Corticofugal effects on different neuron types within the cat's brain stem activated by tactile stimulation of the face

Trigeminal neuralgia: An overview from pathophysiology to pharmacological treatments

The trigeminal nerve (V) is the fifth and largest of all cranial nerves, and it is responsible for detecting sensory stimuli that arise from the craniofacial area. The nerve is divided into three branches: ophthalmic (V1), maxillary (V2), and mandibular (V3); their cell bodies are located in the trigeminal ganglia and they make connections with second-order neurons in the trigeminal brainstem sensory nuclear complex. Ascending projections via the trigeminothalamic tract transmit information to the thalamus and other brain regions responsible for interpreting sensory information. One of the most common forms of craniofacial pain is trigeminal neuralgia. Trigeminal neuralgia is characterized by sudden, brief, and excruciating facial pain attacks in one or more of the V branches, leading to a severe reduction in the quality of life of affected patients. Trigeminal neuralgia etiology can be classified into idiopathic, classic, and secondary. Classic trigeminal neuralgia is associated with neurovascular compression in the trigeminal root entry zone, which can lead to demyelination and a dysregulation of voltage-gated sodium channel expression in the membrane. These alterations may be responsible for pain attacks in trigeminal neuralgia patients. The antiepileptic drugs carbamazepine and oxcarbazepine are the first-line pharmacological treatment for trigeminal neuralgia. Their mechanism of action is a modulation of voltage-gated sodium channels, leading to a decrease in neuronal activity. Although carbamazepine and oxcarbazepine are the first-line treatment, other drugs may be useful for pain control in trigeminal neuralgia. Among them, the anticonvulsants gabapentin, pregabalin, lamotrigine and phenytoin, baclofen, and botulinum toxin type A can be coadministered with carbamazepine or oxcarbazepine for a synergistic approach. New pharmacological alternatives are being explored such as the active metabolite of oxcarbazepine, eslicarbazepine, and the new Nav1.7 blocker vixotrigine. The pharmacological profiles of these drugs are addressed in this review.

The Evolution of Neuroscience as a Research Field Relevant to Dentistry

The field of neuroscience did not exist as such when the Journal of Dental Research was founded 100 y ago. It has emerged as an important scientific field relevant to dentistry in view of the many neurally based functions manifested in the orofacial area (e.g., pain, taste, chewing, swallowing, salivation). This article reviews many of the novel insights that have been gained through neuroscience research into the neural basis of these functions and their clinical relevance to the diagnosis and management of pain and sensorimotor disorders. These include the neural pathways and brain circuitry underlying each of these functions and the role of nonneural as well as neural processes and their "plasticity" in modulating these functions and allowing for adaptation to tissue injury and pain and for learning or rehabilitation of orofacial functions.

Cortical Regulation of Nociception of the Trigeminal Nucleus Caudalis

Pain perception is strongly influenced by descending pathways from "higher" brain centers that regulate the activity of spinal circuits. In addition to the extensively studied descending system originating from the medulla, the neocortex provides dense anatomical projections that directly target neurons in the spinal cord and the spinal trigeminal nucleus caudalis (SpVc). Evidence exists that these corticotrigeminal pathways may modulate the processing of nociceptive inputs by SpVc, and regulate pain perception. We demonstrate here, with anatomical and optogenetic methods, and using both rats and mice (of both sexes), that corticotrigeminal axons densely innervate SpVc, where they target and directly activate inhibitory and excitatory neurons. Electrophysiological recordings reveal that stimulation of primary somatosensory cortex potently suppresses SpVc responses to noxious stimuli and produces behavioral hypoalgesia. These findings demonstrate that the corticotrigeminal pathway is a potent modulator of nociception and a potential target for interventions to alleviate chronic pain.SIGNIFICANCE STATEMENT Many chronic pain conditions are resistant to conventional therapy. Promising new approaches to pain management capitalize on the brain's own mechanisms for controlling pain perception. Here we demonstrate that cortical neurons directly innervate the brainstem to drive feedforward inhibition of nociceptive neurons. This corticotrigeminal pathway suppresses the activity of these neurons and produces analgesia. This corticotrigeminal pathway may constitute a therapeutic target for chronic pain.

Novel trigeminal slice preparation method for studying mechanisms of nociception transmission

BACKGROUND

The trigeminal subnucleus caudalis (Vc) plays a critical role in transmission and modulation of nociceptive afferent inputs, and exhibits a similar layer construction to the spinal dorsal horn. However, afferent inputs enter the brainstem and project to a separately located nucleus. It has previously been difficult to record responses of the Vc to afferent fiber activation in a brainstem slice preparation. The aim of the present study was to establish a novel brainstem slice preparation method to study trigeminal nociceptive transmission mechanisms.

NEW METHOD

Thirty adult 6-7-week-old C57/BL6J male mice were included in the study. Obliquely sliced brainstem sections at a thickness of 600μm, which included the Vc and the root entry zone to the brainstem, were prepared. The Vc response to electrical stimulation of afferent fibers was observed as a change in intracellular calcium concentration by fluorescence intensity response.

RESULTS

Electrical stimulation of afferent inputs to the trigeminal nerve increased fluorescent intensity in the Vc, which was completely diminished by tetrodotoxin and significantly suppressed by the AMPA/kainate antagonist CNQX (paired t-test, P<0.001), although the non-competitive NMDA antagonist (+)-MK801 maleate resulted in no changes. These results suggested a glutamate receptor-mediated response.

COMPARISON WITH EXISTING METHODS/CONCLUSION

This brainstem slice preparation will be useful for investigating nociceptive transmission mechanisms of the trigeminal nerve.

Primary afferent plasticity following deafferentation of the trigeminal brainstem nuclei in the adult rat

Alpha-tyrosinated tubulin is a cytoskeletal protein that is involved in axonal growth and is considered a marker of neuronal plasticity in adult mammals. In adult rats, unilateral ablation of the left facial sensorimotor cortical areas induces degeneration of corticotrigeminal projections and marked denervation of the contralateral sensory trigeminal nuclei. Western blotting and real-time-PCR of homogenates of the contralateral trigeminal ganglion (TG) revealed consistent overexpression of growth proteins 15 days after left decortication in comparison with the ipsilateral side. Immunohistochemical analyses indicated marked overexpression of alpha-tyrosinated tubulin in the cells of the ganglion on the right side. Cytoskeletal changes were primarily observed in the small ganglionic neurons. Application of HRP-CT, WGA-HRP, and HRP to infraorbital nerves on both sides 15 days after left decortication showed a significant degree of terminal sprouting and neosynaptogenesis from right primary afferents at the level of the right caudalis and interpolaris trigeminal subnuclei. These observations suggest that the adaptive response of TG neurons to central deafferentation, leading to overcrowding and rearrangement of the trigeminal primary afferent terminals on V spinal subnuclei neurons, could represent the anatomical basis for distortion of facial modalities, perceived as allodynia and hyperalgesia, despite nerve integrity.

Effects of somatosensory cortical stimulation on expression of c-Fos in rat medullary dorsal horn in response to formalin-induced noxious stimulation

We examined the effects of epidural electrical stimulation of primary (SI) and secondary (SII) somatosensory cortex on expression of c-Fos protein in rat medullary dorsal horn neurons (Vc; trigeminal nucleus caudalis) in response to formalin-induced noxious stimulation. Epidural electrical stimulation (single pulse, 0.2 msec duration at 10 Hz) was applied to the left facial region SI or SII at three different stimulus intensities, 0.1, 0.5, and 1.0 mA for 60 min 0 or 2 hr after bilateral injection of formalin into the lower lip. SII stimulation at 1.0 mA immediately after injection of formalin, significantly decreased the number of Fos-positive cells in the right VcI/II by 32.4%. There was no significant change in the number of Fos-positive cells in the VcIII/IV. SII stimulation at 0.5 and 1.0 mA 2 hr after injection of formalin, significantly decreased the number of Fos-positive cells in the right VcI/II by 47.9% and 40.8%, but significantly increased the number of Fos-positive cells in the right VcIII/IV by 178.8% and 324.3%, respectively. In contrast, SI stimulation had no effect on expression of c-Fos in Vc. Possible direct corticotrigeminal projections were labeled anterogradely by injection of WGA-HRP into the SI and SII. In the Vc, labeled terminals were distributed mostly in the contralateral medial half of VcIII/IV and medullary reticular nucleus dorsalis but rarely in VcI/II. These results suggest that activation of SII-medullary fibers suppress nociceptive information from the oro-facial regions.

Periaqueductal gray matter and nucleus raphe magnus involvement in anterior pretectal nucleus-induced inhibition of jaw-opening reflex in rats

In previous studies we have shown that electrical stimulation of the cortex or anterior pretectal nucleus (APT) inhibits the jaw-opening reflex (JOR). In the present study we investigated whether these effects are mediated by a relay in the periaqueductal gray matter (PAG) or rostroventromedial medulla (RVM). Experiments were performed on chloralose-urethane anesthetized rats. The JOR which was elicited by electrical stimulation of the mandibular incisor tooth was monitored by recording the evoked digastric muscle activity. Conditioning stimulation (20 ms train of 0.2 ms pulses at 400 Hz) was delivered to the facial area of the sensorimotor cortex, APT, PAG or nucleus raphe magnus (NRM) 50 ms prior to the test stimulus to the tooth that evoked the JOR. In addition, the effects of microinjections of glutamate into APT, PAG and NRM on the tooth-evoked JOR were also evaluated. The inhibition of the JOR by electrical and glutamate conditioning stimulation was found to be most potent for activation of the NRM and least potent for the APT. Local anesthetic (2% lidocaine, 0.3-0.6 microliters) block of the PAG could partially, significantly (P less than 0.05) and reversibly reduce both the APT and cortical-induced depression of the JOR. Lidocaine block of the ventromedial pons reversibly reduced the PAG, APT and cortical-induced inhibition of the JOR (P less than 0.05). Lidocaine block of the lateral RVM had powerfully (P less than 0.01) and reversibly reduced the PAG-induced inhibition, but had only a small effect (P less than 0.05) on the APT-induced inhibition and no significant effect on the cortical-induced inhibition.(ABSTRACT TRUNCATED AT 250 WORDS)

Role of anterior pretectal nucleus in somatosensory cortical descending modulation of jaw-opening reflex in rats

Both the somatosensory cerebral cortex and anterior pretectal nucleus (APT) have been shown to produce descending modulation of trigeminal (V) and spinal somatosensory neurone and reflex activities. Since the APT receives a direct projection from the somatosensory cortex, experiments were performed to compare the effects of APT and somatosensory cortex stimulation on the jaw-opening reflex (JOR) and to examine the possible involvement of APT in corticofugal modulation. Conditioning stimulation of the ipsilateral or contralateral somatosensory cortex in chloralose-urethane anaesthetized rats induced inhibition of the JOR elicited by test stimulation of the maxillary skin or tooth pulp, at conditioning-test intervals between 30 and 200 ms. A similar time course of inhibition of the JOR was noted with APT conditioning stimulation. Local unilateral injection of 2% lidocaine (0.3-0.6 microliter) into APT could partially and reversibly reduce the ipsilateral cortically evoked inhibition of the JOR. Ibotenic acid (5 micrograms, 0.5 microliter)-induced unilateral lesions of APT and its adjoining structures also greatly reduced the ipsilateral cortically induced inhibition of the JOR. Histological reconstruction of APT lesion sites and data analysis indicated that this reduction in the corticofugal inhibition was proportionally and significantly related to the extent of damage to APT, but not to its adjoining structures. These findings collectively suggest that the cortically-induced inhibition of the JOR is at least partly mediated by a relay in the APT.

Intracellular response properties of neurons in the spinal trigeminal nucleus to peripheral and cortical stimulation in the cat

The responses of the secondary neurons in the spinal trigeminal nucleus oralis (STNo) were recorded intracellularly to peripheral and cortical stimulation in chloralose-anesthetized cats. Electrical stimulation of the trigeminal sensory nerves (the frontal, infraorbital and inferior alveolar nerves) evoked an EPSP superimposed by one or a few spikes followed by a biphasic IPSP in one group of STNo neurons (Type I), and a prolonged EPSP superimposed by a burst of spikes in the other group of STNo neurons (Type II). Nearly half of Type I neurons were trigeminothalamic neurons projecting to the contralateral ventral posteromedial nucleus, while the remaining Type I and all the Type II neurons were non-projection neurons. A majority of Type I neurons responded with spike potentials to stimulation of only one sensory nerve, while most Type II neurons responded to stimulation of more than one nerve. Stimulation of the contralateral primary somatosensory cortex evoked IPSPs in most Type I projection neurons, and EPSPs in all Type II as well as most Type I non-projection neurons. In Type I neurons touch or pressure applied to a circumscribed area in the facial skin evoked an EPSP superimposed by one or a few spikes followed by a biphasic IPSP, and IPSPs were evoked from a wide surrounding area in the face by the same mechanical stimulation. In Type II neurons innocuous mechanical stimulation within a wide area evoked an EPSP, while IPSPs could not be induced from anywhere. The results indicate that postsynaptic inhibition is involved in the surround inhibition as well as corticofugal descending inhibition of sensory transmission in the trigeminal sensory nucleus.

Effects of general anesthesia on the human blink reflex

The blink reflex was studied in 10 patients undergoing elective procedures under general anesthesia. Anesthetic agents were isoflurane, halothane, nitrous oxide, methohexital, and thiopental in various combinations. At induction, blink reflexes were diminished by low-dose thiopental (1-1.5 mg/kg) and abolished by high-dose thiopental (4-8 mg/kg) and methohexital (1.5 mg/kg). Blink reflexes were absent during halogenated volitile inhalational anesthesia and did not return until patients were in the recovery room, well after end-tidal anesthetic levels were zero by mass spectroscopy. Recovery of consciousness and the ability to blink on command often preceded return of any blink reflex activity, indicating that the blink reflex is not useful as a postoperative test of facial nerve function in the operating room after anesthesia. In six patients, blink reflexes were still diminished 2-3 hours after cessation of anesthesia, at a time when patients were fully oriented and corneal and eyelid reflexes were clinically normal. This finding suggests that the blink reflex might be a sensitive test of subtle CNS dysfunction after inhalational anesthesia and potentially could serve as a useful objective indicator of recovery from anesthesia for outpatient surgery.

Synaptic organization of primary axons in trigeminal nucleus oralis

This report examines the morphology and synaptic connections of small-diameter primary trigeminal axons that terminate in the border zone (BZ) and ventrolateral (VL) subdivisions of rat trigeminal nucleus oralis (Vo). Primary axons were made visible for light and electron microscopic analysis by utilizing the method of anterograde transport of horseradish peroxidase. BZ receives the terminal arborizations of two different populations of small-diameter primary axons. One of these arises from unmyelinated parent fibers and terminates in the dorsal one-half of BZ, while the other has small myelinated parent branches that arborize throughout the subdivision. Terminating within VL are the arbors of a second population of small myelinated primary axons. The endings of all three populations of primary axons lie in synaptic glomeruli. Endings in both subdivisions derived from small myelinated parent fibers lie centrally in glomeruli. Those in VL form axodendritic synapses on numerous dendritic shafts and spines, while endings in BZ glomeruli make at least one axodendritic synapse on one or two dendritic shafts. Endings of unmyelinated primary axons in BZ lie at the periphery of glomeruli where each forms a single axodendritic synapse on a central dendrite. It is at these asymmetrical axodendritic synapses that these three populations of primary axons are thought to transfer their inputs directly to the dendritic arbors of second-order BZ and VL neurons. Common to all three glomeruli is one or more small axonal endings filled with flattened synaptic vesicles that establish axoaxonic synapses on the primary ending as well as axodendritic synapses on the dendritic element(s) receiving primary input. In view of their symmetrical to intermediate synaptic contacts, these endings are thought to belong to axons derived from at least one source that can inhibit or diminish the firing rate of second-order BZ and VL neurons in response to primary input.

Corticofugal inhibitory effects on lingually induced postsynaptic potentials in cat hypoglossal motoneurons

The suppression of lingually or cortically induced postsynaptic potentials produced by conditioning stimulation of the cerebral cortex or the lingual nerve was studied in cat hypoglossal motoneurons. We have demonstrated that lingually or cortically induced inhibitory postsynaptic potentials were effectively suppressed by a conditioning stimulus of the cerebral cortex or the lingual nerve. In hypoglossal motoneurons after blocking inhibitory postsynaptic potentials by the administration of strychnine, lingually induced excitatory postsynaptic potentials and spikes were effectively suppressed by cortical stimulation. Whereas, a conditioning stimulus of the lingual nerve suppressed only a long-latency excitatory postsynaptic potential evoked by a test stimulus of the cerebral cortex, while a short-latency excitatory postsynaptic potential was unaffected. Picrotoxin and bicuculline appeared to act by reducing the suppression of lingually induced excitatory postsynaptic potentials produced by cortical conditioning stimulation.

The nuclei of origin of brainstem enkephalin and cholecystokinin projections to the spinal trigeminal nucleus of the rat

The sites of origin of brain stem enkephalin and cholecystokinin projections to the rodent spinal trigeminal nucleus were studied utilizing the combined retrograde transport-peroxidase antiperoxidase immunohistochemical technique. Several brain stem areas were found to contain enkephalin-like immunoreactive double-labeled neurons following injection of wheat germ agglutinin-horseradish peroxidase or horseradish peroxidase into the spinal trigeminal nucleus. The largest numbers of enkephalin double-labeled neurons were identified in the nucleus pontis oralis, nucleus raphe medianis, medial vestibular nucleus and the midbrain periaqueductal gray. Enkephalin projections to the spinal trigeminal nucleus were also found to originate from the nucleus solitarius, nucleus raphe pallidus, nucleus raphe magnus, nucleus raphe dorsalis, nucleus reticularis paragigantocellularis, nucleus reticularis gigantocellularis pars alpha and the deep mesencephalic nucleus. In contrast to the numerous sources of enkephalin input to the spinal trigeminal nucleus, cholecystokinin projections to this region were limited to four brain stem nuclei. These included the nucleus solitarius, raphe obscurus, nucleus paragigantocellularis and the ventral reticular nucleus of the medulla. The finding that only a small number of brain stem cholecystokinin-like immunoreactive neurons project to the spinal trigeminal nucleus supports the hypothesis that most of the cholecystokinin input to the spinal trigeminal nucleus arises from primary afferent trigeminal fibers. The spinal trigeminal nucleus is known to play a role in processing sensory information and in the transmission of orofacial nociception. The present study identifies several brain stem sites which provide enkephalin and/or cholecystokinin input to the spinal trigeminal nucleus. Several of these nuclei have been implicated as components of the endogenous pain control system and the present results raise the possibility that they may modulate incoming orofacial nociception by releasing the endogenous opioid, enkephalin. Cholecystokinin, on the other hand, has been demonstrated in other studies to attenuate the action of opiates and thus may play an opposing role in the spinal trigeminal nucleus.

Morphology and synaptic connections of myelinated primary axons in the ventrolateral region of rat trigeminal nucleus oralis

Neurons in the ventrolateral (VL) subdivision of rat trigeminal nucleus oralis (Vo) have most of their dendritic arbors confined within this region. This study examines the morphology and synaptic connections of a population of myelinated primary trigeminal axons that arborize within VL and are in a position to provide input directly to VL neurons. Primary axons were visualized for light and electron microscopic analysis by injecting 30% horseradish peroxidase (HRP) in 2% dimethylsulfoxide (DMSO) into the sensory root of the trigeminal nerve and allowing 24-36 hours for the anterograde transport of HRP into the terminal axonal arbors. This population is characterized by its cone-shaped terminal arbors, which generate many axonal endings (2-8 micron in diameter) along unmyelinated terminal strands. These arbors arise from collaterals emanating from thinly myelinated (2-5 micron in diameter) parent branches descending in the spinal V tract, which, on the basis of their size, are considered to be small myelinated (A sigma) primary trigeminal axons. HRP-labeled P endings belonging to this population of primary axons are scalloped, filled with spherical to ovoid (40-70 nm in diameter) synaptic vesicles, and lie centrally in glomeruli where they make asymmetrical axodendritic synapses on dendritic shafts and spine heads. It is at these synapses that this population of primary trigeminal axons is probably transferring its input directly to the dendritic arbors of VL neurons. The dendritic shafts and spine heads also receive symmetrical to intermediate axodendritic synapses from endings containing flattened (70 X 29 nm) synaptic vesicles. These terminals also establish axo-axonic synapses on the P ending. Other synaptic components found less often in the glomeruli include small terminals containing oval (14-23 nm) synaptic vesicles that establish symmetrical to intermediate synapses on the P ending, boutons containing pleomorphic (35-80 nm) synaptic vesicles that form symmetrical to intermediate synapses on the P ending as well as on dendritic shafts, and small peripheral endings containing round (20-40 nm) synaptic vesicles that establish asymmetrical synapses on dendritic shafts.

Morphology and synaptic connections of small myelinated primary trigeminal axons arborizing among neurons in the border zone of rat trigeminal nucleus oralis

The anterograde transport of horseradish peroxidase (HRP) was used to examine the morphology and synaptic connections of a morphologically distinct group of small-diameter primary trigeminal axons that arborize throughout the border zone (BZ) of rat trigeminal nucleus oralis. Thinly myelinated parent branches (0.75-1.5 micron in diameter) descending in the spinal V tract (SVT) were seen to issue medially directed collaterals that entered BZ, where they branched and eventually terminated by giving rise to thin terminal strands characterized by several relatively widely spaced axonal endings. Based on the size and morphology of the parent branches in SVT, in the root entry zone, and in the sensory root of the trigeminal nerve, these primary axonal (P) endings are considered to be derived from small-diameter myelinated primary trigeminal axons (SDMA). The P endings measured 1-2 micron in diameter and contained numerous agranular spherical (40-60 nm) synaptic vesicles. In the BZ neuropil, most P endings lay in glomeruli, where each formed at least one asymmetrical axodendritic synapse on a dendritic shaft. It is at these synapses that this group of primary axons is thought to transfer its input directly to the dendritic arbors of BZ neurons. A small (0.5-1.5 micron) axonal (F) ending filled with flattened synaptic vesicles (29 X 60 nm) was observed to form at least one symmetrical to intermediate axoaxonic synapse on the P ending, as well as at least one axodendritic synapse on the same dendritic shaft receiving the primary input. Some F endings only contacted dendritic shafts. In view of their symmetrical to intermediate synaptic contacts, F endings are thought to belong to axons derived from at least one source that can inhibit or diminish the firing rate of BZ neurons in response to SDMA input. This would be accomplished either postsynaptically through the axodendritic synapses on the dendritic shafts, and/or presynaptically through the axoaxonic synapses on the P endings.

Modulatory influences of red nucleus stimulation on the somatosensory responses of cat trigeminal subnucleus oralis neurons

Little is known of the effect of red nucleus (RN) stimulation on somatosensory neurons despite its known anatomic projections to somatosensory relay nuclei. The effect of RN stimulation on the somatosensory responses of trigeminal subnucleus oralis (Vo) neurons was investigated in chloralose- or barbiturate-anesthetized cats. Arrays of bipolar stimulating electrodes were inserted into the contralateral and ipsilateral RN and the contralateral thalamus. Extracellular single-unit recordings were obtained in Vo with tungsten microelectrodes. Neurons in Vo were excited to just suprathreshold by electrical stimulation within their receptive fields. Red nucleus influences were studied by applying 100-ms, 500-Hz conditioning trains to the contralateral or ipsilateral RN 130 ms prior to the peripheral test stimulus. The effect of RN stimulation was also tested on mechanically evoked responses of Vo cells. The somatosensory responses of most cells (70/73) were inhibited after RN stimulation. Some of these cells (15/70) could be antidromically activated from the contralateral thalamus. Stimulation of the RN resulted in excitation followed by inhibition in nine Vo cells. The results suggest that the RN may modulate transmission of somatosensory information through Vo.

The cells of origin of cat trigeminothalamic projections: especially in the caudal medulla

Thalamic projections from the caudal medulla of the cat were examined using the method of retrograde axonal transport of horseradish peroxidase (HRP). Injections were made unilaterally in various thalamic regions. Large injections labeled cells in the subnuclei: zonalis (Vcz), gelatinosus (Vcg), magnocellularis (Vcm), reticularis dorsalis (Vcrd) and ventralis (Vcv) medullae oblongatae. The largest number of labeled cells were in Vcz, Vcrd and Vcrv. Most of the labeled cells in Vcz and Vcrd were contralateral to the injection site, although the labeled cells in the Vcrv were bilateral. Small injections were made into the medial, lateral and dorsal regions of the nucleus ventralis posteromedialis (VPM), rostral regions of the posterior nuclei (POm and PO1), caudal POm, the nucleus centralis lateralis (CL) and the center median-parafascicular nuclear complex (CM-Pf). Most of the neurons in Vcz were found to project to the medial VPM and some to the caudal POm. A small number of cells in the Vcrd project to the medial VPM, but a large number project to the caudal POm and CM-Pf complex. The largest number of neurons projecting to the CM-Pf complex was present in Vcrv, where the labeled cells were bilateral. The types of trigeminothalamic projecting cells and the sizes of their somata were observed for different subnuclei and a considerable difference was found to exist among the subnuclei. This anatomical differentiation of the trigeminothalamic projections probably reflects a functional specialization of neuronal location since the functional properties of neurons vary according to their locations.

Mechanisms regulating the activity of facial nucleus motoneurones--2. Synaptic activation from the caudal trigeminal nucleus

Field and postsynaptic potentials of facial motoneurones evoked by stimulation of the caudal trigeminal nucleus were studied in cats by means of extra- and intracellular recording. Mono- and polysynaptic input onto facial motoneurones from the caudal trigeminal nucleus were shown. Four types of responses were distinguished: excitatory postsynaptic potentials generating a single action potential; a gradual shift of depolarization inducing multiple discharges; a rhythmic discharge of action potentials appearing at a low level of depolarization; excitatory postsynaptic potentials or a sequence of excitatory and inhibitory postsynaptic potentials. Multiple discharge was shown to appear as a result of effective summation of high frequency excitatory influences from efferent neurones of the caudal trigeminal nucleus projecting into the facial nucleus. Factors facilitating the development of gradual depolarization are: dendritic localization of synaptic terminals, dendritic origin of after-depolarizing processes and the high input resistance of the facial motoneurone membrane. It is thought that specific features of facial motoneurones and properties of afferent inputs are supposed to provide high sensitivity of neuronal organization of the facial nucleus to afferent signals as well as wide diversity in controlling its activity.

A light and electron microscopic study of premotor neurons for the trigeminal motor nucleus

Premotor neurons sending their axons to the trigeminal motor nucleus were observed in the cat by light and electron microscopy after labeling the neurons retrogradely or anterogradely with horseradish peroxidase (HRP). After HRP injection into the trigeminal motor nucleus, retrogradely labeled neurons were seen most frequently in the parvocellular reticular formation bilaterally. Many labeled neurons were also seen contralaterally in the intermediate zone at the rostralmost levels of the cervical cord and its rostral extension into the caudalmost levels of the medulla oblongata. Additionally, some neurons were labeled ipsilaterally in the mesencephalic trigeminal nucleus, contralaterally in the main sensory trigeminal nucleus and the trigeminal motor nucleus, and bilaterally in the oral and interpolar subnuclei of the spinal trigeminal nucleus. Only a few labeled neurons were seen in the confines of the gigantocellular reticular formation. All labeled neurons were small or of medium size; no large neurons were labeled. After HRP injection into the regions around the trigeminal motor nucleus or the parvocellular reticular formation, axodendritic terminals containing HRP granules were found contralaterally within the trigeminal motor nucleus. Some of these labeled terminals were filled with round synaptic vesicles and others contained pleomorphic synaptic vesicles. The varied morphology of labeled axon terminals was considered to reflect the functional heterogeneity of the premotor neurons for the trigeminal motor nucleus.

Corticofugal influences in the rat on responses of neurons in the trigeminal nucleus interpolaris to mechanical stimulation

We recorded effects of electrical stimulation of sensorimotor cortex on the responses of 45 neurons in the interpolar trigeminal nucleus to mechanical stimulation of vibrissae. Responses elicited by peripheral mechanical stimulation were enhanced when a neuron's receptive field (RF) included the RF of the cortical stimulating locus, and suppressed when the RFs of the cortical site and the interpolar neuron did not overlap. Several interpolaris neurons influenced by cortical stimulation were shown to project to the cerebellum.

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

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

Quantitative analysis of blink reflexes in patients with hemiplegic disorders

Electrically evoked blink reflexes were investigated in 18 patients with hemiplegia and in 15 control subjects, using common electromyographic techniques. The EMG activities of the early and late components were quantitatively and integration. In addition, the latencies of the single components were determined. Regarding the EMG activity of the late components two major types of BR alteration could be distinguished. In type I stimulation of the clinically affected side evoked significantly decreased late components on both the affected and the unaffected sides. This pattern points to a lowered excitability of the brain stem trigeminal systems and may be associated with predominantly sensory disorders. In type II the decrease of the late components was confined to the affected side independent of the side of stimulation. This pattern may indicate a lowered excitability of the brain stem facial systems and/or of the lateral bulbar reticular formation and may be correlated with predominantly motor deficits. Both types are presumably due to a loss of facilitatory influences associated with the hemispheral lesion. Although the early component was frequently decreased on the affected side there was no consistent pattern and no relation to the alterations of the late components. The latencies of both responses, predominantly of the late ones were frequently prolonged, in particular following stimulation of the affected side. Comparison of the seemingly normal components in the patients with the corresponding control values pointed to a generally lowered blink reflex excitability in hemiplegic patients.

Somatotopic organization of SI corticotectal projections in rats

The somatotopic organization of somatosensory (SI) cortical projections to the deep layers of the superior colliculus (SC) in rats was examined using neurophysiological micromapping methods. Electrical stimulation of SI produced SC unit responses at the same depths as did peripheral tactile stimulation, in SC laminae IV and VI; mapping of corticotectal projections was performed only in lamina IV. Antidromic activation of the pathway revealed that corticotectal cell bodies are located in SI layer V. Corticotectal projections were found to interconnect only those SI and collicular areas which have similar tactile receptive fields.

Operant conditioning of trigeminal nuclear evoked potentials

The purpose of this study was to demonstrate operant conditioning of potentials in the rat's trigeminal complex evoked by stimulation of the primary descending trigeminal tract. The amplitude of the prominent component of the potential, with a peak at 10 to 22 msec after the stimulus, was conditioned. Reinforcement was electrical stimulation of the medial forebrain bundle. A bidirectional conditioning paradigm was used to control for noncontingent effects of the reinforcer. Eight of the thirteen animals demonstrated control of the evoked potential. Application of the neural conditioning paradigm to the investigation of loci of neuronal plasticity is discussed.

Human tactile detection thresholds: modification by inputs from specific tactile receptor classes

1. Human detection thresholds for a vibratory stimulus applied to the volar surface of the index finger were examined under conditions where afferents from specific tactile receptor classes were simultaneously activated from the thenar eminence. The experiments were designed to test whether stimuli which have been shown previously to induce afferent inhibition of ;tactile' neurones in the cuneate nucleus of the cat could modify human subjective performance in a tactile detection task. Conditioning stimuli to the thenar eminence were usually of three forms; steady indentation to engage slowly adapting tactile receptors; 300 Hz vibration to engage Pacinian corpuscles; and 30 Hz vibration to engage the intradermal, rapidly adapting tactile receptors which are thought to be Meissner's corpuscles.2. In ten subjects the mean detection threshold for a 30 Hz test stimulus in the absence of conditioning stimulation was 8.6 +/- 1.0 mum (S.E.). Detection thresholds were increased substantially in the presence of a 300 Hz, 100 mum conditioning stimulus (mean increase 11.1 +/- 2.0 mum), whereas minor or insignificant effects were seen with conditioning stimuli consisting of (a) 30 Hz, 100 mum (mean increase 1.4 +/- 0.8 mum), (b) steady indentation, 1.5 mm in amplitude (mean increase 1.3 +/- 0.7 mum) or (c) 300 Hz, 100 mum to the contralateral thenar eminence (mean increase 0.4 +/- 0.5 mum).3. The 300 Hz conditioning stimulus to the ipsilateral thenar eminence caused a marked increase in detection thresholds at all test stimulus frequencies over the range 10-450 Hz. The effects of the conditioning stimulation therefore operated on inputs from Pacinian corpuscles, which are responsible for vibration detection at 80-450 Hz, and on inputs from the intradermal, rapidly adapting receptors which are responsible for vibration detection at 10-80 Hz.4. The band width of conditioning vibratory frequencies which was effective at amplitudes of 100 mum in bringing about increases in detection threshold extended from 50-80 Hz to 300 Hz, the maximum tested.5. Whereas amplitudes of 1-2 mum produced clear increases in detection thresholds with conditioning stimuli of 300 Hz, amplitudes of > 200 mum were needed at 30 Hz.6. The observed elevations in detection threshold are consistent with an afferent-induced inhibitory action exerted at synaptic relays of the sensory pathway by tactile inputs arising exclusively or predominantly from Pacinian corpuscles.

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

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

Blink reflex in hemiplegia

An electrophysiological study of the blink reflex was undertaken in 20 normal subjects and in 28 patients complaining of central facial palsy caused by unilateral hemispheral damage. In normal subjects, the latency, amplitude and organization of R1 and R2 responses are well known. Habituation of R2 responses occurred between 1 and 2 c/sec stimulation rate. R1 responses habituated at a higher stimulation rate (5 c/sec). In patients with unilateral hemispheral lesion, our results showed that changes in the blink reflex responses were bilateral. On the hemiplegic side the responses showed a decreased amplitude, while they were facilitated on the "normal" side. However, there was no change in latency of the two components of the reflex, on both sides. On the other hand, habituation of the late component occurred on the hemiplegic side for low stimulation rates: (0.5--1 c/sec), while on the "normal" side there was less habituation (3--4 c/sec), as compared with normal subjects. These results agree with those of experimental studies on cortical modulatory influences on brain-stem nuclei. They suggest a tactile origin of the two components of the blink reflex.

Response patterns to noxious and non-noxious stimuli in rostral trigeminal relay nuclei

Postimulus time histogram analysis of second-order neuron responses in rostral trigeminal relay nuclei of cat demonstrated characteristic firing patterns after noxious (tooth pulp) and non-noxious (tooth tap) stimuli. The response to noxious stimulation was prolonged and frequently bimodal while the response to non-noxious stimulation was brief. The same neurons were fired by electrical stimuli applied directly to nucleus caudalis but with longer latencies suggesting a contributory role of nucleus caudalis to the characteristic prolonged bimodal response pattern to noxious stimuli. Interacting noxious and non-noxious stimuli using condition-test sequences demonstrated further stimulus mode-related changes in firing patterns. Electrical conditioning stimuli in nucleus caudalis reduced some responses while strychnine sulfate applied into nucleus caudalis augmented the responses evoked in rostral nuclei by both noxious and non-noxious peripheral stimuli. Nucleus caudalis appeared to contain elements which may modulate activity in rostral trigeminal nuclei by either augmenting or reducing specific firing patterns of second-order neurons in rostral relay nuclei.

Golgi studies in the substantia gelatinosa neurons in the spinal trigeminal nucleus

This Golgi study identifies three neuronal cell types in the substantia gelatinosa (SG) layer of the spinal trigeminal nucleus. The SG neurons are distinguished from each other based on: (1) dendritic branching pattern, (2) denritic spine distribution, (3) geometric shape of the denritic tree, (4) laminar distribution of the dendrites, (5) axonal branching pattern and (6) laminar distribution of the axonal arbor. The islet cell is found in small clusters and its dendrites and axonal arbor are confined within the SG layer. Its dendrites span the full width of the SG layer and extend up to 500 mum in the long axis of the layer. Dendritic spines are generally sparse with small clusters of spines found on the higher order dendritic branches. The islet cell axon extends for at least 1 mm in the long axis of the layer. Each of its collaterals divide every 50-100 mum with one branch doubling back in the direction of the cell body and the other branch continuing on in the direction of its parent. In this manner each islet cell generates a profuse axonal plexus in the SG layer. The stalked cell is found individually within the SG layer. Its cell body is usually found in the inner half of the SG layer and its sinuous dendrites cross the SG layer and enter the marginal layer. The stalked cell dendrites emit numerous fine stalk-like branches and dentritic spines. Its axon emits branches in the SG and marginal layers. The spiny cell is found singly between groups of islet cells. Its extensive dendritic tree spans up to 500 mum rostrocaudally and mediolaterally crossing into both the marginal and magnocellular layers. Spiny cells have evenly distributed dendritic spines along their dendrites in the SG layer. The spiny cell axon sends branches into all three layers of nucleus caudalis. Numerous branches enter the outer 300 mum of the magnocellular layer where they undergo further branching with some branches returning in recurrent fashion toward the SG layer. The three neuronal cell types of the SG layer satisfy all of the morphological criteria for Golgi type II interneurons. Their highly branched axons generate many collaterals within the confines of their dendritic trees and do not project out of nucleus caudalis. The SG neurons are considered to be inhibitory interneurons interposed between V nerve primary afferent axons which arborize in the SG layer and second order neurons of nucleus caudalis.

Brain stem reticular units: some properties of the course and origin of the ascending trajectory

Experiments were conducted in acutely prepared cats anesthetized with halothane-nitrous oxide. Single units were recorded in the mesencephalic and rostral rhombencephalic reticular core, and their ascending axons were stimulated in the mesencephalon, diencephalon, and telencephalon. The locations of stimulation and recording sites were determined by histological examination of the brains. Antidromic spikes were elicited by electrodes with a stimulus spread of approximately 300 mum and were collided with spontaneous (orthodromic) spikes to confirm antidromicity. Projecting axons were found to be scattered diffusely in the central mesencephalon in both the tegmentum and tectum. At the mesodiencephalic junction, the dorsal extent of the pathway lay in the posterior commissure and the ventral extent in the substantia nigra. More rostrally, a ventral group of axons was found in or near the supraoptic nucleus in the hypothalamus, and near the floor of the forebrain in the basal telencephalon. In agreement with previous reports, a dorsal component was located in the medial thalamus, most often in the nucleus centralis lateralis. The conduction velocity of each axon was determined, and they suggest a wide range of axon size in the ascending pathways. There may be a slight predominance of smaller fibers in the dorsal component and of larger fibers in the ventral component; however, all parts of the pathways were relatively heterogenous. The units from which projecting axons arose were found in the rostral rhombencephalon, and no units sending their axons along the restricted pathways investigated were identified rostral or caudal to this region. However, no conclusion is drawn concerning units within the region extending from 0.0 to 0.6 mm of the midline or other brain stem regions known to be monoamine-rich and to have ascending axons; these cellular populations were not examined.

Role of corticofugal influences in mechanisms of formation of cortical bioelectrical activity

In experiments on cats anesthetized with a mixture of chloralose and pentobarbital, reversible cooling of the 1st sensomotor area (SM-1) unilaterally to between 25 and 23 degree C was accompanied by a simultaneous and generalized change in the activity of other parts of the cortex. These changes were expressed either as the appearance of slow high - amplitude activity or, on the other hand, by a marked decrease in amplitude of the EEG. Warming the cooled region of the cortex was followed by restoration of the normal EEG of the other parts of the cortex. These changes in electroencephalographic activity of the cortical areas are discussed in connection with the existence of synchronizing and desynchronizing subcortical brain structures.

Inhibition within the trigeminal nucleus induced by afferent inputs and its influence on stimulus coding by mechanosensitive neurones

1. In decerebrate, unanaesthetized cats two thirds of slowly adapting mechanosensitive neurones sampled in the trigeminal nucleus oralis exhibited inhibition in response to conditioning mechanical stimulation applied beyond their excitatory receptive fields. The influence of this inhibition was examined over the response range of these neurones using controlled, reproducible natural stimulation procedures.2. The extent of the inhibition was graded according to the intensity of the conditioning stimulus. It was evoked most strongly by vibratory skin indentation which very effectively excites rapidly adapting afferent fibres. Tonic conditioning inputs associated with steady skin indentation were less effective.3. The slope of stimulus-response relationships constructed from responses to inputs from the excitatory receptive field was reduced in 42% of trigeminal nuclear cells in the presence of afferent-induced inhibition. In the remainder the slope was unchanged.4. There was no evidence, in the neurones subject to inhibition, of an expansion of their dynamic range defined as the range of stimulus intensities over which a neurone exhibited a graded responsiveness.5. The variability in responses of an individual neurone at a given stimulus intensity was unchanged by this inhibition.6. Analysis of the stimulus-response data using information theory statistics revealed that neurones which underwent a reduction in the slope of their stimulus-response relationship in the presence of inhibition displayed a reduced capacity for defining the intensity of skin indentation. This capacity was not modified in those neurones where the slope was unchanged by the peripherally evoked inhibition.