Mechanosensory projections to cuneate, gracile, and external cuneate nuclei in a tree squirrel (fox squirrel, Sciurus niger)

Stimuli-evoked NOergic molecules and neuropeptides at acupuncture points and the gracile nucleus contribute to signal transduction of propagated sensation along the meridian through the dorsal medulla-thalamic pathways

Numerous studies from different international groups have demonstrated that sensations can be propagated along acupuncture channel pathways. The propagated sensation along the channel pathway (PSCP) can be elicited by electroacupuncture (EA), transcutaneous electrical nerve stimulation (TENS), manual acupuncture (MA), and heat applied to distal acupuncture points (acupoints). Nitric oxide (NO) levels were reported to be elevated in the gracile nucleus and skin regions near to the EA sites, with higher levels at acupoints associated with an enhanced expression of NO synthase and transient receptor potential vanilloid type 1. The stimuli, EA, MA, TENS, and heat, have been used to elicit axonal reflexes, which increase local release of NO and neuropeptides such as calcitonin gene related peptide. Furthermore, the sensation of PSCP along the body surface occurs only ipsilaterally to the stimulated acupoints in various human studies, which does not support the involvement of the spinal-thalamic pathway, which would involve cross over transmission of the signals. The gracile nucleus receives ascending input from the sciatic nerve and responds to somatosensory stimulation mainly on the ipsilateral side via the dorsal column pathway. EA at Zusanli (ST36) increases NO release and expression of NO synthase mainly in the ipsilateral side of the gracile nucleus, while the cardiovascular effects and analgesic responses to EA at ST36 are changed by influences of l-arginine-derived NO synthesis in the ipsilateral gracile nucleus in rats. The stimuli-induced release of NOergic molecules and neuropeptides exist high levels in the acupoints, which contain rich neuronal components and blood vessels. Enhanced NOergic molecules at acupoints cause axon reflexes during the stimuli, which elevate cutaneous blood flow. Elevated NOergic molecules and local blood flow may spread over acupoints one after another along the meridian lines differing from nerve pathways following the stimuli to induce PSCP. The same types of stimulation also elicit NO release in the gracile nucleus, which contributes to the somatosensory signal transduction of PSCP through the dorsal medulla-thalamic pathways. Other substances such as serotonin and catecholamines are proposed to mediate responses and certain effects of acupuncture-like stimulation but their mechanisms are poorly-understood. In this review we summarize the current understanding of the neurobiological processes of PSCP research with an emphasis on recent developments of NO mediating stimulation-evoked axon reflexes and somatosensory signal transduction for PSCP perceptions through the dorsal medulla-thalamic pathways. Please cite this article as: Ma SX. Stimuli-evoked NOergic molecules and neuropeptides at acupuncture points and gracile nucleus contribute to signal transduction of propagated sensation along the meridian through the dorsal medulla-thalamic pathways. J Integr Med. 2024; Epub ahead of print.

Functional organization and connectivity of the dorsal column nuclei complex reveals a sensorimotor integration and distribution hub

The dorsal column nuclei complex (DCN-complex) includes the dorsal column nuclei (DCN, referring to the gracile and cuneate nuclei collectively), external cuneate, X, and Z nuclei, and the median accessory nucleus. The DCN are organized by both somatotopy and modality, and have a diverse range of afferent inputs and projection targets. The functional organization and connectivity of the DCN implicate them in a variety of sensorimotor functions, beyond their commonly accepted role in processing and transmitting somatosensory information to the thalamus, yet this is largely underappreciated in the literature. To consolidate insights into their sensorimotor functions, this review examines the morphology, organization, and connectivity of the DCN and their associated nuclei. First, we briefly discuss the receptors, afferent fibers, and pathways involved in conveying tactile and proprioceptive information to the DCN. Next, we review the modality and somatotopic arrangements of the remaining constituents of the DCN-complex. Finally, we examine and discuss the functional implications of the myriad of DCN-complex projection targets throughout the diencephalon, midbrain, and hindbrain, in addition to their modulatory inputs from the cortex. The organization and connectivity of the DCN-complex suggest that these nuclei should be considered a complex integration and distribution hub for sensorimotor information.

Organization of primary afferent projections to the gracile nucleus of the dorsal column system of primates

In order to reveal the somatotopic organization of the gracile nucleus of the dorsal column-trigeminal complex, neuroanatomical tracers were injected subcutaneously into various parts of the hindlimb and tail of prosimian galagos, New World monkeys, and Old World monkeys. In most cases, tracers were injected bilaterally, and into more than one body part. In six cases, two different, distinguishable tracers were injected into the same hindlimb. Brainstem and spinal cord sections were processed for tracers transported by cutaneous afferents to terminations in the gracile nuclei. Foci of terminations were related to the cell-cluster architecture of the gracile nuclei in sections processed for cytochrome oxidase or stained for cell bodies (Nissl stain). In all taxa, terminations labeled by the injections were distributed in a patchy fashion along the rostrocaudal length of the ipsilateral gracile nucleus. Terminations were largely but not completely focused within the cytochrome oxidase dense cell clusters. Across taxa, afferents from the tail, foot, lower leg, and upper leg terminated in a mediolateral sequence within the gracile nucleus. Afferents from the glabrous skin of toes 1-5 terminated in a ventromedial to dorsolateral sequence in owl, squirrel, and macaque monkeys, but an altered arrangement was seen in the galagos, with a ventrolateral location for toe 1. The use of two tracers in squirrel monkeys indicated that terminations from adjacent toes formed adjacent and largely segregated patches. Terminations of afferents from the plantar pad (sole) of the foot tended to surround those from the glabrous toes.

On the relation of rat's external cuneate activity to global parameters of forelimb posture

Using anesthetized adult rats, we studied the relationships between the activity of cells belonging to the external cuneate nucleus (ECN) and passive forelimb positions. In essence, we sought to distinguish between a representation of limb position based on local limb parameters (individual joint angles, for example) or a representation based on more global parameters such as the length and the orientation of the limb axis. Using multivariate regression analyses we found that most neurons showed strong linear relationships with the length and the orientation of the limb axis. Relationships to individual joint angles were, instead, rather weak and in most cases not significant. This result implies an extensive integration of sensory information at the level of second order sensory neurons.

Reorganization of the raccoon cuneate nucleus after peripheral denervation

The effects of peripheral nerve transection on the cuneate nucleus were studied in anesthetized raccoons using extracellular, single-unit recordings. The somatotopic organization of the cuneate nucleus first was examined in intact, control animals. The cuneate nucleus in the raccoon is organized with the digits represented in separate cell clusters. The dorsal cap region of the cuneate nucleus contains a representation of the claws and hairy skin of the digits. Within the representation of the glabrous skin, neurons with rapidly adapting properties tended to be segregated from those with slowly adapting properties. The representations of the distal and proximal pads on a digit also were segregated. Electrical stimulation of two adjacent digits provided a detailed description of the responses originating from the digit that contains the tactile receptive field (the on-focus digit) and from the adjacent (off-focus) digit. Stimulation of the on-focus digit produced a short latency excitation in all 99 neurons tested, with a mean of 10.5 ms. These responses had a low threshold (426 microA). Stimulation of an off-focus digit activated 65% of these neurons. These responses had a significantly longer latency (15.3 ms) than on-focus responses and the threshold was more than twice as large. Two to five months after amputation of digit 4, 97 cells were tested with stimulation of digits 3 and 5. A total of 44 were in the intact regions of the cuneate nucleus. They had small receptive fields on intact digits and their responses to electrical stimulation did not differ from the control neurons. The remaining 53 neurons were judged to be deafferented and in the fourth digit region on the basis of their location with respect to intact neurons. All but two of these cells had receptive fields that were much larger than normal, often including more than one digit and part of the palm. When compared with the off-focus control neurons, their responses to electrical stimulation had lower thresholds and an increased response probability and magnitude. The latencies of these cells did not decrease, however, and were the same as the off-focus control values. The enhanced responses of the deafferented neurons to adjacent digit stimulation indicate that there is a strengthening of synapses that were previously ineffective. The increased proportion of neurons that could be activated after amputation suggests that there is also a growth of new connections. This experiment demonstrates that reorganization in the adult somatotopic system does occur at the level of the dorsal column nuclei. As a consequence, many of the changes reported at the cortex and thalamus may be due to the changes occurring at this first synapse in the somatosensory pathway.

Cutaneous representations of the hand and other body parts in the cuneate nucleus of a primate, and some relationships to previously described cortical representations

Dynamic properties of primate somatosensory maps are dependent on normal central adjacencies of cutaneous representations. The cuneate nucleus is an important brainstem processing center of cutaneous information. Surprisingly, there are no descriptions of functional representations of the skin in the primate cuneate nucleus; as a result, the relationships of functional representations at the brainstem level and other levels of the somatosensory neuraxis remain obscure. The present neurophysiological study indicates that the main cuneate nucleus of marmoset monkeys (Callithrix jacchus) contains organized representations of cutaneous inputs from the hand, forelimb, and adjacent body between the lateral face and proximal hindlimb. Inputs from the glabrous hand are represented continuously across transverse planes in the cuneate, whereas inputs from the hairy hand are represented discontinuously. Inputs from distal to proximal, and radial to ulnar, parts of the hand are mapped in an organized manner. At rostrocaudal levels where the cuneate nucleus is near its largest transverse area, the map of the hand is about 2600 times smaller than the hand skin area it represents. Cuneate representations of the forelimb and trunk are represented both medial and lateral to the hand representation, and interface with representations in the adjacent gracile and trigeminal nuclei. These findings provide a starting point for understanding functional representations of the skin in the cuneate nucleus of primates. Furthermore, they provide a basis for understanding relationships of cutaneous representations at different levels of the neuraxis. In this regard, comparisons of the present results to previously defined representations in the somatosensory (area 3b) cortex indicate that cuneate hand representations are several times smaller than cortical representations, and that there are similarities and differences in adjacencies of cuneate and cortical representations.

Representation of the body surface in the gracile, cuneate, and spinal trigeminal nuclei of the little red flying fox (Pteropus scapulatus)

The body surface representation in the gracile, cuneate, and spinal trigeminal nuclei of the little red flying fox (Pteropus scapulatus) was examined. As in other species, it was found that any single cross-section through all three nuclei contains a representation of most, or all, of the body surface. In the little red flying fox, however, this representation is arranged as a series of dorsolateral to ventromedially oriented bands, within which there are no apparent topographies. These bands are arranged in such a way that the spatial relationships between body regions in the representation do not reflect those at the periphery.

Somatotopic organization of inputs from the hand to the spinal gray and cuneate nucleus of monkeys with observations on the cuneate nucleus of humans

Central termination patterns of primary afferents from the hand and forelimb were studied following subdermal injections of HRP conjugates in macaque monkeys. In the middle layers of the dorsal horn of the spinal cord, afferents from digits 1-5 terminated in a rostrocaudal sequence in separate, elongated columns at cervical levels 5-7. Afferents from the glabrous digits extended to the medial margin of the dorsal gray, while afferents from the dorsal skin of the digits terminated more laterally. Afferents from the dorsal hand and palm terminated lateral to those from the digits, while inputs from the forearm occupied tissue rostral and caudal to the representation of the hand. In the cuneate nucleus, terminations from each digit formed an elongated column that was densely labelled in the central pars rotunda and sparsely labelled in both the rostral and caudal reticular poles. Within the pars rotunda, digits 1-5 were represented in order from lateral to medial. Inputs from the digit tips terminated ventral to inputs from the proximal digits. Afferents from the dorsal skin of the digits terminated in an even more dorsal position, while the most dorsal portion of the pars rotunda related to the glabrous and dorsal hand. Within the pars rotunda, terminations from specific parts of the hand overlapped parcellated clusters of neurons. These clusters were densely reactive for cytochrome oxidase (CO) and were surrounded by myelinated fibers. Much sparser label in the reticular poles was found consistently only after injections in the glabrous digits. Inputs to the poles appeared diffuse and overlapping while preserving some somatotopic order. When treated for CO or stained for Nissl substance or myelin, the pars rotunda of humans showed parcellation patterns that closely resembled the patterns seen in monkeys. From the relationship of inputs to the CO dense cell clusters in monkeys, it was possible to postulate in detail the somatotopic organization of inputs to pars rotunda of humans. The present results provide a comprehensive description of the somatotopic patterns of termination of afferents from the skin of the hand and forearm in the spinal cord and cuneate nucleus of macaque monkeys. A direct relationship of afferent somatotopy and identifiable cell clusters in the pars rotunda of the cuneate nucleus is further demonstrated. Finally, the patterns of cell clusters in the pars rotunda of macaque monkeys and humans suggest that the somatotopic organization of the cuneate nucleus may be very similar in human and nonhuman primates.

The projection pattern of forepaw nerves to the cuneate nucleus of the raccoon

The transganglionic transport of horseradish peroxidase (HRP) was used to determine the projection pattern within the cuneate nucleus of the 4 major nerves innervating the forepaw of the raccoon, a carnivore noted for its tactile and manipulative abilities. The two nerves innervating the dorsal, hairy skin and claws (the radial and dorsal ulnar nerves) projected to the marginal rim of the cuneate nucleus, but not to the middle cluster region or to the caudal region of the nucleus. The two nerves innervating glabrous skin (median and ulnar) projected heavily to the cluster region as well as to rostral and caudal levels of the nucleus. This organization, with dorsal nerves ending above the ventral nerves, is similar in the raccoon, rat and tree squirrel, but reversed in the cat. However, the medio-lateral topography is similar in all species with the ulnar and dorsal ulnar nerves projecting medially within the nucleus compared to the median and radial nerves.

Somatotopy of digital nerve projections to the cuneate nucleus in the monkey

Somatotopic arrangements of cells and fibers within the dorsal columns and the dorsal column nuclei have been mapped most precisely by electrophysiological recording methods. This study uses an anatomical approach to evaluate the precision of individual digital nerve projections to the cuneate nucleus (CN) in young macaque monkeys. Digital nerves supplying about one-half the palmar skin of a digit were surgically exposed, cut, and treated with wheatgerm agglutinin conjugated to horseradish peroxidase (WGA:HRP) on 3 successive days. After 2 additional days, animals were killed and medullas were recovered for study of serial sections reacted to display axons labeled by transganglionic transport of label. Labeled afferent fibers from each digit were found within a circumscribed columnar zone extending through the caudal CN and rostrally throughout the pars rotunda of CN. At caudal levels, diffuse projections reach the dorsal edge of the CN; more rostrally, they shift into deeper parts of the nucleus and are heaviest along its ventral and medial edges at levels near the obex. Fibers from the thumb (digit 1) project lateral (and ventral) to those from digit 2, and projections from digit 3 are medial to those from 2. Each digital projection field is closely adjacent to that from the adjacent digit. Few fibers extend to the rostral CN. Projection fields of homologous digits are quite symmetrical on the two sides. Although there do seem to be some differences in the somatotopic arrangement of digital input in macaques compared to other nonprimate mammals studied previously, these observations (precisely organized, circumscribed fields for separate digits) define a system well designed for transmission of data encoding spatial relationships.

Medullary sources of projections to the kinesthetic thalamus in raccoons: external and basal cuneate nuclei and cell groups x and z

In raccoons and other mammals, a pathway for kinesthetic sensation (from muscles, fascia, tendons, and joints) reaches the anterodorsal cap of the ventrobasal thalamus and the anteriormost part of the somatic sensory cerebral cortex. To find the medullary component of this kinesthetic pathway in raccoons, small injections of horseradish peroxidase were made in the thalamus under guidance of simultaneous electrophysiological recording from kinesthetic projections. As determined by retrograde labeling following these injections, kinesthetic thalamic subregions receive projections as follows: caudomedial from cells in the external cuneate nucleus and its medial tongue, rostromedial from cells in basal cuneate nucleus, and rostrolateral from cells in cell group z and the reticular division of cell group x. Electrophysiological recording showed kinesthetic representations in each of these medullary regions. Labeled cells were also observed in the infratrigeminal subnucleus of the lateral reticular nucleus. Cats have kinesthetic projections to the thalamus from the basal cuneate and cell group z; raccoons (and monkeys) have these plus projections from the external cuneate and cell group x. This suggests that the kinesthetic projection system in raccoons and monkeys is expanded in correlation with their more dextrous use of the hand.

Distribution of external cuneate nucleus afferents to the cerebellum: II. Topographical distribution and zonal pattern--an experimental study with radioactive tracers in the cat

Small injections of tritiated leucine and the autoradiographic method were used to demonstrate efferents from restricted portions of the external cuneate nucleus (NCE) to the cerebellum. Sites of injection were analyzed by reference to the distribution of primary muscle afferents in NCE. On transverse sections, the silver deposits form longitudinal bands that, in certain regions, are packed together and label the entire surface of the granular layer; in other parts, they are separated by empty longitudinal bands. The longitudinal deposits are not continuous in the rostrocaudal direction. On the basis of the distribution of the longitudinal bands, 14 zones have been described for lobules II-VI, and 6 zones were recognized in lobules I, VIII, and the paramedian lobule. Afferents from NCE are distributed topographically. Regions of the nucleus receiving axial and neck muscles project mainly to vermal regions of lobules I-III, and to parts of lobules VIII and IX. Regions receiving afferents from forelimb muscles send their fibers preferentially to the vermian region of lobule V, to paravermian regions of lobules IV-VI, to parts of lobules VIII and IX, and to the paramedian lobule. These distributions in several respects are in agreement with the somatotopical maps of the cerebellum. However, other features support a "mosaic" arrangement: efferents from a region of NCE are distributed over several distinct sites of the cortex and efferents from different parts of the nucleus also converge to neighboring cortical regions.

Projection of cervical dorsal root fibers to the medulla oblongata in the brush-tailed possum, Trichosurus vulpecula

This study describes the projection of cervical spinal afferent nerve fibers to the medulla in the brush-tailed possum, a marsupial mammal. After single dorsal roots (between C2 and T1) were cut in a series of animals, the Fink-Heimer method was used to demonstrate the projection fields of fibers entering the CNS via specific dorsal roots. In the high cervical spinal cord, afferent fibers from each dorsal root form a discrete layer in the dorsal funiculus. The flattened laminae from upper cervical levels are lateral and those from lower cervical levels are medial within the dorsal columns. All afferent fibers at this level are separated from gray matter by the corticospinal fibers in the dorsal funiculus. All cervical roots project throughout most of the length of the well-developed main cuneate nucleus in a loosely segmentotopic fashion. Fibers from rostral roots enter more lateral parts of the nucleus, and fibers from lower levels pass to more medial areas; but terminal projection fields are typically large and overlap extensively. At more rostral medullary levels, fibers from all cervical dorsal roots also reach the external cuneate nucleus. The spatial arrangement here is more complex and more extensively overlapped than in the cuneate nucleus. Rostral cervical root fibers reach ventral and ventrolateral areas of the external cuneate nucleus and continue to its rostral pole; more caudal root fibers project to more dorsal and medial regions within the nucleus. These results demonstrate that projection patterns of spinal afferents in this marsupial are similar to those seen in the few placental species for which detailed data concerning this system are available.

Morphologic evidence for fiber sorting in the fasciculus cuneatus

This report describes the medullary course and projection patterns of cervical dorsal root nerve fibers in five mammalian species (bushbaby, tree squirrel, raccoon, potoroo, and brush-tailed possum). After cutting a single cervical dorsal root and allowing appropriate postoperative survival, we studied serial, Fink-Heimer impregnated sections of the medulla from each individual to locate degenerated afferent fibers and endings. Fibers from those rostral (C2) or caudal (C8) cervical roots studied traverse the medulla as a single bundle, forming collaterals en route into the nucleus cuneatus and external cuneate nucleus at all levels. Fibers from most cervical roots (C4 through C7, sometimes C3), however, separate into two discrete bundles as they project rostrally. A more medial, superficially placed group of fibers projects predominately to the dorsal part of nucleus cuneatus, which seems to be somatotopically arranged. The second fiber group, larger, deeper, and more laterally situated, projects mainly to ventral and ventrolateral nucleus cuneatus (asomatotopically) and to the external cuneate nucleus. Based on segmental and species differences in the presence of this fiber separation, and on prior physiologic and anatomic evidence, we suggest that this form of fiber sorting in the cuneate fasciculus is modality based. It appears likely that fibers in the medial group are of primarily cutaneous origin, and that many if not most of those in the larger lateral population arise from deep receptors in muscle and joints.