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1.
Physiol Rep ; 6(14): e13807, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-30047252

RESUMEN

The DMH is known to regulate brown adipose tissue (BAT) thermogenesis via projections to sympathetic premotor neurons in the raphe pallidus, but there is evidence that the periaqueductal gray (PAG) is also an important relay in the descending pathways regulating thermogenesis. The anatomical projections from the DMH to the PAG subdivisions and their function are largely elusive, and may differ per anterior-posterior level from bregma. We here aimed to investigate the anatomical projections from the DMH to the PAG along the entire anterior-posterior axis of the PAG, and to study the role of these projections in thermogenesis in Wistar rats. Anterograde channel rhodopsin viral tracing showed that the DMH projects especially to the dorsal and lateral PAG. Retrograde rabies viral tracing confirmed this, but also indicated that the PAG receives a diffuse input from the DMH and adjacent hypothalamic subregions. We aimed to study the role of the identified DMH to PAG projections in thermogenesis in conscious rats by specifically activating them using a combination of canine adenovirus-2 (CAV2Cre) and Cre-dependent designer receptor exclusively activated by designer drugs (DREADD) technology. Chemogenetic activation of DMH to PAG projections increased BAT temperature and core body temperature, but we cannot exclude the possibility that at least some thermogenic effects were mediated by adjacent hypothalamic subregions due to difficulties in specifically targeting the DMH and distinct subdivisions of the PAG because of diffuse virus expression. To conclude, our study shows the complexity of the anatomical and functional connection between the hypothalamus and the PAG, and some technical challenges in studying their connection.


Asunto(s)
Regulación de la Temperatura Corporal , Hipotálamo Medio/anatomía & histología , Sustancia Gris Periacueductal/anatomía & histología , Animales , Hipotálamo Medio/fisiología , Masculino , Vías Nerviosas/anatomía & histología , Vías Nerviosas/fisiología , Sustancia Gris Periacueductal/fisiología , Ratas , Ratas Wistar
2.
Pflugers Arch ; 464(2): 155-66, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22665049

RESUMEN

The periaqueductal gray (PAG) is a midbrain structure directly involved in the modulation of defensive behaviors. It has direct projections to several central nuclei that are involved in cardiorespiratory control. Although PAG stimulation is known to elicit respiratory responses, the role of the PAG in the CO(2)-drive to breathe is still unknown. The present study assessed the effect of chemical lesion of the dorsolateral and dorsomedial and ventrolateral/lateral PAG (dlPAG, dmPAG, and vPAG, respectively) on cardiorespiratory and thermal responses to hypercapnia. Ibotenic acid (IBO) or vehicle (PBS, Sham group) was injected into the dlPAG, dmPAG, or vPAG of male Wistar rats. Rats with lesions outside the dlPAG, dmPAG, or vPAG were considered as negative controls (NC). Pulmonary ventilation (VE: ), mean arterial pressure (MAP), heart rate (HR), and body temperature (Tb) were measured in unanesthetized rats during normocapnia and hypercapnic exposure (5, 15, 30 min, 7 % CO(2)). IBO lesioning of the dlPAG/dmPAG caused 31 % and 26.5 % reductions of the respiratory response to CO(2) (1,094.3 ± 115 mL/kg/min) compared with Sham (1,589.5 ± 88.1 mL/kg/min) and NC groups (1,488.2 ± 47.7 mL/kg/min), respectively. IBO lesioning of the vPAG caused 26.6 % and 21 % reductions of CO(2) hyperpnea (1,215.3 ± 108.6 mL/kg/min) compared with Sham (1,657.3 ± 173.9 mL/kg/min) and NC groups (1,537.6 ± 59.3). Basal VE: , MAP, HR, and Tb were not affected by dlPAG, dmPAG, or vPAG lesioning. The results suggest that dlPAG, dmPAG, and vPAG modulate hypercapnic ventilatory responses in rats but do not affect MAP, HR, or Tb regulation in resting conditions or during hypercapnia.


Asunto(s)
Hipercapnia/fisiopatología , Sustancia Gris Periacueductal/fisiología , Ventilación Pulmonar/efectos de los fármacos , Animales , Análisis de los Gases de la Sangre , Presión Sanguínea/efectos de los fármacos , Presión Sanguínea/fisiología , Temperatura Corporal/efectos de los fármacos , Temperatura Corporal/fisiología , Dióxido de Carbono/sangre , Dióxido de Carbono/farmacología , Frecuencia Cardíaca/efectos de los fármacos , Frecuencia Cardíaca/fisiología , Ácido Iboténico/toxicidad , Masculino , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/efectos de los fármacos , Ventilación Pulmonar/fisiología , Ratas , Ratas Wistar , Vivisección
3.
Pain Physician ; 13(2): 157-65, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20309382

RESUMEN

Intracranial neurostimulation for pain relief is most frequently delivered by stimulating the motor cortex, the sensory thalamus, or the periaqueductal and periventricular gray matter. The stimulation of these sites through MCS (motor cortex stimulation) and DBS (deep brain stimulation) has proven effective for treating a number of neuropathic and nociceptive pain states that are not responsive or amenable to other therapies or types of neurostimulation. Prospective randomized clinical trials to confirm the efficacy of these intracranial therapies have not been published. Intracranial neurostimulation is somewhat different than other forms of neurostimulation in that its current primary application is for the treatment of medically intractable movement disorders. However, the increasing use of intracranial neurostimulation for the treatment of chronic pain, especially for pain not responsive to other neuromodulation techniques, reflects the efficacy and relative safety of these intracranial procedures. First employed in 1954, intracranial neurostimulation represents one of the earliest uses of neurostimulation to treat chronic pain that is refractory to medical therapy. Currently, 2 kinds of intracranial neurostimulation are commonly used to control pain: motor cortex stimulation and deep brain stimulation. MCS has shown particular promise in the treatment of trigeminal neuropathic pain and central pain syndromes such as thalamic pain syndrome. DBS may be employed for a number of nociceptive and neuropathic pain states, including cluster headaches, chronic low back pain, failed back surgery syndrome, peripheral neuropathic pain, facial deafferentation pain, and pain that is secondary to brachial plexus avulsion. The unique lack of stimulation-induced perceptual experience with MCS makes MCS uniquely suited for blinded studies of its effectiveness. This article will review the scientific rationale, indications, surgical techniques, and outcomes of intracranial neuromodulation procedures for the treatment of chronic pain.


Asunto(s)
Encéfalo/cirugía , Estimulación Encefálica Profunda/métodos , Terapia por Estimulación Eléctrica/métodos , Dolor Intratable/terapia , Encéfalo/anatomía & histología , Encéfalo/fisiología , Estimulación Encefálica Profunda/estadística & datos numéricos , Estimulación Encefálica Profunda/tendencias , Terapia por Estimulación Eléctrica/estadística & datos numéricos , Terapia por Estimulación Eléctrica/tendencias , Humanos , Corteza Motora/anatomía & histología , Corteza Motora/fisiología , Corteza Motora/cirugía , Dolor Intratable/etiología , Dolor Intratable/fisiopatología , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/fisiología , Sustancia Gris Periacueductal/cirugía , Enfermedades del Sistema Nervioso Periférico/fisiopatología , Enfermedades del Sistema Nervioso Periférico/cirugía , Enfermedades Talámicas/fisiopatología , Enfermedades Talámicas/cirugía , Tálamo/anatomía & histología , Tálamo/fisiología , Tálamo/cirugía , Neuralgia del Trigémino/fisiopatología , Neuralgia del Trigémino/cirugía
4.
J Clin Neurosci ; 17(1): 124-7, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19664927

RESUMEN

Deep brain stimulators were implanted in the left periaqueductal gray matter (PAG) and sensory thalamus for right sided neuropathic facial pain refractory to other treatments in a man aged 58 years. PAG stimulation 8 months later acutely reduced systolic blood pressure by 25 mm Hg during revision surgery. One year post procedure, ambulatory blood pressure monitoring demonstrated significant and sustained reduction in blood pressure with PAG stimulation. Mean systolic blood pressure decreased by 12.6mm Hg and diastolic by 11.0mm Hg, alongside reductions in variability of heart rate and pulse pressure. This neurosurgical treatment may prove beneficial for medically refractory hypertension.


Asunto(s)
Sistema Nervioso Autónomo/cirugía , Presión Sanguínea/fisiología , Estimulación Encefálica Profunda/métodos , Dolor Facial/cirugía , Hipertensión/cirugía , Sustancia Gris Periacueductal/cirugía , Sistema Nervioso Autónomo/fisiología , Vías Autónomas/fisiopatología , Vías Autónomas/cirugía , Enfermedad Crónica/terapia , Electrodos Implantados , Dolor Facial/complicaciones , Dolor Facial/fisiopatología , Humanos , Hipertensión/etiología , Hipertensión/fisiopatología , Masculino , Persona de Mediana Edad , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/fisiología , Tálamo/anatomía & histología , Tálamo/fisiología , Tálamo/cirugía , Resultado del Tratamiento
5.
Pesqui. vet. bras ; Pesqui. vet. bras;29(9): 681-694, Sept. 2009. ilus
Artículo en Portugués | LILACS | ID: lil-532851

RESUMEN

Polioencefalomalacia (PEM) de ruminantes é uma doença complexa. O termo indica um diagnóstico morfológico em que necrose neuronal grave resulta em amolecimento da substância cinzenta do cérebro. Interpretada no início como uma doença única, causada por deficiência de tiamina, acredita-se hoje que várias causas e diferentes mecanismos patogênicos, ou um único mecanismo patogênico disparado por diferentes agentes, sejam responsáveis pelo aparecimento da doença. Neste artigo, as possíveis causas e a patogênese de PEM em ruminantes são criticamente revisadas e discutidas. Também são revisadas a epidemiologia, os sinais clínicos, os achados macro e microscópicos e os métodos de diagnóstico, tratamento e controle.


Polioencephalomalacia (PEM) of ruminants is a complex disease. The term indicates a morphological diagnosis where severe neuronal necrosis results in softening of cerebral grey matter. Initially though as a single disease caused by thiamine deficiency, PEM is currently believe to have several causes and different pathogenic mechanisms or a single pathogenic organism triggered by different agents are responsible for the disease. In this paper the possible causes and pathogenesis of PEM in ruminants are critically reviewed and discussed. Also are reviewed the epidemiology, clinical signs, gross and histological findings, methods of diagnosis, treatment and control.


Asunto(s)
Animales , Bovinos , Enfermedades del Sistema Nervioso/diagnóstico , Enfermedades del Sistema Nervioso/veterinaria , Enfermedades de los Bovinos/etiología , Necrosis/patología , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/patología , Enfermedades de los Bovinos/diagnóstico , Enfermedades de los Bovinos/epidemiología , Neurofisiología/métodos , Rumiantes
6.
J Chem Neuroanat ; 38(2): 83-96, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19589381

RESUMEN

Electrical stimulation of the dorsolateral periaqueductal gray (dlPAG) matter induces panic- or fear-like responses with intense emotional distress and severe anxiety. In this study, we evoked panic-like behaviour by dlPAG stimulation and evaluated the effect on neuronal activation in different brain regions. The number of c-Fos immunoreactive (c-Fos-ir) cells was measured semi-quantitatively through series of stained rat brain sections. Our results demonstrate strong neural activation in the medial prefrontal cortex, orbital cortex, anterior olfactory nuclei, secondary motor cortex, and the somatosensory cortex. Moderate increases in the number of c-Fos-ir cells were detected in various regions, including the hypothalamus, amygdala, and striatum. Additionally, there was mild expression of c-Fos-ir cells in the hippocampus, thalamus, and habenula regions. In conclusion, we have shown that deep brain stimulation of the dlPAG produced a distinctive pattern of neuronal activation across forebrain regions as compared to the sham and control animals.


Asunto(s)
Ansiedad/fisiopatología , Miedo/fisiología , Sustancia Gris Periacueductal/fisiología , Prosencéfalo/anatomía & histología , Prosencéfalo/metabolismo , Proteínas Proto-Oncogénicas c-fos/metabolismo , Animales , Ganglios Basales/anatomía & histología , Ganglios Basales/metabolismo , Biomarcadores/análisis , Biomarcadores/metabolismo , Mapeo Encefálico , Corteza Cerebral/anatomía & histología , Corteza Cerebral/metabolismo , Estimulación Encefálica Profunda/efectos adversos , Estimulación Encefálica Profunda/métodos , Diencéfalo/anatomía & histología , Diencéfalo/metabolismo , Inmunohistoquímica , Sistema Límbico/anatomía & histología , Sistema Límbico/metabolismo , Masculino , Sustancia Gris Periacueductal/anatomía & histología , Proteínas Proto-Oncogénicas c-fos/análisis , Ratas , Ratas Wistar , Regulación hacia Arriba/fisiología
7.
Brain Res Bull ; 76(4): 396-401, 2008 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-18502316

RESUMEN

A correlation between pain sensation and neuronal c-fos expression has been analyzed following experimental rapid maxillar expansion (RME). Adult male Wistar rats were anaesthetized and divided into three groups: animals that received an orthodontic apparatus, which was immediately removed after the insertion (control), animals that received an inactivated orthodontic apparatus (without force), and animals that received an orthodontic apparatus previously activated (140 g force). After 6, 24, 48, or 72 h, the animals were re-anaesthetized, and perfused with 4% paraformaldehyde. The brains were removed, fixed, and sections containing brain structures related to nociception were processed for Fos protein immunohistochemistry (IHC). The insertion of the orthodontic apparatus with 140 g was able to cause RME that could be seen by radiography. The IHC results showed that the number of activated neurons in the different nuclei changed according to the duration of appliance insertion and followed a temporal pattern similar to that of sensations described in clinics. The animals that received the orthodontic apparatus without force did not show RME but a smaller c-fos expression in the same brain structures. In conclusion, we demonstrate that orthodontic force used for palate disjunction activates brain structures that are related to nociception, and that this activation is related to the pain sensation described during orthodontic treatment.


Asunto(s)
Vías Aferentes/metabolismo , Encéfalo/metabolismo , Maxilar/inervación , Neuronas Aferentes/metabolismo , Nociceptores/metabolismo , Dolor/fisiopatología , Vías Aferentes/anatomía & histología , Animales , Biomarcadores/metabolismo , Encéfalo/anatomía & histología , Mapeo Encefálico , Inmunohistoquímica , Masculino , Maxilar/lesiones , Maxilar/cirugía , Aparatos Ortodóncicos/efectos adversos , Dolor/etiología , Dolor/metabolismo , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/metabolismo , Proteínas Proto-Oncogénicas c-fos/metabolismo , Ratas , Ratas Wistar , Factores de Tiempo , Núcleo Espinal del Trigémino/anatomía & histología , Núcleo Espinal del Trigémino/metabolismo
8.
Brain Res Bull ; 71(1-3): 51-9, 2006 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-17113928

RESUMEN

Cholecystokinin (CCK) stimulates gastrointestinal vagal afferent neurones that signal visceral sensations. We wished to determine whether neurones of the nucleus of the solitary tract (NTS) or ventrolateral medulla (VLM) convey visceral afferent information to the central nucleus of the amygdala (CeA) or periaqueductal grey region (PAG), structures that play a key role in adaptive autonomic responses triggered by stress or fear. Male Sprague-Dawley rats received a unilateral microinjection of the tracer cholera toxin subunit B (CTB, 1%) into the CeA or PAG followed, 7 days later, by an injection of CCK (100 microg/kg, i.p.) or saline. Brains were processed for detection of Fos protein (Fos-IR) and CTB. CCK induced increased expression of Fos-IR in the NTS and the VLM, relative to control. When CTB was injected into the CeA, CTB-immunoreactive (CTB-IR) neurones were more numerous in the rostral NTS ipsilateral to the injection site, whereas they were homogeneously distributed throughout the VLM. Double-labelled neurones (Fos-IR+CTB-IR) were most numerous in the ipsilateral NTS and caudal VLM. The NTS contained the higher percentage of CTB-IR neurones activated by CCK. When CTB was injected into the PAG, CTB-IR neurones were more numerous in the ipsilateral NTS whereas they were distributed relatively evenly bilaterally in the rostral VLM. Double-labelled neurones were not differentially distributed along the rostrocaudal axis of the NTS but were more numerous in this structure when compared with the VLM. NTS and VLM neurones may convey visceral afferent information to the CeA and the PAG.


Asunto(s)
Amígdala del Cerebelo/fisiología , Bulbo Raquídeo/fisiología , Sustancia Gris Periacueductal/fisiología , Nervio Vago/fisiología , Aferentes Viscerales/fisiología , Amígdala del Cerebelo/anatomía & histología , Animales , Presión Sanguínea/efectos de los fármacos , Presión Sanguínea/fisiología , Recuento de Células , Colecistoquinina/metabolismo , Colecistoquinina/farmacología , Toxina del Cólera , Tracto Gastrointestinal/inervación , Tracto Gastrointestinal/fisiología , Inmunohistoquímica , Masculino , Bulbo Raquídeo/anatomía & histología , Bulbo Raquídeo/efectos de los fármacos , Neuronas/metabolismo , Sustancia Gris Periacueductal/anatomía & histología , Proteínas Proto-Oncogénicas c-fos/metabolismo , Ratas , Ratas Sprague-Dawley , Formación Reticular/anatomía & histología , Formación Reticular/efectos de los fármacos , Formación Reticular/fisiología , Núcleo Solitario/anatomía & histología , Núcleo Solitario/efectos de los fármacos , Núcleo Solitario/fisiología , Nervio Vago/anatomía & histología , Nervio Vago/efectos de los fármacos , Aferentes Viscerales/anatomía & histología , Aferentes Viscerales/efectos de los fármacos
9.
J Comp Neurol ; 496(5): 723-38, 2006 Jun 10.
Artículo en Inglés | MEDLINE | ID: mdl-16615128

RESUMEN

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


Asunto(s)
Analgésicos Opioides/farmacología , Bulbo Raquídeo/fisiología , Morfina/farmacología , Vías Nerviosas/fisiología , Sustancia Gris Periacueductal/fisiología , Caracteres Sexuales , Animales , Femenino , Adyuvante de Freund , Inmunohistoquímica , Inflamación/inducido químicamente , Inflamación/fisiopatología , Masculino , Bulbo Raquídeo/anatomía & histología , Vías Nerviosas/anatomía & histología , Dolor/inducido químicamente , Dolor/fisiopatología , Sustancia Gris Periacueductal/anatomía & histología , Proteínas Proto-Oncogénicas c-fos/metabolismo , Ratas , Ratas Sprague-Dawley
10.
Neuroreport ; 17(2): 221-4, 2006 Feb 06.
Artículo en Inglés | MEDLINE | ID: mdl-16407775

RESUMEN

The pituitary adenylate cyclase-activating polypeptide (PACAP) and brain-derived neurotrophic factor (BDNF) neurons have recently been established as markers of the ventromedial hypothalamic nucleus (VMH). However, their neural projections from the VMH remained unknown. We examined whether PACAP and BDNF neurons in the VMH connected to the mesencephalic central gray (MCG), using the combination of in-situ hybridization and immunohistochemical tracing of Fluorogold (FG) injected into the MCG. Approximately 49% of PACAP neurons and 19% of BDNF neurons in the VMH contained the retrograde-transported FG, and 52% of FG-positive cells were PACAP neurons. These results indicate that a large number of PACAP neurons and a small number of BDNF neurons of the VMH project to the MCG.


Asunto(s)
Vías Nerviosas/citología , Neuronas/metabolismo , Sustancia Gris Periacueductal/metabolismo , Polipéptido Hipofisario Activador de la Adenilato-Ciclasa/metabolismo , Núcleo Hipotalámico Ventromedial/citología , Animales , Factor Neurotrófico Derivado del Encéfalo/genética , Factor Neurotrófico Derivado del Encéfalo/metabolismo , Recuento de Células/métodos , Inmunohistoquímica/métodos , Hibridación in Situ/métodos , Masculino , Vías Nerviosas/metabolismo , Sustancia Gris Periacueductal/anatomía & histología , Polipéptido Hipofisario Activador de la Adenilato-Ciclasa/genética , ARN Mensajero/metabolismo , Ratas , Ratas Wistar , Estilbamidinas/metabolismo
11.
J Clin Neurosci ; 12(5): 515-9, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15993077

RESUMEN

Deep brain stimulation (DBS) has been used to treat intractable pain for over 50 years. Variations in targets and surgical technique complicate the interpretation of many studies. To better understand its efficacy, we performed a meta-analysis of DBS for pain relief. MEDLINE (1966 to February 2003) and EMBASE (1980 to January 2003) databases were searched using key words deep brain stimulation, sensory thalamus, periventricular gray and pain. Inclusion criteria were based on patient characteristics and protocol clarity. Six studies (between 1977-1997) fitting the criteria were identified. Stimulation sites included the periventricular/periaqueductal grey matter (PVG/PAG), internal capsule (IC), and sensory thalamus (ST). The long-term pain alleviation rate was highest with DBS of the PVG/PAG (79%), or the PVG/PAG plus sensory thalamus/internal capsule (87%). Stimulation of the sensory thalamus alone was less effective (58% long-term success) (p < 0.05). DBS was more effective for nociceptive than deafferentation pain (63% vs 47% long-term success; p < 0.01). Long-term success was attained in over 80% of patients with intractable low back pain (failed back surgery) following successful trial stimulation. Trial stimulation was successful in approximately 50% of those with post-stroke pain, and 58% of patients permanently implanted achieved ongoing pain relief. Higher rates of success were seen with phantom limb pain and neuropathies. We conclude that DBS is frequently effective when used in well-selected patients. Neuroimaging and neuromodulation technology advances complicate the application of these results to modern practice. Ongoing investigations should shed further light on this complex clinical conundrum.


Asunto(s)
Encéfalo/fisiología , Estimulación Encefálica Profunda/métodos , Estimulación Encefálica Profunda/tendencias , Dolor Intratable/terapia , Animales , Encéfalo/anatomía & histología , Estimulación Encefálica Profunda/normas , Desnervación/efectos adversos , Humanos , Cápsula Interna/anatomía & histología , Cápsula Interna/fisiología , Dolor Postoperatorio/terapia , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/fisiología , Miembro Fantasma/fisiopatología , Miembro Fantasma/terapia , Tálamo/anatomía & histología , Tálamo/fisiología , Resultado del Tratamiento
12.
Brain Res ; 1045(1-2): 1-11, 2005 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-15910757

RESUMEN

Functional imaging studies and clinical evidence suggest that structures in the brainstem contribute to migraine pathophysiology with a strong association between the brainstem areas, such as periaqueductal gray (PAG), and the headache phase of migraine. Stimulation of the superior sagittal sinus (SSS) in humans evokes head pain. Second-order neurons in the trigeminal nucleus that are activated by SSS stimulation can be inhibited by PAG stimulation. The present study was undertaken to identify pontine and medullary structures that respond to noxious stimulation of the superior sagittal sinus or to ventrolateral PAG stimulation. The distribution of neurons expressing the protein product (fos) of the c-fos immediate early gene were examined in the rostral medulla and caudal pons of the cat after (i) sham, (ii) stimulation of the superior sagittal sinus, (iii) stimulation of the superior sagittal sinus with PAG stimulation, or (iv) stimulation of the PAG alone. The structures examined for fos were the trigeminal nucleus, infratrigeminal nucleus, reticular nuclei, nucleus raphe magnus, pontine blink premotor area, and superior salivatory nucleus. Compared with all other interventions, fos expression was significantly greater in the trigeminal nucleus and superior salivatory nucleus after SSS stimulation. After PAG with SSS stimulation, on the side ipsilateral to the site of PAG stimulation, fos was significantly greater in the nucleus raphe magnus. These structures are likely to be involved in the neurobiology of migraine.


Asunto(s)
Vías Aferentes/fisiología , Senos Craneales/inervación , Bulbo Raquídeo/fisiología , Trastornos Migrañosos/fisiopatología , Sustancia Gris Periacueductal/fisiología , Puente/fisiología , Vías Aferentes/anatomía & histología , Animales , Mapeo Encefálico , Gatos , Circulación Cerebrovascular , Senos Craneales/fisiopatología , Modelos Animales de Enfermedad , Inmunohistoquímica , Bulbo Raquídeo/anatomía & histología , Nociceptores/fisiología , Sistema Nervioso Parasimpático/anatomía & histología , Sistema Nervioso Parasimpático/fisiología , Sustancia Gris Periacueductal/anatomía & histología , Puente/anatomía & histología , Proteínas Proto-Oncogénicas c-fos/metabolismo , Núcleos del Rafe/anatomía & histología , Núcleos del Rafe/fisiología , Formación Reticular/anatomía & histología , Formación Reticular/fisiología , Núcleos del Trigémino/anatomía & histología , Núcleos del Trigémino/fisiología
13.
Neuroscience ; 130(2): 445-56, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-15664701

RESUMEN

We examined the distribution of estrogen receptor (ER)-alpha and ER-beta immunoreactive (ir) cells in the dorsal (DRN) and median/paramedian (MPRN) raphe nuclei in male mice. ER-alpha ir neurons were scattered across the three subdivisions (ventral, dorsal, and lateral) of the DRN and the MPRN. Robust ER-beta ir cells were observed throughout the raphe nuclei, and were particularly abundant in the ventral and dorsal subdivisions of the DRN. Using dual-label immunocytochemistry for ER-alpha or ER-beta with tryptophan hydroxylase (TPH), the rate-limiting enzyme for 5-hydroxytryptamine (5-HT) synthesis, over 90% of ER-beta ir cells exhibited TPH-ir in all DRN subdivisions, whereas only 23% of ER-alpha ir cells contained TPH. Comparisons of ER-alpha knockout (alphaERKO) as well as ER-beta knockout (betaERKO) mice with their respective wild-type (WT) littermates revealed that gene disruption of either ER-alpha or ER-beta did not affect the other ER subtype expression in the raphe nuclei. In situ hybridization histochemistry revealed that there was a small but statistically significant decrease in TPH mRNA expression in the ventral DRN subdivision in betaERKO mice compared with betaWT mice, whereas TPH mRNA levels were not affected in alphaERKO mice. These findings support a hypothesis that ER-beta activation may contribute to the estrogenic regulation of neuroendocrine and behavioral functions, in part, by acting directly on 5-HT neurons in the raphe nuclei in male mice.


Asunto(s)
Receptor alfa de Estrógeno/metabolismo , Receptor beta de Estrógeno/metabolismo , Vías Nerviosas/metabolismo , Sustancia Gris Periacueductal/metabolismo , Núcleos del Rafe/metabolismo , Serotonina/metabolismo , Animales , Receptor alfa de Estrógeno/genética , Receptor beta de Estrógeno/genética , Regulación de la Expresión Génica/fisiología , Inmunohistoquímica , Masculino , Ratones , Ratones Noqueados , Vías Nerviosas/anatomía & histología , Neuronas/metabolismo , Sustancia Gris Periacueductal/anatomía & histología , ARN Mensajero/metabolismo , Núcleos del Rafe/anatomía & histología , Factores Sexuales , Triptófano Hidroxilasa/genética , Triptófano Hidroxilasa/metabolismo
14.
Neuroscience ; 125(1): 243-53, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15051163

RESUMEN

The periaqueductal gray (PAG) contains numerous estrogen receptor-alpha immunoreactive (ER-alpha IR) neurons that are distributed in a species-specific way. These neurons might modulate different types of behavior that are mediated by the PAG such as active and passive coping responses, analgesia, and reproductive behavior. In primates, it is not known whether ER-alpha IR PAG neurons represent local interneurons and/or neurons that project to brainstem areas that control these behaviors. In this double labeling study, we asked whether ER-alpha IR neurons in the PAG of the rhesus monkey project to the nucleus retroambiguus (NRA), an area in the ventrolateral caudal medulla oblongata that is involved in expiration, vocalization, and reproductive behavior. Tracer was injected into the caudal lateral medulla oblongata to retrogradely label PAG neurons, and ER-alpha was visualized immunohistochemically. Although ER-alpha IR neurons and NRA-projection neurons were present at similar levels of the PAG, their distributions hardly overlapped. ER-alpha IR PAG neurons that project to the lateral caudal medulla represented less than 2% of ER-alpha IR PAG neurons. These double-labeled neurons were mainly located in the ipsilateral caudal PAG. The cluster of neurons in the medial part of the lateral PAG that projects specifically to the NRA-region did not contain double-labeled cells. The results indicate that only a few ER-alpha IR PAG neurons project to the NRA-region. This might be related to the modest effects of estrogen on mating-related behavior in primates compared most other mammalian species. Remaining ER-alpha IR PAG neurons might act locally on other PAG neurons, or they might represent neurons that project to other areas. Furthermore, the finding that the distributions of ER-alpha IR neurons and neurons that project to premotor neurons in the NRA-region scarcely overlap illustrates that the PAG in primates is very highly organized into anatomically distinct regions compared with other species.


Asunto(s)
Macaca mulatta/anatomía & histología , Bulbo Raquídeo/anatomía & histología , Neuronas/citología , Sustancia Gris Periacueductal/anatomía & histología , Receptores de Estrógenos/metabolismo , Animales , Conducta Animal/fisiología , Receptor alfa de Estrógeno , Femenino , Inmunohistoquímica , Bulbo Raquídeo/metabolismo , Vías Nerviosas/anatomía & histología , Neuronas/metabolismo , Ovariectomía , Sustancia Gris Periacueductal/metabolismo
15.
Neuropsychopharmacology ; 29(1): 101-7, 2004 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-14583742

RESUMEN

Systemic administration of cholecystokinin (CCK) fragments produces anxiogenic effects. The dorsal periaqueductal gray (dPAG) has been related to anxiety and panic reactions. The objective of this study was to investigate a possible anxiogenic effect of CCK-8 microinjected into the dPAG. At 10 min after the last microinjection (0.5 microl) into the dPAG male Wistar rats (N=7-17) were tested in the elevated plus-maze, an animal model of anxiety. The following treatments were tested alone or in combination: sulfated CCK-8 (CCK-8s, 0.5-1 microg), PD 135158 (N-methyl-D-glucamine, 0.1 microg), a CCK-2 receptor antagonist, lorglumide (0.1-0.3 microg), a CCK-1 receptor antagonist. In addition, Fos immunohistochemistry was performed in rats (n=3-4) treated with CCK-8s (1 microg) alone or in combination with PD 135158 (0.1 microg). CCK-8s produced anxiogenic-like effect, decreasing the percentage of time spent in open arm (saline=30.3+/-6.6, CCK 0.5 microg=15.2+/-1.8; CCK 1 microg=14.6+/-2.1). This effect was prevented by pretreatment with PD 135158, but not by lorglumide. CCK-8s injected into the dPAG induced Fos immunoreactivity in several brain areas related to defensive behavior, including the PAG, median, and dorsal raphe nuclei, superior colliculus, lateral septal nuclei, medial hypothalamus, and medial amygdala. This effect was also prevented by pretreatment with PD 135,158. These results suggest that CCK-8s, acting on CCK-2 receptors, may modulate anxiety reactions in the dPAG.


Asunto(s)
Ansiedad/metabolismo , Meglumina/análogos & derivados , Sustancia Gris Periacueductal/efectos de los fármacos , Proglumida/análogos & derivados , Receptor de Colecistoquinina B/metabolismo , Sincalida/farmacología , Análisis de Varianza , Animales , Ansiolíticos/farmacología , Depresores del Apetito/farmacología , Recuento de Células , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Interacciones Farmacológicas , Antagonistas de Hormonas/farmacología , Inmunohistoquímica/métodos , Indoles/farmacología , Masculino , Aprendizaje por Laberinto/efectos de los fármacos , Meglumina/farmacología , Microinyecciones , Neuronas/efectos de los fármacos , Neuronas/metabolismo , Sustancia Gris Periacueductal/anatomía & histología , Sustancia Gris Periacueductal/citología , Proglumida/farmacología , Proteínas Proto-Oncogénicas c-fos/metabolismo , Ratas , Ratas Sprague-Dawley , Receptor de Colecistoquinina B/efectos de los fármacos , Colículos Superiores/efectos de los fármacos , Factores de Tiempo
16.
Neuropharmacology ; 45(5): 594-604, 2003 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12941373

RESUMEN

The analgesic potential of cannabinoids may be hampered by their ability to produce aversive emotion when administered systemically. We investigated the hypothesis that the midbrain periaqueductal grey (PAG) is a common substrate mediating the anti-nociceptive and potential aversive effects of cannabinoids. The rat formalin test was used to model nociceptive behaviour. Intra-PAG microinjection of the excitatory amino acid D,L-homocysteic acid (DLH) was used to induce an aversive, panic-like reaction characteristic of the defensive "fight or flight" response. Administration of the cannabinoid receptor agonist HU210 (5 microg/rat) into the dorsal PAG significantly reduced the second phase of formalin-evoked nociceptive behaviour, an effect which was blocked by co-administration of the CB(1) receptor antagonist SR141716A (50 microg/rat). This anti-nociceptive effect was accompanied by an HU210-induced attenuation of the formalin-evoked increase in Fos protein expression in the caudal lateral PAG. Intra-dorsal PAG administration of HU210 (0.1, 1 or 5 microg/rat) significantly reduced the aversive DLH-induced explosive locomotor response. The anti-nociceptive effect of HU210 is likely to result from activation of the descending inhibitory pain pathway. Mechanisms mediating the anti-aversive effects of cannabinoids in the PAG remain to be elucidated. These data implicate a role for the PAG in both cannabinoid-mediated anti-nociceptive and anti-aversive responses.


Asunto(s)
Agonistas de Receptores de Cannabinoides , Dronabinol/análogos & derivados , Dronabinol/farmacología , Antagonistas de Aminoácidos Excitadores/farmacología , Homocisteína/análogos & derivados , Dolor/tratamiento farmacológico , Sustancia Gris Periacueductal/efectos de los fármacos , Análisis de Varianza , Animales , Conducta Animal , Desinfectantes , Relación Dosis-Respuesta a Droga , Dronabinol/uso terapéutico , Combinación de Medicamentos , Reacción de Fuga/efectos de los fármacos , Antagonistas de Aminoácidos Excitadores/uso terapéutico , Formaldehído , Homocisteína/toxicidad , Inmunohistoquímica/métodos , Masculino , Microinyecciones , Movimiento/efectos de los fármacos , Dolor/inducido químicamente , Dimensión del Dolor/efectos de los fármacos , Sustancia Gris Periacueductal/anatomía & histología , Piperidinas/administración & dosificación , Proteínas Proto-Oncogénicas c-fos/metabolismo , Pirazoles/administración & dosificación , Ratas , Ratas Sprague-Dawley , Rimonabant , Factores de Tiempo
17.
Brain Res ; 973(2): 196-204, 2003 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-12738063

RESUMEN

The need to use anaesthetised or restrained animals in acupuncture research in laboratory animals may represent a confounding variable, since both anaesthesia and stress alter the pain threshold and the activity of pain-related brain areas. In the current study we assessed the participation of the periaqueductal gray (PAG) in electroacupuncture's (EA) analgesic effects applied to the Zusanli point (36S) under carefully controlled stress conditions. Repeated immobilisation protocols (6 days, 1 h/day and 13 days, 2 h/day) were used to diminish the influence of acute immobilisation stress on c-Fos expression and analgesia (tail-flick test) induced by electroacupuncture on the 36S point (EA36S). Animals submitted to immobilisation alone (IMMO) or to electroacupuncture (100 Hz, 2-4 V, faradic wave) on a non-point region (EANP) were compared with animals submitted to electroacupuncture on the 36S point. In animals not previously submitted to repeated immobilisation, electroacupuncture on the 36S point induced analgesia and c-Fos expression in the PAG was not different from that induced by electroacupuncture at a non-acupuncture point. In animals submitted to repeated immobilisation (repeated immobilisation for 6 days or repeated immobilisation for 13 days), however, electroacupuncture on point 36S led to higher levels of analgesia and c-Fos expression, specifically in the ventrolateral PAG (vlPAG), as compared with animal groups subjected only to immobilisation or to electroacupuncture on a non-point. Our findings endorse previous results, and point to a specific part of the PAG involved in the effects of electroacupuncture at the Zusanli point.


Asunto(s)
Analgesia por Acupuntura , Electroacupuntura/métodos , Sustancia Gris Periacueductal/metabolismo , Proteínas Proto-Oncogénicas c-fos/biosíntesis , Animales , Conducta Animal , Recuento de Células , Inmovilización , Masculino , Dimensión del Dolor , Umbral del Dolor , Sustancia Gris Periacueductal/anatomía & histología , Ratas , Ratas Wistar , Tiempo de Reacción , Cola (estructura animal)/fisiología , Factores de Tiempo
18.
Behav Brain Res ; 138(1): 17-28, 2003 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-12493627

RESUMEN

Considering the periaqueductal gray's (PAG) general roles in mediating motivational responses, in the present study, we compared the Fos expression pattern in the PAG induced by innate behaviors underlain by opposite motivational drivers, in rats, namely, insect predation and defensive behavior evoked by the confrontation with a live predator (a cat). Exposure to the predator was associated with a striking Fos expression in the PAG, where, at rostral levels, an intense Fos expression was found largely distributed in the dorsomedial and dorsolateral regions, whereas, at caudal levels, Fos-labeled cells tended to be mostly found in the lateral and ventrolateral columns, as well as in the dorsal raphe nucleus. Quite the opposite, insect predation was associated with increased Fos expression predominantly in the rostral two thirds of the lateral PAG, where the majority of the Fos-immunoreactive cells were found at the oculomotor nucleus levels. Remarkably, both exposure to the cat and insect predation upregulated Fos expression in the supraoculomotor region and the laterodorsal tegmental nucleus. Overall, the present results clearly suggest that the PAG activation pattern appears to reflect, at least partly, the animal's motivational status. It is well established that the PAG is critical for the expression of defensive responses, and, considering the present findings, it will be important to investigate how the PAG contributes to the expression of the predatory behavior, as well.


Asunto(s)
Conducta Agonística/fisiología , Nivel de Alerta/fisiología , Miedo/fisiología , Sustancia Gris Periacueductal/fisiología , Conducta Predatoria/fisiología , Proteínas Proto-Oncogénicas c-fos/metabolismo , Agresión/fisiología , Animales , Mapeo Encefálico , Gatos , Femenino , Técnicas para Inmunoenzimas , Masculino , Neuronas/diagnóstico por imagen , Neuronas/fisiología , Nervio Oculomotor/anatomía & histología , Nervio Oculomotor/fisiología , Sustancia Gris Periacueductal/anatomía & histología , Periplaneta , Ratas , Ratas Wistar , Ultrasonografía , Regulación hacia Arriba/fisiología
19.
Brain Res ; 948(1-2): 122-30, 2002 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-12383963

RESUMEN

The consequences of a severe traumatic injury--deep pain and haemorrhage--usually evoke a passive emotional coping reaction characterised by: quiescence and immobility, decreased vigilance, hypotension and bradycardia. Results of studies utilising microinjections of excitatory amino acids suggest that passive coping reactions are mediated, at least in part, by activation of the midbrain, ventrolateral periaqueductal gray (vlPAG) region. Further, experiments in anaesthetised rats, using the expression of the immediate-early gene, c-fos, as a marker of neuronal activation, report that pain arising from muscles, joints or viscera selectively activates the vlPAG. Anaesthesia alone, however, evokes substantial Fos-like immunoreactivity (IR) within the vlPAG and this may have obscured any differences in patterns of Fos expression following noxious deep somatic versus noxious visceral activation. In these experiments, in unanaesthetised rats, the effects of noxious spinal versus noxious vagal primary afferent activation were re-examined and distinct rostrocaudal patterns of Fos-expression were observed. Specifically: (i) injection of algesic substances into muscle, which preferentially activates spinal afferents, evoked Fos expression predominantly within the caudal vlPAG; whereas, (ii) noxious manipulations whose effects are mediated by (cardiopulmonary) vagal activation evoked preferential Fos-expression within the rostral vlPAG. On the other hand, hypotensive haemorrhage evoked substantial Fos expression along the entire rostrocaudal extent of the vlPAG, a finding which fits with suggestions that haemorrhagic shock is triggered by a combination of: (i) spinally-relayed nociceptive signals originating from ischaemic tissue, and (ii) vagally-relayed signals reflecting poor cardiac filling.


Asunto(s)
Vías Aferentes/fisiología , Sustancia Gris Periacueductal/metabolismo , Proteínas Proto-Oncogénicas c-fos/biosíntesis , Médula Espinal/fisiología , Nervio Vago/fisiología , Analgésicos/farmacología , Animales , Biguanidas/farmacología , Presión Sanguínea/efectos de los fármacos , Presión Sanguínea/fisiología , Dióxido de Carbono/farmacología , Carragenina/farmacología , Recuento de Células , Formaldehído/farmacología , Genes Inmediatos-Precoces/fisiología , Hemorragia/fisiopatología , Hipotensión/fisiopatología , Inyecciones Intramusculares , Masculino , Músculo Esquelético/efectos de los fármacos , Músculo Esquelético/inervación , Dimensión del Dolor/efectos de los fármacos , Sustancia Gris Periacueductal/anatomía & histología , Ratas , Ratas Sprague-Dawley , Estimulación Química , Vigilia/efectos de los fármacos , Vigilia/fisiología
20.
J Comp Neurol ; 429(2): 337-54, 2001 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-11116224

RESUMEN

The gamma-aminobutyric acid (GABA) plasma membrane transporters (GATs) mediate GABA uptake into presynaptic axon terminals and glial processes, thus contributing to the regulation of the magnitude and duration of the action of GABA at the synaptic cleft. The aim of the present study was to investigate the expression of three high-affinity GABA transporters (GAT-1, GAT-2, and GAT-3) in the periaqueductal gray matter (PAG) of adult cats by using immunocytochemistry with affinity-purified antibodies. Light microscopic observations revealed GAT-1 immunoreactivity in punctate structures, particularly dense in the lateral portion of the dorsolateral PAG column. Weak GAT-2-immunopositive puncta were homogeneously distributed in the PAG. GAT-3 immunoreactivity was detected in each column of the PAG but was more intense in the dorsolateral PAG column and around the aqueduct. Electron microscopic studies showed GAT-1 immunoreactivity in distal astroglial processes, in unmyelinated and small myelinated axons, and in axon terminals making symmetric synapses on both PAG neurons and dendrites. GAT-2 immunoreactivity was present mostly in the form of patches of different sizes in the cytoplasm of neuronal elements like the perikarya and dendrites of PAG neurons, in myelinated and unmyelinated axons, and in the axon terminals forming both symmetric and asymmetric synapses. Labeling was also observed in nonneuronal elements. Astrocytic cell bodies and their distal processes as well as the ependymal cells lining the wall of the aqueduct showed patches of GAT-2 immunoreactivity. Electron microscopic observation revealed GAT-3 immunoreactivity exclusively in distal astrocytic processes adjacent to the somata of PAG neurons and in axon terminals making both symmetric and asymmetric synapses. The present results suggest that three types of termination systems of GABAergic transmission are present in the cat periaqueductal gray matter.


Asunto(s)
Proteínas Portadoras/metabolismo , Proteínas de la Membrana/metabolismo , Proteínas de Transporte de Membrana , Transportadores de Anión Orgánico , Sustancia Gris Periacueductal/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Animales , Especificidad de Anticuerpos , Gatos , Proteínas Transportadoras de GABA en la Membrana Plasmática , Inmunohistoquímica , Microscopía/métodos , Microscopía Electrónica , Neuronas/metabolismo , Sustancia Gris Periacueductal/anatomía & histología
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