Responses of trigeminal units in the monkey bulbar lateral reticular formation to noxious and non-noxious stimulation of the face: experimental and theoretical considerations

Morphology and connections of intratrigeminal cells and axons in the macaque monkey

Trigeminal primary afferent fibers have small receptive fields and discrete submodalities, but second order trigeminal neurons often display larger receptive fields with complex, multimodal responses. Moreover, while most large caliber afferents terminate exclusively in the principal trigeminal nucleus, and pars caudalis (sVc) of the spinal trigeminal nucleus receives almost exclusively small caliber afferents, the characteristics of second order neurons do not always reflect this dichotomy. These surprising characteristics may be due to a network of intratrigeminal connections modifying primary afferent contributions. This study characterizes the distribution and morphology of intratrigeminal cells and axons in a macaque monkeys. Tracer injections centered in the principal nucleus (pV) and adjacent pars oralis retrogradely labeled neurons bilaterally in pars interpolaris (sVi), but only ipsilaterally, in sVc. Labeled axons terminated contralaterally within sVi and caudalis. Features of the intratrigeminal cells in ipsilateral sVc suggest that both nociceptive and non-nociceptive neurons project to principalis. A commissural projection to contralateral principalis was also revealed. Injections into sVc labeled cells and terminals in pV and pars oralis on both sides, indicating the presence of bilateral reciprocal connections. Labeled terminals and cells were also present bilaterally in sVi and in contralateral sVc. Interpolaris injections produced labeling patterns similar to those of sVc. Thus, the rostral and caudal poles of the macaque trigeminal complex are richly interconnected by ipsilateral ascending and descending connections providing an anatomical substrate for complex analysis of oro-facial stimuli. Sparser reciprocal crossed intratrigeminal connections may be important for conjugate reflex movements, such as the corneal blink reflex.

Cells of origin of the trigeminohypothalamic tract in the rat

Recent studies have demonstrated that a large number of spinal cord neurons convey somatosensory and visceral nociceptive information directly from cervical, lumbar, and sacral spinal cord segments to the hypothalamus. Because sensory information from head and orofacial structures is processed by all subnuclei of the trigeminal brainstem nuclear complex (TBNC) we hypothesized that all of them contain neurons that project directly to the hypothalamus. In the present study, we used the retrograde tracer Fluoro-Gold to examine this hypothesis. Fluoro-Gold injections that filled most of the hypothalamus on one side labeled approximately 1,000 neurons (best case = 1,048, mean = 718 +/- 240) bilaterally (70% contralateral) within all trigeminal subnuclei and C1-2. Of these neurons, 86% were distributed caudal to the obex (22% in C2, 22% in C1, 23% in subnucleus caudalis, and 18% in the transition zone between subnuclei caudalis and interpolaris), and 14% rostral to the obex (6% in subnucleus interpolaris, 4% in subnucleus oralis, and 4% in subnucleus principalis). Caudal to the obex, most labeled neurons were found in laminae I-II and V and the paratrigeminal nucleus, and fewer neurons in laminae III-IV and X. The distribution of retrogradely labeled neurons in TBNC gray matter areas that receive monosynaptic input from trigeminal primary afferent fibers innervating extracranial orofacial structures (such as the cornea, nose, tongue, teeth, lips, vibrissae, and skin) and intracranial structures (such as the meninges and cerebral blood vessels) suggests that sensory and nociceptive information originating in these tissues could be transferred to the hypothalamus directly by this pathway.

Neuronal activity related to spontaneous and capsaicin-induced rhythmical jaw movements in the rat

Intraoral capsaicin induced rhythmical jaw movements (RJM) in anesthetized rats. Neurons in the trigeminal spinal nucleus caudalis or the cortico-peduncular (CP) axons were extracellularly recorded. Capsaicin excited dose-dependently most caudalis neurons, which were activated by stimulation of the oral cavity and/or the tooth pulp and activated during spontaneous or induced RJM. Ten of 55 CP axons were antidromically activated by stimulation of the contralateral trigeminal motor nucleus. All antidromic and 29 other CP axons discharged prior to the spontaneous RJM, but most of them did not during capsaicin-induced RJM. These neuronal activities possibly initiate spontaneous RJM although the activities of caudalis neurons are necessary for capsicin-induced RJM.

The medullary subnucleus reticularis dorsalis (SRD) as a key link in both the transmission and modulation of pain signals

The involvement of the dorsal part of the caudal medulla in both the transmission and modulation of pain is supported by recent electrophysiological and anatomical data. In this review, we analyse the features of a well-delimited area within the caudal-most aspect of the medulla, the subnucleus reticularis dorsalis (SRD) which plays a specific role in processing cutaneous and visceral nociceptive inputs. From a general viewpoint, the reciprocal connections between the caudal medulla and spinal cord suggest that this area is an important link in feedback loops which regulate spinal outflow. Moreover, the existence of SRD-thalamic connections put a new light on the role of spino-reticulo-thalamic circuits in pain transmission.

Differential distribution of three types of nociceptive neurons within the caudal bulbar reticular formation in the cat

Nociceptive neurons within the reticular formation (RF) caudal to the obex were studied. 197 units recorded from the lateral part of subnucleus reticularis ventralis had receptive fields in the head, 72 units recorded from the medial RF in the body, and 160 units recorded from the middle third of RF in the head and body. About half of the units tested were antidromically excited by stimulation of nucleus centralis lateralis.

Anatomical properties of brainstem trigeminal neurons that respond to electrical stimulation of dural blood vessels

Single unit recording studies in anesthetized cats have identified a population of neurons in the brainstem trigeminal complex that can be activated by stimulation of major dural blood vessels. Such dura-responsive neurons exhibit response properties that are appropriate for a role in the mediation of vascular head pain in that they typically exhibit nociceptive facial receptive fields whose periorbital distribution is similar to the region of referred pain evoked by dural stimulation in humans. In the present study, intracellular labelling with horseradish peroxidase was used to examine the anatomical characteristics of brainstem trigeminal neurons that respond to dural stimulation. A total of 17 neurons was labelled that responded to electrical stimulation of dural sites overlying the superior sagittal sinus or middle meningeal artery. Fourteen of these neurons also responded to electrical stimulation of the cornea. The neurons in this sample were located in the rostral two-thirds of the trigeminal nucleus caudalis and the caudalmost part of the nucleus interpolaris. Within caudalis, the neurons were located in the deeper part of the nucleus, primarily lamina V, and were concentrated ventrolaterally. The dendritic arborizations of the dura-responsive neurons typically exhibited a dorsolateral-to-ventromedial orientation and did not extend into the superficial laminae of caudalis. Dura-responsive neurons had axonal collaterals and boutons in the nucleus caudalis, nucleus interpolaris, the infratrigeminal region ventral to nucleus interpolaris, the nucleus of the solitary tract, and the medullary reticular formation. The axonal boutons within the trigeminal complex exhibited a ventrolateral distribution which largely overlapped the distribution of the somata. The results are consistent with previous evidence that dura-responsive brainstem trigeminal neurons may have a role in the mediation of dural vascular head pain and also indicate that such neurons may contribute to nociceptive processing within the dorsal horn.

Trigeminal nociceptive neurons in the subnucleus reticularis ventralis. I. Response properties and afferent connections

Trigeminal nociceptive neurons within the subnucleus reticularis ventralis medullae oblongatae (SRV), which lies ventral to the trigeminal subnucleus caudalis and subnucleus reticularis dorsalis medullae oblongatae, were studied in urethane/chloralose-anesthetized cats and monkeys. These neurons were called 'SRV neurons'. They were almost regularly excited by pressure to the ipsilateral cornea or to both corneas at a strength well above the human corneal pain threshold. Most of them were activated by noxious mechanical stimulation of the pinna, face and/or tongue. A significant fraction of SRV units was responsive to tapping of the ipsilateral dorsum of the nose and/or electrical stimulation of tooth pulp afferents. Evidence was obtained that responses to tapping of the dorsum of the nose were due to mechanical distortion of the nasal mucosa. Intracellular injection of HRP into SRV neurons demonstrated that injected neurons were large neurons characteristic of the SRV. Trigeminal tractotomy just rostral to the obex did not eliminate responses of SRV units to trigeminal inputs. Neurons relaying trigeminal inputs to SRV neurons were electrophysiologically identified in the nucleus reticularis parvocellularis which is ventromedially adjacent to the subnuclei oralis and interpolaris of the trigeminal spinal tract nucleus. These findings were supported by HRP injection into the SRV. Units having receptive fields similar to those of SRV neurons were found in lamina VII of the first cervical cord, suggesting that SRV neurons may be trigeminal lamina VII neurons.

Trigeminal primary afferent projections to "non-trigeminal" areas of the rat central nervous system

The central projections of rat trigeminal primary afferent neurons to various "non-trigeminal" areas of the central nervous system were examined by labeling the fibers with wheat germ agglutinin-horseradish peroxidase (WGA-HRP) transported anterogradely from the trigeminal ganglion. This technique produced a clear and comprehensive picture of trigeminal primary afferent connectivity that was in many ways superior to that which may be obtained by using degeneration, autoradiography, cobalt labeling, or HRP transganglionic transport techniques. Strong terminal labeling was observed in all four rostrocaudal subdivisions of the trigeminal brainstem nuclear complex, as well as in the dorsal horn of the cervical spinal cord bilaterally, numerous brainstem nuclei, and in the cerebellum. Labeling in the ipsilateral dorsal horn of the cervical spinal cord was very dense at C1, moderately dense at C2 and C3, and sparse at C4-C7. Numerous fibers crossed the midline in the medulla and upper cervical spinal cord and terminated in the contralateral pars caudalis and dorsal horn of the spinal cord from C1-C5. The latter axons terminated most heavily in the mandibular and ophthalmic regions of the contralateral side. Extremely dense terminal labeling was observed in the ipsilateral paratrigeminal nucleus and the nucleus of the solitary tract, moderate labeling was seen in the supratrigeminal nucleus and in the dorsal reticular formation, and small numbers of fibers were observed in the cuneate, trigeminal motor, lateral and superior vestibular nuclei, and in the cerebellum. The latter fibers entered the cerebellum in the superior cerebellar peduncle and projected to the posterior and anterior lobes as well as to the interposed and lateral deep cerebellar nuclei. Most projections in this study originated from fibers in the dorsal part of the spinal tract of V, suggesting a predominantly mandibular origin for these fibers. Projections from the ophthalmic and maxillary divisions, in contrast, were directed mainly to the cervical spinal cord bilaterally, to contralateral pars caudalis, and to certain areas of the reticular formation. In conclusion, this study has demonstrated that somatosensory information from the head and face may be transmitted directly to widespread and functionally heterogeneous areas of the rat central nervous system, including the spinal cord dorsal horn, numerous brainstem nuclei, and the cerebellum.(ABSTRACT TRUNCATED AT 400 WORDS)

The rostral part of the trigeminal sensory complex is involved in orofacial nociception

Single units responsive to noxious mechanical stimulation of orofacial receptive fields were recorded within the ventrobasal complex of the rat thalamus. The induced activities were compared before and after deafferentation of the subnucleus caudalis by a trigeminal tractotomy performed at the obex level. The receptive fields activated by noxious stimulation were classified as 'oral' when included in the oral, perioral or paranasal areas, and as 'facial' when included in facial regions distant from the oral cavity. After tractotomy, the unit responses to noxious stimulation of an oral field remained unchanged in 8 cases, decreased in 3 cases, and were suppressed in 4 cases. For units responding to noxious stimulation of a facial field, the responses were suppressed in 8 cases, decreased in two cases and remained unchanged in two other cases. So it appears that the rostral part of the trigeminal sensory complex (1) receives nociceptive afferents mainly from the oral and perioral areas and (2) is a relay in ascending pathways which convey painful sensations.

Somatosensory projection to the mesencephalon: an anatomical study in the monkey

The terminal areas and cells of origin of the somatosensory projection to the mesencephalon in the monkey were investigated by the intraaxonal transport method. Following injection of wheat germ agglutinin-horseradish peroxidase conjugate (WGA-HRP) into the spinal enlargements, the lateral cervical nucleus (LCN), the dorsal column nuclei (DCN), or the spinal trigeminal nucleus, anterograde labeling was observed in several regions of the mid-brain. (1) Injection of tracer into the spinal enlargements resulted in dense terminal labeling in the parabrachial nucleus (PBN) and the periaqueductal gray matter (PAG); moderate termination was observed in the intercollicular nucleus (Inc), the intermediate and deep gray layers of the superior colliculus (SGI, SGP), the posterior pretectal nucleus (PTP), and the nucleus of Darkschewitsch (D); and scattered terminal fibers were seen in the cuneiform nucleus (CNF) and the pars compacta of the anterior pretectal nucleus (PTAc). The projections from the cervical enlargement to PAG, Inc, and the superior colliculus terminated more rostrally than those from the lumbar segments, indicating a somatotopic organization. (2) Terminal labeling after injection of tracer into LCN was found mainly in Inc, SGI, and SGP, but sparse labeling was also observed in the nucleus of the brachium of the inferior colliculus (BIN), PAG, PBN, PTP, and D. (3) The projection from DCN terminated densely in the external and pericentral nuclei of the inferior colliculus (ICX, ICP), Inc, SGI, SGP, PTP, PTAc, the nucleus ruber, and D, and weak terminal labeling was seen in BIN, PAG, and PBN. Comparisons of the anterograde labeling following injections involving both the gracile nucleus and the cuneate nucleus with that after injection restricted to the gracile nucleus alone suggested a somatotopic termination pattern in Inc, the superior colliculus, and the pretectal nuclei. (4) The patterns of projection from the laminar and alaminar parts of the spinal trigeminal nucleus differed: injection of tracer into the caudal part of the alaminar spinal trigeminal nucleus (nucleus interpolaris) resulted in dense anterograde labeling in SGI and SGP, moderate termination in Inc, and minor projections to PBN, PAG, and PTP, whereas after tracer injection into the laminar trigeminal nucleus (nucleus caudalis) terminal labeling was present only in PBN and PAG. Following injection of tracer into the midbrain terminal areas retrogradely labeled neurons were found in the spinal cord, LCN, DCN, and the spinal trigeminal nucleus, with the majority of labeled cells situated on the side contralateral to the injection site.(ABSTRACT TRUNCATED AT 400 WORDS)

Oral and facial representation within the medullary and upper cervical dorsal horns in the cat

Transganglionic transport of HRP was used to study the patterns of termination of somatic afferent fibers innervating oral and facial structures within the trigeminal nucleus caudalis and upper cervical dorsal horn of the cat. In separate animals, the superior alveolar, pterygopalatine, buccal, inferior alveolar, lingual, frontal, corneal, zygomatic, infraorbital, mental, mylohyoid, and auriculotemporal branches of the trigeminal nerve were traced in this experiment. The organization of the primary afferents innervating the oral structures is not uniform across laminae and at different rostrocaudal levels of the nucleus caudalis. The superior alveolar and pterygopalatine nerves mainly terminate in laminae I, II, and V at the level of the rostral one-third of the caudalis. By contrast, the lingual, inferior alveolar, and buccal nerve terminate in laminae I-V of, respectively, the rostral third, the entire length, and caudal two-thirds of the caudalis. In addition, the lingual, buccal, and pterygopalatine nerves terminate in the dorsal and middle parts of the interstitial islands or pockets of lamina I neuropil extending to the rostral levels parallel to the nucleus interpolaris. Mediolaterally, in laminae I, II, and V of the rostral third an extensive overlap of projections was found between the branches from each trigeminal division, and some overlap was observed between projections from the mandibular and maxillary divisions. On the other hand, the projections of primary afferents innervating the facial structures are arranged in a somatotopic fashion in rostrocaudal and mediolateral axes over the laminae (I-IV) through the nucleus caudalis and upper cervical dorsal horn. Fibers from the perioral and perinasal regions terminate most rostrally in caudalis, and fibers from progressively more posterior facial regions terminate at successively lower levels. A mediolateral somatotopic arrangement was observed, with fibers from the ventral parts of face ending in the medial regions and fibers from the progressively more dorsal parts of the face ending in successively more lateral regions of the medullary and upper cervical dorsal horns. Corneal afferent terminals are concentrated in the outer parts of lamina II at the levels of the rostral parts of the caudal two-thirds of the caudalis and the interstitial islands of lamina I. The maxillary division terminates first at the most caudal level of the caudalis, followed by the ophthalmic division descending as far as the C2 segment and the mandibular division reaching the most caudal level of the C2 segment.(ABSTRACT TRUNCATED AT 400 WORDS)

The morphology of trigeminal nociceptive neurons in the caudal bulbar lateral reticular formation of the cat

Two types of trigeminal nociceptive neurons, i.e. subnucleus reticularis ventralis (SRV) and wide dynamic range (WDR) neurons were identified in the caudal bulbar lateral reticular formation (LRF) and intracellularly stained with horseradish peroxidase. SRV neurons were large neurons characteristic of the subnucleus reticularis ventralis. Their dendrites were confined to the LRF. WDR neurons were situated in the subnucleus reticularis dorsalis. Their dendrites penetrated into the magnocellular layer, but did not reach the substantia gelatinosa.

Trigeminal afferents to the diencephalon in the rat

Trigemino-diencephalic connections were studied in the rat using wheat-germ agglutinin conjugated to horseradish peroxidase as an anterogradely transported axonal tracer. Injection of the tracer into the subnucleus principalis produced two foci of dense labelling: one ventromedial: and one dorsal within the medial part of the ventrobasal complex. Other diencephalic structures containing granules of reaction product were the medial part of the medial geniculate body, the ventral area of the zona incerta and the nucleus lateralis posterior, pars lateralis. Injection of the tracer into the subnucleus interpolaris labelled the same structures, but less densely. After an injection into the subnucleus caudalis, labelling was observed in the same thalamic areas, although projections to the zona incerta or the lateralis posterior were not consistent. Additional labelling was observed in the subfascicular area of the mesodiencephalic junction, the nucleus submedius and the intralaminar nuclei centralis medialis and lateralis. In those cases of injection into the subnuclei principalis and interpolaris, all observed thalamic sites of projection were contralateral to the injection site. Following injection into the subnucleus caudalis, projections toward lateral thalamic structures were contralateral, but the nucleus submedius and the intralaminar nuclei exhibited bilateral labelling. Using high magnification (1250 X) with bright-field illumination, an analysis of the morphology of some terminal arborizations was attempted. Despite some technical limitations, the analysis indicated that in the ventrobasal complex, some terminal ramifications of axons originating from the three trigeminal subnuclei under study arborize so as to encompass a rounded area, the diameter of which could be as large as 100 microns, thereby resembling the classically described "bushy arbors". Such arborizations could not be distinguished in the axons projecting to the medial part of the medial geniculate body. In this latter nucleus, the terminals appeared to arise from a stem fiber as short side branches at approximately right angles to the parent stem axon. In the other areas where afferent terminal labelling was observed, the density of the network of the labelled fibers often complicated the analysis of morphological features. However, arborizations such as those observed in the ventrobasal complex or the medial geniculate nucleus could not be distinguished.(ABSTRACT TRUNCATED AT 400 WORDS)

Convergence of trigeminal afferents on retractor bulbi motoneurones in the anaesthetized cat

Retractor bulbi motoneurones were identified by intracellular recording of their antidromic invasion following stimulation of the motor axons. Characteristics of excitatory post-synaptic potentials (e.p.s.p.s) evoked by electrical stimulation of long ciliary nerves (corneal afferents), the supraorbital nerve and the ipsilateral or contralateral vibrissae were analysed. Comparison of the orthodromic responses induced by supra-threshold stimulation of the four trigeminal inputs showed that the most powerful excitatory effect was due to corneal afferent stimulation. Excitatory synaptic potentials were followed in some cases by a period of hyperpolarization lasting 15-20 msec. It is suggested that this is an inhibitory potential of post-synaptic origin. Interaction between condition and test e.p.s.p.s evoked by long ciliary nerve and supraorbital nerve stimulation revealed a partial blocking of test e.p.s.p.s over a longer period (more than 30 msec), and it is suggested that inhibitory mechanisms within the trigeminal nucleus may be in part responsible for the absence of facilitation at the level of the motoneurone.

Identification of neurons relaying trigeminal nociceptive input onto subnucleus reticularis ventralis in the cat

After trigeminal tractotomy, neurons within the trigeminal subnucleus caudalis and adjacent subnucleus reticularis dorsalis failed to respond to mechanical stimulation of the trigeminal integument, but neurons responsive to noxious stimulation of the trigeminal region were found within subnucleus reticularis ventralis (SRV) of the caudal medulla oblongata. Neurons antidromically excited by electrical stimulation of the ipsi- or contralateral SRV were found within the reticular formation adjacent to the trigeminal subnuclei oralis and interpolaris. These neurons were also responsive to noxious stimulation of the ipsilateral trigeminal region. It was concluded that neurons relaying trigeminal nociceptive input onto SRV are located within this part of the reticular formation.

Effects of serotonin and morphine on spontaneous and evoked firing of nociceptive neurons in the trigeminal spinal nucleus of rats

Spontaneously firing neurons that were responsive to noxious face pinch or noxious heat were studied in the trigeminal spinal nucleus of the rat brain. These neurons responded with either an increase or decrease in firing rate. In these neurons serotonin (5-hydroxytryptamine; 5-HT) apparently acts through two mechanisms to attenuate the response to a noxious stimulus. One mechanism is mimicked by morphine; these two drugs block the response to the noxious stimuli without having a consistent effect on spontaneous firing. The effects of the two drugs were somewhat selective depending on the noxious stimulus used and the effect of the noxious stimulus; morphine and 5-HT were more effective in blocking the increase in firing rate evoked by the face pinch but 5-HT and morphine were more effective in blocking the decrease in firing rate evoked by the noxious heat stimulus. Interestingly, the direction of the response to a particular noxious stimulus frequently predicted whether or not both morphine and 5-HT would act on the same or different neurons. A second mechanism by which 5-HT, but not morphine, acted was to change the spontaneous firing in a direction opposite that evoked by the noxious stimulus. This type of effect apparently modulated the response to a noxious stimulus by changing the spontaneous firing rate such that a noxious stimulus had to be more intense before it could significantly alter the neuronal firing in the opposite direction. Morphine occasionally produced a change in firing pattern in neurons; this effect remains to be documented more extensively.

An anatomical demonstration of projections to the medullary dorsal horn (trigeminal nucleus caudalis) from rostral trigeminal nuclei and the contralateral caudal medulla

This study demonstrates that the medullary dorsal horn (MDH), the most caudal subdivision of the spinal trigeminal nucleus, receives input from neurons located in the trigeminal main sensory nucleus, the more rostral subdivisions of the spinal trigeminal nucleus, and the contralateral MDH. Using the retrograde transport of horseradish peroxidase (HRP), we show here that the MDH receives ipsilateral projections from rostral trigeminal nuclei but not from adjacent areas of the retricular formation. The rostral pole of spinal trigeminal nucleus oralis (nucleus oralis, pars beta) contains the highest density of MDH projection neurons. In addition, the MDH on one side receives projections from contralateral MDH neurons located in layers I, III, IV, V, VII and VIII but not from neurons in layers II and VI. We conclude that: (1) specific subdivisions of rostral trigeminal nuclei send projections to the MDH that could modulate the activity of MDH neurons; (2) projections from trigeminal nuclei to layers V and VI of the MDH, but not from adjacent areas of the reticular formation, provide further evidence that these deeper layers are related functionally to the MDH and trigeminal sensory processes; and (3) several populations of MDH neurons send axons across the midline into the contralateral MDH and may mediate contralateral inhibitory effects.

Physiological Properties of neurons in different parts of the cat trigeminal sensory complex

The following points emerge from a systematic investigation of the 4 divisions of the cat trigeminal sensory complex. (1) The subnucleus oralis receives a large representation from the oral cavity, a region also represented in the 3 other divisions of the trigeminal sensory complex. (2) Nucleus principalis cells project heavily to the contralateral and to the ipsilateral ventroposterior thalamus. Ipsilateral projections are only from the oral cavity representation. (3) Units responding to noxious mechanical stimulation have been found at two different loci: the subnucleus caudalis for the entire trigeminal area, and subnucleus oralis for the oral cavity alone. (4) The dental pulp projects to the 4 divisions of the trigeminal sensory complex, but the heaviest projection was found in the rostral part (nucleus principalis and subnucleus oralis). (5) Three distinct types of post-synaptic responses were found to be evoked by dental pulp stimulation: (a) short latency, consistent and synaptically secure, (b) strongly variable latency, inconstant and easily fatigued and (c) a class showing progressive enhancement by progressive increase in stimulus intensity and repetition.

Effect of trigeminal tractotomy on behavioral response to dental pulp stimulation in the monkey

Trigeminal tractotomy near the level of the obex was carried out in 10 macaque monkeys. Behavioral responses were evaluated by a quantitative paradigm measuring lever-press responses to electrical stimulation of the dental pulp or facial skin, and by assessing facial response to cutaneous pin-scratch before and after the tractotomy. Two pharmacological agents, strychnine and L-dopa, were administered and their effect on behavioral responses to these stimuli was studied. Tractotomy did not produce dental analgesia. Thresholds for escape from cutaneous electrical stimulation of facial skin, however, were elevated, consistent with marked hypalgesia to pin-scratch. The adversive responses to pin-scratch were absent in peripheral portions of the face, but near the midline and inside the oral cavity they were usually decreased or normal. Pharmacological agents caused a reduction in escape thresholds to cutaneous electrical stimulation and a shrinkage or abolition of the zone of analgesia to pin-scratch. The results imply that trigeminal nucleus caudalis, which undergoes deafferentation by tractotomy, may not be essential for processing of nociceptive information from the teeth, oral cavity, and midline facial zones. This findings is contrary to long-held hypotheses concerning facial pain mechanisms. The ability of strychnine and L-dopa to alter nociceptive escape thresholds is consistent with the idea, suggested by Denny-Brown, that facial nociception depends on central summation in the entire spinal trigeminal nucleus from overlapping afferent inputs contained in the trigeminal nerve, other cranial nerves, and the upper cervical nerve roots.

Corneal and periocular representation within the trigeminal sensory complex in the cat studied with transganglionic transport of horseradish peroxidase

The central projections of afferent fibers from the cornea, and the infraorbital, infratrochlear, frontal, lacrimal and auriculotemporal nerves were investigated by means of the transganglionic transport of horseradish peroxidase. Afferent projections to the dorsal horn of the medulla are organized along both the rostrocaudal axis and the ventrolateral to dorsomedial margin of the medullary dorsal horn. An inverted but discontinuous facial representation exists through the restrocaudal axis of the dorsal horn of the medulla with perioral and nasal receptive fields innervated by the infratrochlear nerves represented rostral to the progressively more posterior receptive fields innervated by the frontal, lacrimal and auriculotemporal nerves, respectively. The organization of the primary afferents is not uniform over the laminae of the dorsal horn of the medulla; the projections from the different nerves show the least overlap in lamina II, while overlap is most extensive in laminae I and V. The sensory projection from the cornea to the medullary dorsal horn is most dense in laminae I and II. All nerves, including those innervating the cornea, project to the interpolar, oral and principal trigeminal nuclei and are somatotopically organized. Projections to the reticular formation and the contralateral trigeminal sensory complex were not found in this study. These results support the organization of the dorsal horn of the medulla proposed by Déjerine ('14) and show that this organization is most evident for the primary afferent projections to lamina II.

An HRP study of the central projections of primary trigeminal neurons which innervate tooth pulps in the cat

Trigeminal ganglia and brain stem of adult cats were studied following HRP injections into tooth pulps or after exposure of the cut end of the inferior alveolar nerve to HRP. Ipsilateral ganglion cells within a wide range of sizes were labeled in both experimental situations, whereas no labeled cells were observed in the contralateral ganglion in any animal. Labeled central branches of tooth pulp and inferior alveolar neurons were observed in all subdivisions of the ipsilateral trigeminal sensory complex. Terminal labeling in the tooth pulp experiments was confined to the dorsomedial parts of the main sensory nucleus and subnuclei oralis and interpolaris. Caudal to the obex terminal labeling was restricted to the medial halves of laminae I, IIa and V of the medullary dorsal horn. In the inferior alveolar nerve experiments dense terminal labeling was observed in the dorsal parts of the main sensory nucleus and subnuclei oralis and interpolaris. Caudal to the obex terminal labeling was located throughout laminae I to V in contrast to the tooth pulp experiments. Neither of the two experimental situations offers any evidence for a bilateral or contralateral brain stem projection of primary trigeminal neurons.

Diffuse noxious inhibitory controls (DNIC). Effects on trigeminal nucleus caudalis neurones in the rat

We have extended our previous description at the dorsal horn level of Diffuse Noxious Inhibitory Controls (DNIC) to the trigeminal nucleus caudalis of the intact anaesthetized rat. These controls produce powerful long-lasting inhibitions of all activities of convergent neurones and can be elicited by noxious stimuli applied to widespread areas of the body unrelated to the receptive fields of the neurones under study. In nucleus caudalis, 39/40 convergent neurones were found to be under DNIC produced from the tail, paws, viscerae, nose and ears. DNIC was only elicited by noxious stimuli which included pinch, noxious heat and intraperitoneal bradykinin. DNIC strongly inhibited both the A fibre and C fibre related activities of trigeminal convergent neurones whether evoked electrically or naturally with the degree of inhibition ranging between 55 and 100% in the most cases. Of 43 non-convergent neurones, noxious only, innocuous, proprioceptive and cold responsive, 42 were unaffected by DNIC. The results demonstrate that both the neuronal responses and DNIC at the trigeminal nucleus caudalis level in the rat are similar to those reported for the dorsal horn.

Development of the brain stem in the rat. I. Thymidine-radiographic study of the time of origin of neurons of the lower medulla

Groups of pregnant rats were injected with two successive daily doses of 3H-thymidine from gestational days 12 and 13 (E12 + 13) until the day before birth (E21 + 22). In adult progeny of the injected rats the proportion of neurons generated on specific days was determined quantitatively in the major nuclei of the lower medulla. The earliest generated cells form two motor nuclei: the hypoglossal and dorsal vagal nuclei. The bulk of hypoglossal neurons are produced on day E12, with a small proportion earlier; the bulk of dorsal vagal neurons are produced, likewise, on day E12, with a small proportion on day E13. The neurons of the third motor nucleus of the region, the ambiguous, are generated later, with a peak on day E15. Neurons of the sensory relay nuclei, the gracilis, cuneatus, and solitarius are produced over a more extended period, with peaks on day E13; the exception was the external cuneate nucleus in which peak generation time was on day E15. In the caudal nucleus of the trigeminal complex, neurons of the subnucleus magnocellularis arise earliest, with a peak on day E14, and those of the subnucleus marginalis last, with a peak on day E15, and extending into day E16. The neurons of the nuclei raphe pallidus and obscurus, and of the dorsal and ventral portions of the caudal medullary reticular formation, are produced between days E12 and E15, without any obvious peaks. The neurons of the nucleus parasolitarius and the nucleus of Roller are produced relatively late, and the area postrema contains a germinal cell population throughout the embryonic period, presumably supplying cells to the choroid plexus of the fourth ventricle. On the basis of absolute datings, duration of neuron production, intranuclear and internuclear gradients, and other criteria, it is postulated that the neurons of the lower medulla are derived from at least eight different cytogenetic zones.

Excitability changes in lumbosacral spinothalamic neurons produced by non-noxious mechanical stimuli and by graded electrical stimuli applied to the face

The changes in the excitability of lumbosacral spinothalamic neurons produced by activating afferents in the trigeminal nerve using electrical or mechanical stimuli was investigated in cats anesthetized with alpha-chloralose. In most spinothalamic neurons, weak electrical stimuli or step indentations of the skin of the face produced an increase followed by decrease in the excitability of these cells. In experiments in which the effect of activating specific groups of trigeminal afferent fibers on these excitability changes was evaluated, the suppression could be produced by activating only the fastest conducting cutaneous afferent fibers. Step indentations of the facial skin affected the excitability of spinothalamic neurons in a manner similar to electrical stimuli. The duration of the suppression phase appeared to be largely independent of the duration of the step indentation of the facial skin. It was concluded that the descending system mediating the suppression phase is activated largely by cutaneous afferents from rapidly adapting receptors. The effects of subtotal spinal cord lesions on the excitation and suppression phases produced by facial stimulation indicate that the pathways mediating the supppression descend bilaterally in the dorsal part of the lateral fasciculus. The excitation phase appears to be mediated largely by pathways in the dorsal part of the ipsilateral lateral fasciculus.

The lateral cervical nucleus in the cat: anatomic organization of cervicothalamic neurons

The morphology of the lateral cervical nucleus (LCN) and the organization of the cervicothalamic projection neurons were studied in cats which had received thalamic injections of horseradish peroxidase (HRP). The boundaries of the LCN were defined following very large thalamic (HRP injections. Roughly 92-97% of LCN cells project contralaterally to thalamus; an additional 1.5% project ipsillaterally. Computer-assisted measurements of perikaryal areas demonstrated that there are two sizes of LCN cells, large (175-900 micrometer 2) and small (less than 175 micrometer 2); the small cells are localized in the medial third of the LCN. LCN cells which are not labeled after large thalamic HRP injections are predomininantly small, medially-located neurons. Small HRP injections into physiologically identified regions of ventroposterior thalamus demonstrated that cervicothalamic neurons are organized in a topography consistent with that observed physiologically in the LCN (Craig and Tapper, '78). Dorsolateral LCN cells are retrogradely labeled from nucleus ventroposterolateralis, pars lateralis (VPL1), ventromedial LCN cells are labeled from pars medialis (VPL m), and a few medial cells are labeled from nucleus ventroposteromedialis (VPM). A few cells in the medial portion of the LCN are also labeled from each part of ventroposterior thalamus. Some interspersion was observed even in the cases with the most well-restricted labeling. We conclude that the LCN maintains a basic somatotographic organization with an inherent variability, certain aspects of which are consistently demonstrable both physiologically and anatomically. Evidence was also obtained suggestive of a rostrocaudal inversion in the cervicothalamic projection. The cervicothalamic projection, the differentiation of the medial LCN subpopulation, and the possible redefinition of the LCN are discussed in light of these results.

Efferent projections from temperature sensitive recording loci within the marginal zone of the nucleus caudalis of the spinal trigeminal complex in the cat

The efferent projections from nucleus caudalis of the spinal trigeminal complex in cats were studied with retrograde and anterograde axonal transport techniques combined with localization of recording sites in the thalamus and marginal zone of nucleus caudalis to innocuous skin cooling. Results showed brainstem projections from nucleus caudalis to rostral levels of the spinal trigeminal complex, to the ventral division of the principal trigeminal nucleus, the parabrachial nucleus, cranial motor nuclei 7 and 12, solitary complex, contralateral dorsal inferior olivary nucleus, portions of the lateral reticular formation, upper cervical spinal dorsal horn and, lateral cervical nucleus. Projections to the thalamus included; a dorsomedial region of VPM (bilaterally) and to the main part of VPM and PO contralaterally. Neuronal activity was recorded in the dorsomedial region of VPM to cooling the ipsilateral tongue. HRP injections in this thalamic region retrogradely labeled marginal neurons in nucleus caudalis. These results show that marginal neurons of nucleus caudalis provide a trigeminal equivalent of spinothalamic projections to the ventroposterior nucleus in cats.

Analysis of the circuitry responsible for primary afferent depolarization in the trigeminal spinal nucleus caudalis of cats

Depth analysis was performed on the field potential evoked by stimulation of the infraorbital nerve in the trigeminal spinal nucleus caudalis and the subjacent lateral reticular formation of cats. It was shown by dye marking of the recording positions that each subnucleus of the nucleus caudalis (subnucleus marginalis, gelatinosus and magnocellularis) and the reticular formation could be differentiated from one another by the characteristics of the peripherally evoked field potentials. Responses of neurons were extracellularly recorded in the subnuclei gelatinosus and magnocellularis of the nucleus caudalis and in the reticular formation to stimulation of the trigeminal sensory branches (the frontal, infraorbital and lingual nerves), the nucleus ventralis posteromedialis of the thalamus and the cerebral cortex. The properties of the neurons were studied in relation to their thresholds, latencies, receptive fields (sensory branches effective for spike generation) and frequency-following capacities. These responses were then compared with properties of the PAD induced in the fibers terminating in the nucleus caudalis by similar peripheral and central stimulation. It was found that the neurons in the subnucleus magnocellularis were the most likely candidates for the interneurons mediating the peripherally evoked disynaptic PAD in the trigeminal nerve fibers terminating in the nucleus caudalis.

Bilateral projection of the canine tooth pulp to bulbar trigeminal neurons

Unit activity was recorded extracellulary from neurons of the cat medulla following electrical stimulation of the ipsilateral and/or contralateral cannine tooth pulps. The majority of the cells (67%) were only responsive to ipsilateral stimulation. However, many (28%) responded to stimulation of either canine pulp and a few (5%) responsed to contralateral stimulation alone. The neurons were localized histologically in the necleus proprius of the rostral trigeminal nucleus caudalis (NVCaud) and in dorsal portions of the ventromedially contiguous lateral reticular formation (LRF). Cells exclusively responsive to ipsilateral stimuli had a relatively wide dorsoventral distribution. In contrast, 'bilateral' and 'contralateral' cells were situated only in the deep NVCaud-LRF border zone or in immediately adjacent portions of the LRF. Generally, ipsilateral stimuli evoked response bursts with shorter latencies, more spike potentials and briefer interspike intervals than equivalent contralateral stimuli. In experiments designed to study afferent interactions, a conditioning stimulus, applied to either the ipsilateral or the contralateral canine, preceded a test stimulus applied to the other canine at predetermined interstimulus intervals. Responses to the test stimulus were either totally or partially suppressed when intervals of moderate duration (90-500 msec) were used. However, responses to the test stimulus frequently were enhanced when the intervals were breif (less than or equal to 60 msec) or when the teeth were stimulated simultaneously. The results reveal that bilateral afferents from the pulps of the canine teeth converge upon neurons of bulbar trigeminal structures, that the neurons are differentially responsive to the activation of ipsilateral and contralateral pulpal receptors and that bilateral afferent barrages originating in the canine pulps interact to modulate the firing patterns of the neurons.

Fentanyl and tooth pulp evoked responses in the spinal trigeminal nucleus caudalis region

Electrical activities evoked by tooth pulp stimulation were recorded in the subnucleus caudalis region of the spinal trigeminal nucleus, and the action of fentanyl, a short-acting narcotic, on these activities was investigated in the alpha-cholinergic anesthetized cat. Fentanyl (20 to 40 mug/kg i.v.) depressed the first peak and potentiated the second one of negative potentials evoked by pulp stimulation in the border area betaeen the nucleus proprius (Pr) and the lateral reticular formation (LRF). Neurons, whose responses to pulp stimulation were depressed by fentanyl, were also predominantly localized in this region. Pulp-induced monophasic negative potential and spike discharges in the more ventro-medial portion of the LRF were not affected by fentanyl. The effect of fentanyl on cells in the marginal zone varied from unit to unit. The selective action of fentanyl on neurons in the border area between the Pr and the LRF may partially explain the analgesic action of fentanyl.

Behavioral evidence showing the predominance of diffuse pain stimuli over discrete stimuli in influencing perception

This experiment was directed toward determining the relative effectiveness of discrete and diffuse pain stimuli in influencing perception and behavior. Shocks to the footpads were used to activate the discrete pain pathways and shocks to the upper canine teeth to activate the diffuse pain pathways. In the first phase of this experiment, cats were trained to escape from foot shock in a shuttle box. Current applied to the feet was varied in ascending and descending sequences for each animal according to the psychophysical method of limits and each animal was trained until stable thresholds for escape responding were achieved. In the second phase of the experiment, the effect on behavior of simultaneous activation of both the discrete and diffuse pain systems was assessed. The principal finding is this experiment was that excape responding that was well established when foot shock was presented alone was routinely abolished on trials when tooth shock and foot shock were presented together. These results were interpreted as indicating that the diffuse pain system was prepotent in influencing behavior when both the discrete and diffuse pain systems were activated simultaneously.

Projection of tooth pulp afferents to the cat trigeminal nucleus caudalis

Unit activity was recorded extracellularly from cat medullary neurons following electrical stimulation of the canine tooth pulp. Response characteristics of the neurons quickly stabilized at specific suprathreshold stimulus intensities but such properties as spike latency, interspike interval and spike density varied systematically as intensity was raised to maximally effective values. Receptive fields were principally unilateral. The majority included both canines and extended into other oro-facial areas. Suppression of a pulpal response could be effected by preceding tooth stimulation with a conditioning stimulus applied to some other point in the receptive field of the responding cell at an appropriate interstimulus interval. In contrast, a pulpal response could be enhanced by presenting two stimuli successively to the same canine at such intervals. Similar enhancing effects followed simultaneous stimulation of spatially segregated loci in a field. The pulp-responsive neurons were localized histologically in, or in the immediate vicinity of, the nucleus caudalis of the spinal trigeminal complex where the possibility of their existence has been questioned previously. Most of the cells were situated along the ventromedial border of the nucleus, a region reported to contain other pain-related neurons with trigeminal fields.