Responses of midbrain neurons to genital and somatosensory stimulation in estrous and anestrous cats

Sex differences in the anatomical and functional organization of the periaqueductal gray-rostral ventromedial medullary pathway in the rat: a potential circuit mediating the sexually dimorphic actions of morphine

Previous studies have demonstrated that morphine, administered systemically or directly into the periaqueductal gray (PAG), produces a significantly greater degree of antinociception in males in comparison with females. Because the midbrain PAG and its descending projections to the rostral ventromedial medulla (RVM) constitute an essential neural circuit for opioid-based analgesia, the present studies were conducted to determine whether sex differences in the anatomical organization of the PAG-RVM pathway, and its activation during persistent inflammatory pain, could account for sex-based differences in opioid analgesia. In the rat, retrograde tracing was combined with Fos immunocytochemistry to investigate sexual dimorphism in the organization of the PAG-RVM circuit and its activation by persistent inflammatory pain induced by intraplantar injection of complete Freund's adjuvant (CFA). The ability of morphine to suppress the activation of the PAG-RVM circuit was also examined. Sexually dimorphic retrograde labeling was observed within the dorsomedial and lateral/ventrolateral PAG at all rostrocaudal levels, with females having significantly more PAG-RVM output neurons in comparison with males. While no sex differences were noted in the activation of the PAG by persistent inflammatory pain, significantly more PAG-RVM cells were activated in males in comparison with females. Systemic administration of morphine significantly suppressed CFA-induced Fos in the PAG in males only. The results of these studies demonstrate that both the anatomical organization and the functional activation of the PAG-RVM circuit are sexually dimorphic and may provide the anatomical substrate for sex-based differences in morphine analgesia.

Identification of neural circuits involved in female genital responses in the rat: a dual virus and anterograde tracing study

The spinal and peripheral innervation of the clitoris and vagina are fairly well understood. However, little is known regarding supraspinal control of these pelvic structures. The multisynaptic tracer pseudorabies virus (PRV) was used to map the brain neurons that innervate the clitoris and vagina. To delineate forebrain input on PRV-labeled cells, the anterograde tracer biotinylated dextran amine was injected in the medial preoptic area (MPO), ventromedial nucleus of the hypothalamus (VMN), or the midbrain periaqueductal gray (PAG) 10 days before viral injections. These brain regions have been intimately linked to various aspects of female reproductive behavior. After viral injections (4 days) in the vagina and clitoris, PRV-labeled cells were observed in the paraventricular nucleus (PVN), Barrington's nucleus, the A5 region, and the nucleus paragigantocellularis (nPGi). At 5 days postviral administration, additional PRV-labeled cells were observed within the preoptic region, VMN, PAG, and lateral hypothalamus. Anterograde labeling from the MPO terminated among PRV-positive cells primarily within the dorsal PVN of the hypothalamus, ventrolateral VMN (VMNvl), caudal PAG, and nPGi. Anterograde labeling from the VMN terminated among PRV-positive cells in the MPO and lateral/ventrolateral PAG. Anterograde labeling from the PAG terminated among PRV-positive cells in the PVN, ventral hypothalamus, and nPGi. Transynaptically labeled cells in the lateral hypothalamus, Barrington's nucleus, and ventromedial medulla received innervation from all three sources. These studies, together, identify several central nervous system (CNS) sites participating in the neural control of female sexual responses. They also provide the first data demonstrating a link between the MPO, VMNvl, and PAG and CNS regions innervating the clitoris and vagina, providing support that these areas play a major role in female genital responses.

Identification of neural pathways involved in genital reflexes in the female: a combined anterograde and retrograde tracing study

The medial preoptic area (MPOA) is important for reproductive behavior in females. However, the descending pathways mediating these responses to the spinal motor output are unknown. The MPOA does not directly innervate the spinal cord. Therefore, pathways mediating MPOA-induced changes in sexual behavior must relay in the brain. The nucleus paragigantocellularis (nPGi) projects heavily to spinal circuits involved in female sexual reflexes and is involved in the tonic inhibition of genital reflexes. However, the periaqueductal gray (PAG) is also important for female sexual behavior. The present study examined the hypothesis that the MPOA output relays through PAG and the nPGi before descending to the spinal cord. We used anterograde and retrograde tracing techniques to examine the descending pathways and relay sites from the MPOA to the spinal cord and the nPGi in the female rat. Injection of biotinylated dextran amine into the MPOA produced dense labeling in specific regions of the PAG and Barrington's nucleus; anterogradely labeled fibers terminated close to neurons retrogradely labeled from the spinal cord in the PAG, Barrington's nucleus, nPGi, lateral hypothalamus and paraventricular nucleus (PVN). Anterogradely labeled fibers and varicosities were also found close to neurons retrogradely labeled from the nPGi in the PAG, lateral hypothalamus and PVN. These results suggest that the major MPOA output relays in the PAG and nPGi before descending to innervate spinal circuits regulating female genital reflexes and that the MPOA plays a multifaceted role in female reproductive behavior through its modulation of PAG output systems.

Antinociceptive effects of morphine and U-50,488H on vaginal distension in the anesthetized rat

The antinociceptive activity of the kappa- and mu-opioid receptor agonists, (+/-)-U-50,488H and morphine, was examined in a vaginal distension model in anaesthetized female rats. Vaginal distension induced a reproducible cardiovascular response (CVR) which was inhibited in a dose related manner by morphine (0.03-1.0 mg/kg i.v., ED50 = 0.16 mg/kg) and (+/-)-U-50,488H (0.08-1.6 mg/kg i.v., ED50 = 0.49 mg/kg). Morphine (0.3 microg/rat) administered i.c.v. inhibited the CVR by 81.6 +/- 7.9% whereas (+/-)-U-50,488H (30-300 microg/rat) was inactive by this route. A low dose of naloxone (30 microg/kg i.v.) blocked the effect of morphine but not that of (+/-)-U-50,488H. The kappa-opioid antagonist, nor-binaltorphimine (10 mg/kg s.c.) abolished the response to (+/-)-U-50,488H but not that of morphine. This demonstrates that both central and peripheral mu-opioid receptors may be involved in morphine-induced antinociception whereas the kappa-opioid agonist, (+/-)-U-50,488H, blocks vaginal nociception by acting on peripheral kappa-opioid receptors.

Neurophysiology in Lower Urinary Tract Dysfunction

Although there is a great mass of data about specific aspects of normal vesico-urethral function, the physiology of the lower urinary tract remains poorly understood. Any attempt to write a coherent account of the subject will necessarily reflect the Author's bias. The reader should therefore remember that speculation will often creep in when substance is lacking.

Roles of the pontine dorsomedial tegmentum and midbrain central gray in regulating female rat sexual behaviors: effects of p-chlorophenylalanine

Lesions in the midbrain dorsal central gray (MCGL) markedly suppressed both lordosis and soliciting behavior in estradiol benzoate-progesterone (EB-P)-primed castrated female rats. Similarly, the pontine dorsomedial tegmental lesions (PDMTL) caused a severe loss of lordosis behavior. However, the PDMTL females while demonstrating no lordotic response displayed ear-wiggling. These results suggest that the midbrain dorsal central gray plays an important role in regulation of both lordosis and soliciting behaviors. In contrast, the pontine dorsomedial tegmentum appears to participate in regulating the neural mechanism for lordosis only and not for soliciting behavior. Two weeks later prior to a second test, approximately half of the MCGL and PDMTL females that had shown no lordosis in the first test, were injected with p-chlorophenylalanine (PCPA) and primed with EB-P. PCPA significantly increased the lordotic activity of EB-P-primed MCGL females, whereas it failed to potentiate a lordotic response in the PDMTL females. Since PCPA effectively facilitated the display of lordosis in the absence of the neural substrate of the midbrain central gray, this neural structure may not be the minimally necessary component of the neural circuitry regulating the display of lordosis behavior. On the other hand, the pontine dorsomedial tegmentum may be a neural substrate more closely related with the descending pathway controlling the expression of lordosis.

Visceral pain: a review of experimental studies

This paper reviews clinical and basic science research reports and is directed toward an understanding of visceral pain, with emphasis on studies related to spinal processing. Four main types of visceral stimuli have been employed in experimental studies of visceral nociception: (1) electrical, (2) mechanical, (3) ischemic, and (4) chemical. Studies of visceral pain are discussed in relation to the use and 'adequacy' of these stimuli and the responses produced (e.g., behavioral, pseudoaffective, neuronal, etc.). We propose a definition of an adequate noxious visceral stimulus and speculate on spinal mechanisms of visceral pain.

Spinomesencephalic tract: projections from the lumbosacral spinal cord of the rat, cat, and monkey

Anterograde transport of wheat germ agglutinin conjugated to horseradish peroxidase was used to determine the terminal domain of the projection from the lumbosacral spinal cord to the midbrain in the rat, cat, and monkey. Results have shown that several midbrain regions receiving afferent input from this level of the spinal cord are common to the three species examined. Structures innervated by this projection were located throughout the full rostrocaudal extent of the midbrain. The strongest projections were to the intercollicular region and caudal midbrain contralateral to injection sites in the spinal cord. Terminal labeling in the rostral midbrain, except that observed in the nucleus of Darkschewitsch, was substantially less than that observed at more caudal midbrain levels. Structures receiving the strongest input from the spinal cord included the central gray, nucleus cuneiformis, the deep and intermediate layers of the superior colliculus, and the intercollicular nucleus. Other structures receiving afferent input from the lumbosacral spinal cord included the anterior and posterior pretectal nuclei, red nucleus, Edinger-Westphal nucleus, interstitial nucleus of Cajal, and the mesencephalic reticular formation. It is concluded that the spinal projection to the midbrain is a multicomponent projection consisting of several pathways terminating in discrete midbrain regions. Considering the diverse functions associated with midbrain regions receiving spinal input and the response and receptive field properties of cells belonging to this pathway, the results of the present study are discussed in relation to the potential role of the spinomesencephalic tract in somatic, visceral, and motor function.

Electrical stimulation of the midbrain central gray facilitates reticulospinal activation of axial muscle EMG

EMG responses were recorded from axial muscles transversospinalis, medial longissimus, and lateral longissimus in urethane-anesthetized rats during combined electrical stimulation of the reticular formation and midbrain central gray. Central gray stimulation facilitated reticular formation-evoked EMG activity in the back muscles of the rat. Electrical stimulation of the central gray lowered the threshold for reticulospinal activation of axial muscles and could maintain firing in these muscles after the end of a reticular formation train. Units were recruited in order of size from small to large. In only one case, central gray stimulation activated axial muscles directly without reticular formation stimulation. The central gray may be important in relaying hypothalamic influences to the reticular formation, which has direct access to the axial muscles responsible for lordosis behavior.

An autoradiographic study of projections ascending from the midbrain central gray, and from the region lateral to it, in the rat

Ascending projections from the midbrain central gray (CG) and from the region lateral to it were traced in the rat using tritiated amino acid autoradiography. Leucine or a cocktail of amino acids (leucine, proline, lysine, histidine, and tyrosine) were used as tracers. In addition to projections within the midbrain, ascending fibers follow three trajectories. The ventral projection passes through the ventral tegmental region of Tsai and the medial forebrain bundle to reach the hypothalamus, preoptic area, caudoputamen, substantia innominata, stria terminalis, and amygdala. There are labeled fibers in the diagonal bands of Broca and medial septum, and terminal labeling in the lateral septum, nucleus accumbens, olfactory tubercle, and frontal cortex. The dorsal periventricular projection terminates in the midline and intralaminar thalamic nuclei. The ventral periventricular projection follows the ventral component of the third ventricle into the hypothalamus, passing primarily through the dorsal hypothalamic area and labeling the rostral hypothalamus and preoptic area. Projections from the region lateral to the CG are similar, but exhibit stronger proximal, and weaker distal, projections. Rostral levels of the CG send heavier projections to the fields of Forel and the zona incerta, but fewer fibers through the supraoptic decussation, than do caudal levels. Ascending projections from the CG are both strong and widespread. Strong projections to the limbic system and the intralaminar thalamic nuclei provide an anatomical substrate for CG involvement in nociception and affective responses.

Dorsolateral funiculus and intraspinal pathways mediate vaginal stimulation-induced suppression of nociceptive responding in rats

In rats, stimulation of the vaginal cervix with a glass rod reliably produces analgesia, as measured by the tail-flick test. The present studies sought to identify the neural substrates underlying this potent pain inhibition by examining the effects of decerebration, spinalization and bilateral dorsolateral funiculus (DLF) lesions on vaginal stimulation-produced analgesia (VSPA). These studies indicate that the neural circuitry mediating VSPA is contained within the caudal brainstem and spinal cord, since decerebration did not reduce VSPA when compared with sham-operated controls. A significant though markedly reduced level of analgesia was induced in spinalized rats, indicating that VSPA involves both intraspinal and descending pathways. This descending pathway, originating within supraspinal nuclei of the caudal brainstem, projects to the spinal cord via the DLF, since DLF lesions and spinalization produced equivalent reductions in VSPA compared to sham-operated controls. These results, considered in the light of previous electrophysiological and anatomical findings, indicate that the ventral medullary region may be the source of the descending DLF projection mediating VSPA.

Low threshold mechanical stimulation of the vagina depresses dorsal horn unit activity in the spinal cat

Low threshold (0.5-15 g) mechanical punctate stimulation of the labia and vagina depressed dorsal horn neurones in the cat with spinal transection at L1. Similar stimulation 2 mm or more from the outer margin of the labia was without effect. The depression was observable within 1-2 sec, and usually required 4-6 min for full recovery, although a smaller more prolonged depression may also have occurred. Stronger stimuli evoked greater inhibition, requiring longer times for recovery. Vaginal stimulation depressed 9 of 10 sensory dorsal horn neurones (including non-nociceptive, wide dynamic range and nociceptive specific). Depression included a decrease in spontaneous activity and a decrease of naturally elicited responses to noxious and innocuous cutaneous stimuli; therefore the effect is not modality related. One unit without sensory input was unaffected by vaginal stimulation. In the one case tested, vaginal stimulation depressed glutamate-evoked excitation, suggesting that the depression of naturally, elicited responses was via a postsynaptic mechanism.

Cortical evoked potentials on stimulation of pudendal nerve in women

Somatosensory evoked potentials were recorded in five normal women on percutaneous stimulation of the pudendal nerve. A consistent response was obtained over the scalp 2 cm behind the Cz electroencephalographic recording site. The latency of onset of this response had a mean value of 33 msec, and the mean latency of the first positive peak was 39.6 msec. This test has potential clinical value in the evaluation of patients with bowel, bladder, or sexual dysfunction when a neurologic causation is suspected.

Retrograde HRP identification of neurons in the rhombencephalon and spinal cord of the rat that project to the dorsal mesencephalon

Neurons in the rhombencephalon and spinal cord of the rat that project to the dorsal midbrain were identified using the HRP retrograde neuroanatomical tracing method. Retrogradely labeled neurons were most numerous in the reticular formation, specifically in nucleus pontis oralis, caudalis, and gigantocellularis and in the sensory trigeminal complex. Neurons that project were also found in certain raphe nuclei, the parabrachial nuclei, the deep cerebellar nuclei, the vestibular cochlear complex, and the spinal cord. The diverse distribution of neurons that project to the midbrain is understandable in the context of the known diverse functions of the region, which include a role in sexual and other behaviors, nociception, and various autonomic functions.

Primary afferent and sacral dorsal horn neuron responses to vaginal probing in the cat

An analysis was made of primary afferent and dorsal horn neuron responses to stimulation of genitalia of female cats. Three types of primary afferents responded to vaginal probing. The most common type responded maximally to the on- and off-ramps of non-noxious pressure applied directly to the clitoris. A second type responded similar but to surrounding labia mucosa. The third type showed a tonic discharge during deep vaginal-cervical probing. None of the primary afferents that responded to vaginal probing exhibited after-responses to any stimulus. However, a majority (76%) of wide dynamic range dorsal horn neurons showed increased rates of firing that outlasted the duration of vaginal probing by at least 28 sec. No other type of dorsal horn neuron responded in this manner. It appears that after-responses of wide dynamic range neurons to vaginal stimulation cannot be attributed to after-responses of primary afferents or to supraspinal mechanisms but are produced by mechanisms within the spinal cord.

Behavioral functions of the reticular formation

Studies of the behavioral correlates of activity in reticular formation cells, usually performed in restrained animals, have found units whose discharge relates to sensory stimuli, pain and escape behavior, conditioning and habituation, arousal, complex motivational states, REM sleep, eye movements, respiration and locomotion. Units with these different behavioral correlates were found in the same anatomical areas. Most studies report that a large proportion of encountered cells related to the behavior being studied. If one adds up the reported percentages, the total far exceeds 100%. Therefore it appears that many investigators are looking at the same cells and reaching very different conclusions about their behavioral roles. On the basis of observations in unrestrained cats, it is hypothesized that discharge in most RF cells is primarily related to the excitation of small groups of muscles. This hypothesis can parsimoniously explain many previous observations on the behavioral correlates of these cells, and is consistent with anatomical, physiological and phylogenetic studies of the reticular formation. The hypothesized simplicity of reticular formation unit function is contrasted with the complexity of the behavioral functions mediated by the RF, and the implications of this contrast discussed.

Antinociceptive effects of vaginal stimulation in rats: neurophysiological and behavioral studies

The present studies extend previous findings that probing the vaginal cervix of rats blocks withdrawal reflexes and induces immobilization44. In the present studies, we report that this effect is apparently not due to an action on the final motor pathway, for limb or facial movement induced by electrical stimulation of the pyramidal tract was not suppressed by the probing. In contrast, the sensory response of neurons in the ventrobasal complex of the thalamus to noxious pinch stimulation was markedly attenuated by probing the vaginal cervix. However, the response of these neurons to gentle tactile stimulation was not attenuated, indicating a selective antinociceptive effect of the probing. The antinociceptive effect was not necessarily related to changes in arousal. These findings were supported by behavioral studies in which probing the vaginal cervix blocked vocalization in response to tail shock, and elevated the current threshold for eliciting vocalization in response to tail shock. Furthermore, during the probing, the rats were found to be capable of vocalizing in response to presumably non-noxious (lifting) stimulation, even though their vocalization response to noxious tail shock was suppresed. These studies suggest that probing the vaginal cervix rats exerts an analgesic action.