Neurogenic vasodilatatory component in the thermoregulatory skin blood flow response of the dog

Differential control of efferent sympathetic activity revisited

This article reviews 40 years of research (1970-2010) into the capability of the efferent sympathetic nervous system to display differential responsiveness. Discovered first were antagonistic changes of activity in sympathetic filaments innervating functionally different sections of the cardiovascular system in response to thermal stimulation. During the subsequent four decades of investigation, a multitude of differential sympathetic efferent response patterns were identified, ranging from opposing activity changes at the level of multi-fiber filaments innervating different organs to the level of single fibers controlling functionally different structures in the same organ. Differential sympathetic responsiveness was shown to be displayed in response to exogenous or artificial stimulation of afferent sensory fibers transmitting particular exogenous stimuli, especially those activating peripheral nociceptors. Moreover, sympathetic differentiation was found to be characteristic of autonomic responses to environmental changes by which homeostasis in the broadest sense would be challenged. Heat or cold loads or their experimental equivalents, altered composition of inspired air or changes in blood gas composition, imbalances of body fluid control, and exposure to agents challenging the immune system were shown to elicit differential efferent sympathetic response patterns which often displayed a high degree of specificity. In summary, autonomic adjustments to changes of biometeorological parameters may be considered as representative of the capability of the sympathetic nervous system to exert highly specific efferent control of organ functions by which bodily homeostasis is maintained.

Role of afferent pathways of heat and cold in body temperature regulation

The detection of surface and internal temperatures is achieved by axons terminating at lamina I of the spinal dorsal horn, otherwise approached only by nociceptive afferents. Recent advances in thermal physiology research have disclosed that temperature-sensitive ion channels belonging to the "transient receptor potential" family exist in the peripheral sensory neurons and in the brain. Thermosensory, nociceptive and polymodal afferents project to different thalamic nuclei, and specific pathways to the insular cortex evoke the conscious experience of thermal sensation. The posterior insular region represents discriminative thermal sensation, while the largest correlation with subjective ratings of temperature is located in the orbitofrontal and anterior insular cortex. The insular cortex forms an integrative part of the limbic system and is closely tied with the hypothalamus, the amygdala, the anterior cingulate cortex and the orbitofrontal cortex and emerges as the main coordinator of behavioral, autonomic and endocrine responses to both non-noxious and noxious thermal stimuli. The firing rate of warm and cold receptors is not altered by pyrogens. A strong correlation between the onset of fever and production of superoxide by macrophages following the injection of pyrogens implicates reactive oxygen species as elicitors of fever, a hypothesis strengthened by the observation that oxygen radical scavengers or thiol reductants act as antipyretics. Oxidative stress appears to be sensed by the brain and a likely structure for its detection may be the redox-sensitive site of the N-methyl-D-aspartate (NMDA) receptor for glutamate, in that oxidation of this site causes fever while its reduction lowers body temperature, effects which are abrogated by specific NMDA receptor blockers.

Vasodilator neurons supplying skin and skeletal muscle of the limbs

Three types of neural vasodilator responses can be identified in the vascular beds of limbs. The first is almost certainly cholinergic, is restricted to precapillary resistance vessels in skeletal muscle, and appears to be activated during emotionally-oriented arousal. The second is non-cholinergic, is attenuated by histamine H1-receptor antagonists, and occurs in both skeletal muscle and skin. This response may also be evoked by emotional stimuli. The third response is localized to arteriovenous shunts in the digits, and is generally insensitive to both anticholinergic and antihistaminic drugs. It is probably implicated in thermoregulatory control, and may mediate cold vasodilation.

Neurogenic non-adrenergic cutaneous vasodilatation elicited by hypothalamic thermal stimulation in dogs

Hypothalamic heating in dogs with depleted peripheral adrenergic transmitter stores by means of chronic application of reserpine elicits increase of hindpaw blood flow. The vasodilator response is not affected by alpha- and beta-adrenergic or cholinergic blocking substances, nor by histamine-, or prostaglandin-antagonists. Dopamine and ergometrine produce cutaneous vasoconstriction which is antagonized or prevented by haloperidol. The hypothalamic vasodilator response is abolished after intra-arterial injection of haloperidol, after lumbar sympathetic chain section, or by high doses of hexamethonium. The results indicate neurogenic non-adrenergic control of skin blood flow in thermoregulation possibly acting through inhibition of dopaminergic vasoconstrictor mechanisms.

The role of adrenergic mechanisms in thermoregulatory control of blood flow through capillaries and arteriovenous anastomoses in the sheep hind limb

The possible role of adrenergic mechanisms in thermoregulatory changes in the partition of femoral blood flow between nutrient (capillary) and non-nutrient (arteriovenous anastomoses, AVA) circuits in the hind limb of conscious sheep has been investigated employing radioactive microsphere and electromagnetic blood flow measurement techniques. Constriction of AVAs, normally induced by spinal cooling, could be inhibited by phentolamine, whereas dilatation of AVAs, normally induced by spinal heating, could be inhibited by noradrenaline or methoxamine. AVA constriction could be induced by noradrenaline or methoxamine, or dilatation by phentolamine. Isoprenaline had a small dilator and propranolol a small constrictor effect on AVAs. It is concluded that adrenergic pathways involving predominantly alpha-receptors play a role in thermoregulatory changes in skin blood flow (through AVAs) elicited by manipulation of CNS temperature; under these conditions, beta-receptors do not play any role, although manipulation of their activity will influence AVAs under non-thermoregulatory conditions. Capillary blood flows in skin, bone and fat were sensitive, at different ambient temperatures and to varying degrees, to some alpha- and beta-adrenergic agents.

Vasodilatory mechanisms in the tongue and nose of the dog under heat load

Blood flow in vessels running to the nose and tongue was measured with electromagnetic flowmeters in anaesthetized dogs. In initial experiments the effect of electrical stimulation of the stellate ganglion on blood flow to the nose and tongue was studied and suitable doses of antagonist drugs to adrenergic and cholinergic receptors determined. In subsequent experiments the effect of receptor blockade on blood flow response was examined in animals subjected to hypothalamic heating at different body temperatures induced by whole body warming. It was found that heat load provoked an increase in blood flow to the nose which was due to a decrease in the activity of nerves supplying alpha adrenergic receptors. The heat induced vasodilatation observed in the tongue occurred by the same mechanism as in the nose when the thermal load was small and respiration rate was not increased from resting levels. However, when the thermal load was greater and panting was induced, a secondary "active" component became evident, and this was mediated neither by adrenergic nor cholinergic muscarinic receptors. Fibres responsible for this active vasodilatation to the tongue were postganglionic and ran apart from the vagosympathetic trunk.

Response pattern of cutaneous postganglionic neurones to the hindlimb on spinal cord heating and cooling in the cat

Single postganglionic neurones to hairy skin and hairless skin of the hindleg were investigated on spinal cord heating and spinal cord cooling in chloralose anesthetized cats. 1. Spontaneously active postganglionic neurones which were classified as vasoconstrictor neurones were depressed by spinal cord heating and excited by spinal cord cooling. The overall response to spinal cord cooling was smaller than that to spinal cord heating. 2. Postganglionic neurones to the hairless skin, which had most likely sudomotor function, responded initially to spinal cord heating with a few impulses or not at all. As judged by the skin potentials recorded from the hairless skin the sweat glands were also only weakly activated at the beginning of the heat stimuli. 3. Six silent postganglionic neurones, 3 each to the hairy skin and to the hairless skin, were excited during spinal cord heating. The response of these neurones consisted of a dynamic and a static component and started at the beginning of the heating stimuli with latencies of less than 10S. The neurones could not be excited by any other stimuli and were classified as cutaneous vasodilator neurones. 4. Quantitative analysis of 4 spontaneously active postganglionic (vasoconstrictor) neurones and 3 silent postganglionic (vasodilator) neurones revealed that the threshold of the responses of these neurones to spinal cord heating was 40-42 degrees C (on the dorsal spinal cord) and that the response increase was maximal at the highest temperatures tested (43-44 degrees C).¿

Vasoconstrictor and pilomotor fibres in skin nerves to the cat's tail

Postganglionic neurones to the tail's skin of the cat were investigated with regard to their spontaneous activity, response characteristics to somatic stimuli and asphyxia, the conduction velocity of their axons, and the conduction velocity of the preganglionic axons converging on them. The cats were anaesthetized with chloralose, immobilized, and arteficially ventilated. With this regimen the postganglionic neurones were divided into two types: 1. Type 1 neurones are spontaneously active and exhibit reflexes upon somatic stimulation. During asphyxia they are mostly first depressed and then excited for about 2-3 min. Their axons conduct with 0.57 +/- 0.13 m/s (mean +/- SD). The pregaglionic axons converging on them conduct with 5.4 +/- 1.6 m/s. 2. Type 2 neurones are not spontaneously active and exhibit with few exceptions no reflexes on somatic stimuli. During asphyxia they are activated after 3-4 min, concomitantly with piloerection, when the activity in type 1 neurones is already decreasing. Their axons conduct with 0.84 +/- 0.14 m/s, the preganglionic axons converging on them conduct with 9.9 +/- 2.9 m/s. 3. From these characteristics it is concluded that type 1 neurones have vasomotor function and most type 2 neurones pilomotor function.

Activation and inhibition of muscle and cutaneous postganglionic neurones to hindlimb during hypothalamically induced vasoconstriction and atropine-sensitive vasodilation

1. Discharge patterns in postganglionic neurones to muscle and to hairy skin of the hindlimb of chloralose anaesthetized cats were investigated during electrical hypothalamic stimulation which induced either vasoconstriction or atropine sensitive vasodilation in the skeletal muscle. 2. Spontaneously active postganglionic neurones to muscle were activated both during hypothalamically induced vasoconstriction and active vasodilation. Stimulation of the hypothalamic vasodilator area induced mostly a sequence of activation-depression-activation in these neurones. Stimulation of cutaneous Group IV afferents elicited reflexes in these neurones; repetitive high frequency stimulation of large diameter afferents in the vago-depressor nerve produced depression of spontaneous activity followed by a post-inhibitory excitation. The characteristics of these neurones fit those that would be expected of vasoconstrictors. 3. Normally inactive postganglionic neurones to skeletal muscle could only be activated during hypothalamically induced atropine sensitive vasodilation. These neurones exhibit no reflexes on somatic stimulation. The axons of these neurones conduct faster than those of the spontaneously active postganglionic neurones. It is likely that they are cholinergic vasodilator neurones. 4. Most of the cutaneous postganglionic neurones to hairy skin were activated during stimulation of both the hypothalamic vasoconstrictor and the vasodilator areas. These neurones have the characteristics of cutaneous vasoconstrictor neurones. Part of the cutaneous not spontaneously active postganglionic neurones could neither be activated from the hypothalamus nor by somatic stimuli.