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The dorsal spinal cord is essential for information exchange between the periphery of the body and the brain. Sensory stimuli such as heat, cold, touch, or noxious stimuli are detected by specialized peripheral neurons, which convey this information to neurons of the spinal cord dorsal horn. Here, a complex network of inhibitory and excitatory interneurons modulates and eventually relays sensory information via spinal projection neurons to supraspinal sites1,2. The computations carried out by spinal inter- and projection neurons gate sensory information, thus determining which information is suppressed or relayed at which intensity. Changes in the integration of sensory stimuli, such as an altered balance between inhibition and excitation, can cause sensory dysfunctions such as hypersensitivity or allodynia (painful sensations after normally non-painful stimulation). These changes are thought to be the underlying cause of various chronic pain states3,4. Thus, spinal circuits are of high importance in sensory processing and consequently in the perception of an organism's environment and self. With the recent advent and combination of molecular, genetic, and surgical techniques that allow the precise manipulation of genetically identified spinal neuron subpopulations, scientists are now beginning to understand the underlying spinal circuits responsible for the processing of distinct sensory modalities.
Intraspinal injection of rAAV into wild-type or transgenic mice has greatly contributed to the manipulation, analysis, and understanding of the function of specific subsets of spinal neurons5,6,7,8,9,10,11. This technique allows the delivery of marker proteins (such as GFP/ GFP fusion proteins), reporter proteins (such as GCaMP), or effector proteins (such as bacterial toxins, channelrhodopsin, or pharmacogenetic receptors) in a spatially restricted manner to spinal neurons. Local injection of Cre-dependent rAAVs into transgenic mice expressing Cre recombinase in a specific subset of spinal neurons allows the specific analysis of the respective neuronal population. We have employed this technique to label, ablate, inhibit or activate spinal glycinergic neurons demonstrating that they are an essential part of the spinal gate controlling pain and itch transmission7. In these experiments, intraspinal injection of Cre-dependent rAAV into GlyT2::Cre mice enabled the selective manipulation of glycinergic neurons in the lumbar spinal cord. Thereby, simultaneous manipulation of supraspinal circuits that contain glycinergic neurons critical for the survival of the animal can be avoided.
While an intraspinal injection of rAAVs limits infection to the site of injection, viral transduction can occur not only in local neurons but also in neurons that connect to the injection site via axonal projections. The latter is often used to trace CNS areas providing neuronal input to a particular nucleus in the brain. The infection of axonal projections can, however, also be a confounding factor when a defined population of neurons shall be studied at a particular site. To address these issues, we have recently conducted a comprehensive analysis of AAV serotypes and expression cassettes to identify serotypes and promoters that can be used to either minimize or maximize retrograde transduction. In the context of this specific research in spinal circuits, we analyzed the ability of different serotypes and promoters to retrogradely transduce neurons in the dorsal root ganglia (DRG), the rostral ventromedial medulla (RVM), and the somatosensory cortex12. The technique outlined in this protocol can therefore be used either to analyze spinal neurons at the injection site or to analyze projection neurons that provide input to the injected site of the spinal cord. In the protocol described here, three injections of rAAV into the left side of the lumbar spinal cord are performed to enable transduction of neurons in the three lumbar segments (L3-L5). The L3-L5 segments receive the majority of the sensory input from the hindlimb ipsilateral to the injection site. We demonstrate that functional manipulation of genetically labeled neurons in L3-L5 is sufficient to evoke robust behavioral changes, thus providing functional evidence for the circuit function of such a genetically labeled neuron subtype.