fictive locomotion, is evident for the first action potential elicited and is presumably caused by a neuromodulatory process. The present study tests the hypothesis that the monoamines serotonin (5-HT) and noradrenaline (NA) can hyperpolarize neuronal V th. The neonatal rat isolated spinal cord preparation and whole-cell recording techniques were used to examine the effects of bath-applied 5-HT and NA on the V th of spinal ventral horn neurones. In the majority of lumbar ventral horn neurones, 5-HT (13/26) and NA (10/16) induced a hyperpolarization of V th ranging from 2to 8 mv. 5-HT and NA had similar effects on V th for individual neurones. This hyperpolarization of V th was not due to a reduction of an accommodative process, and could be seen without changes in membrane potential or membrane resistence. These data reveal a previously unknown action of 5-HT and NA, hyperpolarization of V th of spinal neurones, a process that would facilitate both neuronal recruitment and firing. (Received 9 March 2004; accepted after revision 13 April 2004; first published online 16 April 2004) Correspondingauthor B. Fedirchuk: Department of Physiology, University of Manitoba, 730 William Avenue, Winnipeg, MB, Canada R3E 3J7. brent@scrc.umanitoba.ca During fictive locomotion evoked by brainstem stimulation in adult decerebrate cats, the membrane potential at which an action potential is initiated (V th ) in spinal motoneurones is hyperpolarized (Krawitz et al. 2001). This hyperpolarization of V th occurred in every motoneurone examined and ranged from 1.8 to 26.6 mv with a mean change of 8.0 mv. It is known that V th can be different amongst different neurones (Gustafsson & Pinter, 1984) and may become depolarized on a moment-to-moment basis because of accommodative effects on sodium channels (Kolmodin & Skoglund, 1958). However, because V th hyperpolarization (i.e. lowering) during locomotion occurs for the very first action potential, it is not the result of a reduction in a spike accommodation process. Instead, it is likely that V th is lowered through the actions of a neuromodulator released as part of the process initiating locomotion. This state-dependent modulation of the motoneurone threshold serves to facilitate motoneuronal recruitment and enhance motoneuronal output during fictive locomotion. Computer models suggest that rapid changes in membrane potential do not themselves account for the hyperpolarization of V th (Dai et al. 2000). A reduction of potassium conductances and, particularly, enhancement of the activation or conductance of voltage-dependent sodium channels might mediate V th hyperpolarization (Dai et al. 2002). Monoamines are well known to exert multiple effects on components of the motor system in mammalian models (see Schmidt & Jordan, 2001 for review). At the cellular level, the monoamines serotonin (5-hydroxytryptophan; 5-HT) and noradrenaline (NA) produce depolarization of neurones (Connell & Wallis, 1988; Takahashi & Berger, 1990; Elliot & Wallis, 1992), facilitate the expression of plateau potentials (Hounsgaard et al. 1988), reduce the afterhyperpolarization (AHP) following an action potential (Madison & Nicoll, 1986) and enhance membrane oscillatory behaviour (MacLean et al. 1998). These cellular effects are mediated by alteration of channels and conductances such as: a facilitation of the slow inward DOI: /jphysiol

2 356 B. Fedirchuk and Y. Dai J Physiol rectifier current I h (Wang & Dun, 1990; Takahashi & Berger, 1990; Kjaerulff & Kiehn, 2001), a low voltageactivated Ca 2+ current (Berger & Takahashi, 1990), a persistent inward current (I PIC ; Lee & Heckman 1999), NMDA currents (MacLean & Schmidt, 2001) and an inhibition of a fast inward rectifier current I KIR and possibly other leak currents (Kjaerulff & Kiehn, 2001). Despite this large array of effects, monoamines have not previously been shown to modulate neuronal V th.atthe systems level, 5-HT and NA are able to elicit or facilitate locomotor output (Smith et al. 1988; Cazalets et al. 1992; Kiehn et al. 1992, 1999; Barbeau et al. 1993; Cowley & Schmidt, 1994) and alter spinal reflex activity (see, for example, Jankowska et al. 2000; Machacek et al. 2001). The present study examined whether bath application of monoamines could alter V th in the absence of locomotion. The goal of the present study was to determine the effect of bath applied 5-HT and NA on neuronal V th in the isolated neonatal rat spinal cord preparation, and compare these effects to the hyperpolarization of V th previously seen during fictive locomotion in the in vivo decerebrate cat. Portions of this work have been presented in preliminary form (Fedirchuk, 2001). Methods Experiments were conducted on spinal cords isolated from neonatal (postnatal days 1 5) Sprague-Dawley rats. Experiments were conducted in accordance with guidelines for the ethical treatment of animals issued by the Canadian Council on Animal Care and with the approval of the institutional protocol review committee. Once animals were anaesthetized with halothane in a chamber, they were rapidly decapitated, eviscerated and placedinanartificial cerebrospinal (acsf) solution that was oxygenated with 95% O 2,cooledto4 C and contained 125 mm NaCl, 2.5 mm KCl, 26 mm NaHCO 3, 1.25 mm NaH 2 PO 4, 25mm d-glucose, 1 mm MgCl 2 and 2 mm CaCl 2. Dorsal and ventral spinal laminectomy was done with fine scissors and the spinal cord caudal to the lower thoracic segments was isolated. The spinal cord was then moved to a recording chamber coated on the bottom with Sylgard, where it was initially pinned ventral side up, hemisected down the midline using an etched tungsten needle, and then pinned with the medial surfaces up. The spinal cord was then allowed to slowly warm to room temperature. The ventral horns of the lower lumbar segments were then targeted for single-cell recording using glass microelectrodes filled with a solution containing 140 mm potassium gluconate, 0.2 mm EGTA and 10 mm Hepes, with KOH to bring the ph to 7.3. The filled electrodes had resistances ranging from 3 to 6 M. The microelectrode was introduced from the medial surface of the ventral horn, because preliminary experiments showed that this arrangement was favourable for obtaining stable recordings from ventral horn neurones. A whole-cell single cell recording arrangement was obtained using the blind patch technique. An Axopatch 1D microelectrode amplifier controlled with pclamp 7 software (Axon Instruments) was used for recording. Series resistance was monitored, was usually <30 M, and was compensated only when in current-clamp mode. V th was measured in two ways. In current clamp, the V th for eliciting an action potential could be directly measured from the voltage record as the membrane potential at the point of maximal change of voltage (inflection point) which was visually determined at the onset of an action potential evoked by a depolarizing ramp of current injection. In voltage-clamp mode, neurones were depolarized from an initial holding potential of 60 mv by applying 100 ms depolarizing steps that increased in 2 mv increments (except where noted below). Steps were delivered at a repetition rate of 2 Hz. Fast inward currents which would have mediated action potentials in current-clamp mode were evident on the recorded current trace, and the potential of the smallest depolarizing step capable of inducing a fast inward current was considered to be V th. The initial holding potential of 60 mv was chosen in order to approximate the resting membrane potential of the neurone and reduce the possibility of the initial holding potential itself inducing activation of voltage-sensitive conductances. Serotonin (5-HT) and/or noradrenaline (NA) were applied individually from 10 mm stock solutions to the small-volume (< 3 ml) stationary bath in concentrations that ranged from 2 to 50 µm (usually 10 or 12 µm). Washout of the drugs was accomplished by perfusing the bath with oxygenated acsf at a rate of 5 10 ml min 1. A low volume gas flow of 95% O 2 5% CO 2 was directed on to the recording chamber throughout the experiment. Results Measurement of V th Initial experiments compared current-clamp and voltageclamp records from the same neurones. The monoaminergic effects on V th were consistent in direction between cells in which V th was measured both in current clamp and voltage clamp. However, V th values determined using the voltage-clamp mode were more stable and faster to determine than those obtained in

3 J Physiol Monoamines hyperpolarize V th 357 current-clamp mode, so the voltage-clamp technique was used to determine all V th values reported in this study. Variability in the determination of the V th using current clamp might be attributable to the known limitations of using a head stage primarily designed for voltage-clamp recordings in current-clamp mode. Voltage traces are approximated and fast voltage transients, like the onset of an action potential, might be subject to distortion (see Magistretti et al. 1996). For 34 neurones recorded in 26 preparations, the absolute value of V th determined using the voltage-clamp protocol ranged from 30 to 48 mv (mean = 38 mv; s.d. = 6 mv). There was no relation between the input resistance of the neurone (range M ) and its absolute V th (linear regression r 2 < 0.01, P = 0.97). Stopping the perfusion of the recording bath for periods up to 6 min did not induce a change in V th (n = 3). Serotonergic effects on V th The effect of bath-applied 5-HT of V th was assessed for 23 lumbar ventral horn neurones. The minimum depolarizing step which elicited a fast inward current remained stable prior to application of 5-HT to the bath, and the membrane resistance and access resistance were monitored. Figure 1A shows an example of one cell in which a step to 40 mv from the initial holding potential of 60 mv was the smallest depolarizing step able to elicit a fast inward current (left traces, denoted by arrow) and was V th for this neurone. Steps to more depolarized holding potentials invariably elicited a fast inward current. Repeated trials were obtained prior to application of 5-HT to ensure that the control V th reflected a stable, repeatable value (not illustrated). Within 3 min of the addition of 12 µm of 5-HT to the bath, the first fast inward current was induced by a smaller depolarizing voltage step (to 46 mv). The difference indicates a 6mV hyperpolarization of the V th. This change of V th was reversed by washing out the 5-HT (n = 7/7 cells; see Fig. 1C, left traces). A second administration of 5-HT produced the same change in the V th (Fig. 1C, right traces). In order to test whether the successive subthreshold depolarizing steps present in the incremental depolarizing step protocol might have induced an accommodative process that is 5-HT sensitive, in two cells the protocol was modified (see Fig. 2). The V th was first determined using incremental depolarizing steps (as in Fig. 1; not illustrated in Fig. 2), then the protocol was customized so that the first depolarizing step delivered would equal the control V th value for that cell. Successive steps decreased in amplitude by 2 mv decrements (see Fig. 2A, lower traces). As shown in Fig. 2B, 5-HT induced a hyperpolarization of V th using the decreasing step protocol, in the absence of subthreshold depolarizing steps. The same 5-HT-induced hyperpolarization of V th was observed for these neurones using the decreasing step as was seen using the incremental step protocol (not illustrated). This indicates that the V th hyperpolarization is not caused by a serotonergic reduction of an experimentally induced accommodation. 5-HT elicited a hyperpolarization of V th in 16/23 neurones ranging from 2 to 8 mv (mean 4 mv). This V th hyperpolarization was not accompanied by (1) a consistent Figure 1. Bath-applied 5-HT hyperpolarizes V th Prior to application of 5-HT (A), depolarizing steps that increased in 2 mv increments were applied to a ventral horn neurone and the resulting whole-cell current recorded. The successive current records (upper traces) and voltage command steps (lower traces, 1 14 in A) are shown overlaid. A step to 40 mv (thicker voltage line) from a holding potential of µ60 mv was needed to elicit a fast inward current (indicated by arrow). After 3 min with 5-HT in the bath, a step to 46 mv (B, thicker voltage line) was sufficient to activate the fast inward current. This 6 mv hyperpolarization of V th was reversed with the washout of 5-HT (C) and was repeatable with re-application of 5-HT (D). The scaling in A applies to all panels; leak currents are not subtracted.

4 358 B. Fedirchuk and Y. Dai J Physiol change the amplitude of the fast inward current, (2) changes in the access resistance during the experiment, or (3) consistent changes in membrane resistance during 5-HT administration. V th hyperpolarization with 5-HT administration was seen for neurones exhibiting small-amplitude fast inward currents (<500 pa) and neurones with large-amplitude fast inward currents (>1 na). There was no relation between the absolute value of the control V th and the effect of 5-HT on V th (linear regression; r 2 = 0.01, P = 0.88), or the initial holding current required to maintain the cell at 60 mv and the effect of 5-HT on V th (linear regression; r 2 = 0.02, P = 0.65). The minimum concentration of 5-HT able to reproducibly hyperpolarize V th was 2 µm, but titration of the 5-HT concentration (n = 4) showed that concentrations of 8 10 µm were required to elicit the maximal hyperpolarization of V th. Therefore, for the majority of experiments concentrations of µm were used. The preparations that exhibited a 5-HT-induced hyperpolarization of V th ranged from postnatal day (P) 1 to P5, and there was no relation between the effect of 5-HT on V th and the age of the neonatal rat from which the spinal cord was harvested (linear regression; r 2 = 0.11, P = 0.22). Not every neurone recorded exhibited a 5-HT-induced hyperpolarization of V th. Four of 23 ventral horn neurones showed no change in V th in the presence of 5-HT (12 26 µm). The remaining 3/23 neurones showed a 2 or 4 mv depolarization of V th in the presence of 5-HT (24 or 27 µm). One of the three preparations in which a neurone showed no change in V th in the presence of 5-HT and one of the three preparations in which the V th of a neurone was seen to depolarize also yielded recordings from a different neurone in which the V th hyperpolarized in the presence of 5-HT. Therefore the responses of neurones that showed either no change or a depolarization of V th were characteristic of the particular neurones rather than being determined by the experimental preparation. Application of 5-HT to the extracellular solution did not produce consistent effects on the input resistance amongst different neurones. For individual cells, the input resistance could decrease, increase or remain unchanged with the application of 5-HT. The baseline current required to maintain the cell at the initial 60 mv holding potential became more negative during 5-HT application in 13/23 neurones (a change from 10 to 30 pa). For these neurones, a membrane depolarization would have occurred had the membrane potential not been held at 60 mv, which is consistent with previous reports documenting a 5-HT-induced depolarization of spinal motoneurones (see Connell & Wallis, 1988; Takahashi & Berger, 1990; Elliot & Wallis, 1992). It is notable that cells showing hyperpolarization of V th in the presence of 5-HT did not necessarily show concomitant changes in either their membrane resistance or baseline holding current. In addition, one of the neurones that had no change in V th in the presence of 5-HT did show a 30 pa change in holding current and a reduction in membrane resistance during the drug application. Rhythmicfluctuations in membrane current during voltage-clamp protocols, or of membrane potential during current-clamp protocols, which would have denoted rhythmic network activity, were not observed for any neurone. Figure 2. V th hyperpolarization is not caused by 5-HT reducing an experimentally induced accommodation In order to address the possibility that subthreshold depolarizing voltage steps may induce an accommodation which is 5-HT sensitive, an alternate protocol was used in which successive depolarizing voltage steps were of decreasing amplitude. The first step delivered was the minimum voltage step needed to elicit a fast inward current in the absence of 5-HT (denoted by arrow, step 1 in A). In the presence of 5-HT, a 44 mv depolarizing step was also able to evoke a rapid inward current (B), demonstrating a 4 mv hyperpolarization of V th. The time scale in A also applies to B.

5 J Physiol Monoamines hyperpolarize V th 359 Noradrenergic effects on V th The effect of bath-applied NA on neuronal V th was assessed in 16 ventral horn neurones. Of these, 10/16 showed a hyperpolarization of V th (range 2 to 6 mv), 4/16 neurones showed a depolarization of V th of either 2 or 4 mv, and two neurones showed no change in V th when NA was present in the bath (concentrations ranged from 6to50µm). The time course of the NA effect on V th was the same as for 5-HT. An alteration of V th occurred within 2 3 min and could be washed out within several minutes (n = 9/9). The effects of 5-HT and NA on V th were compared infive neurones. As in the example shown in Fig. 3, the effect on V th of the first drug was assessed (in this case 5-HT), the preparation was washed and it was confirmed that the V th returned to its control value, and the second drug was applied. For 3/5 cells, the change in V th induced by NA was identical to that produced by 5-HT ( 4, 2 and 2 mv changes). Of the other two cells, one showed a 4 mv depolarization of V th with 5-HT and a 2 mv depolarization with NA and the other showed no change in V th with 5-HT and a 2mVhyperpolarization of V th with NA. In one cell, after NA and 5-HT were each applied separately and their effects on V th assessed (both caused a 4 mv change), they were re-applied simultaneously. The effect on V th was the same as that produced by either agonist on its own (i.e. 4mV change). Discussion The results of this study show that bath-applied 5-HT or NA can alter the V th of spinal ventral horn neurones in the neonatal rat. The most common effect, a hyperpolarization of V th ranging in amplitude from 2 to 8 mv, was seen for the majority of neurones tested. This change was reversible and repeatable, was not due to a monoaminergic reduction of an experimentally induced accommodation, and was not accompanied by consistent changes in the amplitude of the fast inward current underlying spiking. The hyperpolarization of V th induced by 5-HT or NA was similar to the hyperpolarization of V th seen during fictive locomotion in the cat (Krawitz et al. 2001) in that it was evident within minutes of application of the drug to the bath, and recovered within minutes of washout of the monoamine. The onset of V th hyperpolarization was slower in this study than that seen during fictive locomotion in the cat, where hyperpolarization of V th occurred within seconds of electrical brainstem stimulation and was evident at the onset of locomotor activity. It is probable that the time required for diffusion of the drug into the spinal cord following bath application, and the delay associated with clearing effective doses of 5-HT or NA from the spinal tissue during washout, account for the slower onset and recovery observed in the present study. In addition, the relatively lower incidence and smaller amplitude of V th hyperpolarization seen in Figure 3. Both 5-HT and NA can hyperpolarize V th Application of 5-HT induced a 4 mv hyperpolarization of V th (B) compared to control (A). Following washout of the 5-HT effect (C, 6 min of wash), bath-applied NA also elicited a 4 mv hyperpolarization of V th. Simultaneous application of 5-HT and NA also produced a 4 mv hyperpolarization of V th (not illustrated). The scaling in A applies to all panels.

6 360 B. Fedirchuk and Y. Dai J Physiol the present study might be due to the inability of the exogenously applied monoamines to selectively activate the receptors mediating the change in V th. We have seen that activation of endogenous serotonergic systems in neonatal rat brainstem/spinal cord preparations can induce both a higher incidence of V th hyperpolarization, and larger hyperpolarizations of V th than reported here (Gilmore & Fedirchuk, 2002). The fact that hyperpolarization of V th was not limited to neurones exhibiting particular postsynaptic responses in the presence of the monoamine (e.g. induction of negative holding current at 60 mv) suggests that the V th hyperpolarization does not depend on a neuronal depolarization. In our previous computer modelling study, the putative modulatory process that was most effective in inducing a hyperpolarization of V th without concomitant changes in action potential shape was the modulation of the activation profile of the fast sodium current underlying action potentials (Dai et al. 2002). The modulation of the amplitude and inactivation profile of sodium channels via phosphorylation has been documented (West et al. 1991) and a role for this modulatory process in mediating neuronal plasticity has been suggested (see Cantrell & Catterall, 2001). It is therefore possible that a modulatory process facilitating activation of Na + channels might underlie the monoaminergic hyperpolarization of neuronal V th observed in the present study. In addition to modulation of the fast sodium current underlying spiking, it is also possible that other channel types could be involved in the monoamine-induced V th hyperpolarization. Reducing a potassium conductance could also hyperpolarize V th, although to a lesser degree than direct manipulation of sodium channels (Dai et al. 2002). In addition, persistent inward currents mediated by calcium and sodium channels are activated at membrane potentials near or even below spike threshold (Lee & Heckman, 2001; Li et al. 2004). Therefore monoaminergic facilitation of persistent inward currents (Lee & Heckman, 1999), or the NMDA current (MacLean & Schmidt, 2001), might cause a contribution of these currents to spike initiation and also contribute to V th hyperpolarization. Although the cells recorded in the present study were unidentified lumbar ventral horn neurones, the fact that hyperpolarization of V th could be seen in cells having either low or high membrane resistence values suggests that the V th of both larger and smaller ventral horn cells can be hyperpolarized by monoamines. The hyperpolarization of V th of interneurones would facilitate their activation and might contribute to the previously described ability of monoamines to initiate locomotor activity and facilitate spinal reflexes in the neonatal rat. Monoamines did not evoke rhythmic activity in the present study, probably because of disruption of spinal networks by hemisection. However, it is possible that neural elements presynaptic to the recorded neurone may have been activated by the applied monoamines, and therefore other transmitter systems might contribute to the 5-HT- and NA-induced effects on V th that were observed. The present study demonstrates the ability of 5-HT and NA to induce V th hyperpolarization, and the utility of the in vitro neonatal rat preparation for examining the mechanisms underlying this modulatory process. Future studies will assess the potential involvement of other transmitter systems in the monoamine-induced V th modulation, and the relative susceptibility of motoneuronal and interneuronal populations to V th hyperpolarization. References Barbeau H, Chau C & Rossignol S (1993). Noradrenergic agonists and locomotor training affect locomotor recovery after cord transection in adult cats. Brain Res Bull 30, Berger AJ & Takahashi T (1990). Serotonin enhances a low-voltage-activated calcium current in rat spinal motoneurons. JNeurosci10, Cantrell AR & Catterall WA (2001). Neuromodulation of Na + channels: an unexpected form of cellular plasticity. Nature Rev Neurosci 6, Cazalets JR, Sqalli-Housaaini Y & Clarac F (1992). Activation of the central pattern generator for locomotion by serotonin and excitatory amino acids in neonatal rat. J Physiol 455, Connell LA & Wallis DI (1988). Responses to 5-hydroxytryptamine evoked in the hemisected spinal cord of the neonate rat. Br J Pharmacol 94, Cowley KC & Schmidt BJ (1994). A comparison of motor patterns induced by N-methyl-D-aspartate, acetylcholine and serotonin in the in vitro neonatal rat spinal cord. Neurosci Lett 171, Dai Y, Jones KE, Fedirchuk B & Jordan LM (2000). Effects of voltage trajectory on action potential voltage threshold in simulations of cat spinal motoneurons. Neurocomputing 32 33, Dai Y, Jones KE, Fedirchuk B, McCrea DM & Jordan LM (2002). A modelling study of locomotion-induced hyperpolarization of voltage threshold in cat lumbar motoneurones. J Physiol 544, ElliottP&WallisDI(1992). Serotonin and 1-norpinephrine as mediators of altered excitability in neonatal rat motoneurons studied in vitro. Neurosci 47, Fedirchuk B (2001). The voltage threshold of action potentials is hyperpolarized by monoamines in spinal neurons of the neonatal rat. Soc Neurosci 27,

7 J Physiol Monoamines hyperpolarize V th 361 GilmoreJ&FedirchukB(2002). Descending facilitation of spinal motoneuron activity in the isolated brainstem and spinal cord of the neonatal rat. Soc Neurosci Abstract 28, Gustafsson B & Pinter MJ (1984). An investigation of threshold properties among cat spinal α-motoneurones. J Physiol 357, Hounsgaard J, Hultborn H, Jespersen B&KiehnO(1988). Bistability of α-motoneurones in the decerebrate cat and in the acute spinal cat after intravenous 5-hydroxytryptophan. J Physiol 405, Jankowska E, Hammar I, Chojnicka B&Hedén CH (2000). Effects of monoamines on interneurons in four spinal reflex pathways from group I and/or group II muscle afferents. Eur J Neurosci 12, Kiehn O, Hultborn H & Conway BA (1992). Spinal locomotor activity in acutely spinalized cats induced by intrathecal application of noradrenaline. Neurosci Lett 143, Kiehn O, Sillar KT, Kjaerulff O & McDearmid JR (1999). Effects of noradrenaline on locomotor rhythm-generating networks in the isolated neonatal rat spinal cord. J Neurophysiol 82, Kjaerulff O & Kiehn O (2001). 5-HT modulation of multiple inward rectifiers in motoneurons in intact preparations of the neonatal rat spinal cord. J Neurophysiol 85, Kolmodin GM & Skoglund CR (1958). Slow membrane potential changes accompanying excitation and inhibition in spinal moto- and interneurons in the cat during natural activation. Acta Physiol Scand 44, Krawitz S, Fedirchuk B, Dai Y, Jordan LM & McCrea DA (2001). State-dependent hyperpolarization of voltage threshold enhances motoneurone excitability during fictive locomotion in the cat. J Physiol 522, Lee RH & Heckman CJ (1999). Enhancement of bistability in spinal motoneurons in vivo by the noradrenergic alpha1 agonist methoxamine. J Neurophysiol 81, Lee RH & Heckman CJ (2001). Essential role of a fast persistent inward current in action potential initiation and control of rhythmic firing. J Neurophysiol 85, Li Y, Gorassini MA & Bennett DJ (2004). Role of persistent sodium and calcium currents in motoneuron firing and spasticity in chronic spinal rats. J Neurophysiol 91, Machacek DW, Garraway SM, Shay BL & Hochman S (2001). Serotonin 5-HT 2 receptor activation induces a long-lasting amplification of spinal reflexes in the rat. J Physiol 537, MacLean JN, Cowley KC & Schmidt BJ (1998). NMDA receptor-mediated oscillatory activity in the neonatal rat spinal cord is serotonin dependent. J Neurophysiol 79, MacLean JN & Schmidt BJ (2001). Voltage-sensitivity of motoneuron NMDA receptor channels is modulated by serotonin in the neonatal rat spinal cord. J Neurophysiol 86, Madison DV & Nicoll RA (1986). Actions of noradrenaline recorded intracellularly in rat hippocampal CA1 pyramidal neurones, in vitro. J Physiol 372, Magistretti J, Mantegazza M, GuatteoE&WankeE(1996). Action potentials recorded with patch-clamp amplifiers are they genuine? Trends Neurosci 19, Schmidt BJ & Jordan LM (2001). The role of serotonin in reflex modulation and locomotor rhythm production in the mammalian spinal cord. Brain Res Bull 53, Smith JC, Feldman JL & Schmidt BJ (1988). Neural mechanisms generating locomotion studied in mammalian brain stem-spinal cord in vitro. FASEB J 2, Takahashi T & Berger AJ (1990). Direct excitation of rat spinal motoneurones by serotonin. J Physiol 423, Wang MY & Dun NJ (1990). 5-Hydroxytryptamine responses in neonate rat motoneurones in vitro. J Physiol 430, West JW, Numann R, Murphy BJ, Scheuer T & Catterall WA (1991). A phosphorylation site in the Na + channel required for modulation by protein kinase C. Science 254, Acknowledgements The authors wish to thank Carolyn Gibbs, Matt Ellis and Maria Setterbom for their excellent technical assistance and Drs D. McCrea and S. Shefchyk for helpful comments on an earlier draft of this manuscript. The work was supported by grants from the Dr Paul H. T. Thorlakson Foundation Fund, and the Canadian Institutes of Health Research/Canadian Neurotrauma Research Program to B. Fedirchuk.

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