The activity of ON and OFF cells at the rostroventromedial medulla is modulated by vagino-cervical stimulation

Physiological properties of pain-modulating neurons in rostral ventromedial medulla in female rats, and responses to opioid administration

•

Physiological properties of RVM pain-modulating neurons were described in female rats.

•

ON- and OFF-cells in females have fundamental properties comparable to those in males.

•

As in males, RVM neuron output is altered in persistent inflammation and by morphine.

•

This work provides a foundation for future studies of RVM in females.

Functional pain disorders disproportionately impact females, but most pain research in animals has been conducted in males. While there are anatomical and pharmacological sexual dimorphisms in brainstem pain-modulation circuits, the physiology of pain-modulating neurons that comprise a major functional output, the rostral ventromedial medulla (RVM), has not been explored in female animals. The goal of this study was to identify and characterize the activity of RVM cells in female, compared to male, rats. ON- and OFF-cells were identified within the RVM in females, with firing properties comparable to those described in males. In addition, both ON- and OFF-cells exhibited a sensitized response to somatic stimuli in females subjected to persistent inflammation, and both ON- and OFF-cells responded to systemically administered morphine at a dose sufficient to produce behavioral antinociception. These data demonstrate that the ON-/OFF-cell framework originally defined in males is also present in females, and that as in males, these neurons are recruited in females in persistent inflammation and by systemically administered morphine. Importantly, this work establishes a foundation for the use of female animals in studies of RVM and descending control.

Oestradiol dampens reflex-related activity of on- and off-cells in the rostral ventromedial medulla of female rats

The present study was conducted to determine whether the ovarian steroid oestradiol alters the activity of nociceptive modulatory neurons in the rostral ventromedial medulla (RVM). Adult female rats were ovariectomized and implanted s.c. with an oestradiol-filled or placebo capsule. Sixteen to 37 days later, rats were anaesthetised for single unit recording from RVM neurons. On-cells were characterised by a burst of activity, and off-cells by a pause in activity immediately preceding reflexive withdrawal of the tail from 51 and 54 degrees C water. Although on- and off-cells were evident in both oestradiol- and placebo-treated rats, the reflex-related on-cell burst and off-cell pause were dampened in oestradiol-treated rats. On-cells from oestradiol-treated rats had a mean activity burst of 9.1+/-2.2 Hz in the 2 s preceding the tail withdrawal reflex to 51 degrees C water, compared with 17.9+/-4.3 Hz for on-cells in placebo controls. Off-cell activity during the 2 s preceding tail withdrawal was 4.8+/-2.2 vs. 0.1+/-0.1 Hz in oestradiol vs. placebo-treated females, respectively. Similar changes in on- and off-cell activity occurred when the tail was placed in 54 degrees C water. The present data demonstrate that oestradiol constrains the magnitude of the shift in RVM on- and off-cell activity associated with nociceptive reflexes.

Neural pathways mediating vaginal function: the vagus nerves and spinal cord oxytocin

The initial observations, made in our laboratory with Knut Larsson, of the ability of vaginocervical stimulation (VCS) to block withdrawal responses to foot pinch in rats has led to findings of multiple behavioral, autonomic, and neuroendocrine effects of this potent stimulus in rats and also in women. It has led to an understanding of: (1) the neuroanatomical and neurochemical basis of a novel and potent pain-blocking mechanism; (2) likely neuroanatomical pathways mediating both the Ferguson reflex and a specific autonomic response - the pupil-dilating effect of VCS; (3) a role for oxytocin as a putative central nervous system neurotransmitter that stimulates autonomic sympathetic preganglionic neurons within the spinal cord; and (4) a novel pathway that can convey sensory activity from the cervix, adequate to induce orgasm, via the vagus nerves. This latter pathway bypasses the spinal cord and projects directly to the medulla oblongata, and thus can convey genital afferent activity despite complete spinal cord injury at any level.

Effects of temperature and volume on intraperitoneal saline-induced changes in blood pressure, nociception, and neural activity in the rostroventral medulla

ON and OFF cells of the rostral ventromedial medulla are hypothesized to modulate nociception with ON cells facilitating pain and OFF cells inhibiting pain. The current study analyzed the effects of intraperitoneal saline at different volumes and temperatures on nociception (tail flick reflex), blood pressure, and the activity of ON and OFF cells in lightly anesthetized rats. At large volumes (20 cc/kg), room temperature saline excited 7/11 ON cells and inhibited 10/12 OFF cells for 2-5 min. In contrast, large volumes (20 cc/kg) of body temperature saline (37 degrees C) excited only 1/10 ON cells and inhibited only 3/13 OFF cells, and small volumes (1-2 cc/kg) of room temperature saline excited only 3/10 ON cells and inhibited only 4/11 OFF cells. Tail flick latency increased following saline administration at large volumes with a significant effect of time, but not temperature. The excitation of ON cells and inhibition of OFF cells indicate that cold intraperitoneal saline could be painful and the increase in tail flick latency may indicate a diffuse noxious inhibitory control. It is also possible that the changes in ON and OFF cell activity caused a hyperalgesia that was masked by a simultaneous hypoalgesia that was mediated independent of the ON and OFF cells. Because intraperitoneal saline may produce pain or hyperalgesia, care should be used when saline is used experimentally or clinically.

Changes in pain threshold and lumbar spinal cord immediate-early gene expression induced by paced and nonpaced mating in female rats

Vaginocervical stimulation (VCS) received during mating is known to induce analgesia and to suppress FOS-immunoreactivity (FOS-IR) in lumbar spinal cord. However, it is not known whether this suppression of FOS-IR reflects inhibition of afferent nociceptive input. The present studies examined whether two immediate-early gene (IEG) products, FOS and Egr-1, covary with nociception by comparing both responses in estrous females that received mating stimulation known to induce varying amounts of FOS-IR in brain. Ovariectomized steroid-treated rats were mated under conditions in which they paced or did not pace sexual contacts with males until receiving 5 or 15 intromissions. Control groups received mounts-without-intromission only from males or remained in their homecages. In experiment I, paced mating resulted in a significant overall suppression of FOS-IR in the lumbar 6 (L6) spinal segment compared to nonpaced and mounts only stimulation. This reduction occurred specifically among paced females receiving five intromissions. In contrast, significant elevations above homecage levels were seen in paced females given 15 intromissions, all nonpaced females, and mounts only animals. The numbers of Egr-1-immunoreactive (Egr-1-IR) cells increased equally above homecage levels in all male-exposed females. In experiment II, females that received five intromissions (paced or nonpaced) showed significant increases in tail-flick latency (TFL) within 5 s (time 0) after mating, while females receiving 15 intromissions showed hyperalgesia (15 nonpaced) or no change (15 paced) in TFL throughout 90 s postmating. Additional females tested immediately after receiving two ejaculations showed analgesia. Paced mating, though more effective than nonpaced mating in suppressing FOS-IR, did not influence the appearance of VCS-induced analgesia. We conclude that the suppression of FOS-IR by paced mating is not related to mating-induced analgesia.