Characteristics of spinal neurones responding to cutaneous myelinated and unmyelinated fibres

Noise or signal? Spontaneous activity of dorsal horn neurons: patterns and function in health and disease

Spontaneous activity refers to the firing of action potentials by neurons in the absence of external stimulation. Initially considered an artifact or "noise" in the nervous system, it is now recognized as a potential feature of neural function. Spontaneous activity has been observed in various brain areas, in experimental preparations from different animal species, and in live animals and humans using non-invasive imaging techniques. In this review, we specifically focus on the spontaneous activity of dorsal horn neurons of the spinal cord. We use a historical perspective to set the basis for a novel classification of the different patterns of spontaneous activity exhibited by dorsal horn neurons. Then we examine the origins of this activity and propose a model circuit to explain how the activity is generated and transmitted to the dorsal horn. Finally, we discuss possible roles of this activity during development and during signal processing under physiological conditions and pain states. By analyzing recent studies on the spontaneous activity of dorsal horn neurons, we aim to shed light on its significance in sensory processing. Understanding the different patterns of activity, the origins of this activity, and the potential roles it may play, will contribute to our knowledge of sensory mechanisms, including pain, to facilitate the modeling of spinal circuits and hopefully to explore novel strategies for pain treatment.

Periaqueductal grey cyclooxygenase-dependent facilitation of C-nociceptive drive and encoding in dorsal horn neurons in the rat

The experience of pain is strongly affected by descending control systems originating in the brainstem ventrolateral periaqueductal grey (VL-PAG), which control the spinal processing of nociceptive information. A- and C-fibre nociceptors detect noxious stimulation, and have distinct and independent contributions to both the perception of pain quality (fast and slow pain, respectively) and the development of chronic pain. Evidence suggests a separation in the central processing of information arising from A- vs. C-nociceptors; for example, inhibition of the cyclooxygenase-1 (COX-1)-prostaglandin system within the VL-PAG alters spinal nociceptive reflexes evoked by C-nociceptor input in vivo via descending pathways, leaving A-nociceptor-evoked reflexes largely unaffected. As the spinal neuronal mechanisms underlying these different responses remain unknown, we determined the effect of inhibition of VL-PAG COX-1 on dorsal horn wide dynamic-range neurons evoked by C- vs. A-nociceptor activation. Inhibition of VL-PAG COX-1 in anaesthetised rats increased firing thresholds of lamina IV-V wide dynamic-range dorsal horn neurons in response to both A- and C-nociceptor stimulation. Importantly, wide dynamic-range dorsal horn neurons continued to faithfully encode A-nociceptive information, even after VL-PAG COX-1 inhibition, whereas the encoding of C-nociceptor information by wide dynamic-range spinal neurons was significantly disrupted. Dorsal horn neurons with stronger C-nociceptor input were affected by COX-1 inhibition to a greater extent than those with weak C-fibre input. These data show that the gain and contrast of C-nociceptive information processed in individual wide dynamic-range dorsal horn neurons is modulated by prostanergic descending control mechanisms in the VL-PAG.

[Trigger points - Diagnosis and treatment concepts with special reference to extracorporeal shockwaves]

The 70-year-old trigger point theory has experienced a growing scientific confirmation and clinical significance as a consequence of recent muscle pain research. The trigger point pain formation is caused by high levels of vasoneuroactive substances. Depending on intensity and duration of the muscle stimulus the central pain processing is modified and leads to characteristic referred pain patterns. The most effective conventional forms of treatment are aimed at a direct mechanical manipulation of the trigger point as are new forms of therapy with focused and radial shockwaves. By using high pressures the focused shockwaves in particular are suitable to provoke local and referred pain and thus simplify the trigger point diagnosis. The empirically found therapeutic effect of shockwaves on muscles is hypothetical and can be explained in analogy with validated reactions of shockwaves in non-muscle tissues. Overall, the shockwave therapy on muscles represents a confirmation and extension of the existing trigger point therapy. It seems to be suitable for treating functional muscular disorders and myofascial pain syndromes within the locomotor system.

A new animal model of trigeminal neuralgia produced by administration of cobra venom to the infraorbital nerve in the rat

BACKGROUND

Understanding the mechanism of trigeminal neuralgia may be elucidated by developing laboratory animal models that closely mimic the features of this specific type of neuropathic pain. We have developed an experimental animal model for trigeminal neuralgia using a technique of injecting cobra venom into the infraorbital nerve (ION) trunk.

METHODS

Male Sprague-Dawley rats were subjected to the administration of cobra venom or saline into the ION trunk. Mechanical stimuli were applied to the ION territory in consecutive days after surgery. Mechanical thresholds were measured over a 90-day period on the bilateral facial region. Vascular permeability in the ION territory was measured using Evans blue dye.

RESULTS

The cobra venom-treated rats developed mechanical allodynia 3 days after surgery that lasted for 60 days postoperatively at the ipsilateral side. The mechanical thresholds of the contralateral ION territory also showed a profound decrease but were sustained for only approximately 30 days. There was no change of mechanical thresholds in the control groups. The extravasation of Evans blue increased significantly in the skin after administration of cobra venom to the ION compared with control rats (P < 0.05).

CONCLUSION

The cobra venom model may provide a reasonable model for investigating the mechanism of trigeminal neuropathic pain.

Descending control of spinal nociception from the periaqueductal grey distinguishes between neurons with and without C-fibre inputs

Information about noxious events in the periphery is conveyed to the spinal cord in A- and C-fibre nociceptive afferents, which have largely distinct electrical and chemical properties and which convey different qualities of the pain signal. Descending control that originates in the different functional columns of the midbrain periaqueductal grey (PAG) has important roles in the modulation of spinal nociception in different behavioural and emotional states and, it is now believed, in animal models of chronic pain. However, few studies of descending control have considered differential modulation of A- versus C-nociceptor-evoked responses. Here, we report that descending inhibitory control from the rostrocaudal extent of the dorsolateral/lateral and ventrolateral columns of the PAG preferentially targets Class 2 deep dorsal horn neurons with C-fibre inputs. Pinch-evoked responses of these neurons were depressed significantly by -37+/-4.2% (P<0.0001). In contrast, the pinch-evoked responses of Class 2 neurons without C-fibre inputs (presumably A-fibre mediated) were enhanced significantly by +34+/-11.8% (P<0.01). Further experiments indicated these facilitatory effects were at least partly due to a reduction in C-fibre-mediated segmental inhibition. We suggest this differential control of spinal nociception would be appropriate in many of the varied situations in which the PAG is believed to become active, whether short term (e.g. fight or flight) or long term (e.g. chronic pain). Additionally, the pro-nociceptive effects observed in a subset of spinal neurons may be related to the descending facilitation that has been reported in animal models of chronic pain.

Mechanosensory afferent input and neuronal firing properties in rodent spinal laminae III-V: re-examination of relationships with analysis of responses to static and time-varying stimuli

Relationships between neuronal firing pattern and mechanosensory input in the deep dorsal horn were investigated using whole-cell recordings from isolated hamster spinal cord with innervation from an attached skin patch. Neurons that fired repetitively to depolarizing current (tonic cells) responded to both moving and static stimulation of their cutaneous receptive fields, and discharged continuously for the duration of stimulus application. Neurons responding to depolarizing current with transient, rapidly adapting firing (phasic cells) were significantly more responsive to stimulus movement than to static skin contact. Phasic cells typically issued a brief discharge at the onset or termination of a stimulus; their responses during static skin contact were weaker than tonic cells. Tonic cells were activated during both ramp and steady-state skin indentations, whereas phasic cells responded with their strongest excitation to displacement velocities exceeding 8 microm/ms. Mechanosensory input to phasic cells originated primarily from low threshold receptors, whereas tonic cells demonstrated a mixture of inputs from both low and high threshold sources. A third class of neurons responded to depolarizing current with a pronounced firing delay and displayed a sensitivity to cutaneous stimuli that was similar to tonic cells except they showed a modest decrease in firing as skin indentation velocity increased. The results suggest a correlation between functional properties of mechanoreceptive afferent fibers and intrinsic discharge properties of laminae III-V neurons that may significantly influence integration of cutaneous mechanosensory information at the first spinal relay.

Dependence of long-term potentiation on the interval between A- and C-responses of the spinal dorsal horn neurons in rats

We investigated whether tetanic stimulation (TS) of peripheral afferent nerves induced long-term potentiation (LTP) in the spinal dorsal horn of rats. Extracellular recordings from a wide dynamic range of neurons in the lumbosacral enlargement were performed using urethane-anaesthetized rats. High frequency electrical TS of sciatic nerves has revealed three groups of neurons based on their responses: LTP-induced, no-change and long-term depression-induced neurons. The firing pattern of LTP-induced neurons showed a short interval between A- and C-responses in comparison to the no-change neurons, which displayed longer intervals between A- and C-responses. During TS, coincident depolarization increased the probability of LTP induction. It can be suggested that coincident depolarization or increase in excitability of the postsynaptic dorsal horn neurons during TS may be necessary for successful induction of LTP through the dorsal horn.

The whole body receptive field of dorsal horn multireceptive neurones

Multireceptive neurones are found in the spinal dorsal horn and may be projection neurones and/or interneurones for polysynaptic reflexes. The cutaneous receptive field of a multireceptive neurone exhibits a gradient of sensitivity with the centre responding to any mechanical stimulus, including hair movements and light touch, while the periphery responds only to noxious stimuli. These neurones also receive signals from viscera, muscles and joints. This convergence of inputs means that multireceptive neurones are continuously capturing all the information from both the interface with the external environment (the skin) and the internal milieu (the viscera, muscles, etc.). This information constitutes a 'basic somaesthetic activity' that could help the somatosensory system build a 'global representation of the body'. In addition to be seen as a global entity, the output of multireceptive neurones should be understood in dynamic terms since the size of the peripheral fields of the individual neurones may change, as a result of the plasticity of both excitatory and inhibitory segmental processes. Furthermore, the activity of these neurones can be inhibited from most of the remaining parts of the body via supraspinal mechanisms. These diffuse noxious inhibitory controls (DNIC) are triggered by peripheral A delta- and C-fibres, involve brain structures confined to the caudal-most part of the medulla including the subnucleus reticularis dorsalis (SRD) and are mediated by descending pathways in the dorsolateral funiculi. A painful focus that both activates a segmental subset of neurones and inhibits the remaining population can seriously disrupt this basic activity, resulting in the distortion of the body representation in favour of the painful focus, which becomes pre-eminent and (relatively) oversized.

Robust changes of afferent-induced excitation in the rat spinal dorsal horn after conditioning high-frequency stimulation

We investigated the neuronal plasticity in the spinal dorsal horn and its relationship with spinal inhibitory networks using an optical-imaging method that detects neuronal excitation. High-intensity single-pulse stimulation of the dorsal root activating both A and C fibers evoked an optical response in the lamina II (the substantia gelatinosa) of the dorsal horn in transverse slices of 12- to 25-day-old rat spinal cords stained with a voltage-sensitive dye, RH-482. The optical response, reflecting the net neuronal excitation along the slice-depth, was depressed by 28% for more than 1 h after a high-frequency conditioning stimulation of A fibers in the dorsal root (3 tetani of 100 Hz for 1 s with an interval of 10 s). The depression was not induced in a perfusion solution containing an NMDA antagonist, DL-2-amino-5-phosphonovaleric acid (AP5; 30 microM). In a solution containing the inhibitory amino acid antagonists bicuculline (1 microM) and strychnine (3 microM), and also in a low Cl(-) solution, the excitation evoked by the single-pulse stimulation was enhanced after the high-frequency stimulation by 31 and 18%, respectively. The enhanced response after conditioning was depotentiated by a low-frequency stimulation of A fibers (0.2-1 Hz for 10 min). Furthermore, once the low-frequency stimulation was applied, the high-frequency conditioning could not potentiate the excitation. Inhibitory transmissions thus regulate the mode of synaptic plasticity in the lamina II most likely at afferent terminals. The high-frequency conditioning elicits a long-term depression (LTD) of synaptic efficacy under a greater activity of inhibitory amino acids, but it results in a long-term potentiation (LTP) when inhibition is reduced. The low-frequency preconditioning inhibits the potentiation induction and maintenance by the high-frequency conditioning. These mechanisms might underlie robust changes of nociception, such as hypersensitivity after injury or inflammation and pain relief after electrical or cutaneous stimulation.

Acute pain mechanisms

The systems activated by tissue-injuring stimuli are complex. The nociceptive primary afferents have little spontaneous activity under normal conditions; however, after tissue injury, they display longlasting, ongoing activity. This results, in part, because the injury elicits the release of active factors that sensitize or excite the peripheral nerve terminal. A threshold that is lowered to the extent that body temperature and the pressure of edema are adequate stimuli results in spontaneous pain. This phenomenon is mediated by a variety of blood-borne active factors released during plasma extravasation, by agents released from local inflammatory cells, and by neurotransmitters released from the peripheral terminals of the primary afferent fibers themselves. Well-defined projections into the dorsal horn convey the "pain message" to at least two well-defined populations of neurons: those that are nociceptive specific and those that display an intensity-linked discharge over a range of stimuli from innocuous to noxious. Convergence from various fiber types, modalities, and end organs permits the encoding of afferent traffic with respect to intensity and location. The convergence of axons from somatic and visceral structures reflects the mechanism for the so-called "referred pain state." Most importantly, these dorsal horn systems have a dynamic component in addition to the hard-wiring; their output can be regulated both up and down. The up-regulation provides the basis for much of the facilitated processing that is believed to account for a significant percentage of the postinjury pain state. The facilitated state has a unique pharmacology, with the underlying mechanisms reflecting a cascade of actions that starts with the NMDA receptor and proceeds through the spinal release of intermediaries, such as prostaglandins and nitric oxide. Conversely, the ability to down-regulate the dorsal horn stimulus response function accounts for the powerful control exerted by a wide variety of diverse factors, including the spinal delivery of opioid and nonopioid analgesics and the "endogenous analgesia system." These linkages reflect the complexity of the encoding mechanisms that transduce the tissue injury into the behavioral sequela known as pain. This article also emphasizes that, although considerable progress has been made in the past decade, the current pace of research promises greater insights.

Long-term depression of C-fibre-evoked spinal field potentials by stimulation of primary afferent A delta-fibres in the adult rat

Long-term potentiation (LTP) of spinal C-fibre-evoked field potentials can be induced by brief electrical stimulation of afferent C-fibres, by natural noxious stimulation of skin or by acute nerve injury. Here, we report that in urethane anaesthetized, adult rats prolonged high frequency burst stimulation of the sciatic nerve at Adelta-fibre strength produced long-term depression (LTD) of C-fibre-evoked field potentials, and also depressed the increased amplitudes of C-fibre-evoked field potentials recorded after LTP had been established (depotentiation). Electrical stimulation of Abeta-fibres failed to induce LTD or depotentiation. In spinalized rats, prolonged Adelta-fibre conditioning stimulation induced LTP rather than LTD of C-fibre-evoked field potentials. Thus, tonic descending inhibition may determine the direction of plastic changes in C-fibre-mediated synaptic transmission. Spinal application of the N-methyl-D-aspartic acid receptor antagonist D-APV blocked induction of LTD in intact rats and LTP in spinalized rats. The presently described LTD and the depotentiation of established LTP of C-fibre-evoked field potentials in spinal dorsal horn may underlie some forms of prolonged analgesia induced by peripheral nerve stimulation procedures.

Synaptic connectivity of local circuit neurons in laminae III and IV of hamster spinal cord

The present study was undertaken to examine the morphological bases of local synaptic interactions between dorsal horn interneurons. Seven interneurons responding to innocuous mechanical stimuli were intracellularly recorded in lamina III/IV of an isolated preparation of hamster spinal cord with partially intact innervation from an excised patch of hairy skin. Axonal arborizations were stained with horseradish peroxidase (HRP) and examined with an electron microscope. Five cells had extensive synaptic terminations (375-1,785 boutons/axon) with localized distributions (rostrocaudal distance, 425-1,251 microns) overlapping the dendritic trees. Two cells gave rise to deep stem axons that bifurcated into rostrocaudal daughter branches with collaterals ventral to the parent cell bodies (79-661 boutons/axon). Axons of local interneurons were thinly myelinated and formed terminal and en passant enlargements (mean [+/- S.D.] diameter = 0.88 +/- 0.24 microns, n = 157) containing clear, round vesicles 20-60 nm in diameter. Collateral branches of deep axon cells produced round, vesicle-containing boutons comparable in diameter (0.93 +/- 0.22 microns, n = 31) to local axon cells. Both types of interneurons formed asymmetric synaptic contacts with dendritic profiles, but not with cell bodies or axon terminals. Postsynaptic profiles contained sparse ribosomes and had a mean diameter of 1.0 +/- 0.5 microns (n = 49), significantly smaller than a population of identified proximal dendrites (2.3 +/- 0.9 microns, n = 47). HRP-labeled boutons were rarely (5/45 or 11%) in synaptic contact with more than one profile. We conclude that lamina III/IV interneurons make axodendritic synapses predominantly with distal dendrites. Thus, terminations of deep dorsal horn interneurons appear to have a postsynaptic distribution overlapping with axodendritic contacts formed by several functional classes of cutaneous sensory fibers signaling innocuous mechanical stimuli. Such overlap suggests that local spinal networks selectively and strongly influence afferent signals at initial stages of somatosensory integration.

Candidate premotor neurones of skin reflex pathways to T1 forelimb motoneurones of the cat

This study explored the locations and input-output properties of a large population of putative premotor neurones of skin reflex pathways in the cat. These neurones, interneurones excited by forelimb skin afferents and antidromically from the T1 motor nucleus (MN) and/or the lateral funiculus (LF, C8/T1 border), termed antidromic cells, were extracellularly recorded at C6-8. Selection of this site was based on data showing that cells retrogradely HRP labelled from the T1 MN were most numerous in C6-8 and the observation that transection of LF at the C8/T1 border abolished most skin-evoked postsynaptic potentials of T1 motoneurones. Antidromic cells were located in laminae IV-V, VI and VII. The latencies of antidromic excitation ranged from 0.4 to 1.8 ms, with a tendency for laminae IV-V cells to show longer latencies than laminae VI and VII cells. Latency of skin-evoked excitation ranged from 0.6 ms (IV-V cells), 0.8 ms (VI) and 1.4 ms (VII) to greater than 5 ms. The sum of the ortho- and antidromic latencies (estimated central latency) of individual cells explained the central latencies of skin-evoked postsynaptic potentials in T1 motoneurones. Skin-evoked firing responses (average of eight to ten cells) were earliest and largest in laminae IV-V antidromic cells, and latest and smallest in lamina VII cells. The antidromic cells who received inputs from muscle afferents and descending tracts. The following three results support the suggestion that the sampled antidromic cells are mostly premotor neurones. (1) Projection to the T1 MN via LF was verified in six laminae IV-VII antidromic cells, as tested with threshold mapping for antidromic excitation. (2) Three skin-excited axons of the middle LF projected to T1 MN, as revealed by intra-axonal staining (HRP). (3) PHA-L injection in laminae I-V of C8 anterogradely labelled terminals in lamina IX and LF axons at T1. It is suggested that last-order neurones of skin reflex pathways to T1 motoneurones are widely distributed in laminae IV-VII of C6-8 and consist of a variety of neurones with different locations and input patterns.

c-JUN-like immunoreactivity in the CNS of the adult rat: basal and transynaptically induced expression of an immediate-early gene

An immunocytochemical study of dorsal root ganglia, spinal cord and medulla oblongata was performed with antisera against the c-jun proto-oncogene encoded protein. The c-JUN-like immunoreactivity was restricted to the cell nucleus. In the CNS of untreated rats a basal c-JUN-like immunoreactivity was present in the nuclei of two types of neurons: motor and autonomic. Labelled nuclei could be seen in many motoneurons of the ventral horn of the entire length of spinal cord and the lower medulla oblongata, as well as in the area of the nucleus hypoglossus, the dorsal motor nucleus of nucleus vagus, nucleus ambiguus, nucleus facialis, nucleus abducens and motor nucleus of nucleus trigeminus. Additionally, labelled nuclei were found in the preganglionic sympathetic and preganglionic parasympathetic cells of the nucleus intermediolateralis and nucleus intercalatus in the spinal cord. In the medulla oblongata we found a cluster of cells with c-JUN-like immunoreactivity in an area between the dorsomedial part of the oral nucleus spinalis trigeminalis and the lateral border of the knee of facial nerve. Additionally, a second cluster of c-JUN-like immunoreactivity cells was visible between the ventromedial part of the oral nucleus spinalis trigeminalis and the lateral border of the rostral nucleus facialis. Examination of the characteristics of all cell groups with a basal c-JUN-like immunoreactivity in the spinal cord and lower brainstem revealed an overlapping distribution with cholinergic cell groups. Basal c-JUN-like immunoreactivity was also seen in the dorsal root ganglion cells. We examined the factors which can effect the expression of the c-JUN protein. Maximal expression of c-JUN-like immunoreactivity was observed after electrical stimulation of primary afferents. Stimulation of sciatic nerve at a strength sufficient to recruit A delta- and C-fibres produced c-JUN-like immunoreactivity in many nuclei of the ipsilateral dorsal horn of the lumbar spinal cord. c-JUN-like immunoreactivity was first detectable at 30 min following the end of stimulation, reached a maximum after 1 h, remained unchanged for another 1 h and declined to the basal level after 16 h. The distribution of c-JUN-like immunoreactivity in the lumbar cord coincided with the region of termination of sciatic nociceptive afferents. Contralateral c-JUN-like immunoreactivity appeared after 4 h. After noxious mechanical stimulation of the plantar hindpaw c-JUN-like immunoreactivity occurred in the spinal area of termination of nociceptive afferents of the tibial nerve. Noxious stimulation did not provoke additional c-JUN-like immunoreactivity in dorsal root ganglia.(ABSTRACT TRUNCATED AT 400 WORDS)

Tonic 5-HT modulation of spinal dorsal horn neuron activity evoked by both noxious and non-noxious stimuli: a source of neuronal plasticity

The influence of tonic serotonergic modulation on the responses of spinal dorsal horn neurons to natural peripheral stimulation was examined in physiologically intact, awake, drug-free cats. Systemically administered methysergide (maximum cumulative dose 2 mg/kg) caused significant changes in responses of some dorsal horn neurons to both mildly noxious and non-noxious stimulation. Individual changes provide evidence, in this model, for tonic 5-HT modulation of many aspects of sensory transmission at the level of the spinal cord. Taken together, the changes demonstrate the significant degree of plasticity that exists for some spinal dorsal horn neurons. It is clear that the plasticity of some spinal dorsal horn neurons allows for a much broader response profile than would be apparent under the restricted circumstances of a normal neurophysiologic study. Removal of tonic inhibition on responses to noxious stimuli may be an aspect of neuronal plasticity that functions to provide an immediate change in the way that the nervous system responds to a noxious stimulus.

Characteristics of dorsal horn neurons expressing subliminal responses to sural nerve stimulation

The present study was designed (1) to characterize the subliminal responses of dorsal horn neurons to stimulation of the sural nerve, and (2) to correlate the type of response to this stimulus with the responses to natural mechanical stimulation of the skin. To accomplish this, intracellular and extracellular recordings were carried out in L6 and L7 dorsal horn neurons in the cat. The excitatory responses of each cell to electrical stimulation of the sural nerve and to mechanical stimulation of the skin were noted. Of 35 dorsal horn cells recorded intracellularly, 11 responded with impulses to sural nerve stimulation, 9 responded with excitatory postsynaptic potentials (EPSPs) but not impulses, and 15 had no excitatory responses to this stimulus. The type of response to sural nerve stimulation was strongly correlated with receptive field modality. Most cells receiving an input from high-threshold cutaneous mechanoreceptors responded with impulses or gave no excitatory response to sural nerve stimulation, whereas most cells that had only low-threshold mechanoreceptor input responded with EPSPs only or gave no response. In cells with only low-threshold (LT) mechanoreceptive input, response to sural nerve stimulation was highly correlated with receptive field locus. Those LT cells with no excitatory responses to sural nerve stimulation had receptive fields confined to the foot and/or toes, whereas those that gave EPSPs had more proximal receptive fields. The possible significance of these data with reference to changes observed after lesions, such as increased response to sural nerve stimulation, increased receptive field size, and somatotopic reorganization, is discussed.

Electrical stimulation of primary afferent A fibres does not reduce substance P release in the dorsal horn of the cat

Antibody microprobes were used to measure the release of immunoreactive substance P in the dorsal horn of anaesthetised cats during noxious mechanical or thermal stimulation of the hind limb. Concomitant electrical stimulation of the ipsilateral tibial or sural nerve at intensities sufficient to excite only A alpha beta or additionally A delta primary afferent fibres did not reduce the release of substance P evoked by noxious stimuli. The results suggest that segmental inhibition produced in the dorsal horn by electrical stimulation of peripheral nerves is not mediated by presynaptic inhibition of substance P release from nociceptive primary afferent fibres.

Inhibition of the responses of cat dorsal horn neurons to noxious skin heating by stimulation in medial or lateral medullary reticular formation

Responses of single lumbar dorsal horn units to noxious radiant heating (50 degrees C, 10 s) of glabrous footpad skin were recorded in cats anesthetized with sodium pentobarbital and 70% nitrous oxide. The heat-evoked responses of 37/40 units were reduced during electrical stimulation (100 ms trains, 100 Hz, 3/s, 25-600 microA) in the medullary nucleus raphe magnus (NRM) and/or in laterally adjacent regions of the medullary reticular formation (MRF). Inhibition was elicited by stimulation in widespread areas of the medulla, but with greatest efficacy at ventrolateral sites. The magnitude of inhibition increased with graded increases in medullary stimulation intensity. Mean current intensities at threshold for inhibition or to produce 50% inhibition were higher for NRM than for MRF sites. Units' responses to graded noxious heat stimuli increased linearly from threshold (42-43 degrees C) to 52 degrees C. During NRM (5 units) or ipsilateral MRF stimulation (7 units), responses were inhibited such that the mean temperature-response functions were shifted toward higher temperatures with increased thresholds (1.5 degrees and 1 degree C, respectively) and reduced slopes (to 60% of control). Contralateral MRF stimulation had a similar effect in 4 units. Inhibitory effects of NRM and MRF stimulation were reduced (by greater than 25%) or abolished in 4/6 and 5/12 units, respectively, following systemic administration of the serotonin antagonist methysergide. Inhibitory effects from NRM, ipsi- and contralateral MRF were reduced or abolished in 2/9, 4/8 and 6/9 cases, respectively, following systemic administration of the noradrenergic antagonist phentolamine. These results confirm and extend previous studies of medullospinal inhibition and the role of monoamines, and are discussed in terms of analgesic mechanisms.

Dorsal horn (convergent) neurones in the intact anaesthetized arthritic rat. I. Segmental excitatory influences

Recordings were made from dorsal horn neurones in intact anaesthetized rats rendered polyarthritic by s.c. injection into the base of the tail, of Mycobacterium butyricum suspended in oil; the experiments were carried out during the acute phase of the illness (3-4 weeks post inoculation) during which hyperaesthesia occurred. The majority (60.8%) of the neurones studied had properties close to those of corresponding groups of units in healthy rats. These 'typical' neurones could be subdivided into convergent (13.2%), non-noxious (34.4%) and proprioceptive (13.2%) units. By contrast, and in agreement with a previous study in the unanaesthetized spinal arthritic rat, the segmental electrophysiological characteristics of the remaining large proportion of neurones were changed both in terms of the size and distribution of their excitatory receptive fields and their responsiveness to peripheral stimuli; these were designated as 'atypical' neurones. According to their electrophysiological properties, these neurones were differentiated as atypical convergent (27.8%) and atypical non-noxious (11.4%) units. The main qualitative difference between the typical and atypical neurones was that the atypical had an additional receptive field on the oedematous ipsilateral ankle and, in several cases, showed high levels of background activity with sometimes dramatic increases. By comparison with neurones recorded in healthy rats, quantitative data revealed other modifications: typical and atypical convergent neurones and atypical non-noxious neurones had larger classical excitatory receptive fields; while C-fibre responses evoked by transcutaneous electrical stimulation were facilitated in the case of typical convergent neurones, 47% of the atypical convergent neurones had no C-fibre responses, and when present (53%) the threshold for obtaining these C-fibre responses was higher with suprathreshold stimuli producing a minimal number of spikes; in these cells, gentle mechanical stimuli gave rise to high rates of firing which sometimes resulted in dramatic, long lasting after-discharges. The possibility that typical convergent, atypical convergent and atypical non-noxious neurones were derived from the homogeneous population of convergent neurones in the healthy rat is discussed; the atypical properties could be the result of a change in the characteristics of convergent neurones, resulting from arthritis.

Inhibition of the responses of neurons in the rat spinal cord to noxious skin heating by stimulation in midbrain periaqueductal gray or lateral reticular formation

Single units responsive to noxious heating of glabrous hindfoot skin were recorded in the lumbar spinal cord of rats anesthetized with sodium pentobarbital. Unit responses to heat stimuli (e.g. 50 degrees C, 10 s) delivered at 2-min intervals were stable and were markedly suppressed during stimulation (100-ms pulse trains at 100 Hz, 3/s, 25-400 microA) in the midbrain periaqueductal gray (PAG) or lateral reticular formation (LRF). Inhibition did not appear to outlast the midbrain stimulation period. By systematically varying the position of an array of 3 or 5 stimulating electrodes, we observed that stimulation in PAG and subjacent tegmental areas, as well as in widespread regions of the LRF bilaterally, suppressed unit responses to noxious skin heating. The degree of suppression of unit responses increased with graded increases in PAG or LRF stimulation intensity. LRF appeared to be more efficacious than PAG stimulation, based on lower currents at threshold, as well as on significantly greater slopes in current-inhibition plots for LRF compared to PAG stimulation. Unit responses increased linearly with graded increases in stimulus temperature from 42 to 54 degrees C. Slopes of temperature-response lines were reduced during PAG stimulation with no change in response threshold, while temperature-response lines were shifted in a parallel manner toward higher temperatures during LRF stimulation with an increase in response threshold. The results suggest that differential inhibitory systems are activated by PAG or LRF stimulation and are discussed in relation to previous findings in the cat and as a possible mechanism of stimulation-produced analgesia.

Neurones in the brain stem of the cat excited by vagal afferent fibres from the heart and lungs

Extracellular recordings were made from 164 neurones in the nucleus tractus solitarius and dorsal motor vagal nucleus of the chloralose-anaesthetized cat. 139 neurones were excited synaptically and 25 non-synaptically by electrical stimulation of cardiac and pulmonary vagal branches. Synaptically excited neurones fall into two populations, one activated solely by myelinated afferent fibres and a second activated solely by non-myelinated afferent fibres. 94 neurones were synaptically excited by afferent fibres in a single vagal branch while 45 were excited by stimulation of two or three branches. Neurones responding to volleys in myelinated afferent fibres were located in both medial and lateral regions of the nucleus tractus solitarius whilst those excited by non-myelinated afferent fibres were restricted to the medial region. Consistent differences in the locations of neurones excited by stimulation of either cardiac or pulmonary or by single or several branches could not be distinguished.

Tonic descending inhibition affects intensity coding of nociceptive responses of spinal dorsal horn neurones in the cat

The supraspinal inhibitory control of lumbar spinal dorsal horn neurones was investigated in N2O-anaesthetized cats by reversibly blocking conduction in the spinal cord. Dorsal horn neurones selected for this study had convergent input from myelinated (A-) and unmyelinated (C-) fibres in the posterior tibial and/or superficial peroneal nerves of the hind limb. Virtually all of them could also be excited by noxious heating of the skin of the footpad region and by low intensity mechanical stimulation of the foot. Variation of the temperature of noxious radiant skin heating (40-56 degrees C, 10 sec in duration) resulted in graded responses of the neurones. The stimulus-response functions (SRF) were monotonic; in the majority of 32 cases they were linear. Neurones could be classified according to their maximum discharge frequency in response to skin heating into 22 weakly sensitive units (responses below 100 Hz at 50 degrees C) and 10 highly sensitive units (above 100 Hz). Responses outlasted the period of skin heating by seconds to minutes. A reversible conduction block of spinal axons by cooling a 15 mm cord segment (L1) with a thermode at 0 degrees C affected the responsiveness of the dorsal horn neurones in 12 of 15 cases. The maximum discharge frequency to a certain temperature of skin heating was increased during the spinal block. The duration of heat-evoked discharges was either not changed or increased during the spinal block. The SRF were reversibly displaced during the spinal blockade to higher discharge frequencies and lower threshold temperatures of skin heating. In 8 of 12 cases the change in the SRF was a nearly parallel shift, whereas in 4 units the increase of responsiveness had a complex effect upon the SRF. The decrease in the threshold to skin heating ranged up to 4.5 degrees C; the mean decrease was 2 degrees C. It is confirmed that in anaesthetized cats, nociceptive spinal neurones are subject to a tonically active descending inhibition, which is interrupted by local spinal cooling. The effect of the spinal block on the SRF of the neurones suggests that this tonic inhibition is similar to that produced by electrical stimulation in the lateral reticular formation of the brain-stem.

C-fibre excitation and tonic descending inhibition of dorsal horn neurones in adult rats treated at birth with capsaicin

Single unit electrical activity has been recorded from dorsal horn neurones in the lumbar cord of rats anaesthetized with sodium pentobarbitone. Three groups of animals were used: normal adult rats, adult rats that had been treated at birth with capsaicin (50 mg kg-1 s.c.) and adult rats that had been injected at birth with the drug vehicle only. Rats treated at birth with capsaicin showed a substantial reduction in the number of afferent C fibres as indicated by the virtual absence of C waves in the compound action potentials evoked in the sural nerve by antidromic stimulation of the L4-L6 dorsal roots. No significant differences were found in any of the parameters measured between the vehicle treated and the untreated animals. Therefore, rats from these two groups are referred to as control animals. All dorsal horn neurones studied were driven by electrical stimulation of the A fibres in the ipsilateral sural nerve and had cutaneous receptive fields in the ipsilateral hind limb. Two groups of neurone were distinguished: those receiving an input from A fibres only (A only) and those neurones that could also be driven by sural C fibres (A + C). In the control group, 56% of the neurones were A only and 44% were A + C. In capsaicin-treated rats these proportions were significantly different: 78% and 22% respectively. No differences were found in receptive field sizes of A-only neurones between those recorded in control rats and those from capsaicin-treated animals. However, a large and significant increase in receptive field size of A + C neurones was observed in capsaicin-treated rats compared to their counterparts in normal animals. In control rats 80% of the A + C neurones showed tonic descending inhibition of their C-fibre-evoked responses as assessed by reversible spinalization. In capsaicin-treated rats this proportion fell to 47% of the A + C neurones. The magnitude of the tonic descending inhibition was also reduced in the fewer A + C neurones of capsaicin-treated rats that were subjected to it. Only 4% of A + C neurones with tonic descending inhibition in capsaicin-treated rats were powerfully inhibited compared to 26% in control animals. The mean number of spikes evoked by C-fibre stimulation of the sural nerve in A + C neurones of control and of capsaicin-treated rats was not significantly different between these two groups of animals in the intact and in the spinalized states.(ABSTRACT TRUNCATED AT 400 WORDS)

Inhibition of nociceptive neuronal responses in the cat's spinal dorsal horn by electrical stimulation and morphine microinjection in nucleus raphe magnus

The descending inhibitions produced by morphine microinjection and electrical stimulation in the nucleus raphe magnus (NRM) on dorsal horn neurons excited by noxious heating of the skin and/or electrical stimulation of hind limb nerves were examined in the cat. The responses to A-volleys were inhibited to 60.1% (mean, n = 9), those to C-volleys to 64.8% of control (mean, n = 6) and responses to skin heating to 25.3% (mean, n = 8) by electrical NRM stimulation. Morphine (e.g., 10 or 20 micrograms) microinjected into the NRM markedly reduced the responses elicited by afferent C-fiber stimulation (mean 55.6%, n = 8) and the responses to noxious skin heating (mean 38.1%, n = 8), while responses to A-volleys in hind limb nerves were less attenuated (mean 73.6%, n = 8). The effects of morphine were partially or completely blocked by microinjection (10 micrograms) of naloxone into the NRM. It is concluded that morphine microinjection into the NRM generates descending inhibition on the transmission of nociceptive information in the dorsal horn of the spinal cord. This may partly explain the mechanisms of morphine analgesia.

Cutaneous inputs to dorsal horn neurones in adult rats treated at birth with capsaicin

Single unit electrical activity has been recorded from dorsal horn neurones in the lumbar spinal cord of adult rats which had been treated at birth with either capsaicin (50 mg kg-1) or with the solvent-vehicle only. The responses of these neurones to electrical stimulation of A- and C-fibres in the sural nerve and to natural stimulation of their cutaneous receptive fields have been studied. In vehicle-injected rats, 54% of the units driven by electrical stimulation of the A-fibres in the sural nerve could also be driven by stimulation of the C-fibres in this nerve. In capsaicin-treated animals, only 30% of such units had a C-fibre input from the sural nerve. In vehicle-injected rats, 51.5% of the neurones with a C-fibre input showed a 'wind-up' effect on repetitive C-fibre stimulation of the sural nerve at 1 Hz. A similar proportion of neurones (55%) displayed this effect in capsaicin-treated rats. There were fewer neurones with very intense 'wind-up' in capsaicin-treated compared to vehicle-treated rats. In capsaicin-treated animals, greater proportions of neurones with 'wind-up' were superficially located in the dorsal horn, had small receptive fields and were driven only by cutaneous nociceptors. The proportions of neurones driven by innocuous mechanical stimulation of the skin, by noxious mechanical stimulation or by both forms of stimulation were similar in vehicle-injected and capsaicin-treated animals. In capsaicin-treated rats, more neurones had 'medium-sized' receptive fields than in vehicle-injected rats. In capsaicin-treated rats, more neurones had receptive fields in the foot and ankle than in vehicle-injected animals, where receptive fields in the toes were predominant. Some neurones showed expanded receptive fields after repetitive electrical stimulation of C-fibres at 1 Hz. This expansion occurred more often in neurones recorded from capsaicin-treated animals than in those of vehicle-injected rats. These results are discussed in relation to the role of afferent C-fibres in sensory mechanisms.

Basic neurobiologic mechanisms of pain and analgesia

Information about tissue damaging, subjectively painful stimuli is transmitted to the central nervous system by specific receptors. Histologically, they are supposed to be free nerve endings connected to the spinal cord by thin myelinated (A delta or group III) and nonmyelinated (C or group IV) fibers. Nociceptive information is transferred to secondary cells mainly in the surface layers (lamina I and II) and the neck (lamina V) of the dorsal horn; it then ascends the anterolateral funiculus contralaterally in axons of the spinothalamic tract. One portion of this tract ends in the ventroposterior and posterior thalamus. It is assumed that it mediates the discriminative component of a pain sensation. The emotional-affective component of a pain sensation is supposed to be produced by that portion of the spinothalamic tract that terminates in the intralaminar nuclei and by the spinoreticular tract. The existence of a cortical pain center has not yet been proved, nor is it clear where in the cerebrum pain is consciously felt. The descending pain inhibiting systems, originating in the brain stem, may block the transfer of nociceptive information at a spinal level, probably using enkephalin as a transmitter. It is probable that they mediate morphine-induced analgesia. Lesions of tissue release endogenous substances, such as serotonin and certain prostaglandins, which sensitize receptors. The analgesic effect of nonsteroidal anti-inflammatory drugs, such as aspirin, can be explained by the inhibition of prostaglandin synthesis and the desensitization of nociceptors.

Do convergent neurones in the spinal dorsal horn discriminate nociceptive from non-nociceptive information?

Thirty convergent neurones responding to both noxious and non-noxious cutaneous stimuli were recorded at the lumbar level in either anaesthetized 'intact' rats or unanaesthetized 'spinal' rats. Their responses to radiant heat application and to repetitive innocuous mechanical stimulation of the centre of their receptive fields were analysed, both in terms of the maximal and the mean firing rates. These neurones increased their discharge rates in relation to the temperature applied to their receptive fields with the highest levels being produced by noxious intensities. This finding confirms earlier reports suggesting the capacity of these neurones to encode nociceptive information of thermal origin. However, a very high level of firing could also be evoked by repetitively applied innocuous mechanical stimuli. This was a consistent finding, observed both in intact and spinal animals, which was true for the two subgroups into which we divided the convergent neurones (warming/noxious heat units and noxious heat units). These results are discussed in terms of the role of convergent neurones in nociception. It is suggested that a single channelled signal emanating from these neurones could not be the basis of a clear nociceptive message to the brain; two alternative hypotheses involving multichannelled organizations of impulses are proposed for discussion.

Actions of opiates, substance P, and serotonin on the excitability of primary afferent terminals and observations on interneuronal activity in the neonatal rat's dorsal horn in vitro

Approximately 5 segments of lumbo-thoracic spinal cord together with connected dorsal root ganglia were removed from 1-11-day-old rats and maintained in vitro. Dorsal root afferents, recorded from the ganglion and stimulated at the root entry zone, had conduction velocities typical of unmyelinated fibers (less than 2 m/s). The spinal terminals of individual afferents showed increased excitability with bath application of substance P and serotonin and decreased excitability with morphine sulfate, [D-ala2]methionine-enkephalinamide, manganese ions and magnesium ions. Naloxone by itself elicited no change in excitability, although it appeared to reduce the ongoing effect of opiates. Neurons recorded extracellularly in the dorsal horn responded to afferent volleys with one or more of 3 distinct phases: an excitation roughly coincident with the volley's arrival, a 50-300 ms period of inhibition, and a late excitation of 150-300 ms latency. The excitability results are accounted for by a model in which substance P, gamma-aminobutyric acid and possibly other depolarizing agents are contained in interneurons which synapse on afferent terminals. These interneurons could receive inhibitory enkephalinergic input, and, in the neonate but not the adult, excitatory serotoninergic input. An alternate scheme would have enkephalin and serotonin acting directly on afferent terminals, although perhaps by non-synaptic diffusion since the appropriate synapses have not been seen in histochemical studies. Such an action for enkephalin might explain the existence of opiate receptor on afferent terminals. The interneuronal responses to afferent volleys are parallel in most aspects to those found in the dorsal horns of adult mammals in vivo.

Characteristics of spinal dorsal horn neurons after partial chronic deafferentation by dorsal root transection

Unilateral transections of 1-3 lumbar dorsal roots were performed in 13 adult cats to investigate the effect of partial deafferentation on dorsal horn neurons. Eleven to 45 days after deafferentation various parameters of spontaneous and evoked activity of 169 neurons were measured and compared to the data of 168 neurons from previous experiments recorded under identical experimental conditions except that these animals had not been deafferented. Eighty-six of the units encountered were located in the segment of transected dorsal root(s) and 82 in the caudally adjacent segment. No significant differences could be observed in the functional properties of these two samples of units. Most parameters measured indicate that either no change at all in responsiveness or signs of decreased excitability occurred in the partially deafferented neurons compared to units recorded in control animals. Discharges evoked by noxious skin heating indicate a linear relationship between discharge frequency and skin temperature. This kind of encoding curve could also be measured during a reversible cold block of the spinal cord at segment L1. The mean encoding curves before and during spinal blockade were not different in deafferented compared to corresponding curves measured in control animals. The only finding that could be interpreted as an indication for increased excitability of partially deafferented neurons was that the mean frequency of spontaneous discharges of a subsample of heat-sensitive neurons was higher in deafferented compared to control animals. Possible mechanisms are discussed.

The cell bodies of origin of sympathetic and sensory axons in some skin and muscle nerves of the cat hindlimb

Cell bodies of sensory and sympathetic axons projecting to skin and skeletal muscle of the cat hindlimb have been labeled retrogradely with horseradish peroxidase (HRP) in order to study location, size, and numbers of the somata of these neurons. HRP was applied to the freshly transected axons of nerves supplying hairy skin (superficial peroneal, SP; sural, Su), hairy and hairless skin of the paw (medial plantar, MP), or skeletal muscle (gastrocnemius-soleus, GS). Serial sections of lumbosacral dorsal root and sympathetic ganglia were studied after standard histochemical processing. Additionally, the numbers of myelinated fibers in the same nerves were determined. All sensory somata and 99.4% of sympathetic cell bodies were located ipsilaterally. Sensory somata were commonly restricted to two adjacent dorsal root ganglia (usually L6-7 for SP, MP; L7-S1 for Su, GS). Although sympathetic somata were more widely distributed rostrocaudally, their maximum frequency always occurred in the segmental ganglia immediately rostral to the sensory outflows, i.e., corresponding to rami communicantes grisei. Dimensions of sympathetic somata varied little between populations projecting to different tissues and were unimodally distributed. The size distributions of sensory somata were characterized by a peak between 10 and 20 microns radius, similar to sympathetic somata, and a varying smaller number of cells ranging up to 60 microns radius. Each nerve had a characteristic distribution profile of afferent somata. A population of very small cells was only present in GS, while the largest sensory somata in GS and MP were bigger than those in SP and Su. Numerical analysis of the data disclosed the characteristic composition of both myelinated and unmyelinated fibers in each nerve studied.

Alterations in the ipsi- and contralateral afferent inputs of dorsal horn cells produced by capsaicin treatment of one sciatic nerve in the rat

Dorsal horn cells in the lumbar spinal cord of decerebrate spinal rats were examined 7-21 days following local application of capsaicin to the sciatic nerve. Such local capsaicin treatment is known not to influence the size of the incoming A and C fibre afferent volley. The receptive field properties and primary afferent input of cells on both sides of the cord, that is ipsi and contralateral to the treated nerve, were examined. On the treated side, the percentage of cells excited by C fibres from the capsaicin treated nerve was 30% of normal and the number of cells responding to noxious heating of the cutaneous receptive field was reduced by 50%. A fibre input and low and high threshold mechanical input were normal. The receptive field size was larger in many cells innervated by the treated nerve. On the side opposite to the treated nerve, responses to noxious and non-noxious stimulation of the untreated limb were unaffected as was the input from the untreated sciatic nerve. Receptive fields were somewhat larger than normal. Effects were also observed from contralateral stimuli. Cells on both sides of the cord were found with excitatory contralateral receptive fields and excitatory responses to trains of high intensity stimulation to the contralateral sciatic nerve. In untreated animals the effect of such contralateral stimulation is inhibitory. The results show that peripheral nerve capsaicin treatment causes long lasting reduction of the C fibre input to dorsal horn cells on the treated side. However, it also results in changes in the inhibitory and excitatory receptive fields of cells on both sides of the cord.

Chronic peripheral nerve section diminishes the primary afferent A-fibre mediated inhibition of rat dorsal horn neurones

The inhibitory effect of A-primary afferent activity on A- and C-evoked activity in dorsal horn convergent neurones has been investigated in the decerebrate spinal rat. A-afferent conditioning stimuli produce a powerful inhibition of the C-evoked activity in the majority of units recorded in lamina 5 but were almost without effect on the C-evoked activity in units recorded within the substantia gelatinosa (laminae 1 and 2). The ability of an A-volley to inhibit the response to a C-volley begins immediately after the arrival of the A-volley and lasts for 50-70 ms. Conditioning A-stimuli also inhibit the A-evoked activity of dorsal horn neurones, the inhibition lasting up to 125 ms. Unlike the effect of A-conditioning stimuli on C-responses, which was restricted to units in lamina 5, the A-volleys inhibited the response of both substantia gelatinosa and lamina 5 units. In rats with chronically sectioned sciatic nerves (7-14 days) both A on A and A on C inhibitions were significantly diminished in spite of intact afferent volleys and postsynaptic activity. In neurones activated by stimulation of the sectioned nerve, the A-conditioning stimuli either failed to produce an inhibition or produced a weak and shorter effect. These results are discussed in terms of the possible functional significance of A-afferent mediated inhibition.

The cutaneous sensitivity of units in laminae VII and VIII of the cat

The cutaneous sensitivity of units in laminae VII and VIII was compared to that of dorsal horn units in the same cats. There appeared to be a reversal of somatotopic organization between the dorsal and ventral horns. When this reversal was taken into account, it was apparent that most ventral horn units have localized receptive fields. They responded almost exclusively to intense, presumably noxious, stimulation of these discrete skin regions.

Primary afferent distribution pattern in the marginal zone (lamina 1) of adult monkey and cat lumbosacral spinal cord

Using Golgi preparations from adult cat and monkey the present study describes the general arborization pattern of primary afferent collaterals to the marginal layer (lamina I) of the dorsal horn. The dorsal root origin of the golgi-impregnated afferents was verified in the cat by matching the structural properties of these fibers with horseradish peroxidase (HRP)-stained primary afferents which were filled with HRP via anterograde transport through dorsal rootlets. The marginal afferents, in both the cat and the monkey, are relatively fine-caliber fibers which emanate from the dorsolateral fasciculus of Lissauer. Superficially they form a transverse plexus of fibers which runs across the surface of the dorsal horn and is especially dense in the lateral portion of the dorsal aspect of the marginal layer where lamina I is thickest. In deeper regions of the marginal layer, marginal afferents are longitudinally oriented and have collaterals within the outer zone of lamina II. In both superficial and deep regions of the marginal layer the afferents run parallel with large numbers of marginal cell dendrites. Most marginal afferents give rise to collaterals with widely spaced, round to oval "boutons en passant" and "boutons terminaux" which are 1.5-2.0 micrometers in diameter. Structural correlation with previous physiological and anatomical studies suggest that most of these fibers are finely myelinated, A-delta, high-threshold mechanoreceptive fibers.

Selective effects of (-)-baclofen on spinal synaptic transmission in the cat

When ejected microelectrophoretically near spinal interneurones of cats anaesthetised with pentobarbitone and under conditions where postsynaptic excitability was maintained artificially at a constant level, (-), but not (+), -baclofen selectively reduced monosynaptic excitation by impulses in low threshold muscle (Ia and Ib) and cutaneous (Aalpha) afferents. Polysynaptic excitation of interneurones and Renshaw cells by impulses in higher threshold afferents was less affected, and baclofen had little or no effect on the cholinergic monosynaptic excitation of Renshaw cells. Glycinergic and gabergic inhibitions of spinal neurones were relatively insensitive to baclofen. These stereospecific actions of baclofen, produced by either a reduction in the release of excitatory transmitter or postsynaptic antagonism, suggest that Ia, Ib, and Aalpha afferents may release the same excitatory transmitter which differs from that of spinal excitatory interneurones. Microelectrophoretic (-), but not (+), -baclofen also reduced primary afferent depolarization of ventral horn Ia extensor afferent terminations produced by impulses in low threshold flexor afferents, without altering either the electrical excitability of the terminations or their depolarization by electrophoretic GABA or L-glutamate. This stereospecific action of baclofen is interpreted as a reduction in the release of GABA at depolarizing axo-axonic synapses on Ia terminals.

Selective depression of synaptic excitation in cat spinal neurones by baclofen: an iontophoretic study

1 The effects of baclofen have been examined on responses of neurones in the spinal cord of the anaesthetized cat to stimulation of appropriate synaptic pathways, acetylcholine and a range of amino acid excitants. Baclofen and excitant substances were administered by standard microiontophoretic techniques. 2 Small ejecting currents of baclofen (less than 10 nA) depressed non-cholinergic, excitatory, synaptic responses evoked by stimulation of dorsal roots or muscle or cutaneous afferents. Excitatory monosynaptic responses were particularly sensitive to the depressant action of baclofen. 3 Spontaneous firing in neurones was sometimes reduced in parallel with synaptic excitatory responses, but synaptically evoked inhibition was unaffected and ventral root evoked excitation of Renshaw cells was either unaffected or enhanced by baclofen. 4 Ejecting currents of baclofen which markedly depressed excitatory synaptic responses either had no effect or minimal depressant effects on responses induced by iontophoretically administered acetylcholine and excitant amino acids. However, relatively large currents of baclofen (e.g. 20 to 40 nA) reduced excitatory responses to exogenously administered excitants. 5 It is suggested that baclofen depresses (a) synaptic response by an action on excitatory nerve terminals and (b) responses to exogenous excitants via a postsynaptic action. 6 Comparison of baclofen with a number of other substances indicates that the depression of noncholinergic, excitatory, synaptic responses is unlikely to involve an interaction of this agent with receptors for monoamines, 5-hydroxytryptamine or the inhibitory amino acids, gamma-aminobutyric acid and glycine.

The laminar organization of dorsal horn cells responding to peripheral C fibre stimulation

Cat dorsal horn was searched for all detectable units that responded to peripheral C fibre input. Fifty-seven such units were examined in detail. They were located in two main areas. One group was in the superficial laminae 1, 2, and possibly dorsal 3 (n = 29), and the other group was much deeper in laminae 5 and 6 (n = 24). Only four units were situated in the region of lamina 4. Differences were found in the responses to C fibre stimulation of these two groups, both in the optimum stimulus and in the timing of responses to repeated stimulation. Superficial units often did not respond to C fibre stimulation unless a train of two or more stimuli (10 ms apart) were applied, but when responses did occur they were usually very even and regular, with precise onset latencies on repeated stimulation. Deep units tended to need only one peripheral C fibre stimulus for excitation, but the responses were irregular with latencies fluctuating with each stimulus. Some superficial and deep units showed a steady increase in latency of the late C response on repeated stimulation. Increases of up to 80 ms after 30 s of stimulation at 1 Hz were observed. The results are discussed in terms of the neuronal connections in the dorsal horn.

Time course and effective sites for inhibition from midbrain periaqueductal gray of spinal dorsal horn neuronal responses to cutaneous stimuli in the cat

Inhibition of spinal dorsal horn neuronal responses to noxious (50 degrees C) skin heating by stimulation of the midbrain periaqueductal gray (PAG) was quantitatively investigated in cats anesthetized with sodium pentobarbital and nitrous oxide. Systematic variation of the interval between onset of PAG stimulation (PAGS) and onset of noxious skin heating revealed that a marked reduction of spinal unit heat-evoked discharges occured immediately upon onset of PAGS, and ceased immediately at offset of PAGS with a post-stimulation excitatory rebound. Stimulation at sites in both ventral and dorsal PAG produced inhibition, the strength of which increased sometimes in a linear manner with increasing strength of PAGS. Thresholds for the generation of descending inhibition were higher in dorsal than ventral PAG. PAGS also inhibited spinal unit responses to non-noxious skin stimulation (brushing of hairs). Descending inhibition from PAG is considered as a possible mechanism for analgesia produced by stimulation of PAG and other brainstem structures.

Diffuse noxious inhibitory controls (DNIC). II. Lack of effect on non-convergent neurones, supraspinal involvement and theoretical implications

(1) Diffuse noxious inhibitory controls (DNIC) were tested for their effect on noxious only, non-noxious and proprioceptive cells in the dorsal horn of the intact anaesthetized rat. Unlike convergent neurones, as described in the previous paper, there was no effect of DNIC on these neurones. It is concluded that convergent neurones are specifically inhibited by DNIC. (2) The effect of DNIC could not be demonstrated for convergent neurones in the spinal animal. Thus the neuronal substrate for DNIC must involve supraspinal structures. (3) Because of the level of firing in convergent neurones induced by hair and touch receptors, presumably constantly and randomly activated in the freely moving animal, a noxious message arriving at higher centres may be partly masked by this background noise. On the basis of the known role of convergent neurones in nociception, we propose the following mechanism which may interpret this paradoxical convergence: two pools of convergent neurones are influenced by a painful peripheral stimulation, one segmental pool being activated whilst the remaining population of cells is inhibited; the "contrast" between the messages from these two pools may well produce a significant pain signalling output from the convergent dorsal horn cells. (4) These results and their theoretical implications are discussed with regard to the concept of the "analgesic system", certain clinical observations and the paradoxical pain relieving effects of counterirritation and some forms of acupuncture.