PROGRESS I N BRAIN RESEARCH V O L U M E 12 PHYSIOLOGY OF SPINAL N E U R O N S
PROGRESS IN BRAIN RESEARCH
ADVISORY BO...
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PROGRESS I N BRAIN RESEARCH V O L U M E 12 PHYSIOLOGY OF SPINAL N E U R O N S
PROGRESS IN BRAIN RESEARCH
ADVISORY BOARD W. Bargmann H. T. Chang
E. De Robertis J. C. Eccles J. D. French
H. Hydkn J. Ariens Kappers
S. A. Sarkisov J. P. Schadt
F. 0. Schmitt
Kiel Shanghai Buenos Aires Canberra Los Angeles Goteborg Amsterdam Moscow Amsterdam Cambridge (Mass.)
T. Tokizane
Tokyo
H. Waelsch
New York
J. Z. Young
London
PROGRESS I N BRAIN RESEQiRCH V O L U M E 12
PHYSIOLOGY OF SPINAL NEURONS EDITED B Y
J . C . ECCLES The John Curtin School of Medical Research, Department of Physiology, Canberra City AND
J. P. S C H A D E Central Institute for Brain Research, Amsterdam
ELSEVIER P U B L I S H I N G C O M P A N Y AMSTERDAM
/
LONDON
1964
/
NEW Y O R K
ELSEVIER P U B L I S H I N G COMPANY
335
J A N V A N G A L E N S T R A A T , P.O. B O X
211,
AMSTERDAM
AMERICAN ELSEVIER P U B L I S H I N G COMPANY, INC.
52
V A N D E R B I L T A V E N U E , N E W Y O R K N.Y.
10017
ELSEVIER P U B L I S H I N G COMPANY LIMITED 1 2 B , RIPPLESIDE COMMERCIAL ESTATE R I P P L E R O A D , B A R K I N G , ESSE X
This volunie contains a series of lectures delivered during a workshop on PHYSIOLOGY O F SPINAL NEURONS
which was held as part of the first International Summer School of Brain Research. at the Royal Academy of Sciences, Amsterdam (The Netherlands) from 15-26 July, 1963 This meeting was organized by the Central Institute for Brain Research and sponsored by the Netherlands Government and the NATO Advanced Study Institute Program
L I B R A R Y OF C O N G R E S S C A T A L O G C A R D N U M B E R
WITH
199
ILLUSTRATIONS A N D
3
64-18506
TABLES
ALL RIGHTS RESERVED T H I S B O O K OR A N Y P A R T T H E R E O F M A Y N O T BE R E P R O D U C E D I N A N Y FORM, I N C L U D I N G P H O T O S T A T I C OR M I C R O F I L M FORM, W I T H O U T W R I T T E N PERMISSION FROM T H E PUBLISHERS
List of Contributors
J. C. ECCLES,The John Curtin School of Medical Research, Department of Physiology, Canberra. I. ENGBERG, Department of Physiology, University of Goteborg, Goteborg (Sweden). R. GRANIT, The Nobel Institute for Neurophysiology, Karolinska Institutet, Stockholm. D. KERNELL,The Nobel Institute for Neurophysiology, Karolinska Institutet, Stockholm. A. LUNDBERG,Department of Physiology, University of Goteborg, Goteborg (Sweden). F. MAGNI,Istituto di Fisiologia dell’ Universita di Pisa e Centro di Neurofisiologia del C.N.R., Sezione di Pisa, Pisa (Italy). 0. OSCARSSON, Institute of Physiology, University of Lund, Lund (Sweden). C. G. PHILLIPS, University Laboratory of Physiology, Oxford (Great Britain). R. PORTER,University Laboratory of Physiology, Oxford (Great Britain). R. F. SCHMIDT, Institut fur Allgemeine Physiologie, Universitat Heidelberg, Heidelberg (Deutschland). T. A. SEARS,The John Curtin School of Medical Research, The Australian National University, Canberra. A. VAN HARREVELD, Kerckhoff Laboratories of the Biological Sciences, California Institute of Technology, Pasadena, Calif. (U.S.A.). P. D. WALL, Department of Biology and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, Mass. (U.S.A.). W. D. WILLIS,lstituto di Fisiologia dell’ Universita di Pisa e Centro di Neurofisiologia del C.N.R., Sezione di Pisa, Pisa (Italy).
Other volumes in this series:
Volume 1 : Brain Mechanisms Specific and Unspecific Mechanisms of Sensory Motor Integration Edited by G. Moruzzi, A. Fessard and H. H. Jasper
Volume 2 : Nerve, Brain and Memory Models Edited by Norbert Wiener and J. P. Schade Volume 3 : The Rhinencephalon and Related Structures Edited by W. Bargmann and J. P. Schade Volume 4: Growth and Maturation of the Brain Edited by D. P. Purpura and J. P. Schadt Volume 5 : Lectures on the Diencephalon Edited by W. Bargmann and J. P. Schade Volume 6 : Topics in Basic Neurology Edited by W. Bargmann and J. P. Schadt Volume I : Slow Electrical Processes in the Brain b y N . A. Aladjalova Volume 8 : Biogenic Amines Edited b y Harold E. Himwich and Williamina A. Himwich
Volume 9: The Developing Brain Edited b y Williamina A. Himwich and Harold E. Himwich Volume 10: Structure and Function of the Epiphysis Cerebri Edited by J . Ariens Kappers and J. P. Schadt Volume 11 : Organization of the Spinal Cord Edited by J. C . Eccles and J. P. Schad6 Volume 13 : Mechanisms of Neural Regeneration Edited by M . Singer and J. P. Schadk Volume 14 : Degeneration Patterns in the Nervous System Edited b y M . Singer and J. P. Schadb
The remarkable progress in basic neurophysiology over the last few yearBisIillustrated by the fine collection of reviews in this volume. Gathered for this week of lectures and discussions were representatives from many of the leading schools of research into the properties of nerve cells and of their functional organization in the spinal cord, which has long been regarded as the simplest level of the central nervous system. However, after reading the complexities of neuronal interconnection here described, one may well wonder if this is an illusion! A tremendous amount of integration is carried out at the spinal level - far more than Sherrington conceived in his classic book ‘The integrative action of the nervous system’ -but, of course, this development in our concepts of spinal integration would have delighted him. One can predict that much more complexity of behaviour will be revealed as methods of investigation become more refined and are pursued with that systematic intensity that characterizes so much of present neurophysiology. Our ultimate hope undoubtedly is that, with increasing knowledge of neuronal interconnections, there will emerge clear ideas on basic patterns of neuronal organization, the same general type of pattern being employed in integrating the many different modalities of input. Of great importance are the many modes of control exercised by the higher centres onto the spinal mechanisms. Though the wealth of descending pathways had long been revealed by anatomical investigations, there have until recently been only relatively crude concepts of the mode of operation of these pathways, both on the local mechanisms in the spinal cord, and on the relay of impulses up the ascending tracts to the brain. More than one third of this volume is devoted to the descending and ascending pathways, and a wealth of new information and ideas will be found in these important papers. We can anticipate many new developments in these attempts to understand the physiology of communication up and down the spinal cord. I am going to be rash enough to predict that the centre of interest in the nervous system is now moving from the investigation of properties of the individual neurones and of the individual synapses to the much wider concepts of the patterns of functional organization, which give ultimate meaning to the individual neuronal and synaptic properties and subsume all these into the various levels of organization. In the context of these ideas we can appreciate that far more work is required on the way in which the nervous system handles inputs produced by carefully controlled adequate stimulation. The cruder physiological methods of electrical stimulation are, of course, needed in order to define the patterns of connection and the modes of operation; but this understanding must be given functional meaning by rigorous investigations with adequate inputs and into the way in which these act and interact. J. C . ECCLES
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Con tents .................................
V
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
VII
List of contributors Preface
The excitatory responses of spinal neurones J. C. Eccles (Canberra City) . . . . . .
. . . . . . . . . . . . . . . . . . . . . .
Maintained firing of motoneurones during transmembrane stimulation R. Granit (Stockholm). . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .
35
. . . . . . . . . . . . . . . .
42
. . . . . . . . . . . . . . . . . . . . . . .
56
. . . . . . . . . . . . . . . . . . . . . . . .
65
The delayed depolarization in cat and rat motoneurones D. Kernell (Stockholm) . . . . . . . . . . . . . . The properties of reticulo-spinal neurons W. D. Willis and F. Magni (Pisa, Italy) Presynaptic inhibition in the spinal cord J . C. Eccles (Canberra City) . . . .
1
Presynaptic control of impulses at the first central synapse in the cutaneous pathway P. D. Wall(Cambridge, Mass.) . . . . . . . . . . . . . . . . . . . . . . . . The pharmacology of presynaptic inhibition R. F. Schmidt (Heidelberg, Germany) . .
. . .
92
......................
119
Ascending spinal hindlimb pathways in the cat A. Lundberg (Goteborg, Sweden) . . . . .
. . . . . . . . . . . . . . . . . . . . .
135
Differential course and organization of uncrossed and crossed long ascending spinal tracts 0. Oscarsson (Lund, Sweden) . . . . . . . . . . . . . . . . . . . . . . . . . . .
164
Three ascending tiacts activated from Group I afferents in forelimb nerves of the cat 0. Oscarsson (Lund, Sweden) . . . . . . . . . . . . . . . . . . . . . . . .
. . .
179
Supraspinal control of transmission in reflex paths to motoneurones and primary afferents A. Lundberg (Goteborg, Sweden) . . . . . . . . . . . . . . . . . . . . . . . . . .
197
The pyramidal projection to motoneurones of some muscle groups of the Baboon’s forelimb C. G. Phillips and R. Porter (Oxford, Great Britain). . . . . . . . . . . . . . . . . .222 Afferent connections t o reticulo-spinal neurons F. Magni and W. D. Willis (Pisa, Italy) . .
. . . . . . . . . . . . . . . . . . . . .
Investigations on respiratory motoneurones of the thoracic spinal cord T. A. Sears (Canberra). . . . . . . . . . . . . . . . . . . . . .
246
. . . . . . . . .
259
. . . . . . . . . . . . . . . . . . . . . .
274
Effects of spinal cord asphyxiation A. Van Harreveld (Pasadena, Calif.).
280
Author index.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
308
Reflexes to toe muscles in the cat’s hindlimb I. Engberg (Goteborg, Sweden) . . . . .
Subject index
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 I2
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1
The Excitatory Responses of Spinal Neurones J. C . ECCLES The John Curtin School of Medical Research, Department of Physiology, Canberra City
The body and dendrites of neurones are specialized for the reception and integration of information from other nerve cells, which of course occurs via the encrusting synaptic structures. During normal activity any one neurone is continuously bombarded by impulses impinging at its synapses, some of which are excitatory and tend to make this neurone in turn fire an impulse while some have an inhibitory action tending to prevent the initiation of impulses. My present task is to give an account of the way in which excitatory synaptic action causes spinal neurones to discharge impulses. An initial brief reference must be made to the ionic composition of nerve cells and to the electrical charges on their surfaces because these are essentially concerned both in nerve impulse transmission and in synaptic action. As shown in Table I the surface TABLE I I O N I C C O N C E N T R A T I O N S A N D E Q U I L I B R I U M P O T E N T I A L S FOR C A T M O T O N E U R O N E S
Outside m M
Inside mM
Na 150 K 5.5 CI 125
about 15 150
9
Equilibriuni potential (according to ihe Nernst equation) in mV
about $60 -90 -70
membrane of a nerve cell separates two aqueous solutions that have very different compositions. Within the cell sodium and chloride ions are at a lower concentration than outside, whereas with potassium there is an even greater disparity - almost 30-fold - in the reverse direction. Under resting conditions potassium and chloride ions move through the membrane much more readily than sodium. Necessarily the electrical charge across the membrane influences the rates of diffusion of charged particles in both directions between the interior and exterior of the cell. The potential across the surface membrane is normally about -70 mV, the minus sign signifying inside negativity. As seen from the table the equilibrium potential for chloride ions is approximately Refrrmcrs p . 29-31
2
J. C . E C C L E S
the same as the resting potential, which signifies that under such conditions the inward and outward diffusion of chloride ions approximately balance. On the other hand the large electrochemical potential difference for sodium ions (1 30 mV) will cause the diffusion of sodium inwards to be more than 100 times faster than outwards. Fortunately the resting membrane is much less permeable t o sodium than to potassium and chloride ions: but of course there must be some other factor concerned in balancing sodium transport across the membrane. Hence we have the postulate that there is built into the membrane a kind of pump that uses metabolic energy to force sodium ions uphill (up the electro-chemical gradient) and so outward through the cell membrane, as is diagrammatically shown in Fig. 1. This diagram further shows that there E X T E R 10R
I
SURFACE
MEMBRANE
K+
IONIC
FLUXES
V K '
-
I
INTERIOR
1
DIFFUSIONAL
N 0 Y . METABOLIC
FLUXES
DRIVE
IONIC FLUXES
ONAL
Fig. 1. Diagrammatic representation of K+ and Na' fluxes through the surface membrane in the resting state. The slopes in the flux channels across the membrane represent the respective electrochemical gradients. At the resting membrane potential (-70 mV) the electro-chemical gradients, as drawn for the K i and Na+ ions, correspond respectively to potentials which are 20 mV more negative and about 130 mV more positive than the equilibrium potentials (note the potential scale). The fluxes due to diffusion and the operation of the pump are distinguished by the direction of hatching. The outward diffusional flux of Na+ ions would be less than 1 of the inward and so is too insignificant to be indicated as a separate channel in this diagram, because the magnitudes of the fluxes are indicated by the widths of the respective channels. (From Eccles, 1957.)
is an excess of diffusion outwards of potassium down the electro-chemical gradient of about 20 mV, and again the transport of potassium ions is balanced by an inward pump. In fact, as shown, the sodium and potassium pumps are loosely coupled together and driven by the same metabolic process, which is now fairly well defined (Hodgkin, 1958; Caldwell et a]., 1960a,b).
EXCITATORY RESPONSES OF S P I N A L N E U R O N E S
3
THE SPIKE POTENTIALS OF SPINAL NEURONES
Under resting conditions the surface membrane of the nerve cell and its axon resembles a leaky condenser charged at a potential of about -70 mV. If this charge is suddenly diminishe'd, by about 20 mV, i.e. t o -50 mV, it initiates a n intense regenerative process adcling t o the depolarization and reversing the membrane potential as may be seen in Fig. 2A at -77 mV. It is postulated that this regenerative process is due to a high sodiurn permeability which occurs for only a fraction of a millisecond and is followed by a rapid development of a high potassium permeability with recharging of the membrane by outward movement of potassium ions (cf. Hodgkin,
-A&-600 - - - -
A-
-78
A-
//f
A
-80
-
8
k
>
. I mSEC
Fig. 2. (A). Intracellular responses evoked by an antidromic impulse, indicating stages of blockage of the antidromic spike in relation to the initial level of membrane potential. Initial membrane potential (indicated to the left of each record) was controlled by the application of extrinsic currents. Resting potential was at -80 mV. The lowest record was taken after the amplification had been increased 4.5 times and the stimulus had been decreased until it was just at threshold for exciting the axon of t h e motoneurone. (From Coombs et a / . , 1955a.) (B). Schematic drawing of a motoneurone showing dendrites (only one drawn with terminal branches), the soma, the initial segment of axon (IS) and the medullated axon (M) with two nodes, at one of which there is an axon collateral. The three arrows indicate the regions where delay or blockage of an antidromic impulse is likely to occur. The regions producing the M, IS, and SD spikes are indicated approximately by the labelled brackets. (From Eccles, 1957.) References p. 29-31
4
I. C . E C C L E S
1958). As a consequence the membrane potential rapidly is restored to normal. The potential change lasts for less than one thousandth of a second, its brevity earning it the name, spike potential. This general statement may serve as an introduction t o a more detailed treatment of neuronal spike responses. The complex morphology of a neurone is associated with a corresponding complexity in its excitatory responses. For example in Fig. 2B an antidromic impulse propagates in the direction of the arrow up t o the motoneurone in which has been inserted a microelectrode, as shown diagrammatically. The full sequence of potential changes is illustrated in Fig. 2A in which current applied through one barrel of a double microelectrode changed the membrane potential from the resting level of -80 mV either up as far as -87 mV or down as low as -60 mV. This procedure (Coombs et a]., 1955a) shows that the antidromic spike potential has three distinct components, each of all-or-nothing character. There is first the very small spike (about 5 mV) that is seen alone sometimes at -82 mV and always at -87 mV, and which is shown by threshold differentiation (lowest record of Fig. 2A) t o be generated by a n impulse in the motor axon of the impaled motoneurone. Second there is the larger spike of about 40 mV that is always set up at membrane potentials of -80 mV or less, and also sometimes at -82 mV. Finally, the full-sized spike is superimposed at membrane potentials of -77 mV or less, and rarely at -78 mV. Fig. 2B shows the antidromic pathway together with the regions of the motoneurone (M, IS and SD) in which the three components of the spike potentials are believed to be generated. This identification was made originally (Brock et al., 1953; Coombs et a/., 1955a) on the grounds that the large spike must be generated in that part of the motoneuronal membrane that is most closely related to the intracellular electrode, that is in the membrane of the soma and adjacent dendritic regions; and it was supported by an analysis of the extracellular field potentials generated by antidromic invasion of a single motoneurone (Fatt, 1957a) and of the action of an antidromic impulse on excitatory synaptic potentials. The conclusions from these earlier arguments have been fully confirmed by the very rigorous investigations of Terzuolo and Araki (1961) and Araki and Terzuolo (1962). The diagrammatic assignment in Fig. 2B of specific regions of the motoneurone to the three types of spike potentials in Fig. 2A, can therefore be regarded as firmly established, and it will be convenient to use the terms IS and SD spikes as indicated in Fig. 2. By means of double microelectrodes Terzuolo and Araki (1961) recorded simultaneously from inside a motoneuronal soma and just outside it. The intracellular antidromic responses in Fig. 3A and B resemble either the large composite IS-SD spikes of Fig. 2A, with an inflection on the rising phase, or else the smaller IS spike, as with some responses evoked by the second antidromic impulse in Fig. 3B. The composite IS-SD spike is seen to be associated with a complex extracellular potential: firstly a negligible upward deflection (positivity), then a double downward negative wave, and a final large positivity. The second negative wave and the final positivity are shown in Fig. 3B to be associated with the SD spike, because, in the superimposed traces for the second antidromic response, these two waves are eliminated when the SD
EXCITATORY RESPONSES OF S P I N A L NEURONES
5
ETm" -1
I msec
msec
-~._
I msec
Fig. 3. (A, B). Potential changes recorded simultaneously, inside and outside the soma of spinal motoneuroiies with parallel microelectrodes. In A the stimulus was adjusted to activate the axon in the ventral root in approximately half of the superimposed traces of antidromic spike responses. In B the stimuli were applied to the ventral root at a short time interval, so that in some of the trials the soma-dendrite complex was not invaded. ( C ) and (D) show simultaneous intracellular traces of dendritic and soma spike potentials from the same motoneurone. In (E) there was simultaneous intracellular and extracellular recording as in A, but the extracellular recording was from a remote dendrite. (From Terzuolo and Araki, 1961.)
invasion fails. Furthermore, the onset of the second extracellular negative wave always occurs at the inflection between the IS and SD spike potentials. Terzuolo and Araki (1961) point out that in interpreting these potential changes it is essential to recognize that the extensive radiating dendritic arborization of a motoneurone gives a closed field organization of extracellular potentials (cfi Lorente de N6, 1947, 1953), as soon as the antidromic impulse invades the initial segment of the axon and the soma, which both lie approximately central to the dendritic arborization. The dendrites form the dominant source for extracellular currents flowing radially inwards first to the activated initial segment, then into the activated soma; hence an extracellular electrode i n close proximity to the soma, and thus near to the centre of the closed field, would be expected to record negativity for both of these activations, as is seen to occur in Fig. 3A and B. The terminal positive wave only occurs after an SD spike potential, which is illustrated in Fig. 3B. This association indicates that the spike potential propagates from the soma out along the dendrites so that the soma becomes a source for extracellular current flowing into the sinks on the dendrites. Conclusive evidence for impulse propagation along dendrites is provided by Fig. 3C-E. C and D give two examples in which simultaneously recorded spike potentials from the same motoneurone had quite different time courses, one was the typical intrasomatic potential as in Fig. 3A, the other had a slower rise and a much slower decline. In C the two spike potentials were about the same height, but there was 0.3 msec between summits, which must be attributed to dendritic conduction time. Rrfrrmcrs p . 29-31
6
J. C . E C C L E S
In D the dendritic conduction time was almost 0.5 msec and the very small IS spike also demonstrated the remoteness of that intracellular electrode from the soma. A dendritic conduction time of about 0.4 msec for 0.3 mm propagation was observed by Fatt (1957a) in his elegant mapping of the extracellular field potential generated by antidromic invasion of a single motoneurone. In the extracellular record of Fig. 3E the second negative wave was much later than in Fig. 3A and B, the onset being simultaneous with the SD spike summit, and there was no subsequent positive wave. Evidently this extracellular recording must be from a region of the neurone that is rather more than 0.2 msec conduction time from the soma, and even so far out on the dendrites that the further dendritic invasion does not give opportunity for a reverse current flow in the outward direction. It can be concluded that the experiments here described, together with those of Fatt (1957a) and Lorente de N6 (1947) prove that an antidromic impulse propagates some hundreds of microns along the dendrites of motoneurones at a velocity of the order of 1 m/sec, but do not allow any statement about impulse conduction in fine dendritic branches. At least with the large dendrites we are justified in assuming that the surface membrane has the same excitatory properties as the soma membrane. It was originally believed that an initial IS spike was observed only as a stage of
A A-
d
L 200~/sec
Fig. 4. Spike potentials evoked in a motoneurone with a membrane potential of -70 mV by three different modes of stimulation; A, antidromic; B, monosynaptic; C , by a depolarizing pulse through one barrel of the double microelcctrode. The lower traces show the electrically differentiated records. D and E are tracings of A and B with perpendicular lines from the origins of thc IS and SD spikes, the horizontal lines giving the respective thresholds. In F the lines of current flow are drawn as described in the text. (From Coombs et al., 1957a.)
EXCITATORY RESPONSES OF SPINAL NEURONES
7
progressive invasion of a motoneurone by an antidromic impulse propagating sequentially from the medullated axon to the initial segment of the axon, then to the soma and dendrites. This explanation was refuted by the discovery that, with synaptic and direct electrical stimulation of a motoneurone, the IS spike also precedes the SD spike (Araki andOtani, 1955; Fatt, 1957b; Fuortesetal., 1957; Coombset ul., 1957a,b). The electrically differentiated records in the lower row of Fig. 4A, B and C show indubitably that with antidromic, synaptic and direct electrical excitation of the motoneurone, its first response is an IS spike. In B and C the stimulus applies the depolarization more directly to the soma than to the initial segment, where the spike is initiated; hence it must be concluded that the initial segment has a much lower threshold. Comprehensive analytical investigations have led to the conclusion that with motoneurones in good condition the threshold depolarization of the initial segment is always less than half of that for the soma, the respective ranges being 6-18 mV and 20-37 mV with mean values of 10 mV and 27 mV respectively (Coombs et al., 1957b). In Fig. 4 A-C potentials in the upper traces give virtually a record of the changes in soma membrane potential and show that the activation of the initial segment adds very effectively to the depolarization of the soma membrane so that its threshold is attained and the SD spike generated. The lines of current flow into the activated initial segment from the soma are shown in Fig. 4F. The levels of depolarization for synaptic generation primarily of an IS spike and secondarily of an SD spike are given in the drawings of Fig. 4E. As would be expected the IS spike generates an SD spike at practically the same level of depolarization for antidromic (D) and synaptic activation (E) of the motoneurone. When SD impulse generation fails, the IS spike attains a peak of only about 40 mV and then declines as seen in Fig. 2A. It will be appreciated that it i s merely the electrotonic extension of the IS spike to the soma that has this small value. With intracellular recording from the initial segment the spike potentials may be in excess of 80 mV (Coombs et al., 1957a; Terzuolo and Araki, 1961). The relationship of depolarization to IS and SD spike generation is well shown in the voltage-clamp recordings of Fig. 5 (Araki and Terzuolo, 1962). By means of a feedback device the membrane potential is displaced to a desired level and held there by current applied through one barrel
C V
1 msec
0.4
Fig. 5 . Threshold difference between axon and soma. (A-E). Upper beam, membrane current; lower beam, membrane potential. (F). Relation between cathodal displacement of the membrane potential from the resting level (abscissa) and peak inward current (ordinate). Full explanation in the text. (From Araki and Terzuolo, 1962.) References p . 29-3I
8
J. C. E C C L E S
of a double microelectrode assemblage. In Fig. 5 B a depolarization of about 10 mV was applied by the voltage-clamp, and, after the initial displacing current, a later inward current by the voltage-clamp (C trace) showed that the membrane depolarization had resulted in a spike-like inward current across it. Much larger depolarizations in C and D also resulted in the same brief inward current, but with a shorter latency. However, with a still further increase in depolarization (E), there was second large component of inward current. The plotted points of Fig. 5F show the step-like in-
n
DSCT
4 B
/
A
V
CUT l50m"
-
A V
v
A
r
rnsec
L
A
A
h
rnsec
Fig. 6. (A-D). Tntracellularly recorded responses of a neurone of Clarke's column with the electrically differentiated records immediately below. D is an antidromic spike potential evoked by an impulse descending the dorsal spino-cerebellar tract. A, B and C are responses evoked by progressively larger afferent volleys in the nerve to quadriceps muscle. The neurone was discharging spontaneously, hence the sloping base lines. (From Curtis, Eccles and Lundberg, unpublished observations.) (E-G). Intracellularly recorded responses of a neurone of the dorsal horn in the L7 segment, with the electrically differentiated records immediately below. G, the antidromic spike potential evoked by an impulse descending the lateral column on the ipsilateral side, the extracellular potential generated by the descending volley being seen in the lowest trace. E and F are responses evoked by a small and a large afferent volley from the superficial peroneal nerve. (From Eccles et al., 1960.)
crement in inward current that occurred with a depolarization of 30 mV. There can be no doubt that the two components of motoneuronal excitability revealed in Fig. 5 are the IS and SD components of Figs. 2, 3 and 4. Of course under voltage-clamp conditions the inward current of the IS response cannot add to the depolarization of the soma membrane as in Fig. 4F. The SD membrane can be activated only when the applied voltage attains threshold level. The SD current in Fig. 5E had a later onset than the IS current solely because the applied voltage was just above the SD threshold, a long latency being observed under comparable conditions for the IS spike in Fig. 5B. With larger voltages the IS and SD spikes were synchronous(Araki andTerzuolo, 1962). In the spinal cord there is much variation with respect to the threshold discrimination between the IS and SD regions of nerve cells. For example, the same large discrimination as with motoneurones is seen in the differentiated records from the
EXCITATORY RESPONSES OF S P I N A L NEURONES
9
cells in the dorsal horn on which large cutaneous fibres make synaptic contacts (Fig. 6E-G; Eccles et al., 1960), while there is no sign of IS-SD separation with the intermediate neurones that relay the group Ia and Ib afferent impulses from muscle (Fig. 71,J; Eccles et a/., 1960). Possibly these are amongst the interneurones in which
A
C
D J-
msec
-----???-
,
,
I
Fig. 7. Intracellular recording from a type A interneurone in the L7 segmental level at a depth of 2.0 mm from the cord dorsum. Membrane potential, about -70 mV throughout. A-D are superimposed traces of EPSP's (above) and dorsal root action potentials (below) evoked by progressively increasing stimuli, applied to the combined FDL-PI nerves. E-H are single traces at faster sweep and lower amplification, the evoking stimuli being about same strength as in C for E and F, and in D for G and H. Lower trace of 1 and upper of J are electrically differentiated records of the EPSP and superimposed spike evoked by a volley from the posterior tibia1 nerve, which supplies flexor digitorum brevis and the various toe muscles, there being two superimposed traces in I. K shows, at slow sweep speed, a record of potentials evoked in response to a stimulus of same strength as in C , but at lower amplification. The EPSP was just at threshold, evoking a spike in one of the two traces. Potential and time scales are given at appropriate places, one of the potential scales obtaining for A-D and the other for E-K, as shown. Note very fast sweep for I and J.
Hunt and Kuno (1959) could find no IS-SD separation. On the contrary there is good IS-SD discrimination with the cells of the ventral spino-cerebellar tract (Eccles et al., 1961b) and the cells of Clarke's column (Fig. 6B-D; Curtis et al., 1958). An important functional consequence of the much lower threshold of the IS component of a neurone is that it acts as a far better integrator of the whole synaptic excitatory and inhibitory bombardment than would be the case if impulses were generated anywhere over the whole soma-dendritic membrane. If these latter conditions were obtained, a special strategic grouping of excitatory synapses (cf. Lorente de N6, 1938) could initiate an impulse despite a relative paucity of the total excitatory synaptic bombardment and a considerable inhibitory bombardment of areas remote from this focus. As it is, both excitatory and inhibitory synaptic action are effective only in so far as they affect the membrane potential of the initial segment. It is here Rrferenrr.~p . 29-31
10
J. C. E C C L E S
C
B
A
57 m V (A) 5 rnV (B, C)
\
5 sec
210 sec
I
15 set
Amsec @b *w 620 sec
1
600sec
Lr 1 1 1 I 1 I I I 1 1 1 1 I I t ---I10 msec 10 msec Fig. 8. Effect of the injection of Na’ ions on the antidromic spike and after-hyperpolarization of a motoneurone, the microelectrode being filled with Naps04 (1.2 equiv. per litre). After obtaining the top record in A, the N a k content of the motoneurone was increased by about 25 p. equiv. by applying a depolarizing current of 4 x lO-*A for 120 sec, and the further records in A were obtained at the approximate times indicated following the injection. Complete recovery had occurred by the time of the last record in A, and the top record of B was then taken. This was followed by the injection of approx. 25 p. equiv. Na+ (applying 5 x 10-sA for 150 sec) and the remaining records in B and C were taken at the indicated times after the injection. All records are formed by superposition of about 40 faint traces. In B and C, a full action potential has been set up in each sweep, although the spike is not shown with the slow sweep and high amplification used to display the after-hyperpolarization. Voltage scale applies to different parts of the figure as indicated. (From Coombs et al., 1955a.)
EXCITATORY RESPONSES OF SPINAL NEURONES
11
that the conflict between excitation and inhibition is joined, not generally over the motoneuronal surface, as was envisaged by Sherrington in his concept of algebraic summation (Sherrington, 1925; Eccles and Sherrington, 1931). It is possible to alter the ionic composition of a motoneurone by passing a current through a microelectrode filled with an appropriate salt. For example, if a current is passed into a motoneurone through a microelectrode filled with a concentrated sodium salt, it is largely carried into the neurone by Na+ ions and leaves across the surface membrane of the neurone mainly by the outward passage of K + ions. In Fig. 8A the current of 4 x IOPsA for 120 sec will add about 25 p. equiv. of Nab to the cell and at the same time deplete its potassium by about 20 p. equiv. Since a standard motoneurone contsins about 35 p. equiv. of Kf ions, at least half will be removed by the current. It is seen typically in Fig. 8A that immediately after the passage of this current an antidromic impulse i n the motor axon failed to invade the soma and dendrites of the neurone. There was merely an IS spike which was diminished in size and had an abnormally long time course. Invasion was first observed after about 20 sec, but the spike potential was then small and very prolonged. Thereafter progressive recovery occurred, so that a normal spike potential was observed about 300 sec later. All of the experimental observations on the neuronal spike potential are explained satisfactorily by the hypothesis stated above (cfi Hodgkin, 1958) that the spike potential arises because of a brief high permeability first to Naf ions and then to K+ ions. The steep rising phase of the spike with reversal of the merrbrane potential is attributable to the intense net inward flux of Na+ ions, which causes the membrane potential to approach the equilibrium potential for Na+ ions. The intracellular injection of 25 p. equiv. of Naf ions would cause a very large diminution of the concentration difference across the membrane, and hence account for the much slower rising phase of the spikes at 25 sec in Fig. 8A. Its lower voltage can be explained both by the lowered equilibrium potential for Na+ ions resulting from this change in concentration and by the diminution of membrane potential which resulted from the Na+ injection. Similarly, the slower falling phase of the spike in Fig. 8A is attributable to the lowered internal concentration of K+ ions with the consequent diminution in the outward flux of K f ions during the phase of high K + ion permeability. It is significant that the slow rising phase seen in Fig. 8A is a prominent feature only when there is an incr:ased internal Na + concentration, while the slow falling phase occurs whenever the internal Kf concentration is diminished. In Fig. 8A the slow recovery back to normal indicates that there has been an extrusion of the excess of Nak ions and a replacement of the lost K + ions. The extrusion of the Naf ions occurs against the electro-chemical gradient and hence must be due to the operation of the sodium pump (c$ Fig. 1). The absorption of K + ions could be due in part to diffusion along the electro-chemical gradient, but in part the potassium pump must be concerned because the normal internal potassium concentration is about double the equilibrium concentration (Coombs et al., 1955a). Under certain specified conditions the maximum slopes of the rising and falling phases of the spikes can be used as measures of the internal Nai- and K+ ion concenReferences p . 29-3/
12
J. C. E C C L E S
trations respectively. Using these criteria Ito and Oshima (1964) have shown that, after an injection of Na+ ions as in Fig. 8, the normal concentrations of Na+ and K are restored with an exponential time course, For example in the differentiated records of Fig. 9A the maximum slopes for the SD spike are given by VZ and V4. When the +
I C
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Fig. 9. (A). The sizes of the four peaks in the rising and falling slopes of the differentiated antidromic spike are shown by VI, VZ,V3 and V4. (B). Differences of VZ and V4 from their respective values at full recovery (VZ and V4) are plotted on a semilogarithmic scale against the time after an injection of sodium ions by a depolarizing current of 5 x lo-* A for 60 sec into a PBST motoneurone. ( C ) . Changes in the after-hyperpolarization following the indicated sodium injection from a NaCI-filled single microelectrode inserted into gastrocnemius-soleus motoneurone. The measurements were made at the points indicated by the arrows in D and E. The interrupted line through the plotted points is an exponential curve with a time constant of 104 sec. (D, E). Specimen records of the membrane potential (upper traces) obtained at 36 (D) and 342 sec (E) after a sodium injection.
differences from the fully recovered values are plotted on a semi-logarithmic scale in B, both VZ and V4 lie on the same straight line, the time constant of these exponential decays being about 90 sec. The identity of these two time courses of recovery indicates that as in other cells (cf. Caldwell et al., 1960a, b) there is the loose coupling of the Na+ and K+ pumps, that is illustrated in Fig. 1. THE AFTER-HY PERPOLARIZATION OF S P I N A L NEURONES
The SD spike potential of motoneurones is always followed by a prolonged afterhyperpolarization (AHP). It is important to discriminate between two motoneuronal hyperpolarizations that are generated by impulses in motor axons. One is the true after-hyperpolarization which is a sequel of the SD spike per se. The other is an inhibitory postsynaptic potential that is generated by impulses in motor axons operating through a pathway from motor-axon collaterals to Renshaw cells (Eccles et al., 1954). With antidromic activation the discrimination is secured easily by employing
13
EXCITATORY RESPONSES OF SPINAL NEURONES
a stimulus that is just at threshold for the axon of the motoneurone under observation. Thus as in Fig. IOA, two sets of records are obtained according to whether the axon is or is not excited, the difference between them being attributable to the true afterhyperpolarization. This method of discrimination depends on the experimental finding
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Fig. 10. (A). After-hyperpolarizations of a motoneurone, occurring at various levels of membrane potential as controlled by extrinsic current. For each record, the stimulus applied to the ventral root was adjusted to the critical strength at which the axon of the particular motoneurone was sometimes excited and other times it was not. The membrane potentials in mV at which the action potentials were evoked are given alongside each record. The resting potential varied from -76 mV to -79 mV. The spike component of the antidromic action potential does not appear in these records, the amplification being too high and the sweep too slow to display it satisfactorily. (From Coombs er al. 1955a.) (B). Diagrammatic representation of K+ ion fluxes during the after-hyperpolarization that occurs when the membrane potential has been preset at three different levels in addition to the resting potential of -70 mV. The relative diffusional fluxes inward and outward are calculated according to the Nernst equation, and are shown as equal at -90 mV (the equilibrium potential) and with the outward flux double the inward at -70 mV. (From Eccles, 1957.)
that an impulse in the axon of a motoneurone has a negligible inhibitory effect on that motoneurone (Eccles et al., 1954). It is of interest that the IS spike of a motoneurone is followed by a negligible after-hyperpolarization (Brock et a/., 1953). This is a further example of the difference between the IS and SD surface membranes. The distribution of synapses is also a distinguishing feature; many on the SD membrane, few on the IS membrane. With a normal neurone the SD spike potential does not immediately reverse to give References p . 29-31
14
J. C. E C C L E S
the AHP, but continues as a declining depolarization for several milliseconds (Figs. 2A, at -77 mV; 8A). The subsequent AHP increases to reach a maximum of about 5 mV at about 10 msec, and thereafter it gradually declines so that it can no longer be detected after about 100 msec (Figs. 8B, C lowest records; IOA). The motoneurones innervating fast contracting muscles have AH P’s of about 70-80 msec duration, while with those innervating slowly contracting muscles the AHP’s have about double that duration (Eccles et al., 1958). This differentiation is of functional significance because the AHP controls the frequency of repetitive discharge of a motoneurone. Thus the motoneurones supplying slow muscles discharge at the low frequencies appropriate for such muscles. There is good correlation between the duration of the AHP’s and the differentiation of motoneurones into tonic and phasic types (Granit et al., 1956, 1957). With cutaneous relay cells (cf. Fig. 6E-G) the spike potential is followed by an AHP that is comparable with that of a motoneurone both in size and duration (Eccles et al., 1960). Long AHP’s have also been observed for the spinal interneurones relaying Group la (Fig. 7K) and Group Ib impulses (Eccles e t a / . , 1960), and for the cells of origin of the ventral spino-cerebellar tract, where the AHP usually has a duration of 30-70 msec (Eccles et a/., 1961b). As shown in Figs. 8B, C and 9D, E the AHP is abolished when a considerable fraction of the intracellular potassium is replaced by sodium. The subsequent recovery follows much the same time course as the recovery of the spike potential. The A H P is similarly changed when depletion of intracellular potassium is coupled with injection of a cation other than sodium, for example tetramethylammonium or lithium ions. Since injection of a wide variety of anions into the neurone is without significant effect on the AHP, it may be concluded that it is not associated with an increased permeability to some anions. It therefore stands in sharp contrast to another hyperpolarizing potential - the inhibitory postsynaptic potential. It thus appears that the AHP is entirely due to the increase in membrane charge produced by the net outward movement of K+ ions. Depletion of intracellular potassium reduces this net movement and may even reverse it, as shown by the inversion of the AHP in Fig.9D. The recovery illustrated in Fig. 8B a n d C provides a good means of evaluating the rate of replacement of the lost intracellular potassium. In Fig. 9C an injection of Na+ ions by a current of 5 x lo-@A for 120 sec resulted i n reversal of the AHP (Fig. 9D) and recovery followed an exponential curve plotted in Fig. 9C. The time constant of this curve is 104 sec, so there is excellent agreement between the time courses of recovery indicated by the two measures of intracellular potassium concentration, the steepness of the declining slope of the spike in Fig. 9B (open circles) and the size of the AHP (Ito and Oshima, 1964). If the A H P is thus due solely to the net outward movement of K + ions, the effect produced by changing the membrane potential becomes of great significance. If the movement of the K + ions is due t o the operation of a pump, it is unlikely that it would be affected greatly by variation in the membrane potential. At least the sodium pump in giant axons is not affected appreciably by such conditions (Hodgkin and Keynes, 1955). On the other hand, if the movement of the K + ions is occurring along
EXCITATORY RESPONSES OF SPINAL NEURONES
15
their electro-chemical gradient, it should be changed very effectively, and even reversed, by varying the potential. Fig. 1OA shows that the size, but not the time course, of the AHP is greatly changed when the membrane potential is varied by an extrinsic current through one barrel of a double microelectrode, being greatly increased by depolarization and diminished by hyperpolarization. It was impossible to extend the series of Fig. 10A beyond a hyperpolarization to -87 mV, because the antidromic impulse then failed to invade the motoneurone. However, extrapolation suggests that beyond a membrane potential of about -90 mV the AHP should reverse to an after-depolarization. These observations indicate that the AHP is due to the net outward diffusional movement of Kf ions and not to the operation of a potassium pump. Furthermore, they show that the potassium equilibrium potential across the neuronal membrane is about -90 mV. Thus, following the spike potential there is a prolonged phase (about 100 msec) of increased potassium permeability of the neuronal membrane. In Fig. 10B there is illustrated the manner in which the AHP is produced by this increased K+ ion permeability and is affected by the level of the membrane potential. The unbalanced Kf ion fluxes, derived by calculation, are shown to be directly related to the size and sign of the after-potential. As revealed by the extent of the compensation, the additional potassium permeability causes an increase of only about 40% above the normal level of membrane conductance. It is probable that such an increase does not require even a doubling of the normal potassium permeability. SYNAPTIC EXCITATORY ACTION
Investigations with single stimulation The simplest example of synaptic action is illustrated in Fig. 11, where a single synchronous synaptic bombardment diminishes the electric charge on the cell membrane. There is a rapid rise to the summit and a slower, approximately exponential decay. This depolarization becomes progressively larger in A-C as the number of activated synapses increases. There is in fact a simple summation of the depolarizations produced by each individual synapse. In the much faster records of D-G it is seen that, when above a critical size, the synaptic depolarization evokes the discharge of an impulse, just as occurs in peripheral nerve, there being the explosive increase in sodium permeability at the double arrows in E-G. The only effect of strengthening the synaptic stimulus in E-G is the earlier generation of the impulse, which in every case arises when the depolarization reaches 18 mV. The depolarizing potentials that excitatory synapses produce in the postsynaptic membrane are called excitatory postsynaptic potentials (EPSP’s). The generation of impulses by excitatory synapses is entirely attributable to the EPSP’s, as may be seen in Fig. 1 IH-K, where an EPSP that failed to generate an impulse was caused to do so when superimposed on an applied depolarizing current, which in I, J, K was 4, 10 and 18 m p A respectively, and so contributed progressively more of the requisite 18 mV depolarization. There has now been extensive investigation of a wide variety of nerve cells in the central nervous system, and in every case synaptic transmission of impulses is due to References p 29-31
16
J . C. E C C L E S V
C
-
msec
Y
A
A‘ msec
Fig. 1 I . (A-C). EPSP’s obtained in a biceps-semitendinosus motoneurone with afferent volleys of different size. Inset records a t the left of the main records show the afferent volley recorded near the entry of the dorsal nerve roots into the spinal cord. They are taken with negativity downward and at a constant amplification for which no scale is given. Records of EPSP are taken at an amplification that decreases in steps from A to C as the response increases. Separate vertical scales are given for each record of EPSP. All records are formed by superposition of about 40 faint traces. (D-G). Intracellularly recorded potentials of a gastrocnemius motoneurone (resting membrane potential, -70 mV) evoked by a monosynaptic activation that was progressively increased from D to G. The lower traces are the electrically differentiated records, the double-headed arrows indicating the onsets of the IS spikes in E-G. (H-K). Intracellular records evoked by monosynaptic activation that was applied at 12.0 msec after the onset of a depolarizing pulse whose strength is indicated in mpA. A pulse of 20 mpA was just below threshold for generating a spike. H shows control EPSP in the absence of a depolarizing pulse. Lower traces give electrically differentiated records. Note that the spikes are truncated. (From Coombs et al., 1957b.)
this same process of the production of EPSP’s, which in turn generate impulse discharge when attaining a critical level of depolarization. For example Fig. 6A, B and C shows the effect of progressively larger synaptic excitation on a cell of the dorsal spino-cerebellar tract. In Fig. 6E and F the EPSP can be seen rising to the level at which a spike is initiated in a neurone in the dorsal horn that is monosynaptically excited from cutaneous afferent fibres. Interneurones of the intermediate nucleus also show graded EPSP responses as in Fig. 7A-D, while the faster traces of Fig. 7 E-H show the generation of an impulse when the EPSP is above a critical level. Where the IS threshold is much lower than the S D threshold, as for example in the motoneurone, the EPSP produced by the activation of synapses covering the soma and dendrites is effective not by generating an impulse in these regions, but by electro-
EXCITATORY RESPONSES OF S P I N A L NEURONES
17
tonic spread of the depolarization of the initial segment, which would occur by lines of current flow which are the reverse of those indicated in Fig. 4F. By recording the impulse discharged along the motor nerve fibre in the ventral root, it is found that usually this impulse starts to propagate down the medullated axon about 0.05 msec after the initiation of the IS spike. For example, it is calculated from the conduction time for the antidromic impulse in Fig. 12A and B that the impulses in D, E, G-J were ANTIDROMIC
DIRECT
0 RTHODROMIC
msec
Fig. 12. Upper traces are intracellularly recorded spike potentials evoked in a biceps-semitendinosus motoneurone (resting membrane potential, -60 mV) by an antidromic impulse (A, B), by a depolarizing pulse that began at the artifact and continued throughout the traces (C-E) and by monosynaptic activation by an afferent volley from the nerve to biceps-semitendinosus (F-J). In A, C and F the lower trace is an electrically differentiated record of the upFer trace. In D, E, G-J the lower trace is recorded monophasically from an isolated ventral root filament of L7. In the lower trace of B the electrode that records monophasically is used to record the antidromic volley relative to an indifferent earth lead, negativity being downwards. Arrows in D-J indicate time of initiation of the impulse in the medullated axon, as calculated from the spike in the ventral root, the measured antidromic conduction time after allowance of 0.07 msec for the M-IS interval. Same voltage scale for all intracellular records, and time scale obtains for all records. A compensatory circuit was employed with the depolarizing pulses of C-E. (From Coombs et al., 1957b.)
set up in the medullated axon at the times of the arrows, i.e. at a time 0.05 msec after the onset of the IS spike. Invariably, in normal motoneurones, synaptic excitatory action generates an SD spike, not directly by its depolarizing action, but indirectly through the mediation of an IS spike which lifts the depolarization of the SD membrane to threshold by currents that flow in the direction shown in Fig. 4F (Coombs et al., 1957b; Terzuolo and Araki, 1961; Araki and Terzuolo, 1962). When we investigate the way in which excitatory synapses produce the characteristic time course of the EPSP (Fig. 11 A-C), it is found that this depolarization of the postsynaptic membrane is due to currents flowing as shown in Fig. 13B from the membrane in through the cleft and so into the postsynaptic cell. Actually, analysis of the EPSP by means of the electric time constant of the membrane indicates that these References p . 29-31
18
J. C . E C C L E S
currents have the very brief duration shown by the broken line in Fig. 13A (Curtis and Eccles, 1959). By the voltage-clamping technique Araki and Terzuolo (1962) have obtained direct
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Fig. 13. (A). The continuous line is the mean of several monosynaptic EPSP's, while the broken line shows the time course of the subsynaptic current required to generate this potential change. (B). Diagram showing an activated cxcitatory knob and the postsynaptic membrane. As indicated by the scales for distance, the synaptic cleft is shown at 10 times the scale for width as against length. The currcnt generating the EPSP passes in through the cleft and inward across the activated subsynaptic membrane. (C).Formal electrical diagram of the membrane of a motoneurone with, on the right side, the circuit through the subsynaptic areas of the membrane that are activated in producing the monosynaptk EPSP. Maximum activation of these areas would be indicated symbolically by closing the switch. (D-I). EPSP's of neurone; recorded intracellularly as described in the text.
A
B
D
I
;
2 msec
E
-2 msec Fig. 14. Voltage-clamp method of determining the excitatory synaptic current flow. In A and D lower trace shows monosynaptic EPSP with a later spike in D. Under voltage-clamp conditions at the resting membrane potential the same monosynaptic excitation evokes the currents shown in B and E respectively. In C are plotted the current ( I ) and the voltage (2) shown in B and A respectively. (From Araki and Terzuolo, 1962.)
19
EXCITATORY RESPONSES OF S P I N A L NEURONES
records of the current that flows through the subsynaptic membrane when an EPSP (Fig. 14A) is produced by a single presynaptic volley. The membrane potential is clamped at the resting level in Fig. 14B and the current flow required for this clamping during synaptic activation can be assumed t o be an actual record of the flow of current across the activated subsynaptic membrane (Fig. 13B). This technique is necessarily imperfect because of the synapses on dendrites remote from the application of the clamp; but it is certainly a more reliable method than the analysis
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Fig. 1 . Ipsilateral mass discharges in the dissected dorsal part of the lateral funicle (DLF) and from the spinal half. Recording was made in the mid-thoracic region, in A-D from a dissected fascicle of the extent shown by the hatched and black area in the left spinal cord section and in E-H from the spinal half (except dorsal column). The superficial peroneal nerve (SP) was stimulated in A, C, F and H and the quadriceps nerve (Q) in B, D, E and G. Lower records were taken after the spinal cord lesion shown in black in corresponding sections below the records. (A-D, E and G from Laporte et al., 1956a; F and H from Oscarsson, 1958).
Ia
-
10
0
I b
10
Fig. 2. Contribution from Ia and Ib afferents to the mass discharge in the dissected DLF. Recording was made as in Fig. 1 (lower traces with negativity downwards) and simultaneously from a dorsal root filament in L5 (upper traces) and triphasically from the L5 dorsal root entry zone. The quadriceps nerve was stimulated at increasing strength. In the curve (from another experiment) 100% on the ordinate is the discharge evoked in the DLF by a maximal group I volley (Lundberg and Oscarsson, 1956).
137
ASCENDING SPINAL PATHWAYS
The ipsilateral dissected cord, except the dorsal column, was dissected free and placed on electrodes. Record F was taken after the dorsal lesion shown in the drawing below the records ; the early monosynaptic component has disappeared but part of the late mass discharge remains. In Fig. 2 the separation of the group I volley in Ia and Ib components (Bradley and Eccles, 1953; Eccles et a/., 1957; Laporte and Bessou, 1957) 10 msec
A
B
I
Fig. 3. Late mass discharges evoked from high threshold muscle afferents. Recording as in Fig. 1 from the dissected DLF (lower traces with negativity downwards) and from a dorsal root filament in L.5 (upper traces). The quadriceps nerve was stimulated. Group I and group I1 afferents were stimulated in A, the additional late discharge in B was evoked from group I11 afferents (Laporte et al., 1956a).
B
A
I m sec
C
D
E
I
Fig. 4. Mass discharges evoked from cutaneous afferents. Recording as in Fig. 1 from the dissected DLF (upper traces) and from the saphenous nerve (lower traces). The saphenous nerve was stimulated at increasing strength, that in E being maximal for 6-fibres. Observe that upper and lower traces were recorded at different speeds and that a slow speed was used in F-H (Laporte et al., 1956a).
was used to investigate the effect from muscle spindle and Golgi tendon organ afferents. The records and the curve clearly show that both Ia and Ib afferents contribute. Fig. 3, at slower sweep speed shows that there is a late mass discharge when high threshold muscle afferents are stimulated. The late effect in A is evoked mainly from group I1 (cf. also Fig. 5 , E and F) and the additional effect in B from group 111 muscle afferents. With respect to the discharge evoked from cutaneous afferents Fig. 4 shows that the early monosynaptic discharge is evoked from very low threshold cutaneous afferents (A) and that the higher threshold afferents in the &range contribute a late component. The effects from C fibres have never been investigated. References p . 160-163
138
A. L U N D B E R G
Unit recording: The mass discharges described above can be accounted for by activity in large axons (Laporte et al., 1956b). Many neurones can be activated from low threshold group la fibres and in many of these fibres an additional (probably monosynaptic) spike is evoked from group I1 afferents (Fig. 5). Other neurones are activated by group Ib afferents as is illustrated in Fig. 6, in which triphasic recording from the G A h -
H
B
1 .
D
L
50msec
1
2 msec Fig. 5 . Neurones activated from muscle spindles. In A-F intra-axonal recording from the DLF (right vertical trace), from the dissected DLF (left vertical trace) and from a dorsal root filamcnt in L5 (horizontal trace). Records E-F were obtained with increasing strength of stimulation of the quadriceps nerve. Observe that the group I spike displays separation in l a and Ib and that the first spike appears with a very low threshold Ia volley, but the second spike in the axon only whcn group I1 fibres are stimulated. Records G I were obtained in another experiment in which the ner\es were in intact connection with the muscles. The axon in the D L F was monosynaptically activated from low threshold group I afferents in the G-S nerve. The neuronc discharged on stretch of the muscle ( G ) and paused during isometric contraction (H and I). Record K shows the discharge in another neuroce on stretch of extensor digitorum longus for the duration shown by the black line. (A-F from Laporte et al., 1956b; G-I from Lundberg and Oscarsson, 1956; and K from Holniqvist et nl., 1956).
dorsal root entry zone and recording from a dorsal root filament was used to differentiate between group Ib and I1 afferents. Experiments with adequate stimulation revealed that, correspondingly, the discharge in some units pauses (Fig. 5) and in other units (Fig. 6) accelerates during contraction as would be expected from units activated from muscle spindle and a Golgi tendon organ afferents respectively (Laporte
ASCENDING SPINAL PATHWAYS
139
and Lundberg, 1956; Lundberg and Oscarsson, 1956; McIntyre and Mark, 1960). A third type of neurone does not receive excitatory action from group I muscle afferents but a train of impulses is evoked from high threshold muscle afferents (Fig. 7). In all likelihood the action is polysynaptic but this is difficult to establish with certainty because of the slow conduction in the primary afferents. There is a
E
F
G
H
L(
100 msec
Fig. 6. Neurone activated from tendon organ afferents. In each record simultaneous recording from above, downwards from L5 dorsal root filament, triphasically from dorsal root entry zone, intraaxonally from fibre in the D L F and from the dissected DLF. Stimulation of the quadriceps nerve. Observe that the axonal discharge in C is evoked at a strength below threshold for group I1 afferents. E-H were obtained from a neuron that discharged during contraction of soleus (Lundberg and Oscarsson, 1956).
remarkable degree of convergence from ipsilateral nerves on to these neurones. Not only are they activated from antagonist muscle but from practically all muscles in the hindlimb and also from high threshold joint afferents and very effectively from cutaneous afferents (Laporte et al., 1956b; Holmqvist et al., 1956, 1960a, b ; Oscarsson, 1958). I n many of these units a single cutaneous volley evokes a train of 10-20 impulses of which the first impulse often is monosynaptically evoked. Later discharges may be polysynaptic. On adequate stimulation of skin and muscles (Fig. 7, F) there may be a long-lasting discharge after cessation of stimulation. These afferents give rise to the flexor reflex and have been denoted flexor reflex afferents (FRA). As will be described in the following sections the FRA influence many ascending spinal pathways. A fourth type of unit was monosynaptically activated by low threshold cutaneous afferents but did not receive excitation from high threshold muscle afferents. Adequately some of these units were activated on light pressure of the pad and others by tactile stimuli from very small receptive field. In section 3 it will be described that units of the latter type do not belong to the dorsal spinocerebellar tract. The exReferences p. 160-163
140
A. L U N D B E R G
2 msec Fig. 7. As in Fig. 5 but recording from a neurone that is activated from high threshold muscle afferents and not from group I muscle afferents. The quadriceps nerve was stimulated a t increasing strength in A-E. Volleys in group I1 afferents evoke the impulses in C and D, the additional impulses in I are evoked from group 111 afferents. Record F was obtained in another experiment from a neurone of this type. There is a resting discharge of l/sec lower part of the record, and a load of 500 g was attached to the quadriceps tendon for the duration of the black line. There is a discharge that for a long time outlasts the stretch. Such a discharge was evoked from all six muscles tested. (Laporte et al., 1956b; and F from Holmqvist et al., 1956).
periments described above served as a basis for the analysis of the dorsal spinocerebellar tract (DSCT) and the spinocervical tract as will be described in the following sections.
(2)
THE DORSAL SPINOCEREBELLAR TRACT
From recording of evoked cerebellar potentials, it could be concluded that group 1 activated neurones described in the last section belong to the DSCT (cf. Grundfest and Campbell, 1942; Laporte et a/., 1956a). A close analysis did reveal that also on stimulation of cutaneous afferents an evoked potential can be recorded from the anterior cerebellar cortex and that this potential can be ascribed to monosynaptic activation of DSCT neurones (Lundberg and Oscarsson, 1960, their Fig. 5 and detailed discussion p. 365).
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A S C E N D I N G S P I N A L P A T H WAYS
For a further analysis DSCT units were identified by antidromic activation from the anterior cerebellar cortex as shown in Fig. 8 (Lundberg and Oscarsson, 1960). As shown in the diagram intra-axonal recording was made in the thoracic region and, i n addition to cerebellar stimulation, the lateral funicle could be stimulated in the mid-thoracic region and in L5. The unit in Fig. 8 was monosynaptically activated A
2"
DSCT
D
L5
i
2 msec
Fig. 8. Identification of DSCT axon by antidromic stimulation from the cerebellar cortex. Microelectrode recording from DSCT axon (upper traces) and in the lower traces of A, D and E from the contralateral spinal half (except the dorsal column). The discharge in A was evoked from the left gastrocnemius-soleus nerve ( G ) . The left intermediate cortex of the anterior cerebellar lobe was stimulated in B and the left lateral funicle at the indicated levels in C-E. The diagram t o the right gives termination of 57 DSCT axons as indicated by the low threshold foci for antidromic activation of individual axons. Vertical lines denote border of the intemediate regions, horizontal lines sulci (Lundberg and Oscarsson, 1960).
from group I muscle afferents (A) and could be antidromically activated on stimulation of the lateral funicle in Th8 (C) and from the intermediate region of the ipsilateral anterior cerebellar cortex at low threshold from a very circumscribed field. By contrast to the VSCT (cf. section 4) the DSCT axons could at threshold stimulation only be activated from a very small cortical area indicating that the individual DSCT fibres have only a small terminal area. The diagram to the right in Fig. 8 shows the terminal area for DSCT axons. The main termination is in the ipsilateral intermediate rzgion, though there is probably also a termination in the most lateral part of vermis. The lateral distribution of the DSCT has not been decided with anatomical methods in the cat. With respect to the longitudinal distribution it has been shown with anatomical methods (Grant, 1962) that the anterior terminal area of the DSCT comprises Larsell's lobules I-IV. The terminal area in Fig. 8 is the posterior part of this area. The rostral part of the anterior cerebellum in opposition to the lower corpora quadrigemina was not exposed for stimulation. A number of fibres were activated at higher strengths from the anterior margin of the exposed cortex and probably terminated in the more rostral not exposed part of the anterior cerebellum. It must be noted that of the group I activated neurones only 76 % could be antidromically stimulated from the anterior cerebellar cortex. The most likely possibility is that the remaining axons terminated References p . 160-163
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in the rostra1 buried area discussed above; another alternative would be the posterior lobe where a DSCT termination occurs in pyramis and its adjoining folia (Beck, 1927; Brodal and Jansen, 1941 ;Anderson, 1943; Grant, 1962). There is, however, the possibility that the axons of some group I activated neurones do not reach the cerebellar cortex; a spinovestibular connection should, in particular, be looked for (Lorente de N6, 1924; Pompeiano and Brodal, 1957). In the following discussion of the functional organization it will be assumed that all group I activated axons in the DLF belong to the DSCT. There was in Fig. 8 no activation by a strong stimulus in LV (D) but when the electrode was moved proximally to upper LV this axon could be stimulated. Of more than 200 identified DSCT axons, none could be stimulated from L5. This is in agreement with the fact that Clarke’s column in cat nerves extends beyond the fourth lumbar segment (Rexed, 1954). It is well established with anatomical methods that the DSCT originates from Clarke’s column (Flechsig, 1876) and experiments with intracellular recording from Clarke’s column cells have given confirmatory evidence (Curtis et al., 1958; Eccles, Oscarsson et al., 1961). The DSCT axons are uncrossed i n the spinal cord (a few exceptions have been found) and their mean velocity is 78 m/sec, ranging from 110 to 40 m/sec. The following main subgroups of DSCT neurones were identified by antidromic stimulation from the cerebellar cortex : (I) Neurones, monosynaptically activated by Ia(and11) muscle afferents (cJ Fig. 5 ) ; (2) Neurones, monosynaptically activated by Ib muscle afferents (cf. Fig. 6); (3) Neurones, monosynaptically activated from the pad by light pressure ; (4) Neurones, monosynaptically activated exclusively from skin. These units are adequately effectively activated by tactile stimuli, from a relatively restricted skin field, but additional activation is given by pressure and pinching from a larger area; (5) Neurones, activated from skin as (4) in addition from high threshold afferents of many muscles (cf. Fig. 7). It is an important principle that an ascending spinal pathway may have subdivisions with widely different function. In considering the functional significance of the message forwarded by these subgroups of DSCT it is pertinent to start with the proprioceptive carried by group I activated neurones. Both with the neurones activated by spindle afferents and those activated by tendon organ afferents there is a restricted receptive field, often only one muscle but sometimes a few (Laporte et a/., 1956b; Holmqvist et al., 1956; Curtis et al., 1958; Lundberg and Winsbury, 1960; Eccles, Oscarsson et al., 1961). The Ia activated DSCT neurones is the only pathway known that gives la information to higher centres from the hindlimbs and the Ib channel is exclusive in informing higher centres of the tension in single muscles. The linkage from group I afferents is often very strong; some neurones can follow frequencies of afferent stimulation of more than 500/sec (Holmqvist et al., 1956). On repetitive stimulation as well as with adequate stimulation the neurones usually respond effectively only from one muscle (Fig. 9). Attention has been given to the problem whether Ia and Ib afferents converge onto the same DSCT neurones. In experiments with adequate stimulation there is little or no indication of such convergence (Lundberg and Oscarsson, 1956; Lundberg and
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Winsbury, 1960). With electrical stimulation and recording from axons it was noted that in many neurones, excited by Ia, a second postsynaptic spike appeared with a Ib volley generated in the refractory period of the preceding la volley. This indicated convergence of Ia and Ib, and in recent experiments with intracellular recording
U
10 msec
10 rn sec c (
5 msec c (
"1111
* Fig. 9. Group I convergence on DSCT neurone. Recording from fibre in the DLF and in A, B, E, F also from the dorsal root entry zone in L7 and from the dissected DLF (middle traces). The nerve to gastrocnemius-soleus (G-S) was stimulated in A and B, the nerve to quadriceps in E and F. In C and D the G-S nerve was stimulated at different frequencies. The quadriceps nerve was stimulated in G and the plantaris nerve in H. The test with repetitive stimulation has shown that G-S is the main receptive field of this neurone (Holrnqvist et al., 1956).
---
12 m V
1 msec
-LLLLL"-
F
1.08
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H
d
1.42
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Fig. 10. Convergence of group Ia, Ib and I1 afferent impulses on DSCT cell. The upper traces are intracellular from a DSCT cell and the lower are from the dorsal root entry zone. The nerves to posterior biceps-semitendinosus (PBSt) were stimulated in A-E and the nerves to anterior bicepssemimembranosus (AbSm) were stimulated in F-J. For both nerves the group I volley displayed the separation in Ia and Ib components. Observe that the effect from PBST is evoked from Ia and that there is additional EPSP from group I1 (record E, arrow). The effect from AbSm, on the other hand is evoked mainly from Ib afferents (H-J). Stimulus strengths are indicated in multiples of threshold strengths (Eccles, Oscarsson et a[., 1961). References p . 160-163
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(Eccles, Oscarsson et al., 1961) have given decisive evidence that this may occur (Fig. lo). In addition it was found that the group I1 connection is not exclusively with the neurones receiving la excitatory action but that there are also neurones receiving excitatory action only from Ib and group I1 afferents. However, the majority of the cells received effect either from l a or from Ib afferents. As regards forwarding of information to the cerebellum, it seems possible that the convergence of Ib on the la activated and of group I1 afferents on the Ib activated DSCT neurones are aberrant connections without much functional significance. There is convergence of many primary afferents on DSCT neurones and reason to assume that effective synaptic activation during adequate stimulation requires considerable summation. When considering the proprioceptive information in DSCT, attention must also be given to inhibition of transmission from group I muscle afferents. This was first described by Grundfest and Campbell (1942) and has been repeatedly confirmed with axonal recording. Inhibition by group 1 volleys from antagonists and from other muscles in the hindlimb and also from muscles providing excitation has been reported (Laporte eta/., 1956b; Laporte and Lundberg, 1956; Lundberg and Oscarsson, 1956; Holmqvist et a/., 1956). With intracellular recording disynaptic IPSPs have been found (Curtis et al., 1958; Eccles, Oscarsson et al., 1961). There is also evidence of polysynaptic IPSPs from group I muscle afferents (Eccles, Oscarsson et al., 1961). Eccles, Oscarsson et al. (1961) found that many of the DSCT cells did not receive IPSPs and suggest that the inhibition of discharges discussed above, is due to presynaptic inhibition of transmission from group I muscle afferents (cf. Eccles, Oscarsson et a/., 1961; Eccles et al., 196313). This presynaptic inhibition differs from that observed of group l a action on motoneurones in that the Ia terminals to DSCT receive primary afferent depolarization not only from group 1 afferents of flexor muscles but also from extensors. On the other hand Ib afferents to the DSCT receive their main primary afferent depolarization from extensors, whereas in the segmental connection flexors and extensors contribute equally to the primary afferent depolarization of Ib terminals (Eccles et a/., 1963a). Another difference is that volleys in cutaneous afferents probably also evoke presynaptic inhibition of transmission to DSCT (Eccles et a f . , 1963b, their Fig. 3). A further study of the inhibition to DSCT may provide a clue to a possible integration in the Clarke’s column relay. With respect to the inhibitory connection (particularly postsynaptic) it must be emphasized that the DSCT neurones have a resting activity (about lO/sec) and that this resting activity is not depending on primary afferent activity (Holmqvist et a/., 1956). There is the possibility that the DSCT can relay inhibition against a background of resting discharge. However, in those group I activated DSCT which are very effectively activated from spindle or tendon organ afferents of one muscle this is such a dominating event that it seems doubtful if inhibition can serve any other function than eliminating stray excitation from other muscles. However, in some neurones the adequate activation is not very effective, and in those inhibition may play a more important role. There is the possibility that some DSCT neurones forward a highly integrated message, at present poorly understood. There is no evidence for a parallelism with the segmental actions from group I afferents.
ASCENDING SPINAL PATHWAYS
145
Also the exteroceptive subgroups of the DSCT are of interest. One of these channels informs exclusively about pressure on the pad and each neurone is usually activated from one or part of one pad. It is easy to understand that this information is of importance in cerebellar integration of posture and movements. Neurones of the other exteroceptive channels are characterized by the lack of modality specificity in that they can be activated by touch, pressure and pinching. The significance of this convergence is not understood, but in any case the anterior cerebellar gets reasonably good spatial information regarding cutaneous events through this channel. The fifth subgroup finally is activated from the FRA (cf. Fig. 7) and cannot be classified either as exteroceptive or proprioceptive. The action from skin is often monosynaptic and from skin these neurones, as the fourth subgroup, respond on touch, pressure and pinching, with larger receptive field, for the different actions in the same order. In addition these units are activated by high threshold afferents from many muscles. The significance of the FRA influence will be discussed separately in section 7 in connection with the supraspinal control of transmission from the FRA. Under certain conditions of supraspinal control this DSCT channel may function like the fourth group as an exteroceptive channel. Some of the DSCT neurones that are activated from group I muscle afferents may in addition be influenced from the FRA, some are excited, others inhibited (Lundberg and Oscarsson, 1960; Lundberg et al., 1963). There is the possibility that these admixtures represent aberrancies in the connection to the two DSCT channels. In recent A
6
-
-
10 rnsec
2 rnsec
Fig. 11. Contribution of pathways not belonging to the DSCT to the mass discharge in the DLF. As in Fig. 1 recording from the left dissected DLF (ThlO); in each record simultaneous recording at two sweep speeds. Supramaximal stimulation of the left hamstring nerve in A and B and of the left superficial peroneal nerve at a strength of 1.03 times threshold in C and D and at 20 times threshold in E and F. The right records B, D and F were taken after a section of the dorsal part of the lateral funicle in L5. Observe the marked decrease of the discharge evoked from cutaneous afferents but that a small monosynaptic discharge remains in F. The discharge evoked from group I muscle afferents is not changed by the lesion but thereis a reduction of the latemass discharge (LundbergandOscarsson, 1961).
experiments we have seen these effects more frequently and it cannot be excluded that there are special subgroups of DSCT neurones with these mixed actions and that they may forward significant information. Rrferences p. 160-163
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(3)
THE SPINOCERVICAL TRACT
In the literature there has been a tendency to ascribe all discharges that can be recorded from the dorsal part of the lateral funicle to the DSCT. Anatomical investigations give good evidence for another pathway (for references see Busch, 1961) and the physiological investigations have made it possible to define a new pathway; the spinocervical tract. It is not known if this pathway is identical with the spino-olivary tract of Grundfest and Carter (1954). Figs. 11 and 12 illustrate the contribution that this pathway makes to the mass discharges in the dissected DLF, discussed in relation to Fig. I . Fig. 11 shows that after a lesion in L5 caudal to Clarke's column there is, as would be expected, no change in the group I evoked discharge which is in the DSCT, but a dramatic change in the mass discharge evoked from cutaneous afferents, the early part of the discharge a large part of which appears at very low strength of stimulation (C) cannot be evoked after this lesion. There remains a cutaneous change (F) having a latency 0.3 msec longer than that in E before the lesion. The discharge in F is in the DSCT (cf. section 2 ) but the early monosynaptic discharge in E must be
-
A m e d . fasc.
Hamstr.
sup. P
A
p"
Fig. 12. There was simultaneous recording from two dissected fascicles as shown in the drawing. In each record the upper trace is from the medial and the lower from the lateral funicle. The ipsilateral hamstring nerve was stimulated at a strength of 2 times threshold in A and 30 times threshold in C . The ipsilateral superficial peroneal nerve was stimulated in B and D at strengths of 1.05 and 20 times threshold respectively. The discharge from group I muscle afferents is in the lateral funicle. Most of the early monosynaptic discharge was evoked from cutaneous afferents particularly a t the lower threshold in the medial fascicle but there was a small component also in the lateral (arrow in D) (Lundberg and Oscarsson, 1961).
in a pathway having cells of origin caudal to Clarke's column. This pathway is more effectively activated than DSCT at low threshold stimulation of cutaneous nerves, but the differences in latency in E and F is probably caused by the slower conduction velocity that the cutaneous afferents have in the dorsal column where they pass up to Clarke's column (Lloyd and McIntyre, 1950). Fig. 12 illustrates that the DSCT and the pathway having origin caudal to Clarke's column have different location in the lateral funicle. Two fascicles were dissected as shown in the figure. Whereas the lateral fascicle contains the group I evoked DSCT discharge, the early cutaneous discharge is largely in the medial fascicle. It is, however, noteworthy that on stimulation of muscles afferents there is a late mass discharge evoked from high threshold muscle afferents also in both the medial and the lateral fascicle (record C). Likewise there is in Fig. 11 (A and B) after the lesion of the lateral funicle in L5 a reduction in the late mass discharge. With recording from single
ASCENDING SPINAL PATHWAYS
147
fibres two types of neurones were encountered, which were identified as not belonging to DSCT in that they could not be antidromically activated from the anterior cerebellar cortex and in that these axons could be stimulated in the lateral funicle in L5: (1) These are the most numerous and are monosynaptically activated by the most low threshold cutaneous afferents from the ipsilateral side. They are adequately activated by light touch from a very restricted cutaneous field but do not receive additional activation on pressure and pinching of the skin.
Tib
5 msec
Fig. 13. Identification of spinocervical tract axon. Microelectrode recording from axon in:the most dorsomedial part of the DLF in the lower thoracic region and in C also from the contralateral spinal half (except dorsal column). The neurone was monosynaptically activated from the tibia1 nerve and adequately exclusively by tactile stimulation of one toe. The lateral funicle was stimulated at the indicated levels in A and B. The axon could not be stimulated when the cervical electrode was moved to CI. The distance from the site of microelectrode recording to the stimulating electrode in C2 was 150 rnm and to the stimulating electrode in C5 62 mm (Lundberg and Norrsell, unpublished).
(2) Neurones, activated by ipsilateral cutaneous and high threshold muscle afferents. Most of these units could be activated by tactile stimuli from a receptive field, that could be relatively restricted. Additional activation from a larger area is evoked by pressures and pinching of the skin. These neurones resemble closely in their activation the FRA activated DSCT neurones but differ in that the latter receive excitatory action from the sensorimotor cortex (Lundberg et al., 1963). The axons of these two types of neurones conduct at 100-40 m/sec. Intracellular recording has been made from the cells of origin of these axons (Eccles et al., 1960). They are located close to the entry zone of the afferents in the dorsal horn. It has been shown that the axons of both types of neurones terminate ipsilaterally i n the upper cervical region (Fig. 13). The experimental arrangement is shown in the diagram. The axons could be stimulated with a movable electrode in C2 but not when the electrode was moved to C1 and not at any strength from a grid of electrodes in the Referencesp. 160-163
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A. L U N D B E R G
lower medullary region. In the same experiments all DSCT axons could be traced up to corpus restiforme by electrical stimulation. Detailed studies have shown that these neurones forward information to the sensory areas of the cerebral cortex (Norrsell andvoorhoeve, 1962; Anderson, 1962b), and hence is the spinal pathways of Morin’s path to the cerebral cortex, relaying in the lateral cervical nucleus and after crossing, in thalamus (Morin, 1955; Catalan0 and Lamarche, 1957). Gordon and Jukes (1963) have recorded from cells of the lateral cervical nucleus and found responses of two kinds which correspond to the response of the two types of neurones in the spinocervical tract. Morin (1955) originally suggested that this path to the cerebral cortex is supplied by collaterals from the DSCT. This idea has been directly refuted by Norrsell and Voorhoeve (1962) and by Anderson’s demonstration (1962b) that after section of the dorsal column and the spinocervical tract no short-latency evoked potential can be evoked in the sensory area via the direct spinocerebellar tracts. Morin et al. (1963) have also recorded from cells in the lateral cervical nucleus. Despite the evidence for a special spinocervical tract they persist in assuming that the activation is through collaterals from the DSCT (cJtheir Fig. 8). Testing against the resting discharge Lundberg and Oscarsson (196 1) were never able to observe inhibitory action from the periphery on the tactile units of the spinocervical tract. However, presynaptic inhibition is not disclosed by this test and Eccles et al. (1962) have shown that transmission to the spinocervical tract can be presynaptically inhibited by reflex actions from the periphery. We have confirmed this finding also with unit recording. In recording the effect transmitted to cortical cells via the spinocervical pathway Anderson (1962b) did not find surround inhibition as was found with cells activated via the other pathways supplying cortex, the dorsal column system, and that would be expected from the findings of Gordon and Paine (1960) in the gracilis relay. Further attention must be given to this problem, but it seems possible that the presynaptic action cannot very markedly counteract the effective activation that is evoked in the spinocervical tract on adequate activation of the skin. The surround inhibition in the gracilis nucleus, being spatially restricted, is of another order of effectiveness. It is possibly evoked through a different mechanism. Anderson (1962b) has pointed out that the occurrence of inhibition in the dorsal column relay while sharpening the spatial discriminatory power may decrease the synaptic security. Morin’s pathway supplied by the spinocervical tract may mediate information about cutaneous events quickly and with higher degree of safety. Lundberg and Norrsell (1960) found that the tactile placing reaction in the cats hindlimb disappeared after a small lesion interrupting the spinocervical tract. However, this finding cannot be taken to indicate that the spinocervical tract is the afferent path in cortical reflex giving tactile placing because, when Morin’s path was transected in the contralateral ventral funicle after the relay in the lateral cervical nucleus, tactile placing remained. (4)
THE VENTRAL SPINOCEREBELLAR TRACT
Detailed electrophysiological investigations have given information not only of the
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function of this pathway but also of previously unknown anatomical data, as the location of the cells of origin and of its termination. These investigations started with recording from the superior cerebellar peduncles (SCP) where the VSCT is known to form a superficial layer. Volleys in contralateral group I muscle afferents evoke in the SCP a monosynaptically transmitted discharge A
B
C
loo]
J
0
. i 0
Ib
10
n
Fig. 14. Activation of VSCT from Ib afferents. Recording was made with a surface electrode in contact with the superior cerebellar peduncle (SCP) (upper traces). The contralateral hamstring nerve was stimulated at increasing strength. The lower traces show the incoming volley recorded at the dorsal root entry zone. Observe that the discharge in the SCP appears with the Ib volley. This is further shown in the curve in which 100% on the ordinate represents the unconditioned VSCT discharge (Holmqvist and Oscarsson, 1956).
(Fig. 14) that is caused entirely by group Ib impulses (Holmqvist and Oscarsson, 1956; Oscarsson, 1956). This discharge remains after contralateral transection of the cord and after ipsilateral section of the dorsal part of the lateral funicle, but disappears after a superficial lesion in the ipsilateral part of the lateral funicle (Oscarsson, 1956). The further analysis has been made with recording from the spinal cord in the midthoracic level. Stimulation of contralateral muscle afferents give rise to a mass discharge consisting of a monosynaptically transmitted early spike discharge which is caused by Ib impulses and a later mass discharge (Fig. 22a) caused by impulses in high threshold afferents (Oscarsson, 1957, 1958). The late mass discharge is not to any significant extent in the VSCT but in other pathways, that will be dealt with in section 5 and 6 . With recording from single fibres, Oscarsson (1957) was able to show that all neurones that could be monosynaptically activated from contralateral group I muscle afferents belong to VSCT, because they could be antidromically activated References p . 160-163
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from the SCP. In further experiments (Lundberg and Oscarsson, 1962a) these units have also been identified by antidromic stimulation from the cerebellar cortex. A VSCT unit is shown i n Fig. 15 and in G is shown that this unit had a bilateral terminal field in the anterior cerebellar cortex. The diagram to the right shows that the VSCT fibres terminate in longitudinal zones consisting in a medial strip of the intermediate cortex and a lateral strip of the vermal cortex. The majority of the VSCT fibres
Fig. 15. Antidromic identification of VSCT axon from the anterior cerebellar cortex. Lower traces are records from a VSCT axon on the left side and the upper traces are mass discharges from the right dissected ventral quadrant. The neurone was activated monosynaptically from the right hamstring nerve (H, record E with simultaneous recording at two speeds). A and B show antidromic spikes elicited from the two cerebellar termination areas (left and right, Cbl and Cbr), that are indicated in diagram G . Note slight latency differencies. C and D show antidromic spikes elicited from the superior cerebellar peduncle (SCP) and Th 8 respectively. The diagram to the right shows the terminal areas of VSCT axons. Vertical lines indicate border of the intermediate regions, horizontal lines sulci. Observe that recording was made from axons on the left side and that the main terminal area is on the right side (Lundberg and Oscarsson, 1962a).
terminate contralaterally, but some ipsilaterally and some, after branching, both contralaterally and ipsilaterally as shown for the unit in Fig. 15. There was not as for DSCT axons a distinct terminal field, but slightly above threshold the fibres could be activated from fairly large areas. This suggests profuse terminal branching and indicates that single fibres make synaptic contact with cells scattered in large areas of the cortex. The lateral extent of this termination agrees well with that found by Grant ( I 962). The VSCT cell bodies are located in the lateral part of the intermediate zone and base and neck of the dorsal horn (Hubbard and Oscarsson, 1961). After crossing the VSCT ascends in the lateral part of the lateral funicle and enters the SCP on the same side. As shown above the main terminal area is contralateral to that of the tract; in other words, there is a double crossing and the main termination is ipsilateral to the side supplying the Ib monosynaptic excitation. VSCT has a higher conduction velocity than DSCT, the mean value being 92 and 78 m/sec and the fastest 120 and 110 m/sec respectively (Oscarsson, 1956, 1957; Lundberg and Oscarsson, 1960, 1962a, b). The convergence of Ib effects on VSCT neurones have been studied with recording from axons (Oscarsson, 1957) and with intracellular recording from VSCT cells (Eccles, Hubbard et al., 1961). By contrast to the DSCT there is a much more extensive convergence of monosynaptic excitation from contralateral nerves. This con-
ASCENDING SPINAL PATHWAYS
151
vergence is not limited to Ib afferents of synergic muscles. Most of the VSCT neurones belong to two groups, one activated from hip extensors, knee flexors, ankle and toe extensors (Fig. 16), the other group mainly from knee, ankle and toe extensors. Oscarsson (1960) suggests that the VSCT neurones carry information not of changes of tension in single muscles of synergic muscles acting at one joint but concerning
EJ/ PBST
Nk
Q 0
GI
msec
5 msec
Fig. 16. Patterns of excitatory and inhibitory convergence on two VSCT cells obtained with intracellular recording from the cell bodies (upper traces). Lower traces in A-G and I-Q record the incoming volley at the L7 dorsal root entry zone about 2.5 cm caudal to the cells. Records A-H are from one cell, H showing the antidromic spike on stimulation of the contralateral dissected spinal half. Records I-Q are from another VSCT cell. Antidromic invasion was observed, but the cell was lost before the records had been taken. The various nerves stimulated are indicated on each record. Abbreviations: S, sural; CP, common peroneal nerve; FDHL, flexor digitorum and hallucis longus; GS, gastrocnemius-soleus; PBSt, posterior biceps-semitendinosus; Q, quadriceps; SP, superficial peroneal; DP, deep peroneal; AbSm, anterior biceps-semimembranosus. SA in record I stands for sacral roots 2 and 3. The stimulus strength was supramaximal for group I but not for group I1 afferents (Eccles, Hubbard et al., 1961).
stages of movements or position of the whole limb. It is in agreement with this hypothesis that VSCT neurones in their adequate activation from tendon organ require the participation of many muscles (Oscarsson, 1960). VSCT neurones are also characterized by having strong effects from the FRA. References p . 160-163
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Oscarsson (1957) has divided VSCT into two groups, the I-neurones receiving inhibitory actions from the FRA and the E-neurones receiving excitatory actions from the FRA. The former neurones are more common. Fig. 17 shows the inhibitory action of conditioning volleys in muscle and joint afferents on the test VSCT discharges recorded in the spinal half. The inhibition lasting for about 85 msec is followed by a RIGHT HAMSTRING NERVE
-IVSCT
(H)
% IOC
50
0
50
100
RIGHT P KNEE JOINT
0
50
100
150 NERVE
150
ZOO
ti +SCT (0 GS)
---\ % ' a-
250
-
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--
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\
"\
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Fig. 17. Inhibition of VSCT from high threshold muscle and joint afferents. In the curves loOD,; on the ordinate is the unconditioned VSCT discharge recorded in the dissected spinal half and evoked from the contralateral hamstring (H) nerve. The abscissa gives the interval between conditioning and testing volleys. A conditioning group I volley in the contralateral H nerve (same as used for testing) gave no inhibition ( X ) but when high threshold afferents were stimulated (0) a large inhibition resulted. The effect in the lower left curve was evoked from contralateral high threshold joint afferents. In the right curve the abscissa (logarithmic scale) gives the strength of conditioning stimulation in multiples of threshold strength. The outer ordinate is the amplitude of conditioned VSCT discharge in per cent of the unconditioned. Inner ordinate represents amplitude of incoming volleys in per cent of the maximal group I volley. Conditioning volleys were given in the contralateral hamstring nerve and the test VSCT discharge was evoked on combined stimulation of the contralateral quadriceps and gastrocnemius-soleus nerves. The interval between conditioning and testing volleys was 18 msec. Observe that the inhibitory action is evoked from group I1 and I11 muscle afferents (Oscarsson, 1957).
phase of facilitation. The curve to the right in Fig. 17 shows that the inhibition from muscle nerve is evoked by group 11 and 111 afferents. The joint afferents responsible are the high threshold ones activated at a strength above 3 times threshold. A very effective inhibition is also exerted from low and high threshold cutaneous afferents. These inhibitory actions have also been found with intracellular recording (Fig. 16) (Eccles, Hubbard et al., 1961). Inhibition is not, however, evoked exclusively from the FRA. Oscarsson (1957) showed that Ib impulses sometimes can evoke inhibitory actions and this has been confirmed by Eccles, Hubbard et al. (1961). This inhibition is often tri- or polysynaptic and in addition there may be a disynaptic inhibition from Ia muscle afferents. There is probably also presynaptic inhibition of transmission from Ib to VSCT (Eccles et al., 1963b). With adequate stimulation in the spinal cat the VSCT is dominated by the FRA which give inhibition of a resting discharge in I units and excitatory action in E units (Oscarsson, 1957). There are clear effects from muscles evoked both on stretch and contraction and high threshold afferents are responsible for these effects. On con-
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ASCENDING SPINAL PATHWAYS
traction the inhibitory effect from the FRA conceals the facilitatory Ib action in the spinal state. Marked effects are also obtained from skin particularly from the contralateral side. The I units are inhibited but do usually receive excitation from the ipsilateral limb and from the proximal part of the contralateral limb. The E units receive excitatory effects from both hindlimbs. Effects are evoked on light touch but increase with stronger stimulation. The significance of the FRA effects to VSCT will be discussed in section 6 in connection with the supraspinal control of pathways. The VSCT neurones discussed above are those with monosynaptic excitatory action from contralateral Ib afferents. It is not certain that all VSCT neurones do receive this action of the VSCT axons identified with antidromic stimulation from the cerebellar cortex, 46% could not be activated monosynaptically from group I muscle afferents. These neurones may constitute a group of their own but another possibility is that they received monosynaptic excitation from undissected nerves.
(5)
A VENTRAL SPINOBULBAR TRACT
On stimulation of contralateral nerves a late mass discharge (Fig. 18, lower traces in records F-J) can be recorded from the spinal half (Oscarsson, 1958). It is caused
Q
Contra stim
SM
PBSt
-
" -UiL
S
sc
IJU- ++JwaL
'Ivc"
3iilscc
Fig. 18. Convergence onto a bVFRT neuron. Recording from the dissected spinal half (lower trace) and from an axon ascending in the ventral part of the lateral funicle. Supramaximal stimulation of the quadriceps (Q), posterior biceps-semitendinosus (PBSt), semimembranosus (SM), saphenus (S) and sciatic (except hamstring) nerves (Sc). Upper records show the effect from ipsilateral and lower from contralateral nerves. Lower right record is the antidromic spike appearing on stimulation of the dissected spinal half (Oscarsson, 1958).
by activity in a ventral pathway and it has already been illustrated in Fig. 1 that such a late discharge is also evoked in the ipsilateral ventral cord. Oscarsson found that these discharges result on stimulation of group I1 and 111 muscle afferents, high threshold joint afferents and cutaneous afferents, i.e. the FRA that provide inhibition to the VSCT. Axonal recording from the ventral part of the lateral funicle revealed axons of neurones that could be activated from these afferents of a bilateral receptive field as shown in Fig. 18 (Oscarsson, 1958; Lundberg and Oscarsson, 1962b). The axons of these neurones are denoted the bilateral ventral flexor reflex tract (bVFRT) and the mean conduction velocity of the axons is 84 mjsec ranging from 50 to 100 mjsec. Cell bodies of the bVFRT are probably located in the ventromedial part of the grey matter (Oscarsson, unpublished). References p . 160-163
I54
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Investigations regarding the termination of bVFRT (or at least part of it, see next section), has depended on a monosynaptic connection (Fig. 19) that neurones of this type receive from higher centres (Holmqvist et al., 1960b). This descending path takes its origin from the brain stem at the level of the Deiters’ nucleus, but it is not known if the cells are in the vestibular nucleus or in the lateral reticular formation. The descending axons conduct at 100 m/sec and they are extremely effective in activating bVFRT neurones, many of which can follow discharge frequencies of more than 500/sec (Holmqvist et al., 1960b; Lundberg and Oscarsson, 1962b). This descending pathway makes monosynaptic connections also with the VSCT (Oscarsson, 1957; Eccles, Hubbard et al., 1961 ; Lundberg and Oscarsson, 1962a) but in VSCT neurones the action is weaker and does not often give discharges. The monosynaptic discharge evoked from this descending tract has been traced in the brain stem in order to find the termination of the bVFRT (Lundberg and Oscarsson, 1962b). In the lower medullary region the action can be recorded just medially to the VSCT discharge (Fig. 20) (cf. also Bohm, 1953). At a somewhat more rostra1 level of the superior cerebellar peduncle the discharge is smaller but found more dorsally. More rostrally in the nervous system there was only once a trace of action at the level of the inferior colliculi as shown I Fig. 20. Neuroanatomical investigations have revealed termi-
5 msec
7 7
Fig. 19. Descending monosynaptic activation of bVFRT neurone. The upper traces in A-C and E are mass discharges recorded from the dissected spinal half. The lower traces in A-E are from a bVFRT axon ascending in the ventral part of the lateral funicle. Stimulation of the brain stem (BS) through a needle electrode (inserted through the cerebellum to the site shown in the right diagram) was made in record E, the upper trace shows that a single stimulus evokes a monosynaptic mass discharge in the contralateral spinal half. The lower trace with axonal recording shows that the bVFRT neurone was activated from the brain stem. The discharges in A-C are evoked as indicated from the left hamstring nerve (IH), the left superficial peroneal (ISP) nerve and the right tibia1 nerve (rTib). The antidromic spike in D is evoked from the spinal half (Holmqvist et a/., 1960).
nation of ventral ascending spinal pathways in the lateral reticular nucleus (Brodal, 1949) as well as in other reticular nuclei (Rossi and Brodal, 1957; Nauta and Kuypers, 1958) and there is also a spinotectal tract (Morin et a/., 1951 ; Anderson and Berry, 1959). It is not possible to decide if the bVFRT is one of these pathways but it is only tentatively suggested that it is a spinoreticular pathway possibly with a spinotectal component.
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Fig. 20. Termination of the spinobulbar pathway. The left dissected spinal half (except dorsal column) was stimulated in a descending direction in order to activate the descending pathway making monosynaptic connection with bVFRT neurone. The discharge is recorded in the right brain stem with a needle electrode (A and B). For comparison the VSCT discharges evoked from Ib afferents of the left hamstring nerve are also recorded (C and D). The left diagram shows the location of VSCT and bVFRT discharges in the brain stem at a level 3 mm rostra1 to obex. In A and C recording is made from the right inferior colliculus a t the level of the commissure (diagram E), in B and D just caudal to the inferior colliculus (diagram F) (Lundberg and Oscarsson, 1962b).
On adequate activation the bVFRT neurones are excited by the same stimuli that give excitation to the dorsal FRA pathways and inhibition to VSCT. There is the characteristic feature of activation from skin both on touch, pressure and pinching (Lundberg and Oscarsson, 1962b). It is also possible to inhibit this pathway from the periphery. All adequate stimuli of muscle and skin that can give excitation can also give inhibition to this pathway and there is often inhibition and excitation to the same cells from different regions and sometimes even from the same region of the receptive field (Lundberg and Oscarsson, 1962b; Landgren, Lundberg and Vyklick$, unpusblished). Anderson (1962a) and Anderson et a/. (1964) have shown that activity in this pathway can give synchronization or desynchronization of slow waves in the cerebral cortex, but the pathway may have other functions as well (cf. section 7). (6)
OTHER ASCENDING SPINAL PATHWAYS
Other pathways have been recorded but not been identified either with respect to origin or termination. Mention should first be made of the subgroup of bVFRT neurones similar in their activation pattern from the FRA to the spinobulbar tract of section 5, but not receiving any monosynaptic descending excitation from the brain stem. These neurones may be subgroups of the ventral spinobulbar tract, but since the termination of the latter pathway was investigated on basis of the descending monosynaptic activation it is obvious that special experiments are required in order to decide if the two types of bVFRT neurones have the same termination. Lundberg and Oscarsson (1962b) described one ventral pathway activated exclusively from the contralateral FRA, the latency of activation was so brief that monosynaptic actions from the FRA could not be excluded. The question was raised if these fibres could be spinothalamic (cf. Anderson and Berry, 1959) but in further experiments in which antidromic stimulation was tried from the mesencephalon it was Refcrenres p.:16O-i63
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not possible to stimulate these axons antidromically (Landgren, Lundberg and Vyklicki, unpusblished). Reference should finally be made to a third type of neurones found by Lundberg and Oscarsson (1961, 1962b). The axoiis are located in both the dorsal and ventral parts of the cord and characterized by being discharged from the FRA after a long latency. In these experiments part of the spinal cord was in intact connection in higher centres in order to allow antidromic identification from higher centres. With these long latencies it was therefore difficult to exclude that the discharges were recorded from descending axons, that could be activated in the brain stem. However, axons with a similar type of activation pattern have been found also in spinal cats and it is possible that there is an ascending spinal pathway with this characteristics. This is, however, by no means proved since, for example, VSCT neurones can respond in this fashion. In further experiments (Landgren, Lundberg and Vyklickf, unpublished) with stimulation from the brain stem it has been found that these axons can be stimulated from medial regions of the brain stem but in no case was it possible to decide ifit was an ascending axon or the axon of a descending reticulospinal neurone activated from the FRA as described by Magni and Willis (1963). (7)
S I G N I F I C A N C E O F THE EFFECTS FROM THE
FRA
ON ASCENDING SPINAL
PATHWAY
With some of the pathways discussed in the preceding sections it has been rather easy to formulate a hypothesis regarding their function without considering the supraspinal control. This holds true for most of the subdivisions of the DSCT and of the spinocervical tract. With many of the pathways influenced from the FRA the situation is different. It has been a striking finding that so many pathways are influenced by the FRA. This holds true for at least one and possibly three subdivisions of the DSCT (section 2), for one subdivision of the spinocervical tract (section 3) and for all neurones of the VSCT (section 4) and of the spinobulbar pathway, described in section 5. Since both cutaneous and muscle afferents contribute to the action the information can neither be classified as proprioceptive nor as exteroceptive and, at least in the latter two pathways the action from the FRA can only give very crude spatial information. It is, however, noteworthy that these afferents are those evoking the flexor reflex (Eccles and Lundberg, 1959b), the receptive field of which likewise is very large. These similarities raised the question if the FRA message of the ascending pathways in some way could be informative of flexor reflex events in the spinal cord (Eccles and Lundberg, 1959b; Lundberg, 1959; Holmqvist et al., 1960a). This possibility was particularly interesting because of the descending supraspinal control of the flexor reflex paths. Transmission from the FRA to motoneurones can be tonically inhibited from the brain stem (Eccles and Lundberg, 1959a; Holmqvist and Lundberg, 1959) and facilitated from the corticospinal tract (Lundberg and Voorhoeve, 1962). Furthermore there is evidence of alternative paths from the FRA to motoneurones, the descending paths presumably select which path that should be open i n a given situation
ASCENDING SPINAL PATHWAYS
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(Holmqvist and Lundberg, I961 ; Holmqvist, 1961). Information regarding transmittsbility in flexor reflex paths would undoubtedly be valuable information for higher centres and the FRA information of ascending pathways could at least partly have this function. PER CENT 140 6
Fig. 21. Supraspinal inhibitory control of transmission from the FRA to VSCT and bVFRT neurones. In the left curves 100% on the ordinate is the unconditioned VSCT monosynaptic test discharge evoked from the contralateral left gastrocnemius-soleus and posterior biceps-semitendinosus nerves (G-S -1 PBSt) and recorded from the right dissected ventral quadrant. The effect of a conditioning volley in the nerve to the left flexor digitorum longus and in the left sural nerve are shown in the upper and lower curves respectively. The experiment was made on a decerebrate cat in which both the ventral quadrants had been sectioned and the effects were examined before ( 0 ) and after ( Y ) cold blockage of the intact dorsal cord. After rewarming the decerebrate inhibition of transmission from the FRA returned. Conditioning stimulus strength is expressed in multiples of threshold strengths and the initial facilitatory effect in the upper curve was evoked from group I afferents. The right records A-F are recorded from the right spinal half (except dorsal column) in a decerebrate cat. The left hamstring nerve (IH) is stimulated and there is a release of the late mass discharge, evoked from high threshold muscle afferent, after transection of the remaining dorsal part of the cord. As has been found for the action from the FRA to motoneurones (Holmqvist and Lundberg, 1959) there is no further release in E and F after section of the ventral quadrant (Holmqvist et al., 1960a).
From this point of view it is of considerable interest that the supraspinal control systems influence transmission from the FRA t o ascending spinal pathways in the same way as to motoneurones. Fig. 21 illustrates this for the descending inhibitory control from the brain stem that is tonically active in the decerebrate state and probably exerted at an interneuronal level (Holmqvist et a/., 1960a; Oscarsson, 1960). Fig. 22 shows the effect from the sensorimotor cortex; the action from cortex parallels those from the FRA and is caused by excitation from the corticospinal tract of interneurones transmitting actions from the FRA (Magni and Oscarsson, 1961 ; Lundberg et al., 1963). The connections to the spinobulbar pathway are summarized in Fig. 23. It has been described in section 5 that adequate stimulation can evoke either excitatory or inhibitory effects in these iieurones and there is evidence that the inhibition is postReferences p . 160-163
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S*H
A D cortextH
Fig. 22. Effects from the sensorimotor cortex on VSCT and bVFRT neurones. Upper traces were recorded from a VSCT axon (A-D) and from a bVFRT axon (E-J) and lower traces from the dissected right ventral quadrant. The left hamstring nerve was stimulated in A-D (10 superimposed traces). In A at supramaximal strength and in B-D at a slightly submaximal group I strength which unconditioned regularly elicited a spike in the neurone. In C there is inhibition of the spike and the mass discharge by a conditioning volley in the left sural nerve and the inhibition in D was produced by repetitive stimulation of the right sensorimotor cortex. In the bVFRT neurone the discharges in E, F, G and I were evoked as indicated on stimulation of the right and left hamstring nerves (RH and LH) and of the right and left sural nerves (RS and LS). The mass discharge and axonal discharge in G and J were evoked from the sensorimotor cortex on the left and right side respectively (Magni and Oscarsson, 1961).
IPSIL. V T EXC ITAT ION
BIL. PYR. TRACT EXC I TAT ION
L
BIL. RET.-SPINAL IN H I BIT ION
BIL. RET. -SPI NAL INHIBITION
1 P
BIL. FRA EXCl TAT ION
?
BIL. FRA INHIBITION
Fig. 23. Organization at the segmental level of actions from the FRA and of three supraspinal control systems influencing the transmission to bVFRT neurones. Ecxitatory internewones and synaptic knobs are indicated by open circles, inhibitory internewones and synaptic knobs by filled circles Polysynaptic connections are drawn as disynaptic. Ipsil. vt excitation is provided from the tract originating in the brain stem and descending in ventral quadrant to make monosynaptic contact with the neurones. Bil. ret.-spinal inhibition is provided from the centres giving tonic inhibition of transmission from the FRA in the decerebrate cat. The action is drawn to be exerted at an inteineuronal level but this has not been proved. Bil. pyr. tract excitation is the excitatory action exerted from the corticospinal tract on interneurones transmitting effects from the FRA. There is probably also an action from the corticospinal tract on the inhibitory interneurones ttansmitting effect from the FRA (Lundberg and Oscarsson, 1962b).
ASCENDING SPINAL PATHWAYS
159
synaptic (Carpenter et al., 1964), hence the connection from the FRA through excitatory and inhibitory interneurones. It is postulated that the same afferents supply both paths. Through the reticulospinal inhibitory system there can be suppression of both the excitatory and inhibitory paths. It is suggested that the spinobulbar pathway can forward two messages: (1) Excitation which is dominating in the spinal state; (2) Inhibition (through an alternative path from the same afferents) forwarded as cessation of a discharge provided from the very effective descending monosynaptic connection drawn in Fig. 23 and already discussed in section 5. The alternative excitatory and inhibitory pathways from the FRA resemble the situation with motoneurones where this also has been found for paths to ipsilateral flexor and contralateral extensor and flexor motoneurones (Holmqvist and Lundberg, 1961; Holmqvist, 1961). The parallelism is still more striking if the release from the tonic decerebrate supraspinal control is considered. A low pontine lesion that releases the inhibitory paths from the FRA to motoneurones does also release the inhibitory path to the spinobulbar tract. Likewise the excitatory path to the spinobulbar tract and t o motoneurones are released in parallel by a more caudal medullary lesion (Carpenter et al., 1964). These similarities may indicate that the inhibitory and excitatory paths to ascending pathways are related to the corresponding paths to motoneuroncs. The connections to the VSCT have been summarized by Magni and Oscarsson BIL.RET.-SPINAL INHIBITION
PYR. TRACT
EXTRAPYR.
IPSIL.VT EXCITATION
I
I b
F R A f r o m periphery of receptive field F R A f r o m centre of receptive field
Fig. 24. Organization of three ascending and four descending pathways to VSCT. As in Fig. 23 but in addition there is extrapyramidal facilitation that can be evoked from an anterior area of the cerebral cortex and (possibly via the rubrospinal tract) give short latency facilitation of VSCT neurones (Magni and Oscarsson, 1961). References p . 160-163
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A. L U N D B E R G
(1961) and Fig. 24 is from their paper. Apart from the two control systems discussed above, there is also a weak monosynaptic excitation from the descending system discussed above (Oscarsson, 1957) and also extrapyramidal facilitation from the cerebral cortex, possibly via the rubrospinal tract(Magni and Oscarsson,l961). The diagram shows that this extrapyramidal facilitation can be excluded by collateral inhibition from inhibitory interneurones transmitting effects from the FRA. Magni and Oscarsson (1961) have suggested that when the reticulospinal inhibitory control of transmission from the FRA is operating the VSCT transmits monosynaptic I b actions, whereas otherwise an FRA message is forwarded as inhibition of the discharge provided from the two descending excitatory paths. The FRA actions forwarded by the direct spinocerebellar tracts, particularly the strong effects on all VSCT neurones, are of particular interest with regard to the hypothesis that the ascending FRA effects are related to spinal reflex action and of importance in motor regulation. The ideas discussed above may seem very complex, but I do believe, that they give more fruitful basis for further work than, for example, speculations that informations from the different afferent systems acting on these pathways can be coded by higher centres from the discharge patterns. It should not necessarily be assumed that all FRA actions to ascending pathways should be related to reflex events, particularly the FRA subdivision of the spinocervical tract may inform more directly about receptor events.
SUMMARY
This review deals with ascending spinal pathways activated from hindlimb afferents. There is a discussion of the functional organization of the following pathways: (a) the dorsal spinocerebellar tract; (b) the spinocervical tract; (c) the ventral spinocerebellar tract; (d) a spinobulbar tract. The last section deals with the significance of the actions from the flexor reflex afferents on ascending spinal pathways. REFERENCES ANDERSON, F. D., AND BERRY, C. M., (1959); Degeneration studies of long ascending fibre systems in the cat brain stem. J . con?p. Neurol., 111, 2. 195-222. ANDERSON, R. F., (1943); Cerebellar distribution of the dorsal and ventral spinoccrebellar tracts in the white rat. J . c o t p . Neurol., 97,415423. ANDERSON,S. A,, (1962a); Cortical effects by activity in a ventral ascending spinal pathway. Med. Exp., 6 , 21-24. ANDERSON,S. A,, (1962b); Projection of different spinal pathways to the second somaticsensoryarea in cat. Acraphysiol. scand., 56, Suppl. 194, 1-74. ANDERSON,S. A., NORRSELL, U., AND WOLPOW,E. R., (1964); Cortical synchronization and desynchronization via spinal pathways. Acta physiol. scand., in the press. BECK,G . M., (1927); The cerebellar terminations of the spinocerebellar fibres of the lower lumbar and sacral segments of the cat. Brain, 50, 60-98. BOHM,E., (1953); An electro-physiological study of the ascending spinal anterolateral fibre system connected to coarse cutaneous afferents. Acta physiol. scand., 29, Suppl. 106, 106-1 37.
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BRADLEY, K., AND ECCLES,J. C., (1953); Analysis of the fast afferent impulses from thigh muscles. J . PhyJiol. (Lond.), 122, 462-473. BRODAL, A., (1949); Spinal afferents to the lateral reticular nucleus of the medulla oblongata. J. comp. Neurol., 91, 259-295. BRODAL, A., AND JANSEN, J., (1941); Beitrag zur Kenntnis der Spino-Cerebellaren Bahnen beim Menschen. Anat. Anz., 91, 185-195. BUSCH,H. F. M., (1961); An anatomical Analysis of the White Matter in the Brain Stem of the Cat. Assen, Van Gorcum. CARPENTER, D., ENGBERG, I., AND LUNDBERG, A., (1964); Decerebrate control of inhibitory and excitatory actions from the FRA to ascending pathways, to be published. CATALANO, J. V., AND LAMARCHE, G., (1957); Central pathway for cutaneous impulses in the cat. Amer. J. Physiol., 189, 141-144. CURTIS,D. R., ECCLES,J. C., AND LUNDBERG, A., (1958); Intracellular recording from cells in Clarke’s column. Acta physiol. scand., 43, 303-314. ECCLES, J. C. ECCLES, R. M., AND LUNDBERG, A., (1 957); Synaptic actions on motoneurones in relation to the two components of the group I muscle afferent volley. J . Physiol. (Lond.), 136, 527-546. ECCLES,J. C., ECCLES,R. M., AND LUNDBERG, A., (1960); Types of neurone in and around the intermediate nucleus of the lumbosacral cord. J. Physiol. (Lond.), 154, 89-1 14. ECCLES, J. C., HUBBARD, J. I., AND OSCARSSON, O., (1961); Intracellular recording from cells of the ventral spino-cerebellar tract. J . Physiol. (Lond.), 158, 486-516. ECCLES,J. C., KOSTYUK, P. G., AND SCHMIDT, R. F., (1962); Presynaptic inhibition of the central actions of flexor reflex afferents. J. Physiol. (Lond.), 161, 258-281. ECCLES, J. C., OSCARSSON, O., AND WILLIS,W. D., (1961); Synaptic action of group I and I1 afferent fibres of muscle on the cells of the dorsal spinocerebellar tract. J . Physiol. (Lond.), 158, 517-543. ECCLES, J. C., SCHMIDT, R. F., AND WILLIS,W. D., (1963a); Depolarization of central terminals of group Ib afferent fibres of muscle. J . Neurophysiol., 26, 1-27. ECCLES, J . C., SCHMIDT, R. F., AND WILLIS,W. D., (1963b); Inhibition of discharges into the dorsal and ventral spinocerebellar tracts. J . Neurophysiol., 26, 635-645. ECCLES, R. M., AND LUNDBERG, A., (1959a); Supraspinal control of interneurones mediating spinal reflexes. J . Physiol. (Lond.), 147, 565-584. ECCLES, R. M., AND LUNDBERG, A., (1959b); Synaptic actions in motoneurones by afferents which may evoke the flexion reflex. Arch. ital. Biol.,97, 199-221. FLECHSIG, P., (1876); Die Leitungsbahnen im Gehirn und Ruckenmark des Menschen. Leipzig, Engelmann (p. 382). GORDON, G., AND JUKES,M. C. M., (1963); An investigation of cells in the lateral cervical nucleus of the cat which respond to stimulation of the skin. J. Physiol. (Lond.), 169, 28P. GORDON, G., AND PAINE,C. H., (1960); Functional organization in nucleus gracilis of the cat. J . Physiol. (Lond.), 153, 331-349. GRANT,G., (1962); Spinal course and somatotopically localized termination of the spinocerebellar tracts. Acta physiol. scand., 56, Suppl. 193, 1 4 5 . GRUNDFEST, H., AND CAMPBELL, B., (1942); Origin, conduction, and termination of impulses in the dorsal spino-cerebellar tract of cat. J. Neurophysiol., 5, 275-294. GRUNDFEST, H., AND CARTER, W. B., (1954); Afferent relations of inferior olivary nucleus, I. Electrophysiological demonstration of dorsal spino-olivary tract in cat. J . Neurophy~iol.,17, 72-91. HOLMQVIST, B., (1961); Crossed spinal reflex actions evoked by volleys in somatic afferents. Acta physiol. scand., 52, Suppl. 181, 1-67. HOLMQVIST, B., A N D LUNDBERG, A., (1959); On the organization of the supraspinal inhibitory control of interneurones of various spinal reflex arcs. Arch. ital. Biol., 97, 340-356. HOLMQVIST, B., AND LUNDBERG, A., (1961); Differential supraspinal control of synaptic actions evoked by volleys in the flexion reflex afferents in a-motoneurones. Actaphysiol. scand., 54, Suppl. 186, 1-51. HOLMQVIST, B., LUNDBERG, A., AND OSCARSSON, O., (1956); Functional organization of the dorsal spino-cerebellar tract in the cat. V. Further experiments on convergence of excitatory and inhibitory actions. Acta physiol. Jcancl., 38, 77-90. HOLMQVIST, B., LUNDBERG, A., AND OSCARSSON, O., (1960a); Supraspinal inhibitory control of transmission to three ascending pathways influenced by the flexion reflex afferents. Arch. ital. Biol., 98, 60-80. HOLMQVIST, B., LUNDBERG, A., AND OSCARSSON, O., (1960b); A supraspinal control system monosynaptically connected with an ascending spinal pathway. Arch. ital. Biol.,98, 402-422.
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HOLMQVIST, B., AND OSCARSSON, O., (1956); Synaptic connections of Ib muscle afferents to ventral spinocerebellar tract neurons. Experientia (Basel), 1218,296. HUBBARD, J. I., AND OSCARSSON, O., (1961); Localization of the cell bodies of the ventral spinocerebellar tract in lumbar segments of the cat. J . comp. Neurol., 118, 199-204. LAPORTE, Y . ,AND BESSOU,P., (1957); Etude des sous-groupes lents et rapides du groupe I (fibres afferents d’origine musculaire de grand diamktre) chez le chat. J . Physiol. (Lond.), 49, 1025-1037. LAPORTE,Y . , AND LUNDBERG,A., (1955); Analyse du faisceau spinocerebelleux dorsal chez le chat a I‘aide de microelectrodes intra-axonales. Microphysiol. comp. Pltfments excitables. 67, 435-457. LAPORTE, Y., AND LUNDBERG, A., (1956); Functional organization of the dorsal spino-cerebellar tract in the cat. 111. Single fibre recording in Flechsig’s fasciculus on adequate stimulation of primary afferent neurones. Acta physiol. scand., 36,205-218. LAPORTE, Y.,LUNDBERC,A., AND OSCARSSON,O., (1956a); Functional organization of the dorsal spinocerebellar tract in the cat. I. Recording of mass discharge in dissected Flechsig’s fasciculus. Acta physiol. scand., 36, 175-187. LAPORTE, Y.,LUNDBERC,A., AND OSCARSSON, O., (1956b); Functional organization of the dorsal spino-cerebellar tract in the cat. 11. Single fibre recording in Flechsig’s fasciculus on electrical stimulation of various peripheral nerves. Acta physiol. scand., 36, 188-201. LLOYD,D. P. C., AND MCINTYRE, A. K., (1950); Dorsal column conduction of group I muscle afferent impulses and their relay through Clarke’s column. J . Neurophysiol., 13,39-54. LORENTE D E NO, R., (1924); Etudes sur le cerveau posterieur. Trav. Lab. Rech. biol. Univ. Madrid, 22, 51-65. LUNDBERG, A., (1959); Integrative significance of patterns of connections made by muscle afferents in the spinal cord. Symp. X X I Congr. int. Ciencias Fisiol. Buenos Aires, 100-105. LUNDBERC, A., AND NORRSELL, U., (1960); Spinal afferent pathway of the tactile placing reaction. Experientia (Basel), 1613, 123. LUNDBERG, A., NORRSELL, u., AND VOORHOEVE, P., (1963); Pyramidal effects on ascending spinal pathways. Acta physiol. scand., 59,462473. LUNDBERG, A., AND OSCARSSON, O., (1956); Functional organization of the dorsal spino-cerebellar tract in the cat. IV. Synaptic connections of afferents from Golgi tendon organs and muscle spindles. Acta physiol. scand., 38,53-75, LUNDBERG, A., AND OSCARSSON, O., (1960); Functional organization of the dorsal spino-cerebellar tract in the cat. VII. Identification of units by antidromic activation from the cerebellar cortex with recognition of five functional subdivisions. Acta physiol. scand., 50, 356-374. LUNDBERC, A., AND OSCARSSON, O., (1961); Three ascending spinal pathways in the dorsal part of the lateral funiculus. Acta physiol. scand., 51, 1-16. LUNDBERG, A., AND OSCARSSON, O., (1962a); Functional organization of the ventral spinocerebellar tract in the cat. IV. Identification of units by antidromic activation from the cerebellar cortex. Acta physiol. scand., 54,252-269. LUNDBERG, A., AND OSCARSSON, O., (1962b); Two ascending spinal pathways in the ventral part of the cord. Acta physiol. scand., 54,270-286. LUNDBERG, A., AND VOORHOEVE, P., (1962); Effects from the pyramidal tract on spinal reflex arcs. Acta physiol. scand., 56,201-219. LUNDBERG, A., AND WINSBURY, G., (1960); Functional organization of the dorsal spino-cerebellar tract in the cat. VI. Further experiments on excitation from tendon organ and muscle spindle afferents. Acta physiol. scand., 49, 165-170. MACNI, F., AND OSCARSSON,O., (1961); Cerebral control of transmission to the ventral spinocerebellar tract. Arch. ital. Biol., 99, 369-396. MAGNI,F.. AND WILLIS,w . D., (1963); Identification of reticular formation neurons by intracellular recording. Arch. ital. Biol., 101,681-702. MCINTYRE, A. K., AND MARK,R. F., (1960); Synaptic linkage between afferent fibres of the cat’s hind limb and ascending fibres in the dorsolateral funiculus. J . Physiol. (Lond.), 153,306-330. MORIN,F., (1955); A new spinal pathway for cutaneous impulses. Amer. J, Physiol., 183,245-252. MORIN,F., KITAI,S. T., PORTNOV, H., AND DEMIRIJAN, c . , (1963); Afferent projections to the lateral cervical nucleus : a microelectrode study. Amer. J. Physiol., 204, 667-672. MORIN,F., SCHWARTZ, H. G., AND O’LEARY,J. L., (1951); Experimental study of the spinothalamic and related tracts. Acta psychiat. neurol. scand., 26, 371-396. NAUTA, W. J. H., AND KUYPERS, H. G. J. M., (1958); Some ascending pathways in the brain stem reticular formation. Reticular Formation ofthe Brain. London, Churchill.
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NORRSELL, U., AND VOORHOEVE, P., (1962); Tactile pathways from the hindlimb to the cerebral cortex in cat. Acta physiol. scand., 54, 9-17. OSCARSSON, O., (1956); Functional organization of the ventral spinocerebellar tract in the cat. I. Electrophysiological identification of the tract. Acta physiol. scand., 38, 145-1 65. OSCARSSON, O., (1957) ; Functional organization of the ventral spino-cerebellar tract in the cat. 11. Connections with muscle, joint, and skin nerve afferents and effects on adequate stimulation of various receptors. Acta physiul. scand., 42, Suppl. 146. 1-107. OSCARSSON, O., (1958); Further observations on ascending spinal tracts activated from muscle, joint, and skin nerves. Arch. ital. B i d , 96, 199-215. OSCARSSON, O., (1960) ; Functional organization of the ventral spino-cerebellar tract in the cat. 111. Supraspinal control of VSCT units of I-type. Acta physiol. scand., 49, 171-183. POMPEIANO, O., AND BRODAL, A., (1957); Spino-vestibular fibres in the cat. An experimental study. J . comp. Neurol., 108, 353-378. REXED,B., (1954); A cytoarchitectonic atlas of the spinal cord in the cat. J. comp. Neurul., 100, 297-379. ROSSI,G. F., AND BRODAL, A., (1957); Terminal distribution of spinoreticular fibres in the cat. Arch. Neirrol. Psychiat., 78, 439453. RUDIN,D. O., AND EISENMAN, G . , (1951); A method for dissection and electrical study in vitro of mammalian central nervous tissue. Science, 114, 300-302.
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Differential Course and Organization of Uncrossed and Crossed Long Ascending Spinal Tracts 0. OSCARSSON Institute of Physiology, University of Lund, Lund (Sweden)
Recent investigations on ascending spinal tracts with electrophysiological technique suggest that uncrossed and crossed tracts differ in two respects (Magni and Oscarsson, 1962; Holmqvist and Oscarsson, 1963): (1) uncrossed tracts are located dorsally of the crossed tracts; (2) uncrossed tracts are polysynaptically activated only from ipsilateral nerves and crossed tracts both from contralateral and ipsilateral nerves. Furthermore, some evidence suggests that the cell bodies of uncrossed and crossed tracts occupy different areas in the grey matter. The identification of uncrossed and crossed tracts has been based on the hlstological finding that, in most spinal cord segments, primary afferents terminate exclusively, or almost exclusively, on the ipsilateral side (Schimert, 1939; Escolar, 1948; Liu, 1956; Sprague, 1958). Hence, tracts activated monosynaptically from ipsilateral afferents are uncrossed and tracts activated monosynaptically from contralateral afferents, crossed at the spinal level. METHODS
The results were obtained on electrical stimulation of nerves or dorsal roots. The activity evoked in ascending tracts was recorded either as a mass discharge led from dissected fascicles of the spinal cord or studied by intra-axonal recording from single fibres. Of these two methods the former warrants a more detailed description. The technique of recording from isolated strands of the cord was devised by Rudin and Eisenman (1951) for the study of properties of fibres in the cord. It was developed further and used extensively for studying the functional organization of various ascending tracts by Laporte et al. (1956), Lundberg and Oscarsson (1961), and Holmqvist and Oscarsson (1963). The fascicles are prepared as follows. The spinal cord is transected and one pair of roots severed caudally of the transection. The dorsal funiculi are stripped off for a distance of about 2 cm in caudal direction. The remaining part of the cord is divided into the midline and the ‘cord-halves’ (except dorsal funiculi) split longitudinally into subdivisions of various sizes, here called ‘fascicles’. The subdividing is done by cutting with a pair of fine scissors. In the cat, four or five fascicles can be made on each side
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without difficulty. The dissected fascicles are mounted on electrodes for monophasic recording of discharges in ascending tracts, one electrode being in contact with the severed end, the other on the dissected part close to its site of separation from the intact cord. The method can be used for determining the exact position of individual tracts with known functional properties: there is remarkably little destruction of ascending fibres during the dissection and the size of the fascicles can be assessed afterwards by histological methods. The main limitation of the method is that potentials due to activity in unmyelinated and thin, myelinated fibres are too small to be detected. The same limitation holds for the other method which has been used: intra-axonal recording from single fibres. Successful impalement occurs very seldom with fibres having a conduction velocity lower than 25-30 mjsec which would correspond to a diameter of 4-5 ,u (assuming that the Hursh factor of 6 is valid in the CNS). RESULTS
Recording from dissected fascicles in mammalian species
The records in Fig. 1 illustrate the differential characteristics of mass discharges evoked in dorsally and ventrally located tracts. Two fascicles were dissected at the upper lumbar level of the spinal cord in a monkey. The transectional areas of the CONTRAL.
IPSIL. MUSCLE
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Fig. 1. Discharges in ascending spinal tracts evoked by volleys in muscle and skin afferents of ipsilateral and contralateral hindlimb nerves. Monkey. The muscle (hamstring) and skin (lateral sural) nerves were stimulated at a strength of about 20 times threshold. Records E-L were obtained from the dissected fascicles (i) and (ii) as indicated. The upper and lower traces show the discharge recorded simultaneously at two speeds. The ingoing volleys (A-D) were recorded from the dorsal roots 4.2 cm below the cord dissection at mid-L2. The fast time scale applies to A-D and upper traces in E-L. Voltage scale applies to E-L. (From Oscarsson el al., 1963b). References p . 1751176
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fascicles are shown in the diagram. The upper and lower traces in Fig. 1, E-L show the discharges recorded at two speeds and led from the fascicles as indicated. The top traces (A-D) show the ingoing primary afferent volleys recorded triphasically from the dorsal roots about 4 cm more caudally. Tracts ascending in the dorsal fascicle were activated by volleys in muscle (E) and skin (F) afferents of ipsilateral nerves, whereas no trace of activity was evoked from contralateral nerves (G, H). The ventral fascicle contained tracts activated from contralateral as well as ipsilateral nerves. The latency of the initial component of the mass discharges evoked from ipsilateral nerves in the dorsal fascicle (E, F) and from contralateral nerves in the ventral fascicle (K, L) was 1.O-1.4 msec when measured relatively to the ingoing volley. This short latency proves that the transmission was monosynaptic. It can be concluded that the dorsal fascicle contains uncrossed tracts and the ventral fascicle, crossed tracts. On the other hand, there was no evidence for monosynaptic excitation from ipsilateral nerves to tracts in the ventral fascicle. The initial part of the discharges evoked from ipsilateral nerves in this fascicle (I, J) was related to group I1 muscle afferents and low threshold cutaneous afferents. The long latency indicates that the transmission was:poly sy naptic. I PSIL.
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6 MUSCLE
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Fig. 2. Discharges recorded at the third cervical segment from tracts activated by stimulation of ipsilateral and contralateral muscle (hamstring) and skin (superficial peroneal) nerves in the hindlimbs. Cat. The records were obtained from fascicles i-iii as indicated. The upper and lower traces show the discharges recorded simultaneously on a fast and slow time base. Middle traces in A-D show ascending volleys recorded from the dissected dorsal funiculi at C3. Time scales in msec. Distance from stimulating electrode on hamstring nerve to C3 about 37 cm. (From Holmqvist and Oscarsson, 1963.)
Similar observations have been made on recording from fascicles dissected in the upper lumbar region of the phalanger, rabbit, cat, dog, and monkey (Magni and Oscarsson, 1962; Holmqvist and Oscarsson, 1963, Oscarsson et al., 1963b). In all these species uncrossed tracts occur in the dorsal half of the lateral funiculus and crossed tracts in the area ventrally thereof. There is little overlap of the areas containing uncrossed and crossed tracts and the boundary between them corresponds approximately to a horizontal line going through the central canal. Recording from fascicles dissected at the cervical level has disclosed that the borderline between uncrossed and crossed tracts varies according to the spinal cord
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level and the segmental origin of the tracts. In the experiment of Fig. 2, made on the cat, three fascicles (i-iii) were dissected at the level of the third cervical segment. Muscle and skin nerves in the hindlimbs were stimulated. The arrangement of the records corresponds to that in the previous figure, except that the middle traces in A-D show the afferent volleys led from the dorsal funiculi dissected for recording at C3. In the dorsal fascicle (i) ipsilateral but not contralateral nerves evoked monoand polysynaptic discharges (A-D). The intermediate and ventral fascicles (ii and iii) contained tracts which received strong excitatory effects from contralateral nerves and weaker effects from ipsilateral nerves. A large monosynaptic discharge was evoked from contralateral group I afferents in the intermediate fascicle (G). Volleys in skin and high threshold muscle afferents in ipsilateral and contralateral nerves evoked a late activity with a latency suggesting polysynaptic excitation (E-L). These observations show that the borderline between uncrossed and crossed ‘hindlimb tracts’ has shifted dorsally at the cervical level when compared with the lumbar level (Holmqvist and Oscarsson, 1963). IPSIL.. MUSCLE
CONTRAL SKIN
MUSCLE
SKIN
FORELIMB TRACTS
-Eclrr Fig. 3. Discharges recorded at the third cervical segment from tracts activated by stimulation of ipsilateral and contralateral muscle (deep radial) and skin (superficial radial) nerves in the forelimbs. Cat. The records were obtained from the dissected fascicles i-iii as indicated. The upper and lower traces show the discharges on a fast and slow time base. Middle traces in A-D show ascending volleys recorded from the dissected dorsal funiculi at C3. Time scales in msec. Distances: stimulating electrodes on the nerves - C7 dorsal root entrance, 11.5 cm; C7 dorsal root entrance - recording p!ace, 4.5 cm. (From Holmqvist et al., 1963.)
The records in Fig. 3 were obtained in the same experiment but on stimulation of forelimb nerves. Tracts in the dorsal and intermediate fascicles were activated monosynaptically only from ipsilateral nerves. Stimulation of contralateral nerves produced no discharge in the dorsal fascicle and only a small discharge in the intermediate fascicle. Presumably this discharge was partly, at least, due to inclusion of ventrally located, crossed tracts. The ventral fascicle contained tracts which were monosynaptically activated from contralateral nerves. Stimulation of contralateral nerves evoked large, and stimulation of ipsilateral n:rves small polysynaptic discharges in this fascicle (Holmqvist et al., 1963). Rderences p . 1751176
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The results of the experiment illustrated in Figs. 2 and 3, together with other experiments, indicate that uncrossed tracts, at the cervical level, occupy approximately the dorsal third of the lateral funiculus when originating from the lumbar intumescence and approximately the dorsal two thirds when originating from the cervical intumescence. Tracts activated f r o m afferents in sacral and caudal roots Afferents belonging to sacral roots differ from afferents in most other segments by terminating not only ipsilaterally but also contralaterally in the grey matter. This has been shown histologically by Sprague (1 958) and, correspondingly, motoneurones in the sacral cord have been observed to receive monosynaptic excitation from contralateral afferents (Curtis et al., 1958; Frank and Sprague, 1959). IPSIL. L7
-A -+
CONTRAL. L7 33
93 C
L
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M
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Fig. 4. Discharges recorded at the first lumbar segment from tracts activated by stimulation of ipsilateral and contralateral L7 and S3 dorsal roots. Cat. The records were obtained from fascicles i-iv as indicated. The ingoing volley was recorded triphasically from the dorsal funiculus at the L7 level (upper traces in A-D). The pairs of traces show the discharges recorded simultaneously on a fast and slow time base. The distance between the two recording sites was 6.5 cm. (From Holmqvist and Oscarsson, 1963.)
The discharges evoked in ascending spinal tracts by stimulation of lumbar, sacral, and caudal roots have been investigated in the cat (Holmqvist and Oscarsson, 1963). Fig. 4 shows an experiment in which four fascicles were dissected at the upper lumbar level and the L7 and S3 dorsal roots prepared for stimulation. A volley in the L7 root evoked discharges with a pattern conforming to that produced by stimulation of hindlimb nerves. Large discharges were evoked by ipsilateral volleys in the two dorsal fascicles (A, E), whereas contralateral volleys were largely ineffective (C, G). In the two ventral fascicles monosynaptic discharges were evoked from contralateral nerves (K, 0).The small monosynaptic discharge (I) evoked from the ipsilateral root in fascicle (iii) was due to some uncrossed fibres included in this fascicle. Similar
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observations were made on stimulation of other lumbar roots and of the sacral roots down to, and sometimes including S2. On the other hand, stimulation of the lower sacral and the caudal roots produced, in the dorsal fascicles, small contralateral discharges with distinct monosynaptic components. This is shown for the S3 dorsal root in Fig. 4, D and H. It is reasonable to explain these discharges as due to activation of uncrossed tracts from contralaterally terminating primary afferents. Recording from dissected fascicles in birds and amphibians
The organization of ascending tracts described above seems to apply generally to the mammalian cord (Magni and Oscarsson, 1962). Experiments made on birds and amphibians suggest that a similar organization exists in all higher vertebrates. The records in Fig. 5 were obtained from three fascicles dissected at the cervical IPSIL. SCIATIC
RADIAL
CONTRAL. SCIATIC
RADIAL
Fig. 5. Discharges evoked in tracts ascending in the fascicles (i-iii) indicated in the diagram on stimulation of ipsilateral and contralateral sciatic and radial nerves. Duck, mid-cervical level. Upper and lower traces were taken simultaneously at different speeds. Time scales in msec. Distances: stimulating electrode on sciatic nerve - spinal cord, 7 cm; spinal cord - recording site, 29 cm; stimulating electrode on radial nerve - spinal cord, 6.5 cm; spinal cord - recording site, 16 cm. (From Oscarsson et at., 1963a.)
level in a duck. Leg (sciatic) and wing (radial) nerves were stimulated as indicated. In the dorsomedial fascicle (i) stimulation of ipsilateral nerves evoked large discharges, whereas stimulation of contralateral nerves produced no trace of activity. The discharge evoked from the wing nerve had a distinct monosynaptic component. In the dorsolateral fascicle (ii) large mono- and polysynaptic discharges were evoked from contralateral nerves. Ipsilateral nerves evoked polysynaptic activity and a trace of a monosynaptic response from the radial nerve. In the large ventral fascicle (iii) only small discharges were observed. However, in other experiments with recording from the ventral quadrant of the cord distinct monosynaptic responses were evoked from contralateral, but not from ipsilateral nerves. The results indicate a similar References p . 17511 76
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organization as in mammals but the uncrossed tracts occupy only a small dorsal part of the lateral funiculus (Oscarsson et a/., 1963a). The records shown in Fig. 6 were obtained from the thoracic cord of the frog. Records A and B were obtained from the dissected 'cord-half' (except dorsal funiculus) and show that stimulation of ipsilateral as wcll as contralateral nerves evoked disIPSILda
C 0NTR A L.
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..
msec
mmwnmnm
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Fig. 6 . Distribution of ipsilateral and contralateral discharges in the lateral and ventral funiculi. Frog. (A-D) Discharges recorded from the dissected cord-half (except dorsal funiculus, see diagram) at mid-thoracic level on stimulation of ipsilateral (A, C) and contralateral (B, D) sciatic nerve a t 18 times threshold. Upper and lower traces show the ascending discharge a t different speeds, middle traces show the incoming volley recorded, at the fast speed, from the dorsal roots 15 mm more caudally. A and B were obtained before and C and D, after the lesion shown in the diagram (hatched). The voltage scale applies to the lower traces. E-H illustrate a different experiment. The records show discharges recorded from the dissected ventral quadrant of the cord (see diagram) at the upper thoracic level on stimulation of the ipsilateral and contralateral sciatic nerve a t 20 times threshold. A and B were obtained beforc and G and H after the lesion shown in the diagram (hatched). Conventions as in A-D. (From Oscarsson and Rosen, 1963.)
charges. These discharges were initiated by monosynaptic components. After a lesion that destroyed the ventral quadrant of the cord, only stimulation of ipsilateral nerves evoked a discharge ( C , D). Records E-H are from a different experiment. The ventral quadrant was dissected for recording. Volleys in ipsilateral and contralateral nerves evoked mono- and polysynaptic discharges. Following the lateral lesion indicated in the diagram, only contralateral nerves were effective (G, H). These and other experiments suggest that uncrossed tracts in the frog spinal cord occupy the whole lateral funiculus and crossed tracts approximately the ventral quadrant. This organization is essentially the same as that in mammals and birds, but the uncrossed and crossed tracts occupy largely overlapping areas (Oscarsson and Rosin, 1963). Unit discharge in ascending tracts
Ascending spinal tracts activated from hindlimb afferents have been investigated extensively with microelectrode recording from single fibres in the lateral and ventral
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funiculi of the cat. The observations made during these investigations confirm those made on mass discharge recording and give some additional information. A . Distribution of monosynaptic excitation Readily observable monosynaptic activation occurs only in some ascending tracts and it is possible that monosynaptic excitation from primary afferents is lacking in other tracts (cf. Lundberg and Oscarsson, 1960, 1961, 1962a, b). Among monosynaptically activated tracts the dorsal and ventral spino-cerebellar tracts (DSCT and VSCT) are especially well known. Units belonging to the DSCT and VSCT can be distinguished by their connections with primary afferents and by their mode of termination in the cerebellar cortex (Lundberg and Oscarsson, 1962a). Though DSCT and VSCT fibres largely occupy separate areas in the dorsal and ventral part of the white matter, there is some intermingling in a border zone and a few fibres of either tract may be found displaced deep into the area occupied by the other tract (Oscarsson, 1957; Lundberg and Oscarsson, 1962a). Hence the location of the fibres in the white matter is unsuitable as a criterion for distinguishing DSCT and VSCT axons. Several hundreds of DCST units identified by their connections with primary afferents and by their mode of termination in the cerebellum have been studied. Among these units only two were monosynaptically activated from contralateral instead of ipsilateral nerves (Lundberg and Oscarsson, 1960).Comparable observations have been made with VSCT units (Lundberg and Oscarsson, 1962a). For example, in one investigation 2 out of 61 units were monosynaptically activated from ipsilateral instead of contralateral nerves. These observations indicate that the vast majority of the DSCT neurones have uncrossed axons and the vast majority of VSCT neurones, crossed axons. However, exceptionally a DSCT axon may cross to the other side of the cord, or a VSCT axon ascend without crossing. Presumably the latter cases should be regarded as aberrancies with little functional significance. They give, however, information about the effectiveness of the mechanisms that during the development guide the growth of axons along certain paths. The information concerning units in other tracts is less detailed. However, the spino-cervical tract which ascends in the lateral funiculus dorsally of the DSCT and terminates i n the lateral cervical nucleus, is monosynaptically activated by ipsilateral but not contralateral cutaneous afferents as shown b3th on mass discharge and unit recording (Lundbxg and Oscarsson, 1961 ; Holmqvist and Oscarsson, 1963). Very recently a spino-cerebellar tract (RSCT) activated from group I afferents in ipsilateral forelimb nerves has been discovered (Holmqvist et al., 1963; Oscarsson and Uddenberg, unpublished). There is no trace of monosynaptic mass discharge on stimulation of group I afferents in contralateral nerves. Tentatively, it might be hypothesized that individual tracts consist of either uncrossed or crossed units but not of both.
B. Distribution of polysynaptic excitation Units bslonging to dorsally located tracts are, as a rule, polysynaptically activated References p. 17511 76
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only from ipsilateral nerves. No exceptions have been noted with units in the DSCT or spino-cervical tract but some fibres belonging to a tract with unknown termination sometimes discharge a few impulses 10-30 msec following stimulation of contralateral nerves (Lundberg and Oscarsson, 1960, 1961). This late discharge is presumably due to weak excitation exerted through long chains of interneurones. Recording from units in ventrally located tracts has presented a more varied picture. Three groups of ascending axons with different functional characteristics have been recognized (Lundborg and Oscarsson, 1962a, b). Units belonging to all three groups receive strong polysynaptic excitation or inhibition from contralateral afferents which may be connected with the assumed contralateral location of the cell bodies. Polysynaptic activation from ipsilateral nerves has been observed in all the groups. In the VSCT excitation and inhibition from ipsilateral nerves is weaker than from contralateral nerves (Oscarsson, 1957; Lundberg and Oscarsson, 1962a). Of the other two pathways, provisionally denoted the bilateral and the contralateral ventral flexor reflex tracts (bVFRT and cVFRT), the former receives equally strong excitation from ipsilateral and contralateral nerves, whereas units belonging to the latter tract are either weakly or not at all activated from ipsilateral nerves (Lundberg and Oscarsson, 1962b). DISCUSSION
The main findings described in this paper can be summarized as follows: (1) Tracts in the dorsal part of the ventrolateral white matter are mono- and polysynaptically activated only from ipsilateral nerves. (2) Tracts in the ventral part of the ventrolateral white matter are monosynaptically activated only from contralateral nerves and polysynaptically, both from ipsilateral and contralateral nerves. In most spinal segments primary afferents terminate almost exclusively on the ipsilateral side. This has been shown in histological investigations on the mammalian cord (Schimert, 1939; Escolar, 1948; Liu, 1956; Sprague, 1958) and recently also in investigations on the amphibian cord (W. W. Chambers and C.-N. Liu, personal communication). Hence the findings described under (1) and (2) suggest that dorsal tracts originate from ipsilateral cell bodies and ventral tracts, from contralateral cell bodies, i.e. they are uncrossed and crossed tracts respectively. Similar findings have been made in mammalian, avian, and amphibian species suggesting a basically similar organization in all higher vertebrates. The spinal cord sectors containing uncrossed and crossed tracts vary at different levels of the cord and in different groups of animals, as is illustrated in Fig. 7. The vertically hatched areas contain uncrossed tracts and the horizontally hatched areas, crossed tracts. There is little overlapping of the areas containing uncrossed and crossed tracts arising from the same segmental level in mammals and birds. Some overlapping at the lumbar level has been observed in the cat (Holmqvist and Oscarsson, 1963) and may also occur at other levels, but this overlapping is much smaller than that found in the frog. The uncrossed and crossed tracts are distinguished not only by their differential location in the white matter but also by their polysynaptic connections with primary
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MAMMAL FORELIMB
HINDLIMB
BIRD LEG
FROG WING
HINDLIMB
Fig. 7. Spinal cord sectors containing uncrossed (vertical hatching) and crossed (horizontal hatching) ascending tracts at indicated segmental levels. The various diagrams refer to tracts activated from hindlimb and forelimb nerves as indicated.
afferents: the uncrossed tracts are polysynaptically activated only from ipsilateral afferentr and the crossed tracts both from contralateral and ipsilateral afferents. This might suggest that the cell bodies of uncrossed and crossed tracts are located in different regions of the grey matter. Tlus assumption receives some support from the location of the cell columns that have so far been identified as the origin of some individual tracts. The cell columns of uncrossed tracts are vertically hatched and those of crossed tracts horizontally hatched in Fig. 8.4. The dorsal spino-cerebellar tract (DSCT) originates from cells in Clarke’s column (e.g. Jansen and Brodal, 1958) and the spino-cervical tract (SCT) from cells in the head of the dorsal horn (Eccles et ~7/., 1960; Wall, 1960; Lundberg and Oscarsson, 1961). The cell bodies of the ventral spino-cerebellar tract (VSCT) occur in the lateral part of the intermediate zone and the lateral parts of the base and neck of the dorsal horn (Hubbard and Oscarsson, 1962). These cells are presumably distinct from the border cells of Cooper and Sherrington (1940) which occur in ‘the ventrolateral fringe of the spinal grey matter’ (cf. Hubbard and Oscarsson, 1962). Axons of the spinal border cells ascend in the contralateral ventral quadrant of the cord and their function is unknown (cf., however, Sprague, 1953). Our observations suggest that ascending spinal tracts are organized as shown schematically in Fig. 8B. The figure refers to the lumbar region of the mammalian cord but the organization would be essentially the same at other levels of the cord and in other classes of higher vertebrates. The uncrossed tracts ascend in the dorsal part of the lateral funiculus and the crossed tracts ventrally thereof. The cell bodies of uncrossed tracts occur in the dorsomedial part of the grey matter and those of crossed tracts in the ventrolateral part: the borderline is tentatively drawn as suggested References p . 1751176
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Fig. 8. (A). Location of cell columns giving rise to uncrossed (vertical hatching) and crossed (horizontal hatching) ascending tracts. To the former tracts belong the spino-cervical tract (SCT) and the dorsal spino-cerebellar tract (DSCT) and to the latter, the ventral spino-cerebellar tract (VSCT) and the tract of unknown function and termination originating from the spinal border cells (BC) of Cooper and Sherrington (1940). (B). Organization of uncrossed and crossed tracts according to the hypothesis outlined in the text. Tracts ascending in the dorsal part of the lateral funiculus originate from ipsilateral cells in a dorsomedial region of the grey matter. These cells receive terminals from ipsilateral primary afferents and ipsilateral interneurones. Tracts ascending in the ventral part of the cord originate from contralateral cells in a ventrolateral region of the grey matter. These cells receive terminals from ipsilateral primary afferents and have connections with ipsilateral as well as contralateral interneurones. The borderline between the two regions in the grey matter is tentatively drawn (broken line) as suggested by the cell collumns shown in A. (Modified from Magni and Oscarsson, 1962.)
by the location of the cell columns shown in Fig. 8A. Polysynaptic paths from primary afferents to tract cells are drawn as disynaptic. Only the cells of crossed tracts are innervated by interneurones conveying excitation from contralateral afferents. There are no observations in our experiments that contradict the hypothesis illustrated in Fig. 8B. However, some limitations of the evidence should be noted. 1. The recording methods select pathways containing relatively coarse fibres. It seems, however, unlikely that long, thin-fibred pathways would have a different organization, the more so as the tracts investigated constitute a variety of pathways with diverse function and termination. 2. Our identification of uncrossed and crossed tracts depends on the demonstration of monosynaptic connections with primary afferents. Some tracts do not receive any appreciable monosynaptic excitation and can not be identified as crossed or uncrossed with our method. However, in all except one case, these tracts receive polysynaptic excitation predominantly or exclusively from primary afferents entering the cord ipsilaterally of the assumed cell bodies. The exceptional tract receives equally strong excitation from ipsilateral and contralateral afferents (Oscarsson, 1958 ; Lundberg and Oscarsson, 1962b). It is, at present, impossible to say if this ventrally located tract has its cell bodies on the contralateral side in conformity with the present hypothesis. 3. The observation that crossed tracts have a bilateral receptive field might have exceptions. Clinical observations on chordotomy cases suggest that the spino-thalamic
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tract has a purely contralateral receptive field (e.g. Hyndman and Wolkin, 1943; Stookey, 1943). Fibres of this tract might have been missed in our experiments on the cat because of their small size or there might be species differences. 4. The suggestion that the cell bodies of uncrossed and crossed tracts occupy different regions of the grey matter obviously needs anatomical confirmation. SUMMARY
Recent investigations have disclosed that the long ascending spinal tracts in mammals, birds, and presumably also amphibians are organized as follows: 1. Tracts in the dorsal part of the ventrolateral white matter are mono- and polysynaptically activated only from ipsilateral nerves. 2. Tracts in the ventral part of the ventrolateral whte matter are monosynaptically activated only from contralateral nerves and polysynaptically, both from ipsilateral and contralateral nerves. These observations and histological evidence that primary afferents, in most spinal segments, terminate almost exclusively on the ipsilateral side show that the former tracts are uncrossed and the latter crossed at the spinal level. The boundary between uncrossed and crossed tracts is usually sharp but its position varies at different levels of the cord (Fig. 7). It is suggested that the differential organization of uncrossed and crossed tracts is related to a differential location of the cell bodies in the grey matter of the cord. The uncrossed tracts are assumed to originate from cells in the dorsomedial, and the crossed tracts from cells in the ventrolateral part of the grey matter (Fig. 8A, B). Only the cells of the crossed tracts are innervated by interneurones conveying excitation from contralateral afferents (Fig. 8B). REFERENCES COOPER,S., AND SHERRINGTON, CH. S., (1940); Gower’s tract and spinal border cells. Brain, 63, 123-134. CURTIS,D. R., KRNJEVIC, K., AND MILEDI,R., (1958); Crossed inhibition of sacral motoneurones. J . Neurophysiol., 21, 3 19-326. ECCLES,J. C., ECCLES,R. M., AND LUNDBERG, A., (1960); Types of neurones in and around the intermediate nucleus of the lumbo-sacral cord. J . Physiol. (Lond.), 154, 89-1 14. ESCOLAR, J., (1948); The afferent connections of the lst, 2nd, and 3rd cervical nerves in the cat. J . comp. Neurol., 89, 79-92. FRANK, K., AND SPRAGUE, J. M., (1959); Direct contralateral inhibition in the lower sacral spinal cord. Exp. Neurol., 1, 2843. HOLMQVIST, B., AND OSCARSSON, O., (1 963); Location, course, and characteristics of uncrossed and crossed ascending spinal tracts in the cat. Acta physiol. scand., 58, 57-67. HOLMQVIST, B., OSCARSSON, O., AND UDDENBERG, N., (1963); Organization of ascending spinal tracts activated from forelimb afferents in the cat. Acta physiol. scand., 58, 68-76. HUBBARD, J. I., AND OSCARSSON, O., (1962); Localization of the cell bodies of the ventral spinocerebellar tract in lumbar segments of the cat. J . cornp. Neurol., 118, 199-204. HYNDMAN, 0. R., AND WOLKIN,J., (1943); Anterior chordotomy; further observations on physiologic results and optimum manner of performance. Arch. Neurol. Psychiat. (Chic.), 50, 129-148. JANSEN, J., UND BRODAL, A., (1958); Handbuch der mikroskopischen Anatomie des Menschen. IVj8. Das Kleinhirn. Berlin, Springer-Verlag.
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LAPORTE, Y . , LUNDBERG, A., AND OSCARSSON, O., (1956); Functional organization of the dorsal spino-cerebellar tract in the cat. I. Recording of mass discharge in dissected Flechsig’s fasciculus. Acta physiol. scand., 36, 115-187. Lru, C.-N., (1956); Afferent nerves to Clarke’s column and the lateral cuneate nuclei in the cat. Arch. Neurol. Psychiat. (Chic.), 15, 61-17. LUNDBERG, A., AND OSCARSSON, O., (1960); Functional organization of the dorsal spino-cerebellar tract in the cat. VII. Identification of units by antidromic activation from the cerebellar cortex with recognition of five functional subdivisions. Acta physiol. scand., 50, 356-374. LUNDBERG, A., AND OSCARSSON, O., (1961); Three ascending spinal pathways in the dorsal part of the lateral funiculus. Acta physiol. scand., 51, 1-16. LUNDBERG, A., AND OSCARSSON, O., (1962a); Functional organization of the ventral spino-cerebellar tract in the cat. IV. Identification of units by antidromic activation from the cerebellar cortex. Acta physiol. scand., 51, 252-269. LUNDBERG, A., AND OSCARSSON, O., (1962b); Two ascending spinal pathways in the ventral part of the cord. Acta physiol. scand., 51,270-286. MACNI,F., AND OSCARSSON, O., (1962); Principal organization of coarse-fibred ascending spinal tracts in phalanger, rabbit, and cat. Acta physiol. scand., 51, 53-64. OSCARSSON, O., (1957); Functional organization of the ventral spino-cerebellar tract in the cat. 11. Connections with muscle, joint, and skin nerve afferents and effects on adequate stimulation of various receptors. Acta physiol. scanrl., 42, Suppl. 146, 1-107. OSCARSSON, O., (1958) ; Further observations on ascending spinal tracts activated from muscle, joint, and skin nerves. Arch. iral. Biol., 96, 199-215. OSCARSSON, O., AND ROSEN,I., (1963); Organization of ascending tracts in the spinal cord of the frog. Acta physiol. scand. 59, 154-160. OSCARSSON, O., R O S ~ NI., , AND UDDENBERG, N., (1963a); Organization of ascending tracts in the spinal cord of the duck. Acta physiol. scand., 59, 143-153. OSCARSSON, O., ROSEN,I., AND UDDENBERG, N., (1963b); A comparative study of ascending spinal tracts activated from hindlimb afferents in monkey and dog. Arch. ital. Bid., in press. RUDIN,D. O., AND EISENMAN, G . , (1951); A method for dissection and electrical study in vitro of mammalian central nervous tissue. Science, 114, 300-302. SCHIMERT, J., (1939); Das Verhalten der Hinterwurzelkollateralen im Riickenmark. Z. Anat. Entwickl. Cesch., 109, 665-687. SPRAGUE, J. M., (1953); Spinal ‘border cells’ and their role in postural mechanism. J . Neurophysiol., 16, 464474. SPRAGUE, J. M., (1958); The distribution of dorsal root fibres on motor cells in the lumbosacral spinal cord of the cat, and the site of excitatory and inhibitory terminals in monosynaptic pathways. Proc. roy. SOC.B, 149, 534-556. STOOKEY, B., (1943); The management of intractable pain by chordotomy. Ass. Res. nerv. Dis. Proc., 23, 416433. WALL,P. D., (1960); Cord cells responding to touch, damage, and temperature o f skin. J . Neurophy~iol.,23, 197-210.
DISCUSSION
NIEUWENHUYS: In the terminology of Cajal your findings can be summarized 1 think as follows: Funicular cells are located in the dorsal part of the gray matter, whereas the commissural occupy the ventral part of the gray matter. I think this thesis fits in well with the anatomical evidence now available. However, there is one exception. In all vertebrates there has been described a spino-bulbar, spino-mesencephalic, resp. spino-thalamic tract, originating from cells in the dorsal horn and constituting the so-called ventral arcuate system (‘Bogenfasern’ of His). I think there are two possibilities: (a) This system consists of thin fibers, and (b) this system does not constitute a long ascending tract, or even: it may not exist at all in the adult stage.
LONG ASCENDING S P I N A L TRACTS
177
SZENTAGOTHAI : The only explanation from anatomical viewpoint, that I could think of, is that there is no such thing as the classical concept of a spino-thalamic tract arising from the dorsal horn and immediately crossing in the anterior white commissure. One can cut away horizontally the whole dorsal horn at the level of the dorsal commissure, or place small lesions into the dorsal horn, without getting the slightest signs of degeneration in the same or the next upper segments of fibers within the anterior commissure. Whenever the lesion reaches the intermediate gray matter, i.e. the lamina V1 of Rexed, one immediately gets degenerated fibers in the anterior white commissure. This fits exactly with the location by Oscarsson of cells giving rise to VSCT fibers. After lesions placed into laminae VI and VII we were able to trace degenerated fibers in the cerebellum in the projection area of the VSCT terminating as mossy fibers. Similar lesions give also rise to terminal degeneration of few fibers in the ventrolateral basal nucleus of the contralateral thalamus. Thus there are real spino-thalamic fibers coming from lower lumbar or upper sacral segments, but they arise not from the dorsal horn, but from the intermediate region and central parts of the ventral horn. KUYPERS:I feel that in regard t o the spinal cord and the ascending pathways your paper has been a revolutionary one. The problem of the descending influences on ascending conduction is now more easy to understand. It has always been claimed that the reticular formation has an important influence upon the ascending conduction. Assuming that the ascending fibers came primarily from the dorsal horn, I could not find anatomically any reasonable pathway which would be able to influence the ascending conduction. However, we made the restriction that if this descending influence upon the ascending conduction was exerted, it had to be exerted first and foremost by cells located in the medial part of the intermediate zone and a part of the ventral horn, for this was the place where the prime determination of descending fibers from the reticular formation took place. It is now most gratifying to see that instead of having the origin of the crossed ascending pathways in the posterior horn, you are placing it precisely in the area which is so open to influences of the reticular formation. I think this has cleared the issue, at least for my feeling, considerably. SPRAGUE: I agree with Dr. Oscarsson that the cells giving rise to the ventral spinocerebellar tract are indeed different from the border cells, i n contrast to the original supposition of Cooper and Sherrington. Just what the border cells give rise to, what sort of a tract, is not clear to me although I could make some comments that might be instructive. Firstly: in Nauta-preparations large neurons in the same area as you have placed the origin of the crossed ventral spino-cerebellar tract receive a rich dorsal root input which would accord with the monosynaptic activation of that pathway. However these particular cells are receiving the input from the ipsilateral dorsal root which does not accord so well. Is that correct?
OSCARSSON : This is exactly in accordance with our observations: primary afferents
178
DISCUSSION
make synaptic contacts only with ipsilateral cell bodies. It was in relation to the crossed VSCT fibers that the monosynaptic excitation was described as contralateral. SPRAGUE:The second point is that cells, lying in the area of the border cells in the cat do not receive any appreciable dorsal root input. They receive input from the reticulospinal pathways, as Dr. Kuypers has described, but this area receives very little dorsal root input.
OSCARSSON: We don’t know which tract these cells give origin to. However, some ascending tracts receive excitation from primary afferents mainly or exclusively through segmental interneurones, as for example the bVFRT and possibly the cVFRT described by Lundberg and Oscarsson (Actaphysiol. scand., 54 (1962) 270). The transmission to these tracts is strongly influenced by descending systems originating in the medulla oblongata.
179
Three Ascending Tracts Activated from Group I Afferents in Forelimb Nerves of the Cat 0. O S C A R S S O N Institute of Physiology, University of Lund, Lund (Sweden)
The ascending projections of group I afferents from hindlimb muscles are well established. These afferents ascend in the dorsal funiculus for several segments but do not continue above the lower thoracic levels (Lloyd and McIntyre, 1950). The group I afferents make synaptic contacts with the cell bodies of the dorsal and ventral spino-cerebellar tracts (DSCT and VSCT) (Lloyd and McIntyre, 1950; Oscarsson, 1957a). The DSCT is uncrossed, ascends in the dorsal part of the lateral funiculus, and reaches the cerebAluni through the restiform body. It contains components activated monosynaptically from Ia and Ib muscle afferents (Lundberg and Oscarsson, 1956, 1960). The VSCT is crossed, ascends ventrally of the DSCT, and reaches the cerebellum through the brachium conjunctivuin. It receives monosynaptic excitation exclusively, or almost exclusively, from Ib afferents (Oscarsson, 1957b; Eccles et al., 1961a). There is no evidence that hindlimb group I afferents activate other ascending tracts or that collaterals of the DSCT and VSCT activate other structures than the cerebellum. Experiments made during the last two years have revealed that group I afferents in forelimb nerves activate three ascending tracts. One tract originates from cell bodies located at, or slightly above, the level of the dorsal root entrance, ascends in the middle third of the lateral funiculus, and terminates in the cerebellum. This tract i? anatomically and functionally distinct from the DSCT and VSCT and will be denoted the rostra1 spino-cerebellar tract (RSCT). The other two pathways are activated from group I afferents ascending in the dorsal funiculi to the cuneate nuclei (cf. Rexed and Strom, 1952). One of them originates from cells in the external cuneate nucleus and reaches the cerebellum through the ipsilateral restiform body as a component of the cuneo-cerebellar tract. The other pathway originates from the main cuneate nucleus and projects, via the crossed medial lemniscus, to the postcruciate gyrus of the cerebral cortex. THE ROSTRAL SPINO-CEREBELLAR TRACT
Ascending spinal tracts activated from forelimb nerves were recently investigated by recording from fascicles of the cord dissected at the third cervical segment. It was References p . 193-195
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0. O S C A R S S O N
shown that group I afferents in these nerves activate only one ascending tract. Some anatomical and functional characteristics of this tract were described and it was concluded that it is distinct from the spino-cerebellar tracts activated from hindlimb afferents (Holmqvist et al., 1963b). HINDLIMB IPSIL.
CONTRAL.
FORELIMB IPSIL.
CONTRAL. J
Fig. 1. Discharges recorded at the third cervical segment from ascending spinal tracts on stimulation of ipsilateral and contralateral muscle nerves in the hindlimb (hamstring) and forelimb (deep radial). The stimulus strength was about 20 times the nerve threshold. The records were obtained from fascicles i-iii as indicated. The upper and lower traces show the discharges recorded simultaneously on a fast and slow time base. Middle traces in A-D show ascending volleys recorded from the dissected dorsal funiculi at C3. Time scales in msec. (Modified from Holmqvist and Oscarsson, 1963, and Holmqvist ef al., 1963b.)
The records in Fig. 1 show mass discharges in ascending tracts led from fascicles dissected as indicated on the diagram. Muscle nerves in the hind- and forelimbs were stimulated. The monosynaptic discharges evoked by impulses in group I afferents of hindlimb nerves are readily recognized. The DSCT discharge (A) is recorded from the ipsilateral, dorsal fascicle and the VSCT discharge (E) from the contralateral, intermediate fascicle. Only one tract is activated from group I afferents in forelimb nerves. This tract is ipsilateral and ascends in the intermediate fascicle. The discharge (H) is
Fig. 2. Relation between size of afferent volley and discharge evoked in the group 1 activated forelimb tract. Upper and lower traces show, at two speeds, the discharge evokcd by stimulation of the deep radial nerve at indicated strengths (multiples of nerve threshold). Middle traces show the ingoing volley recorded from the dissected dorsal funiculi at C3. From the experiment also illustrated in Fig. I . (Modified from Holmqvist et al., 1963b).
G R O U P I AFFERENTS IN FORELIMB NERVES
181
comparable in size with the VSCT discharge and has a monosynaptic latency. The small early discharges recorded from the ipsilateral, dorsal fascicle (G) and from the contralateral, ventral fascicle (L) appeared only when the stimulus strength was raised to activate group I1 afferents. %
I
' C4
I C5
'
C 6 I C 7 IC8ITI
Fig. 3. (A). Location of the group I activated forelimb tract at the level of the third cervical segment. The spinal cord sector containing this tract is indicated by vertical hatching. For comparison, the sectors are shown which contain the dorsal (horizontal hatching) and ventral (stippled) spino-cerebellar tracts. (B). Two experiments made to determine the segmental level of the cell bodies of the group I activated forelimb tract. In one experiment the dorsal funiculi were transected at successively more caudal levels (open circles), in the other the lateral funiculus was transected at successively more rostral levels (triangles), while the mass discharge was recorded from the dissected lateral funiculus at C3 on stimulation of the ipsilateral deep radial nerve. Ordinate: amplitude of monosynaptic discharge in per cent of control value. Abscissa: segmental level of transection after which the mass discharge was recorded and measured. The fourth cervical to second thoracic segments are indicated on the horizontal scale. See text. (Modified from Holmqvist et al., 1963b.)
The relation between the size of the ingoing volley and the mass discharge evoked in the forelimb tract is shown in Fig. 2. The discharge appeared at a strength of 1.3 (A, B), and grew to a maximum at 1.9 times threshold (D). I n other experiments the threshold varied between 1.2 and 1.4 and the maximum was reached at, or slightly below, maximum for the group I volley. The threshold for evoking the discharge is similar to the threshold of Ib (tendon organ) afferents in hindlimb nerves. The forelimb tract is presumably activated mainly or exclusively from Ib afferents, just as the VSCT. By recording from variously dissected fascicles it was shown that the group I activated forelimb tract ascends jn the middle third of the lateral funiculus at the C3 level. Its location relative to the DSCT and VSCT is shown in Fig. 3A. The forelimb tract (vertical hatching) is ventral of, but overlaps partly, the VSCT (stippled). The level of the synaptic relay in the cord was determined by transection of the dorsal funiculus (interruption of presynaptic fibres) at successively more caudal levels (circles) and by transection of the lateral funiculus (interruption of postsynaptic axons) at successively more rostral levels (triangles), while the reduction of the mass discharge was watched by recording from the lateral funiculus (Fig. 3B). The experiments show that the relay occurs at, or slightly above, the level of the dorsal root References p. 193-195
182
0. O S C A R S S O N
entrance. These data show that the forelimb tract is anatomically distinct from DSCT and VSCT: it differs from DSCT in arising from cell bodies located rostrally of Clarke’s column and in having a ventral position in the cord, and from VSCT in being uncrossed. On the other hand, the group I activated forelimb tract resembles the VSCT in its termination and functional organization, as has been shown on recording from single units (Oscarsson and Uddenberg, unpublished). In the third cervical segment intraaxonal recording was made from fibres ascending in the lateral funiculus. Units that could be discharged from any of the dissected forelimb nerves were tested for antidromic activation from the cerebellar cortex, as had previously been done with units in the DSCT and VSCT (Lundberg and Oscarsson, 1960, 1962). The great majority of the units that were monosynaptically activated from group I afferents in ipsilateral forelimb nerves could be antidromically activated from the cerebellum. The group I activated tract was denoted the rostral spino-cerebellar tract (RSCT) as it terminates in the cerebellum and originates from cell bodies in the rostral part of the cord. A typical RSCT unit is shown in Fig. 4. In records A-F and I the deep radial (DR) nerve was stimulated at increasing strengths. A spike appeared irregularly at 1.3 A
D
Y
DR
1.3
2.7 h
Fig. 4. Recording from RSCT axon (lower traces) and recording from the surface of the dorsal funiculi in C3 (upper traces). The stimulating and recording arrangements are shown in diagram P. The following nerves were stimulated: ipsilateral deep radial nerve (DR), ipsilateral nerve to long head of triceps (LHT), ipsilateral nerve to biceps (B), ipsilateral median nerve (M), ipsilateral superficial radial nerve (SR), and contralateral radial nerve (r. R). A-F were obtained at the stimulus strengths indicated in multiples of the nerve threshold and G-L at about 15 times threshold. M and N show antidromic spikes elicited from the cerebellar cortex on stimulation of the points indicated in the diapram of the explored part of the anterior cerebellar lobe (0)(cf. Fig. 6). Larsell’s lobules IV and V are indicated. The interrupted line separates hind- and forelimb areas. Records M and N were obtained at faster speed than A-L. (From unpublished observations of Oscarsson and Udden berg.)
G R O U P I AFFERENTS I N FORELIMB NERVES
I83
times threshold when the ingoing volley (upper traces) was about one third maximal. The spike came regularly at higher strengths and a second spike was evoked by impulses in group I1 afferents when the strength was raised to 2.7 times threshold. Further increase of stimulus strength produced further spikes. Stimulation of the ipsilateral biceps nerve (B) was ineffective as was stimulation of the contralateral radial nerve (r. R). However, late spikes appeared with stimulation of low threshold afferents in the superficial radial nerve (SR) and of high threshold afferents in the nerve to the long head of triceps (LHT) and the median nerve (M). Records M and N show antidromic spikes evoked by weak electrical stimulation of the points indicated in the diagram of the anterior lobe (0). Similar observations were made with the other group I activated units. A monosynaptically evoked spike appeared on stimulation of high threshold group I afferents in one or more nerves. In similarity with the VSCT there was very often convergence of group I excitation from muscle groups working at d.ifferent joints: one group of RSCT units was activated both from extensors of the hand and extensors of the forearm and another group from flexors of the hand as well as extensors of the forearm. As in VSCT, no convergence was observed from antagonists working at the same joint (Eccles et al., 1961a). Presumably the RSCT units forward information concerning stages of movement or position of the whole limb rather than information of increased tension in individual muscles, just as has been suggested for the VSCT (Oscarsson, 1960). The group I activated units usually received polysynaptic excitation from the flexor reflex afferents in one or several ipsilateral nerves. Inhibitory action from the flexor reflex afferents was sometimes noted. Though the RSCT units are polysynaptically influenced from the flexor reflex afferents in similarity with the VSCT units (Oscarsson, 1957b; Eccles et al., I961a), they differ from the latter in that the synaptic actions of these afferents are not predominantly inhibitory as in VSCT. This is also
I
0 RSCT
A
VSCT
X DSCT
O ] 0
10
I
20
30
MSEC
40
Fig. 5 . Effect produced by a conditioning cutaneous voiley on mass discharges in DSCT, VSCT and RSCT. The tract discharges were recorded from the dissected lateral funiculus at the C3 level on stimulation of group I afferents in the ipsilateral (DSCT) and contralateral (VSCT) hamstring nerve and on combined stimulation of group I afferents in the deep radial nerve and the nerve to the long head of triceps (RSCT). The conditioning volleys were obtained by stimulation of the ipsilateral sural (DSCT), controlateral sural (VSCT), and ipsilateral superficial radial (RSCT) nerve at a strength of about 10 times threshold. Abscissa: volley interval in msec. Ordinate: amplitude of conditioned discharge in per cent of control value. 0-0 = RSCT; A-A = VSCT; X - x = DSCT. (From unpublished observations of Oscarsson and Uddenberg.) References p . 193-195
184
0. O S C A R S S O N
demonstrated in Fig. 5. In the same preparation the monosynaptic discharges in DSCT, VSCT and RSCT were conditioned by a preceding volley in cutaneous afferents from the same limb that supplied the monosynaptic excitation. The VSCT was strongly and the DSCT weakly inhibited (Oscarsson, 1957b), whereas the RSCT was facilitated. In other experiments the RSCT mass discharge was either facilitated or weakly inhibited by conditioning volleys in the flexor reflex afferents. The termination areas of the three spino-cerebellar tracts are shown in Fig. 6. Only DSCT
VSCT
RSCT
Fig. 6 . Cerebellar termination of left DSCT, VSCT, and RSCT. The diagram refers to the culmen of the anterior cerebellar lobe with Larsell’s lobules IV and V indicated. The curved line represents the rostra1 border of the exposed part of the anterior lobe. The interrupted line separates hindlimb and forelimb areas. Vertical lines indicate borders of intermediate cortices, horizontal lines sulci. (Data compiled from Lundberg and Oscarsson, 1960, 1962, and from unpublished observations of Oscarsson and Uddenberg.)
the culmen of the anterior lobe was explored in detail. Larsell’s lobules IV and V are indicated and the interrupted line shows the boundary between the hind- and forelimb areas according to anatomical (Grant, 1962b) and physiological investigations (Grundfest and Campbell, 1942; Snider and Stowell, 1944; Carrea and Grundfest, 1954; Combs, 1954). The dots indicate points from which individual units could be activated antidromically at a low stimulus strength. The DSCT terminates almost exclusively in the ipsilateral intermediate cortex, whereas the VSCT and RSCT terminate bilaterally in longitudinal zones consisting of a medial strip of the intermediate cortex and a lateral strip of the vermal cortex. Another similarity of the VSCT and RSCT units is that many of them can be activated antidromically from more than one point, often one ipsilateral and one contralateral, indicating branching of single fibres. Contralateral termination is most common with the VSCT units, whereas ipsilateral termination occurs more often with the RSCT units. This might be connected with the contralateral location of the VSCT cells and the ipsilateral location of the RSCT cells. The DSCT and VSCT terminate almost exclusively in the hindlimb area, whereas the RSCT units terminate approximately equally often in the hindlimb area as in the forelimb area. The bilateral termination areas of the VSCT and RSCT might indicate that the information conveyed by these tracts is used in the motor coordination of ipdateral
G R O U P I AFFERENTS I N FORELIMB NERVES
185
and contralateral limbs. The termination of the RSCT in both hindlimb and forelimb areas might correspondingly indicate that the information is used for the coordination of fore- and hindlimb movements. This tallies well with the hypothesis that the information mediated by these tracts concerns stages of movement or position of the whole limb. On the other hand, the DSCT units have small receptive fields and terminate ipsilaterally. It is possible that the information conveyed by these units is used mainly for the adjustment and coordination of movements within the ipsilateral limb. In this context it is interesting that the DSCT seems to terminate in the intermediate cortex, whereas the VSCT and RSCT have a more medial termination including a lateral strip of the vermis. According to Chambers and Sprague (1955a, b) each intermediate cortex regulates ‘the spatially organized and skilled movements and the tone and posture associated with these movements of the ipsilateral limbs’ and each vermal cortex, ‘tone, posture, locomotion, and equilibrium of the entire body’ (cf. also Pompeiano, 1958). THE CUNEO-CEREBELLAR TRACT
The cuneo-cerebellar tract originates from cells in the external cuneate nucleus and reaches cerebellum through the ipsilateral restiform body (Ferraro and Barrera, 1935). The external nucleus receives afferents from the dorsal funiculus but from no other known sources. The cuneo-cerebellar tract has, mainly on anatomical grounds, been assumed to be a forelimb homologue of the DSCT (Blumenau, 1891 ; Sherrington, 1890, 1893; Ferraro and Barrera, 1935; Brodal, 1941 ; Grant, 1962a). This hypothesis has now been substantiated by results obtained in an electrophysiological investigation of the tract (Holmqvist et al., 1963a). The mass discharge in the cuneo-cerebellar tract was recorded monophasically from the ‘dissected restiform body’ prepared as described by Holmqvist et al. (1963a). The spinal cord was almost completely transected sparing only the dorsal funiculi so as to exclude interference by activity in other ascending tracts. Records A-F in Fig. 7 show the mass discharge evoked by stimulation of the ipsilateral deep radial nerve at the indicated strengths. The first spike-like discharge appeared before any ingoing volley was discernible (A), showing that transmission through the external cuneate nucleus occurs with very little need for spatial summation. The first two spikes of the mass discharge were entirely due to excitation produced by the group I volley (A-D) ; the third spike was partly due to group I and partly to group I1 activation. At higher strengths of stimulation a late, prolonged discharge was added (E, F). Records G-L show the discharge evoked by stimulation of cutaneous afferents in the superficial radial nerve. Contralateral nerves were always ineffective (M, N). The units contributing to the mass discharge in the cuneo-cerebellar tract were analysed by intra-axonal recording from fibres in the region indicated by the dotted line in the diagram of Fig. 7. The results show that the tract contains one proprioceptive and one exteroceptive subdivision. The former consists of units activated monosynaptically from group I muscle afferents. One unit activated from the deep radial nerve is shown in Fig. 8. One or two impulses were discharged at a strength References p . 193-195
---0.O S C A R S S O N
186
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Fig. 7. Mass discharges recorded from the dissected restiform body on stimulation of ipsilateral and contralateral muscle (deep radial) and skin (superficial radial) nerves in the forelimbs (IM, CM, IS, CS). The spinal cord was transected at C3 except for the dorsal funiculi. Upper two traces in each set of records show, on a fast time base, the ingoing volley recorded triphasically from the dorsal funiculi at C3 and the mass discharge in the restiform body. Lower trace shows the mass discharge on a slow time base. Stimulus strengths, in multiples of threshold for evoking a mass discharge, are indicated in A-L. The stimulus strength in M and N was at 20 times threshold. Dots mark stimulus artefacts. Voltage scale refers to mass discharge recording. The diagram describes the recording conditions. The ‘dissected restiform body’ was prepared as follows. The cerebellum was sucked away leaving the peduncles and adjacent white matter intact. The brachium conjunctivum and brachium rontis were cut through along the interrupted line. A loop tied to the peduncles was hooked into one c f the recording electrodes and used for lifting the ‘dissected restiform body’ from underlying tissue (not shown). The other recording electrode was placed against the ‘dissected restiform body’ where it was in continuity with the brain stem at the rostra1 border of the eighth nerve. Axonal recording was performed within the area surrounded by the dotted line. (Modified from Holmqvist et al., 1963a.)
evoking no perceptible ingoing volley (A) and four or five spikes appeared at a strength of about 1.2 times threshold (C). No additional impulses were elicited when the stimulus was increased to supramaximal for group I afferents (F). Stimulation of the ipsilateral skin nerve (G) and contralateral nerves (H, I) evoked no activity. The other units activated from group I afferents were similar. Ths first impulse appeared at a very low stimulus strength and a large group I volley almost always produced a repetitive response. There was never additional activation from group I I and I11 muscle afferents or from skin afferents. The response to stretch of musclc was a slowly adapting discharge and the receptive field was one or a few adjaccnt muscles. The group I activated units in the DSCT have similar characteristics (Laporte et al., 1956; Lundberg and Oscarsson, 1956; Holmqvist et al., 1956; Lundberg and Winsbury, 1960; Eccles et al., 1961b). They are monosynaptically activated from group I muscle
187
G R O U P I AFFERENTS I N FORELIMB N E R V E S
afferents in one or a few muscle nerves and the response is often repetitive. The DSCT units do not reczive additional excitation from group IT1 muscle afferents and cutaneous afferents but they are, presumably in contrast with the cuneo-cerebdlar units, sometimes activated from group TI muscle afferents. The DSCT contains one functional subgroup activated from Ia and another from Ib afferents. It is unknown if there are two corresponding subgroups in the cuneo-cerebellar tract. The exteroceptive subdivison in the cuneo-cerebellar tract will not be described in detail. It consists of units activated from cutaneous afferents and often also from high threshold (group TI and 111) muscle afferents. There are several subgroups which
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Fig. 8. Cuneo-cerebellar unit activated from group I muscle afferents. Upper two traces in each set of records show, on a fast time base, microelectrode recording from the axon and recording from surface of the dorsal funiculi at C3; lower two traces show, on a slow time base, microelectrode recording from the axon and recording from dissected restiform body. A-F were obtained on stimulation of the ipsilateral muscle (deep radial) nerve (IM) at indicated strengths in multiples of mass discharge threshold. G I show that no discharge was elicited by stimulation (at 20 times threshold) of the ipsilateral skin (superficial radial) nerve (IS) or of the contralateral muscle and skin nerves (CM, CS). Superposed sweeps. Time scales in msec. (From Holmqvist et al., 1963a.)
correspond largely to those described previously for the exteroceptive subdivision in the DSCT (Lundberg and Oscarsson, 1960). However, the exteroceptive units in the cuneo-cerebellar tract differ, in one respect, conspicuously from those in the DSCT. The DSCT units are monosynaptically activated from cutaneous afferents, whereas the corresponding cuneo-cerebellar units are disynaptically activated from these afferents as well as from the sometimes converging high threshold muscle afferents. CEREBRAL PROJECTION OF GROUP 1 AFFERENTS
It is generally conccded that group I afferents from stretch receptors in hindlimb muscles do not project to the cerebral cortex (Mountcastle et al., 1952; McIntyre, 1962). However, a cerebral projection of forelimb group I afferents was suggested by References p. 193-195
188
0. O S C A R S S O N
th: findings of Amassian and Berlin (1958). These observations have now been confirmed and extended (Oscarsson and Roskn, 1963a, b).
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4 q
Fig. 9. Evoked potentials recorded from the somatic area I (SI) and 11 (SII) on stimulation of the contralateral deep radial nerve. The potentials were simultaneously recorded on a fast (left traces) and slow time base. The inset records (upper left traces) show, on the fast time base, the primary afferent volley triphasically recorded from the dorsal funiculus at the C3 level immediately after the cortical recording. Stimulus strength in multiples of nerve threshold is indicated on each set of records. Positivity is signalled upwards. Voltage scale applies to cortical potentials (right traces). (From Oscarsson and RosCn, 1963a.)
Records A-E in Fig. 9 show surface-positive potentials evoked in the first somatic area (SI) on stimulation of group 1 muscle afferents in the contralateral deep radial nerve. The cortical potentials appeared at a strength producing a hardly visible ingoing volley (upper traces, A) and grew to a maximum with the group I volley (B-D). Additional activation of high threshold afferents did not increase the amplitude further but caused some increase of the following negative potential (E). On the other hand, in the second somatic area potentials appeared only when the strength was increased to activate group 11 afferents (F-J). Similar observations were made on stimulation of nerves to single muscles, for example the nerves to extensor carpi radialis, extensor digitorum communis, biceps, and the long head of triceps. The potentials evoked from group 1 afferents were limited to a small part of the forelimb region of SI, as defined by Woolsey and collaborators (Woolsey, 1947, 1959) (Fig. 10A). The group I potentials occurred only in the rostra1 part of this region, in the area between the postcruciate dimple and the cruciate sulcus. The responsive area was denoted R-SI and is shown schematically in Fig. 1OC. On the other hand, the potentials evoked from cutaneous and high threshold muscle afferents had two maxima, one in R-SI and the other in an area caudally of the dimple denoted C-SI (Fig. 1OC). These observations indicate that the forelimb region of S1 is differentiated
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Fig. 10. Dorsal view of the rostra1 pole of the cerebral hemisphere to show the forelimb region of the first somatic area (SI). The ansate, coronal, and cruciate sulci and the postcruciate dimple are indicated in A. (A). The area enclosed by the interrupted line shows the forelimb region of SI according to Woolsey (1947, 1959). (B). The area enclosed by the interrupted line shows the cortex responding to tactile stimulation of the forelimb and the hatched area, the cortex from which forelimb motor responses could be elicited in the experiments of Livingston and Phillips (1957). (C). Location of the responsive areas, C-SI and R-SI, discussed in the present paper. (From Oscarsson and Rosen, 1963b.)
into two parts with different function. It is tempting to associate R-SI with the motor and C-SI with the sensory cortex. Livingston and Phillips (1957) mapped, in the same experiments, the cortical areas responsive to tactile stimulation and those from which movements could be elicited. The forelimb regions of these areas are shown in Fig. 10B: the interrupted line encloses the responsive area and the hatched field shows the ‘motor’ area. The latter corresponds remarkably well to R-SI of the present investigation, though it extends more rostrally. Presumably the group 1 projection to the cerebral cortex represents a feedback channel used for adjusting the motor output from the cortex. The receptors of the group I afferents projecting to the cerebral cortex were identified by natural stimulation. A discharge from the appropriate receptors could be recognized by the depression of the cortical potential evoked on electrical stimulation
150
T.
100
50
0
Fig. 11. Change in amplitude of cortical potential evoked by a volley in Group I afferents of the nerve to extensor digitorum communis (EDC), on loading the tendon with various weights (A) and after close arterial injection of succinylcholine chloride (B). Ordinate: amplitude of the surface-positive cortical potential in per cent of control value obtained before loading (A) and injection (B). Abscissa: time in seconds after beginning of loading (A); time in minutes after injection (B). Interrupted vertical line in A indicates release from loading. Filled circles in B show absence of effect after transection of the EDC nerve. (From Oscarsson and Rosen, 1963b.) References p. 193-195
I90
0. O S C A R S S O N
of the intact nerve. This depression may be correlated with the marked reduction of the cortical potential that occurs at even low repetition rates of stimulation in the anaesthetized preparation. Fig. 11A shows the reduction of the potential evoked by stimulation of the nerve to extensor digitorum communis, on loading the muscle tendon with 10, 20 and 100 g. 10 g was sufficient to cause a definite depression and larger loads produced a marked reduction of the cortical potential. There was an initial phase of strong depression followed by a moderate one that remained until the end of the loading. Presumably the time course of the depression reflects the
Fig. 12. Relation between size of afferent volley and discharge evoked in medial IemnisLus and cuneo-cerebellar tract. The deep radial nerve was stimulated a t indicated strengths (multiples of nerve threshold). The traces show from above downwards: the lemniscal discharge and the ingoing volley at a fast speed, and the lemniscal discharge and the discharge in the cuneo-cerebellar tract at a slow speed. Positivity is signalled upwards. The lemniscal discharge was recorded with a steel needle electrode in the region of the lemniscus at a low pons level. The discharge in the cuneo-cerebellar tract was recorded from the dissected restiform body as described in Fig. 7. The ingoing volley was recorded triphasically from the dorsal funiculi at C3. Time scales in msec. (Partly unpublished records by Oscarsson and Rosen.)
adaptation of the receptors. Fig. 1 IB shows the depression of the cortical potential that occurred after close arterial injection of succinylcholine which is known to evoke a discharge in muscle spindle, but not in tendon organ afferents (Granit et a/., 1953). Following transection of the nerve the effect was abolished (filled circles). It was concluded from these and other experiments that group I afferents projecting to the cerebral cortex originate from muscle spindles, but an additional projection from tendon organs can not be excluded. The group I projection path belongs to the dorsal funiculus-medial lemniscus system. The cortical potentials evoked from group I afferents disappeared after a lesion in the dorsal funiculi but remained after almost complete transection of the cord sparing these funiculi. Additional confirmation was obtained on recording from the medial lemniscus at the pons level: the expected discharge appeared on stimulation of group I afferents in contralateral forelimb nerves (Fig. 12). The findings described in this and the previous section indicate that group 1 afferents ascending in the dorsal funiculi activate neurones in the external as well as in the main cuneate nucleus. The neurones of the external nucleus give origin to the uncrossed cuneo-cerebellar tract and the neurones of the main nucleus to the crossed medial lemniscus. The properties of the group I relays in the two nuclei were compared by simultaneous recording from the two tracts on stimulation of the deep radial nerve. The traces in Fig. 12 show from above downwards: the lemniscal discharge and the ingoing volley at a fast speed, and the lemniscal discharge and the discharge
191
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in the cuneo-cerebellar tract at a slow speed. A discharge with a monosynaptic latency appeared in both tracts at a very low stimulus strength producing a hardly visible ingoing volley (A). The initial part of the discharge grew to a maximum with the group I volley (B-D) and additional activation of high threshold afferents prolonged the activity. An input-output curve obtained from a similar experiment is shown in Fig. 13A. Triangles represent the amplitude of the lemniscal discharge
X
b
50 GROUP I VOLLEY
100
( X MAX.)
I
CUNEOCEREBELLAR T R A C T
2
5
10
20
50
100 200
500
STIMULI / S E C
Fig. 13. (A). Input-output curve for transmission of impulses from group I afferents through the main and external cuneate nuclei. The deep radial nerve was stimulated. Abscissa: amplitude of ingoing volley recorded triphasically from the dorsal funiculus at C3. Ordinate: amplitude of mass discharge in medial lernniscus (triangles) and cuneo-cerebellar tract (crosses). (B). Effect of frequency on transmission through the main and external cuneate nuclei. The deep radial nerve was stimulated. Abscissa: stimulation frequency (log scale). Ordinate : amplitude of mass discharge in medial lemniscus (triangles) and cuneo-cerebellar tract (crosses) in per cent of value at a frequency of l/sec. Each point was obtained from superposed records when a steady state was attained, e.g. after 10-20 stimuli at the high frequencies. (Modified from Oscarsson and Rosen, 1963b.)
and crosses, the amplitude of the discharge in the cuneo-cerebellar tract. The curve fits both sets of points suggesting that, at both relays, the same types of afferents were responsible for the postsynaptic discharge and that transmission through both nuclei occurs with little need for spatial summation. On the other hand, the two group I relays differ in their ability to transmit impulses at high frequencies. The mass discharge in the lemniscus decreased at frequencies above 10, and that in the cuneo-cerebellar tract only at frequencies above 75/sec (Fig. 13B). In its ability to follow high frequencies the group I relay in the external cuneate nucleus is similar to the group I relays of the DSCT and VSCT (Holmqvist et al., 1956; Oscarsson, 1957b), whereas the relay in the main nucleus is intermediate between these relays and the monosynaptic connections between group I afferents and motoneurones (Adrian and Bronk, 1929; Lloyd and Wilson, 1957). It seems likely that the ability to follow high frequencies is related to the properties of the next synaptic relays. There is evidence suggesting that the thalamic relay has a pronounced recurrent inhibition (Andersen and Eccles, 1962) which presumably limits the transmission at high frequencies, whereas at least some neurones in the cerebellar cortex may follow very high frequencies of orthodromic stimulation (Granit and Phillips, 1956). COMMENTS
Group I afferents in hindlimb nerves have two ascending projections, the dorsal and the ventral spino-cerebellar tract. It must now be recognized that group J afferents in References p . 193-195
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forelimb nerves have three projections, two terminating in the cerebellar cortex and one in the cerebral cortex. It is of interest to compare the hind- and forelimb projections and to discuss possible reasons for differences between them. The cuneo-cerebellar tract is obviously a forelimb homologue of the DSCT. The two tracts are largely equivalent as channels for proprioceptive and exteroceptive information. Ln both tracts the proprioceptive subdivision consists of units monosynaptically activated from group I muscle afferents and carrying information with a high degree of spatial discrimination. The exteroceptive subdivision has a similar functional organization in the two tracts but is monosynaptically activated from cutaneous afferents in the DSCT and disynaptically, in the cuneo-cerebellar tract. The reason for this discrepancy is unknown but might be connected with an earlier synaptic relay in the main cuneate nucleus (Holmqvist et al., 1963b). The rostral spino-cerebellar tract is anatomically distinct from the DSCT and VSCT but resembles functionally the latter tract. It can be regarded as a functional forelimb equivalent of the VSCT. RSCT units are monosynaptically activated from lugh threshold group I afferents, presumably identical with tendon organ (Ib) afferents. There is very often convergence of group I excitation from muscles working at different joints suggesting that the RSCT conveys information about stages of movement or position of the whole limb, as has previously been suggested for the VSCT (Oscarsson, 1960). The RSCT differs from the VSCT in that the polysynaptic effects from the flexor reflex afferents are not predominantly inhibitory as in the latter tract. The functional significance of this difference is obscure. Another difference relates to the termination of the two tracts. The VSCT terminates almost exclusively in the hindlimb area of the cerebellar cortex, whereas the RSCT terminates in the forelimb as well as the hindlimb area. Possibly the information carried by RSCT is more directly utilized in the coordination of fore- and hindlimb movements. The projection of group I afferents to the cerebral cortex through the dorsal funiculus-medial lemniscus system has no hindlimb equivalent. The forelimbs are used not only in locomotion but also in a wide variety of other movements, such as handling and perhaps exploration of the environment. This might necessitate a direct feedback channel for the control of movements elicited from the cortex, whereas hindlimb movements might be controlled mainly through reflex mechanisms at lower levels. The group I projection presumably represents such a feedback system and it is significant that it terminates in a rostral part of the postcruciate gyrus which probably is a motor area in the cat. Our findings demonstrate marked differences between ascending pathways related to the h n d - and forelimb levels respectively. Group I afferents project to the cerebellar cortex through two ‘forelimb’ and two functionally equivalent ‘hindlimb tracts’. The functional organization of each forelimb tract is similar to, but not identical with, the functional organization of the corresponding hindlimb tract and the anatomical organization is different. The cerebral projection of Group I afferents is related exclusively to the forelimb level. Obviously, these results call for considerable caution when transferring observations on tracts originating from one segmental level of the body to those originating from another level.
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SUMMARY
Group I muscle afferents in hindlimb nerves activate two ascending tracts, the dorsal and the ventral spino-cerebellar tract (DSCT and VSCT). Recent investigations show that group I afferents in forelimb nerves activate three ascending pathways. 1. The rostra1 spino-cerebellar tract (RSCT) originates from cell bodies at, or slightly above, the level of the dorsal root entrance, ascends ipsilaterally in the middle third of the lateral funiculus, and terminates in a characteristic manner in the anterior cerebellar lobe. It receives monosynaptic excitation from high threshold group I muscle afferents, presumably identical with tendon organ afferents. Convergence of group 1 excitation from muscles working at different joints is common suggesting that the RSCT forwards information concerning stages of movement or position of the whole limb rather than information about increased tension in individual muscles. It is suggested that the RSCT is a functional forelimb homologue of the VSCT. 2. The cuneo-cerebellar tract contains one component that is monosynaptically activated from very low threshold group I muscle afferents, presumably identical with muscle spindle afferents. The response to a single volley in group I afferents is repetitive and transmission can occur at very high frequencies. The receptive field is small; it often consists of a single muscle. Other components of the cuneo-cerebellar tract are disynaptically activated from cutaneous afferents. It is concluded that the cuneocerebellar tract is a forelimb equivalent to the DSCT. 3. The third pathway is a projection to the cerebral cortex of large muscle spindle afferents. The group I afferents ascend in the dorsal funiculus and activate monosynaptically cells in the main cuneate nucleus which give origin to a component of the medial lemniscus. After a presumed thalamic relay the projection terminates in a small cortical area between the cruciate sulcus and the postcruciate dimple. It is suggested that this area has a motor function in the cat. The group I projection is presumably a feedback system used for the control of movements elicited from the cortex. The cerebral projection of forelimb group I afferents has no hindlimb equivalent. REFERENCES ADRIAN, E. D., A N D BRONK,D. W., (1929); The discharge of impulses in motor nerve fibres. Part 11. The frequeniy of discharge in reflex and voluntary contractions. J. Physiol. (Lond.), 67, 119-151. AMANAN,V. E., AND BERLIN,L., (1958); Early cortical projection of Group I afferents in the forelimb muscle nerves of cat. J . Physiol. (Lond.), 148, 61P. ANDERSEN, P., AND ECCLES,J. C., (1962); Inhibitory phasing of neuronal discharge. Nature (Lond.), 196, 645-647. L., (1891); Ueber den ausseren Kern des Keilstranges im verlangerten Mark. Neurol. BLUMENAU, Cbl., 10, 226-232. BRODAL, A., (1 941); Die Verbindungen des Nucleus cuneatus externus mit dem Kleinhirn beim Kaninchen und bei der Katze. Experimentelle Untersuchungen. 2.ges. Neurol. Psychiut., 171, 167-199. R. M. E., AND GRUNDFEST, H., (1954); Electrophysiological studies of cerebellar inflow. CARREA, 1. Origin, conduction and termination of ventral spino-cerebellar tract in monkey and cat. J . Neurophysiol., 17, 208-23 8. CHAMBERS, W. W., AND SPRAGUE, J. M., (1955a); Functional localization in the cerebellum. I.
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Organization in longitudinal corticonuclear zones and their contribution to the control of posture, both extrapyramidal and pyramidal. J. cump. Neurol., 103, 105-129. CHAMBERS, W. W., AND SPRAGUE, J. M., (1955b); Functional localization in the cerebellum. 11. Somatotopic organization in cortex and nuclei. Arch. Neurol. Psychiat. (Chic.), 74, 653-680. COMBS,C. M., (1954); Electro-anatomical study of cerebellar localization. Stimulation of various afferents. J . Neurophysiol., 17, 123-143. ECCLES, J. C., HUBBARD, J. I., AND OSCARSSON, O., (1961a); Intracellular recording from cells of the ventral spino-cerebellar tract. J . Physiol. (Lond.), 158, 486-516. ECCLES, J. C., OSCARSSON, O., AND WILLIS, W. D., (1961b); Synaptic action of group I and I1 afferent fibres of muscle on the cells of the dorsal spino-cerebellar tract. J. Physiol. (Lond.), 158, 517-543. FERRARO, A., AND BARRERA, S. E., (1935); The nuclei of the posterior funiculi in Macacus rhesus. An anatomic and experimental investigation. Arch. Neurol. Psychiat. (Chic.),33, 262-275. GRANIT, R., AND PHILLIPS, C. G., (1956); Excitatory and inhibitory processes acting upon individual Purkinje cells of the cerebellum in cats. J . Physiol. (Lond.), 133, 520-547. GRANIT,R., SKOGLUND, S., AND THESLEFF, S., (1953); Activation of muscle spindles by succinylcholine and decamethonium. The effects of curare. Acta physiol. scand., 28, 134-151. GRANT,G., (1962a); Projection of the external cuneate nucleus onto the cerebellum in the cat: An experimental study using silver methods. Exp. Neurol., 5, 179-195. GRANT,G., (196213); Spinal course and somatotopically localized termination of the spinocerebellar tracts. An experimental study in the cat. Actaphysiol. scand., 56, Suppl. 193, 1 4 5 . GRUNDFEST, H., AND CAMPBELL, B., (1942); Origin, conduction and termination of impulses in the dorsal spinocerebellar tracts of cats. J . Neurophysiol., 5, 275-294. HOLMQVIST, B., LUNDBERG, A., AND OSCARSSON, O., (1956); Functional organization of the dorsal spino-cerebellar tract in the cat. V. Further experiments on convergence of excitatory and inhibitory actions. Acta physiol. scand., 38, 76-90. HOLMQVIST, B., OSCARSSON, o., AND ROSBN,I., (1963a); Functional organization of the cuneocerebellar tract in the cat. Acfa physiol. scand., 58, 216-235. HOLMQVIST, B., OSCARSSON, O., AND UDDENBERG, N., (1963b); Organization of ascending spinal tracts activated from forelimb afferents in the cat. Acta physiol. scand., 58, 68-76. LAPORTE, Y . , LUNDBERG, A., AND OSCARSSON, o., (1956); Functional organization of the dorsal spino-cerebellar tract in the cat. 11. Single fibre recording in Flechsig’s fasciculus on electrical stimulation of various peripheral nerves. Acta physiol. scand., 36, 188-203. LIVINGSTON, A., AND PHILLIPS, C. G., (1957); Maps and thresholds for the sensorimotor cortex of the cat. Quart. J . exp. Physiol., 42, 190-205. LLOYD,D. P. C., AND MCINTYRE, A. K . , (1950); Dorsal column conduction of group I muscle afferent impulses and their relay through Clarke’s column. J. Neurophysiol., 13, 39-54. LLOYD,D. P. C., AND WILSON,V. J., (1957); Reflex depression in rhythmically active monosynaptic reflex pathways. J . gen. Physiol., 40, 409426. LUNDBERG, A., AND OSCARSSON,o.,(1956); Functional organization of the dorsal spino-cerebellar tract in the cat. 1V. Synaptic connections of afferents from Golgi tendon organs and muscle spindles. Acta physiol. scand., 38, 53-75. LUNDBERG, A., AND OSCARSSON, o., (1960); Functional organization of the dorsal spino-cerebellar tract in the cat. VII. Identification of units by antidromic activation from the cerebellar cortex with recognition of five functional subdivisions. Acta physiol. scand., 50, 356-374. LUNDBERG, A., AND OSCARSSON, o.,(1962); Functional organization of the ventral spino-cerebellar tract in the cat. IV. Identification of units by antidromic activation from the cerebellar cortex. Acta physiol. scand,, 51, 252-269. LUNDBERG, A., AND WINSEURY, G., (1960); Functional organization of the dorsal spino-cerebellar tract. VI. Further experiments on excitation from tendon organ and muscle spindle afferents. Acta physiol. scand., 49, 165-170. MCINTYRE, A. K., (1962); Central projection of impulses from receptors activated by muscle stretch. Symposium on MuJcle Receptors. D. Barker, Editor. Hong Kong, University Press (p. 19-30). MOUNTCASTLE, V. B., COVIAN,M. R., AND HARRISON, C. R. (1952); The central representations of some forms of deep sensibility. Ass. Res. nerv. Dis.Proc., 30, 339-370. OSCARSSON, O., (1957a); Primary afferent collaterals and spinal relays of the dorsal and ventral spino-cerebellar tracts. Acta physiol. scand., 40, 222-23 1. OSCARSSON, O., (1957b); Functional organization of the ventral spino-cerebellar tract in the cat. 11. Connections with muscle, joint, and skin nerve afferents and effects on adequate stimulation of various receptors. Acta physiol. scand., 42, Suppl. 146, 1-107.
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OSCARSSON, O., (1960); Functional organization of the ventral spino-cerebellar tract in the cat. 111. Supraspinal control of VSCT units of I-type. Actaphysiol. scand., 49, 171-183. OSCARSSON, O., AND ROSBN,I., (1963a); Cerebral projection of Group 1 afferents in forelimb muscle nerves of cat. Experientia (Basel), 19, 206. O., AND ROSEN,I., (1963b); Projection to cerebral cortex of large muscle spindle afferents OSCARSSON, in forelimb nerves of the cat. J. Physiol. (Lond.), 169, 924-945. POMPEIANO, O., (1958); Responses to electrical stimulation of the intermediate part of the cerebellar anterior lobe in the decerebrate cat. Arch. ital. Biol., 96, 330-360. REXED,B., A N D STROM,G., (1952); Afferent nervous connexions of the lateral cervical nucleus. Acta physiol. scand., 25, 219-229, SHERRINGTON, CH. S., (1890); On out-lying nerve-cells in the mammalian spinal cord. Phil. Trans. B, 181, 3348. SHERRINGTON, CH. S., (1893); Note on the spinal portion of some ascending degeneration. J . Physiol. (Lond.), 14, 255-302. A., (1944); Receiving areas of the tactile, auditory and visual systems SNIDER, R. S., AND STOWELL, in the cerebellum. J . Neurophysiol., 7 , 331-357. WOOLSEY, C. N., (1947); Patterns of sensory representation in the cerebral cortex. Fed. Proc., 6, 437441. C. N., (1959); Some observations on brain fissuration in relation to cortical localization WODLSEY, of function. Structure and Function of the Cerebral Cortex. D. B. Tower and J. P. Schade, Editors. Proc. 2nd Int. Meet. Neurobiol. Amsterdam, Elsevier (p. 64-68).
DISCUSSION
GELFAN:The cortical projection of afferent outflow from muscle, particularly in group la fibers, has interested us for some time, as it has other neurophysiologists. Since hitherto experiments on animals failed to demonstrate any such projection of impulses from spindle annulo-spiral endings, Dr. Sylvester Carter, a hand surgeon, and I decided to test it in man. So far we have tried it only on 4 suitable surgical cases, in which the tendons at the wrist were exposed under local anaesthesia, limited to the skin, and with no pre-operative medication. When a tendon was pulled so as to stretch the muscle, as for example the palmaris longus, the sensation was never referable to the muscle. The patient would sometimes report that the skin over the muscle area was being pulled. When the tendons were pulled so as to move the fingers, the reports accurately identified the specific finger movement, i.e. joint movement was readily recognized and appreciated. But there has so far been no evidence of any coiiscious recognition of changes in length of muscles. OSCARSSON: Our experiments have, so far, been limited to the cat and we don’t know anything about the organization in other species. However, the information reaching the cerebral cortex from large muscle spindle afferents in the cat might not enter the ‘consciousness’ of the animal. This is suggested by the recent investigation of Giaquinto, Pompeiano and Swett (Arch. ital. Biol., 101 (1963) 133-148). These authors showed that repetitive stimulation of group I afferents in the deep radial nerve did not influence the EEG and behaviour of sleeping or waking cats. The group I projection terminates in what is presumably the motor cortex of the cat and might represent a feedback system adjusting movements elicited from this cortical area. Thus the cerebral cortex seems to contain mechanisms as unrelated to consciousness as the motor regulating mechanisms in the cerebellum.
196
DISCUSSION
CREUTZFELDT: I should like to ask Dr. Oscarsson whether he has an idea in which thalamic nucleus the corticopetal Ia afferents may be relayed. lntracellular recordings from Betz cells in the cat motor cortex performed in our lab (Lux, Nacimiento and myself) have consistently shown short latency primary EPSPs after stimulation of the VPL nucleus of the thalamus. This monosynaptic connection between VPL and Betz cells may represent the next link in a la-spino-corticospinal reflex pathway whose centrifugal path would then be the corticospinal tract. The relatively low following frequency of cortical responses may suggest a frequency limiting recurrent inhibition in the thalamic relay as assumed also in other thalamo-cortical systems. OSCARSSON: We have not investigated the site of the presumed thalamic relay. KUYPERS: The data you presented are of extreme interest to me since we have been looking at the descending pathways to the cuneate and gracilis nucleus. At least in monkey there is some precentral projection to the cuneate and gracilis. Peculiarly enough it was always thought that the cerebral projection was first and foremost postcentral and only in exceptional cases did the Woolsey school feel that there was any precentral contribution. Dr. Creutzfeldt has pointed out that the VPL projects to the precentral gyrus or an area comparable to the precentral gyrus. This would mean that the precentral gyrus is part of a VPL-circuit and this would facilitate the explanation of a projection to the cuneate and gracilis nucleus.
197
Supraspinal Control of Transmission in Reflex Paths to Motoneurones and Primary Afferents A. L U N D B E R G
Department of Physiology, University of Goteborg, Giiteborg (Sweden)
In the introduction to ‘The integrative action of the nervous system’ Sherrington (1906) states that the reflex is ‘the unit reaction in nervous function’. In Sherrington’s opinion integration is at least in part a compounding of reflexes. It was this integrative aspect that prompted us to investigate the descending control of reflexes. Electrophysiological work of the last decades has greatly advanced our knowledge of spinal reflexes from different types of receptors, but the problem of how different reflexes can co-function harmoniously has been given little attention. It is now clear that the supraspinal control of reflex paths is one important aspect of this problem. Spinal reflexes in the cat can be modified from higher centres in different ways. When the excitability of the a-motoneurones is changed, there is also an action on the reflexes but this effect is as far as we know indiscriminate, affecting all reflexes alike. Another type of descending control of reflexes depends on the well-known efferent y-control of the muscle spindle (Leksell, 1945; Granit, 1955). A selective effect on reflexes from muscle spindles can be exerted by a change in the y-bias but this mechanism will not be discussed further. This report deals with the descending control of transmission from primary afferents to motoneurones and also with the control of transmission in the recently disclosed reflex paths to primary afferents giving primary afferent depolarization and thereby presynaptic inhibition (Frank and Fuortes, 1957; Eccles et al., 1961). There are both facilitatory and inhibitory influences, but a start will be made with the facilitatory action from the sensorimotor cortex, which in some respects is less complex than the inhibitory control from the brain stem discussed in the second part. I. F A C I L I T A T O R Y E F F E C T F R O M T H E S E N S O R I M O T O R C O R T E X
There may be several descending systems facilitating transmission in reflex paths but so far the only one disclosed is the corticospinal tract. Facilitatory effects on transmission in reflex paths to motoneurones and to primary afferents will be described in (a) and (b) respectively. Effects on interneurones are described in section (c). (a) Reflex paths to motoneurones
Facilitation from the pyramidal tract of spinal reflexes at an interneuronal level was References p . 217-219
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A. L U N D B E R G
first demonstrated by Lloyd (1941) (cf also Lindblom and Ottosson, 1956; 1957) and has recently been systematically investigated with respect to reflex paths from different afferent systems (Lundberg and Voorhoeve, 1962). Fig. 1 illustrates facilitation from the sensorimotor cortex of the Ta inhibitory pathway to a-motoneurones. Intracellular recording was made from a gastrocnemius motoneurone. A l a volley from the A
DP 1.30
cortex
-
7
C
cortex+DP
50x p
I PER C E N T INHIBITION
100
o
-
20 msec
5c-
corlex+DP+G-S
o~D-o-o--o-o
h
P
& ~ . ‘ . r X x
I
i
‘
Fig. 1. Facilitation t t t 5 from the contralateral sensorimotor cortex of the Ia inhibitory path to moto-
neurones. Records A-C are intracellular records from a gastrocnemius-soleus (G-S) motoneurone and internal positivity (depolarization) is signalled upwards. The lower traces in A-C are from the L7 dorsal root entry zone and a downwards deflection signals negativity. The left and right traces in each record were taken simultaneously at different speeds. In A and C are shown the responses evoked by a la volley in the deep peroneal nerve (DP). In B the sensorimotor cortex was stimulated and in C there is spatial facilitation on combined stimulation of the cortex and the DP nerve. The graph shows the effect of cortical stimulation on the reciprocal Ia inhibition from the DP nerve of the G-S monosynaptic test reflex. The effect of 3 stimuli from the sensorimotor cortex is shown by circles, whereas crosses show the inhibition without cortical stimulation. Intervals on the abscissa are between the first cortical stimulus and the inhibited monosynaptic test reflex. The drawing t o the right shows the cortical areas from which there were facilitation of the reciprocal Ia inhibitory paths. The pathway tested in the hindlimb was from DP to G-S and in the forelimb from biceps to the lateral and medial divisions of triceps (Lundberg and Voorhoeve, 1962).
antagonist pretibial flexors did not evoke any IPSP in A. Record C shows that when the same Ia volley is preceded by stimulation of the sensorimotor cortex a large la TPSP is evoked. Hence there is a powerful facilitation of the Ia inhibitory pathway at a strength of cortical stimulation that in itself does not evoke any synaptic actions in the motoneurones (B). Presumably the effect is due to excitatory action from the sensorimotor cortex on the inhibitory interneurone now known to exist in the Ia inhibitory pathway (Eccles eta/., 1956; Eccles and Lundberg, 1958; Araki eta/., 1960; Eide et al., 1961). The graph in Fig. 1 gives the time course of the facilitatory effects; the cortical areas from which minimal action can be evoked on the Ia inhibitory paths in hind- and forelimb are also shown in Fig. 1. Effects from the sensory and motor regions cannot be differentiated with respect to hindlimb actions but the forelimb effect is from the motor region (cJ Livingston and Phillips, 1957) hence it is postulated that the action on the reflex path, as could be expected, is from the motor cortex.
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The same facilitatory action from the sensorimotor cortex is found on the excitatory and inhibitory paths from Ib afferents and from the FRA (flexor reflex afferents = group I1 and 111 muscle afferents, cutaneous afferents and high threshold joint afferents). The records in Fig. 2 reveal facilitation of excitatory and inhibitory paths from cutaneous afferents in a flexor and an extensor motoneurone respectively. Similar findings were made for the flexor reflex actions evoked from group 11and 111muscle afferents and from high threshold joint afferents. In flexormotoneurones, volleys in the FRA can evoke either excitation or inhibition (cf. Eccles and Lundberg, 1959a; Paintal, 1961 ; Holmqvist and Lundberg, 1961); the inhibitory path, normally not open in the spinal state, can be facilitated from the cortex, and the same holds true for the excitatory path from cutaneous afferents to extensor motoneurones (cf. Iagbarth, 1952).
A
cortex
Sur
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Fig. 2. Facilitation from the contralateral sensorimotor cortex of reflex paths from cutaneous afferent to motoneurones. Intracellular recording from a posterior biceps-semitendinosus motoneurone in A-C and from a gastrocnemius-soleus motoneurone in D-F. The lower traces were recorded from the L7 dorsal root entry zone and negativity is signalled by a downwards deflection. The sural nerve was stimulated in A and D, B and E show the effect of cortical stimulation alone and C and F of combined stimulation of cortex and the sural nerve (Lundberg and Voorhoeve, 1962).
Recently Engberg (1963b) has found strong facilitation from the cortex of the excitatory path from the pad to toe extensor motoneurones. In summary : all polysynaptic reflex paths to a-motoneurones hitherto investigated can be facilitated from the cortex. Experiments with transection of the pyramid and with transection of the brain stem sparing the pyramid, have shown that effects on reflex paths are mediated by the corticospinal tract. To reveal the facilitatory effects discussed above, the strength of cortical stimulation was subliminal or liminal for actions on the inotoneurones investigated. At higher strength, stimulation of the cortex evoked synaptic potentials. Although there was often evidence of mixed inhibitory and excitatory action in individual motoneurones (Lundbergand Voorhoeve, 1962, Figs. 18 and 19) it is of special interest that excitatory actions often dominated in flexor motoneurones, and inhibitory in extensor motoneurones. This is illustrated by the intracellular record i n Fig., 3 A and B and by the curves obtained with the monosynaptic test method in the graph of Fig. 3. This References p . 2 I 7-2 I9
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distribution of synaptic actions to flexor and extensor motoneurones should be correlated with actions from the cortex on spinal reflex paths. The dominating spinal reflex is the flexor reflex; the expected result of an activation of interneurones of ipsilateral reflex paths would therefore be inhibition of extensor and facilitation of flexor motoneurones. There are several other findings supporting the hypothesis that
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Fig. 3. Effects from the contralateral sensorimotor cortex on a-motoneurones. The graph to the left shows the effect of cortical stimulation ( 5 stimuli) on the monosynaptic test reflex from gastrocnemiussoleus, G-S, ( a ) and from posterior biceps-semitendinosus, PBSt, (x), 100% on the ordinate represents the unconditioned amplitude of the test reflex. Contitioned test response, expressed as percentage of control amplitude, is plotted as a function of interval between the first cortical stimulus and the monosynaptic test reflex. The same strength of cortical stimulation was used to obtain the two curves. A and B are intracellular recordings (lower trace in A and upper trace in B) from a G-S and a PBSt motoneurone as indicated in the records. Upper trace in A and the lower trace in B are from the dorsal root entry zone in L7 and a downwards deflection signals negativity (Lundberg and Voorhoeve, 1962 and unpublished results),
the synaptic action from the sensorimotor cortex is secondary to the activation of reflex paths. For example in some flexor motoneurones, inhibition was the dominating effect from the cortex, and these motoneurones also received mainly IPSPs from the FRA. Toe extensors (in particular flexor digitorum brevis) differ from other extensor motoneurones in that they receive strong excitatory action from the cortex, and this should be correlated with the existence of an effective excitatory action from the pad reaching these motor nuclei exclusively (Engberg, 1963a, b). The finding that many motoneurones receive mixed excitatory and inhibitory actions from the sensorimotor cortex is in agreement with the fact that such a variety of reflex paths can be mobilized from the cortex. It is also likely that the corticospinal tract has effects on crossed reflex paths. The discussion above refers to the dominating ipsilateral actions. (b) Reflex paths to primary aflerents
It has been shown independently by two groups that stimulation of the sensorimotor cortex evokes primary afferent depolarization (Andersen et al., 1962; Carpenter,
CONTROL OF TRANSMISSION I N REFLEX P A T H S
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Lundberg et al., 1962, 1963). I n Fig. 4 dorsal root potentials (DRP) were recorded bilaterally and the cord was hemisectioned as shown in the diagram. In lumbar roots the threshold action was from the hindlimb area. After section of the pyramid, the
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Fig. 4. Primary afferent depolarization evoked from the sensorimotor cortex. The dorsal root potentials in A and C (upper traces) were evoked from the right sensorimotor cortex and recorded from the most caudal dorsal rootlet in L7 on the left and right side as indicated. The lower traces were all rzcorded with one electrode placed on the dorsal column and negativity is signalled by a n upwards deflection. The corresponding records B and D were obtained after section of the right pyramid (cf. lower right diagram). The shaded area in the lower left diagram is the region from which actions could be obtained at threshold stimulation (Carpenter, Lundberg et al., 1963).
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Fig. 6. (A) Effects from the contralateral sensorimotor cortex on the excitability of terminals of primary afferents. To obtain the upper graph the testing stimulus was delivered through a microelectrode inserted into the dorsal horn at the site of the maximal N1 potential and the discharge was recorded in the sural nerve. There is a facilitatory effect of a conditioning single volley in the cutaneous superficial peroneal nerve, SP, ( 0 ) and of a train of cortical stimuli ( ). (B) The lower graph is from an experiment in which the excitability of presynaptic terminals of Ia fibres was tested. The testing stimulus was delivered through a microelectrode inserted into the motor nucleus of gastrocnemius-soleus (G-S) at the site of the maximal Ia focal potential. Observe that conditioninggroup 1 volleys from the PBSt nerve give a large increase of excitability. By contrast there is no effect from the ccntralateral cortex. (Carpenter, Lundberg et al., 1963).
CONTROL OF TRANSMISSION IN REFLEX PATHS
203
DRP, the associated P wave, as well as the preceding negative cord dorsum potential (CDP) disappeared, showing that the corticospinal tract is responsible (B and D). However, effects can be conducted outside this tract. Fig. 5 shows the DRPs and CDPs evoked at different strengths of cortical stimulation. At weak stimulation there is a negative DRP and superimposed on it at somewhat stronger strength the positive CDP that is associated with the DRP (cf. Barron and Matthews, 1938; Eccles et a/., 1962~).At still stronger stimulation, the initial negative CDP reverses to a positivity and the DRP increases (D and E). Of these effects only those associated with an initial negative DRP can be ascribed to the corticospinal tract. This action disappears after transection of the pyramid and, furthermore, with descending stimulation of the dissected pyramid only this effect is evoked (record F), never the initial positive CDP. On strong cortical stimulation the initial positive CDP can be evoked also after transection of the pyramid. Experiments with excitability measurements from the terminals of primary afferents ad modum Wall (1958) and with intracellular recording from primary afferents have shown that the DRP evoked from the cortex represents a primary afferent depolarization in cutaneous afferents (Fig. 6A), in group Ib and TI muscle afferents, but not in l a afferents (Fig. 6B) (Andersen et a[., 1962; Carpenter, Lundberg et a/., 1962). Our previous findings with respect to actions from the cortex on motoneurones, raised the question if the action on primary afferents could be due to an excitatory action on interneurones of the reflex paths to primary afferents. Experiments showing spatial facilitation from the two sources indicate that this is the case. Fig. 7 shows
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Fig. 7. Spatial facilitation between pathways to primary afferents. The lower traces in A to C and the upper traces in D to F were recorded from the most caudal rootlet in L6. The other traces are from the dorsal root entry zone in L6. A shows the effect of a single group I volley in the nerve from PBSt. In B the contralateral sensorimotor cortex was stimulated at a strength liminal for evoking a dorsal root potential. The facilitatory effect of a combined stimulation of PBSt and the cortex is shown in C . In the corresponding lower records, D-F, the sural nerve was stimulated. It should be noted that there is facilitation from cortex of both component I and component I1 of the DRP (Carpenter, Lundbcrg et al., 1963).
that cortical stimulation can facilitate the DRPs evoked from group I muscle afferents (A-C) and from cutaneous afferents (D-F) and the same was found for the DRPs evoked by volleys in high threshold muscle and joint afferents. Further experiments w!th intra-axonal recordings from fibres of different types have revealed facilitation References p . 217-219
204
A. L U N D B E R G
from the cortex of the following reflex paths to primary afferents (Carpenter, Lundberg et al., 1963): Ib to Ib (cf. Eccles et al., 1962a, b, 1963a), FRA to FRA (cf. Eccles et al., 1963b), cutaneous to cutaneous (Carpenter, Engberg et al., 1963). There was on the other hand never any indication that the pathway to la afferents could be facilitated. This pathway can nevertheless be influenced from the sensorimotor cortex, but the effect is inhibition. A similar inhibitory effect of the path from la to Ia afferents is evoked in the spinal cat by volleys in the FRA, presumably by presynaptic inhibition at an interneuronal level (Lundberg and Vyklickf, 1963a). Hence also in this particular case the cortical effect can be explained by activation of interneurones of a spinal path from the FRA. ( c ) EfSect on interneurones
The results described above led to the postulate that interneurones of many reflex paths receive excitatory action from the corticospinal tract. This was confirmed with intracellular recordings from interneurones activated by different types of afferents (Lundberg et al., 1962). The interneurone in Fig. 8 receives monosynaptic excitatory
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Fig. 8. Excitatory action from the contralateral sensorimotor cortex on an interneurone activated by group I muscle afferents. Intracellular recording (upper traces) was made from a cell receiving monosynaptic excitatory action from the nerves to gastrocnemius-soleus, G-S (record A) and from the nerve to plantaris, PL (record B). Volleys in other peripheral nerve tested has no action on this cell. The effect of cortical stimulation is shown in C. Record D was obtained after withdrawal of the microelectrode to a just extracellular position. The lower traces were recorded from the L7 dorsal root entry zone and downwards deflection signals negativity (Lundberg et al., 1962).
action from group I muscle afferents (A and B) and there is excitatory action also from the sensorimotor cortex (C). The interneurone in Fig. 9 receives excitatory action from the FRA ;there is the characteristic convergence from a very large receptive field. Repetitive cortical stimulation evokes an EPSP with steps (record C) and record N, at higher amplification, shows that a single cortical stimulus evokes an EPSP which to judge from its time course may very well be a monosynaptic action, although the latency is too long in relation to the onset of the corticospinal discharge 0 to make
205
C O N T R O L O F T R A N S M I S S I O N I N REFLEX P A T H S
this certain. On a few occasions it was observed that monosynaptic EPSPs could be evoked in interneurones (Lundberg et al., 1962, Fig. 4) but with the longer latencies usually found, it is not possible to say if the action is monosynaptic or not. Effects like those in Fig. 8 are probably polysynaptic. From intracellular recordings of 3 1 interneurones, 27 received mainly excitatory action, but in the remaining 4 interneurones, cortical stimulation evoked mainly IPSPs. These interneurones were also inhibited by volleys in the FRA (Fig. 10) and the probable explanation of the inhibitory effect from the cortex is excitation of
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Fig. 9. Effect from the sensorimotor cortex on an interneurone activated from the FRA. These intracellular recordings were obtained from an interneurone located at a depth of 1.9 mm from the cord dorsum, probably in the dorsal part of the intermediate region. The upper traces were recorded at the L7 dorsal root entry zone. Records A--K were obtained on stimulation of the nerves indicated, the abbreviations being: Sur, sural; G-S, gastrocnemius-soleus; BSt, biceps-semitendinosus; ABSm, anterior biceps-semimembranosus; FDL, flexor digitorum and hallucis longus 4- the interosseus nerve; Q, quadriceps; Joint, posterior nerve to the knee joint. The peroneal (P) nerve was stimulated in H-K. Stimulus strengths are given in multiples of threshold strengths for the nerves. In L a short train of stimuli was given to the sensorimotor cortex, a t a strength just threshold for effect and in M at a somewhat higher strength but still submaximal with respect to the negative dorsal horn potential that could be evoked from cortex. Record N shows theEPSP evoked by a single cortical stimulus of the same strength that was used in L. The left and right traces in records K-N were obtained simultaneously at two sweep speeds, the slow speed to the left and the fast speed to the right below record L. A-J were taken at the slow speed indicated below L. Record 0 was obtained a t the end of the experiment and shows the discharge evoked by a single cortical stimulus in the dissected contralateral dorsal half of the lateral funicle in L6 (Lundberg el al., 1962).
interneurones, inhibitory with respect to the interneurone from which the recording was made. This explanation is supported by the finding of spatial facilitation between the inhibitory paths from the periphery and the cortex (records F-H). It must be emphasized that at present we cannot decide to which path a particular interneurone belongs; the investigations of synaptic actions on interneurones nevertheless virtually prove the hypothesis that the corticospinal tract mobilizes the spinal reflex path by evoking excitatory action in their interneurones, Rrfrrences p . 217-219
206
A. L U N D B E R G
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Fig. 10. Inhibitory action from the sensorimotor cortex in an interneurone receiving inhibition from the FRA. The intracellular recordings (upper traces) were obtained from a cell in the dorsal horn of L7. Lower traces in A and F-H and middle traces in B-E were recorded from the dorsal root entry zone in L7. The lower traces in B-E are microelectrode recordings obtained after withdrawal to a just extracellular position. This interneurone was monosynaptically activated by large afferents in thc sural nerve (record B). The dominating effect of cortical stimulation was an IPSP (record B). C-E shows that lPSPs were evoked also from peripheral nerves, the abbreviations being: joint, posterior nerve to the knee joint; ABSm, anterior biceps-semimembranosus; SP, superficial peroneal nerbe. The effects in C and D were evoked from high threshold afferents. F-H illustrates spatial facilitation between the paths from the cortex and the periphery. Liminal stimulation was used in F and G and when combined in H the action is larger than the sum of the effects in F and G. Calibration betwecn A and B refers to record B and H. The lower amplification in A was not recorded (Lundberg and Norrsell, unpublished results).
Comments There is now strong evidence that the reflex is the unit reaction upon which the corticospinal tract operates in the cat. In the primate there is the additional monosynaptic connection that presumably subserves fine movements (Bernhard et a/., 1953; Landgren eta/., 1962a, b). It seems likely that this mechanism is superimposed on the phylogenetically older mobilization of reflexes. At least Sherrington (1906) emphasized that the movements evoked by stimulations of the motor cortex in the monkey resemble that of the spinal reflex. The activation from the cortex of reflex arcs to motoneurones and to primary afferents would tend to have opposite results, the former facilitating and the latter inhibiting transmission of reflexes to skeletal muscles. Tower (1935) has shown that after transection of the pyramid the threshold for the flexion reflex increases markedly suggesting that under these conditions the dominating effect is the elimination of facilitatory action on the reflex paths to motoneurones. Presumably the same explanation holds true for the appearance of the Babinski sign in humans with diseased corticospinal tracts (cf. Kugelberg et a/., 1960).
CONTROL OF TRANSMISSION I N REFLEX P A T H S
207
It is not certain that the effects from the cortex on primary afferents should be taken to indicate a distribution of presynaptic inhibition from the sensorimotor cortex. The mobilization of the reflex to primary afferents may be the main factor. With respect to the reflex depolarization of Ib afferents and of the FRA it has been pointed out that in both cases presynaptic inhibition constitutes a negative feedback serving to reject stray excitation and hence contributing to the local sign of a reflex (Eccles et al., 1963a, b). It seems likely that with the facilitation from the cortex of a reflex path from a primary afferent system to motoneurones, there is also a mobilization of the negative feedback subserving this reflex. From this point of view it is interesting to note that the path to Ia fibres cannot be facilitated from the sensorimotor cortex and in this case the presynaptic inhibition cannot be described as a negative feedback (cf. Eccles et al., 1962~).The hypothesis that the effects on the paths to primary afferents are accessory to those on the paths to motoneurones rather presupposes that it is an effect of the motor cortex. Kuypers (1960) has shown that both the sensory and the motor cortical regions contribute to the corticospinal tract in the monkey. This has also been found in the cat, the fibres from the sensory cortex having a more medial termination of the dorsal horn than those from the motor cortex (Nyberg-Hansen and Brodal, 1963). A further analysis of the relative contribution of effects to primary afferents from motor and sensory areas is obviously of interest. There may be other mechanisms whereby facilitation of reflex paths can be evoked from higher centres. The foremost possibility would be through hyperpolarization of the terminals of primary afferents whereby the central actions evoked from these afferents would be increased. In the next section it will be shown that a positive DRP representing a primary afferent hyperpolarization can be evoked from the brain stem (Lundberg and Vyklicki, 1963b). The possibility that there may be a hyperpolarizing synaptic action in the terminals of primary afferents cannot be excluded, but a more likely alternative is probably inhibition of spinal reflex paths to primary afferents and a cessation of a tonic reflex depolarization. Through operation of this mechanism, reflex paths to motoneurones may be facilitated. Likewise the Ia pathways to motoneurones may be facilitated from the corticospinal tract through removal of primary afferent depolarization in the central terminals of Ia afferents (Lundberg and Vyklickf, 1963a). 11. I N H I B I T I O N O F R E F L E X P A T H S T O M O T O N E U R O N E S
A N D PRIMARY AFFERENTS
It is well known that in decerebrate cats the flexor reflex increases markedly after transection of the spinal cord (Sherrington and Sowton, 1915; Forbes et al., 1923). This holds true also for the inhibitory component of the reflex (Ballif et al., 1925). Fulton (1926) was the first to suggest that the release was due to disappearance of inhibitory action on interneurones mediating the reflex. Electrophysiological investigations with stimulation of the brain stem revealed that, independent of changes in motoneuronal excitability, polysynaptic transmission to motoneurones can be inhibited (Kleyntjens et al., 1955; Hugelin, 1955; Lindblom and Ottosson, 1955). Following References p . 217-219
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the investigations by Job (1953) our own approach, as reported in section (a) has been to compare synaptic actions in motoneurones and primary afferents of decerebrate and spinal cats. I n section (b) it will be reported that stimulation of the brain stem can evoke primary afferent depolarization and hence presynaptic inhibition of transmission in reflex paths. Finally in section (c) it will be shown that transmission in reflex paths can be inhibited from the brain stem also at an interneuronal level. ( a ) Tonic decerebrate inhibition
In experiments with conditioning of monosynaptic reflexes and with intracellular recording it was shown that there is a very effective tonic inhibition in the decerebrate state of polysynaptic transmission to motoneurones from some primary afferent A
1.07
1.18
&
C d
I4e 15.3
-rrnrnrrrrnrnr msec Fig. 11. Decerebrate inhibition of transmission from high threshold muscle afferent to motoneurones. Intracellular recording (upper traces) was performed from many PBSt motoneurones in a decerebrate cat before and after a spinal transection. Lower traces are from the dorsal root entry zone. The PBSt nerve was stimulated and the strengths are indicated in the records in multiples of threshold strengths from the nerve. Records A and H were obtained before transection of the spinal cord and volleys in high threshold muscle afferent do not evoke an EPSP (F-H). Records 1-0 were obtained from another PBSt rnotoneurone after transection of the cord and illustrate the characteristic excitatory action evoked from high threshold afferents in the spinal state (L-P) (Eccles and Lundberg, 1959b).
system (Eccles and Lundberg, 1959b). This holds true for the FRA as is illustrated for the excitatory actions from high threshold muscle afferents in Fig. 11. The inhibitory paths from the FRA are likewise very effectively inhibited. There is a similar tonic inhibition of the Ib excitatory and inhibitory pathways but not of the inhibitory pathway from Ia afferents. Kuno and Per1 (1960) have confirmed these results and
C O N T R O L O F T R A N S M I S S I O N I N REFLEX P A T H S
209
have raised the question if this descending inhibition could be an occlusion due to maximal descending activation of the reflex paths to motoneurones. This explanation is excluded by the intracellular recordings from motoneurones showing that the resting synaptic bombardment is smaller in the decerebrate than in the spinal state (Eccles and Lundberg, 1959b). Experiments with spinal cord lesions revealed that the responsible descending paths are located in the dorsal part of the lateral funicle, DLF, (Fig. 12).The tonic control is maintained as long as either DLF is intact(Ho1mqvist and Lundberg, 1959); a bilateral effect is exerted from each side. Thecentres responsible for this control are located to the medial ventral part of the medullary and lower pontine brain stem (Holmqvist and Lundberg 1961 ; Carpenter et al., unpublished). A very detailed study has been made of the release after brain stem lesions of different levels - a rostra1 lesion can give an almost complete release of the inhibitory ipsilateral and contralateral paths from the FRA with maintained control of the excitatory paths (Holmqvist and Lundberg, 1961 ; Holmqvist, 1961). The main implication of
Fig. 12. Location of descending pathways responsible for the decerebrate inhibition of reflex arcs. The curves were obtained in two experiments in which the monosynaptic test reflex from gastrocnemius-soleus (G-S) was conditioned by volleys in the nerve from flexor digitorum longus (FDL). Conditioned stimulus strengths are indicated in each graph and expressed in multiples of threshold strengths for the FDL nerve. The cat was decerebrate and the actions were investigated after the spinal lesions indicated. Observe that in the right graph there is no release from the decerebrate inhibition when the ipsilateral dorsal part of the lateral funicle is intact. In the left graph an ipsilateral hemisection does not give any release but following transection of the dorsal part of the lateral funicle on the contralateral side there is a complex release (Holmqvist and Lundberg 1959).
these findings has been with regard to the organization of the reflex paths from the FRA, which as disclosed by these experiments have both inhibitory and excitatory connections to the same motoneurones. It seems likely that the supraspinal control systems discussed can select whether volleys in the FRA shall evoke inhibition or References p . 217-219
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excitation in a given motor nucleus. Further attention should also be given to the possibility of a differential control of the reciprocal actions from the FRA to flexor and extensor motoneurones (cf. Holmqvist and Lundberg, 196 I). It is known that the dorsal root reflex can be inhibited from higher centres (Hagbarth and Kerr, 1954; Kleyntjens et a/., 1955). In recent experiments the DRPs have also been compared in the decerebrate and spinal states, the aim being to find out if there is similar decerebrate control of transmission to primary afferents (Carpenter, Engberg et al., 1963). Following transection of the cord there is no increase of the DRP that can be evoked from group Ia and Ib and from group Ib of extensors. However, there is no evidence of decerebrate inhibitory control of the paths from group I afferents to Ia, Ib and to cutaneous afferents (cf. Eccles et al., 1962c; Eccles et a[., 1963a, b). On the other hand with the DRPs evoked from the FRA there is a pronounced change after transection of the spinal cord as is illustrated for the effect from high threshold muscle afferents in Fig. 13. In the decerebrate state there is very
A
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Fig. 13. Dorsal root potentials evoked from high threshold muscle afferents in decerebrate and spinal cats. The upper traces were recorded from the most caudal dorsal rootlet in L6 and the lower traces from the dorsal root entry zone in L7. Single stimuli were given to the gastrocnemius-soleus nerve before and after spinal transection. Corresponding records in the upper and lower row wete obtained at the same stimulus strength, which is indicated between corresponding records and expressed in multiples of threshold strengths (Carpenter, Engberg ef a[., 1963).
little action (record D) the characteristic large DRPs appear only after transection of the cord. With the DRP evoked from cutaneous afferents the situation is more complex because it has two components (Fig. 14). The component I has short latency and a restricted distribution. It is large in rootlets adjacent to the zone of entry of the afferents evoking the effects, but in one segment rostra1 or caudal to this zone the magnitude is less than 25% of the maximal. Component I is of the same size in the decerebrate and spinal state. Component 11 on the other hand cannot be evoked in the decerebrate state, but is regularly found after transection of the cord (record D). It has a longer latency than component I and a much wider distribution along the cord, as was found by Bernhard (1953) for the deep P wave that is associated with component I1 and released with it. If a large component I is evoked in a rootlet there is very little additional component 11 (record C, Fig. 14). It is postulated that component I is evoked through a short-latency path supplied exclusively by cutaneous afferents (and reaching mainly cutaneous afferents). This path is apparently not subject to decerebrate inhibition. Component 11, on the other hand, is part of the flexor reflex actions and this path from the FRA to the FRA is subject to a very effective tonic inhibitory control in the decerebrate state. With respect to the cord
CONTROL OF TRANSMISSION I N REFLEX PATHS
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Fig. 14. Dorsal root potentials (DRP) evoked from cutaneous afferents in decerebrate and spinal cats. The DRPs (upper traces) were recorded from a dorsal rootlet in mid L7 (A and C) and upper Sl ( B and D). In all records the cord dorsum potentials (lower traces) were recorded from the dorsal root entry zone in L7. The superficial peroneal nerve (SP) was stimulated at a strength of 3.1 times threshold. The SP fibres enter the cord in upper L7 and the early component of the dorsal root potential that is identical in the decerebrate and spinal states, is large close to the zone of entry. In the lower diagram decerebrate and spinal DRPs are superimposed and shown at three different strengths of stimulation, which are indicated in multiples of threshold strength for the SP nerve (Carpenter, Engberg ef al., 1963).
dorsum potentials (CDP) there is following spinal transection not only an increase of the P waves that are associated with the DRPs evoked from FRA but also an increase of the negative CDP evoked from high threshold muscles and joint afferents. Of the effects evoked from cutaneous afferents the same holds true for the NZCDP but not for the N1 potential. These findings have been discussed by Carpenter, Engberg et al. (1963). What is the mechanism of this very powerful inhibition of some of the reflex paths to motoneurones and to primary afferents? Kleyntjens et al. (1953) as well as Eccles and Lundberg (1959b) postulated an inhibition of interneurones. With the demonstration that presynaptic inhibition is a physiological mechanism (Eccles, 1961) there is also the possibility of descending primary afferent depolarization to consider, and i n the next section it will be demonstrated that such an action can be evoked from the brain stem. (b) Primary afferent depolarization evoked from the brain stem Large DRPs can be evoked in the lumbar cord on stimulation of different regions of References p. 217-219
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Fig. 15. Primary afferent depolarization evoked from the brain stem. The upper traces were recorded from a dorsal root filament in lower L6 and the lower traces from the dorsal root entry zone in lower L7. In A the brain stem was stimulated at the site shown in B. Observe that the positive potential recorded from the cord dorsum has two waves and that only the later one can be associated with the dorsal root potential. For comparison record C and D show the dorsal root potentials evoked by group I volleys in the nerve to PBSt and by a single volley in the sural nerve (Carpenter, Engberg et al., 1962).
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e
.
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00
. 0
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,
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I
. I
Fig. 16. Effect of conditioning volleys from the brain stem of the presynaptic terminals of Ia fibres. The testing stimulus was delivered through a microelectrode inserted into the motor nucleus of gastrocnemius-soleus (G-S) to the site where the maximal Ia focal potential could be recorded. The test discharge was recorded in the nerve to G-S. The curves show the effect of group I volleys in the nerve fromposterior biceps-semitendinosus, PBSt, (0) and of stimulation of the brain stem ( 0 )at the site shown in Fig. 15 (Carpenter, Engberg et al., 1962).
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the brain stem (Carpenter, Engberg et al., 1962). The DRP in Fig. 15 was elicited by a train of weak stimuli dorsally in the midline as marked in the Fig. Experiments with excitability measurements from the terminals of primary afferents revealed that a depolarization was elicited not only in Ib and cutaneous afferents but also in Ia fibres (Fig. 16). Central actions by impulses in these afferents can be presynaptically inhibited
B
A
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100 msec
-
200 msec
Fig. 17. Dorsal root potentials (DRP) evoked from the brain stem. The DRPs (upper traces) were recorded (d.c. amplifier) from the most caudal dorsal rootlet in L6. The cord dorsum potentials (lower traces) from the L7 dorsal root entry zone (a.c. amplifier with 0.8 sec time constant). The site of brain stem stimulation is indicated for each record in the right diagram. In record C there is a wellmaintained plateau. A and B were obtained from the same site of stimulation and with higher strength of stimulation in B the depolarization decreases and a depolarizing rebound appears. The frequency of stimulation was 500/sec in A-C. In D the frequency of stimulation was decreased to 1lO/sec and the strength was decreased with the result that a positive DRP appears. Voltage calibration below A refers to the DRP. Time calibration below C is for A-B; record D was taken at the slower speed (Lundberg and Vyklickq, 1963b).
from the brain stem. The effects in Fig. 16 and 17 are produced through a pathway descending in the ventral quadrant of the spinal cord. At somewhat higher strength of stimulation large DRPs can also be evoked practically from everywhere in the brain stem. It is difficult to exclude synaptic activation of the descending systems described above, but presumably there is at least one other system descending from the brain stem that causes primary afferent depolarization in Ib and in cutaneous afferents but not in Ia afferents. These latter effects are mediated by pathways descending in dorsal as well as ventral parts in the ventrolateral funicles. Primary afferent depolarization can in the decerebrate cat be evoked from the most lateral strip of the intermediate region of the anterior cerebellum and also from the vestibular nerve (Carpenter et al., unpublished). The presynaptic inhibition evoked from the brain stem may have a more general physiological-significance than regulation of transmission through reflex arcs - there is in particular the possibility of a general regulation of the sensory input. It is neverReferences p:2I 7-21 9
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theless obvious that in any experimental analysis dealing with the control of transmission in reflex arcs it is of paramount importance to consider the actions on primary afferents. The presynaptic inhibition of reflex arcs that can be evoked by descending primary afferent depolarization (PAD) is powerful, but it is in my opinion not as effective as the decerebrate inhibition. It has been suggested by Andersen et a/. (1962) that the decerebrate inhibition is due to tonic primary afferent depolarization but the available evidence is in my opinion against this explanation. For example, the N1 CDP that presumably represents the monosynaptic excitatory action in second order cells has the same size and the same rate of rise in the decerebrate and spinal states. Hughes and Gasser (1934) found that the N1 is decreased during the P wave and had there been a tonic descending PAD in the decerebrate state the expected result of a spinal transection would have been an increase of the N1 potential (for further discussion of these problems cf. Carpenter, Engberg et a]., 1963). However, this evidence is indirect but in the next section it will be shown that inhibition of reflex paths not caused by primary afferent depolarization can be evoked from higher centres. (c)
Inhibition of reflex paths not caused by primary afferent depolarization
The first indication of an inhibition not being caused by primary afferent depolarization was found during the study of the PAD evoked from the brain stem. If more longlasting stimulation is employed than that used to obtain record A in Fig. 15 it is sometimes possible to obtain a fairly well-maintained steady depolarization as is shown in Fig. 17, C. From other regions of the brain stem the depolarization is less well-maintained during stimulation (record A) and when the strength of stimulation is increased (B) the amount of absolute depolarization actually decreases (records A and B were obtained from the same site of stimulation). After cessation of stimulation there is a depolarizing rebound. A comparison of records A and B leaves the impression that with the increased strength of stimulation a positive potential has been superimposed on the depolarizing negative. With changed parameters of stimulation, i n particular lower frequency, it was often possible to obtain a hyperpolarizing DRP without any sign of depolarization (record D). It is postulated that the positive DRP is caused by a primary afferent hyperpolarization. A synaptic action hyperpolarizing the membrane of the terminals cannot be excluded. Another explanation could be inhibition of reflex paths to primary afferents and cessation of a steady depolarization caused by spinal reflex action. In favour of the latter explanation is the finding that this stimulation of the brain stem did decrease the DRPs evoked from various afferent sources. In Fig. 18 the strength of brain stem stimulation was decreased so as to give no potential change in the dorsal root and cord dorsum recording (A and D). Stimulation of the brain stem gives a marked decrease of DRP evoked by , a volley in the sural nerve (rf. E and F). Recording was from the lowest L6 filament and it is mainly component I1 that undergoes a decrease; records B and C show that component I evoked from the-superficial peroneal nerve is not so much changed. There was likewise a very marked inhibition of the DRPs evoked from high threshold muscle afferents. It can therefore be concluded that the path from the FRA to the
21 5
CONTROL OF TRANSMISSION I N REFLEX P A T H S
A BS
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D BS
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sural
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4bO
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Fig. 18. Inhibition from the brain stem of reflex paths to primary afferents. The recording and stimulating conditions are described in the legend of Fig. 17. Stimulation of the brain stem (BS) was adjusted with respect to frequency and strength so as to give no dorsal root potential (DRP) or cord dorsum potential (record A and D). B and E show the effect of the single volley in the superficial peroneal nerve, SP, and in the sural nerve respectively. Conditioning stimulation of the brain stem decreases markedly the DRP from the sural nerve (F) but not so much the DRP from the SP nerve (record C). The inhibitory effect is exerted mainly on component 11. The graph shows the time cours of the DRP depression (Lundberg and Vyklicky, 1963b).
FRA is effectively inhibited by this descending system. Since component I and the FRA action to a large extent are evoked in the same fibres, it seems extremely unlikely that the effect can be exerted on the receptive fibres by some mechanism not changing the membrane potential. Hence it is postulated that there is an inhibition at an interneuronal level. Fig. 19 shows that also the DRP evoked from volleys in Ia afferents may be inhibited. This DRP represents the PAD in Ia afferents (Eccles et al., 1962c) and the result is taken to indicate that also the pathway to Ia afferents can be inhibited. The same holds true for the pathway from Ib afferents of extensor muscles (E and F) which give PAD to Ib afferents and to cutaneous afferents (Eccles el al., 1963a, b). These experiments will be supplemented with studies of the effect on the presynaptic inhibition of central actions from the different afferents.
Comments As already pointed out in the introduction the inhibitory control of reflex paths presents a more complex picture than the facilitatory. One reason is that inhibition can be evoked both by primary afferent depolarization and at an interneuronal level. By the former mechanism, brain stem centres can give presynaptic inhibition not only of central actions from cutaneous and Ib afferents but also of these from the l a References p . 21 7-219
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A
BS It
I ' 0.2rnV
C PBSt-al
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E
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Fig. 19. Inhibition from the brain stem of reflex paths from group I muscle afferent to primary afferents. These records were obtained in the same experiments as those in Fig. 18. The PBSt nerve displayed separation in Ia and Ib volleys (record D). The dorsal root potential (DRP) in B was evoked by submaximal stimulation of Ia fibres and in C this D R P is depressed during stimulation of the brain stem. In the corresponding lower records A and F the effect on the D R P evoked by a train of maximal group I volleys in the nerve from gastrocnemius-soleus (G-S) is shown (Lundberg and Vyklickf, 1963b).
afferents. It can be assumed that this inhibition pertains both to the reflex paths to primary afferents and to motoneurones - it is a general adjustment of the input. A fine inhibitory regulation would require an action on interneurones whereby a particular reflex path can be acted upon in isolation. It is therefore of some principle interest that on stimulation of the brain stem it is possible to evoke an inhibition of reflex paths that is not due to primary afferent depolarization but presumably is exerted at an interneuronal level (Figs. 18 and 19). So far this has been strictly demonstrated only for the paths to primary afferents. By this mechanism presynaptic reflex inhibition of central action from different afferent systems, among them la, can be regulated. The existence of this regulatory mechanism gives emphasis to the functional importance of reflex paths to primary afferents. In these investigations our starting point was the decerebrate tonic inhibition of reflex paths to motoneurones. This descending inhibition is among other reasons of interest for its great effectiveness but is, as has been discussed above, difficult to investigate in detail with respect to its mechanism. The available evidence suggests that it is not caused by a primary afferent depolarization. In my opinion descending systems evoking postsynaptic inhibition in interneurones (cf. Lundberg and Voorhoeve, 1961 and Fig. 10) or presynaptic inhibition at an interneuronal level (cf. Lundberg and Vyklickf, 1963a) should be looked for. Further investigations along these lines must also take into account the finding of a differential release of excitatory and inhibitory paths to motoneurones from the decerebrate supraspinal control (Holmqvist and Lundberg, 1961).
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A final comment concerns the functional significance of reflex paths to primary afferents and to motoneurones. In the electrophysiological analysis of these paths and of their control from higher centers it has been an advantage to consider them as separate entities with different final common paths. It should, however, be kept in mind that in reflex regulation of movement the actions on primary afferents are subsidiary to the actions on motoneurones. A certain degree of parallelism has been found both with respect to the facilitatory and inhibitory control of these reflex paths but it is obvious that with either of these descending actions, the effects exerted on the paths to primary afferents and on the paths to motoneurones have an entirely different physiological significance. SUMMARY
The report deals with the supraspinal control of transmission in reflex paths to motoneurones and to primary afferents. Part I : (a and b) Transmission from different afferent systems to motoneurones and primary agerents can be facilitated from the corticospinal tract. (c) The effect is caused by an excitatory action on interneurones of these spinal reflex paths. Part 11: (a) There is tonic inhibition in the decerebrate state of transmission from some primary afferent systems to motoneurones and to primary afferents. (b) Electtical stimulation of the brain stem can inhibit spinal reflex paths by evoking primary afferent depolarization. (c) Stimulation of the brain stem can inhibit transmission in spinal reflex paths to primary afferents at an interneuronal level. REFERENCES P., ECCLES,J. C., AND SEARS,T. A., (1962); Presynaptic inhibitory action of cerebral ANDERSEN, cortex on the spinal cord. Nature (Lond.), 194, 740-741. ARAKI,T., ECCLES, J. C., AND ITO, M., (1960); Correlation of the inhibitory postsynaptic potential of motoneurones with the latency and time course of inhibition of monosynaptic reflexes. J . Physiol. (Lond.), 154, 354-377. BALLIF,L., FULTON,J. F., AND LIDDELL, E. G., (1925); Observations on spinal and decerebrate knee-jerks with special reference to their inhibition by single break-shocks. Proc. roy. Soc., 98, 589-607. BARRON, D. H., AND MATTHEWS, B. H. C., (1938); The interpretation of potential changes in the spinal cord. J. Physiol. (Lond.), 92,276-321. BERNHARD, C. G., (1953); The spinal cord potentials in leads from the cord dorsum in relation to peripheral source of afferent stimulation. Acta physiol. scand., 29, Suppl. 106, 1-29. BERNHARD, C. G., BOHM,E., AND PETERSEN, I., (1953); Investigation oil the organization of the corticospinal system in monkeys. Acta physiol. scand., 29, Suppl. 106, 79-135. CARPENTER, D., ENGBERG, I., FUNKENSTEIN, H., AND LUNDBERG, A., (1963); Decerebrate control of reflexes to primary afferents. Acta physiol. scand., 57, In the press. CARPENTER, D., ENGBERG, I., AND LUNDBERG, A., (1962); Presynaptic inhibition in the lumbar cord evoked from the brain stem. Experientia (Basel), 18, 450-451. CARPENTER, D., LUNDBERG, A., AND NORRSELL, U., (1962); Effects from the pyramidal tract on primary afferents and on spinal reflex actions to primary afferents. Experientia (Basel), 18,337-338. CARPENTER, D., LUNDBERG, A., AND NORRSELL, U., (I 963); Primary afferent depolarization evoked from the sensorimotox cortex. Acta physiol. scand., 59, 126-142.
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ECCLES, J . C., (1961); The mechanism of synaptic transmission. Ergbn. fhysiol., 51, 299-430. ECCLES,J. C., ECCLES,R. M., AND MAGNI,F., (1961); Central inhibitory action attributable to presynaptic depolarization produced by muscle afferent volleys. J . fhysiol. (Lond.), 159, 147-166. ECCLES,J. C., FATT,P., A N D LANDGREN, S., (1956); The central pathway for the direct inhibitory action of impulses in the largest afferent nerve fibres to muscle. J . Neurophysiol., 19, 75-98. ECCLES,J. C., KOSTYUK, P. G., A N D SCHMIDT, R. F., (1962a); Central pathways responsible for depolarization of primary afferent fibres. J . fhysiol. (Lond.), 161, 237-257. ECCLES, J. C., KOSTYUK,P. G., AND SCHMIDT, R. F., (1962b); Presynaptic inhibition of the central actions of flexor reflex afferents. J . Physiol. (Lond.), 161, 258-281. ECCLES, J. C., MAGNI,F., A N D WILLIS,W. D., (1962~);Depolarization of central terminals of group I afferent fibres from muscle. J . Physiol. (Lond.), 160, 62-93. ECCLES,J. C., SCHMIDT, R. F., AND WILLIS,W. D., (1963a); Depolarization of central terminals of group Ib afferent fibres of muscle. J . Neurophysiol., 26, 1-27. ECCLES, J. C., SCHMIDT, R. F., AND WILLIS, W. D., (1963b); Depolarization of the central terminals of cutaneous afferent fibers. J. Neurophysiol., 26, 646-661. ECCLES, R. M . , AND LUNDBERG, A., (1958); The synaptic linkage of ‘direct’ inhibition. Actaphysiol. scand., 43, 204-21 5. ECCLES,R. M., AND LUNDBERG, A., (1959a); Synaptic actions in motoneurones by afferents which may evoke the flexion reflex. Arch. ital. Biol.,97, 199-221. ECCLES, R. M., A N D LUNDBERC, A,, (1959b); Supraspinal control of interneurones mediating spinal reflexes. J . Physiol. (Lond.), 147, 565-584. EIDE,E., LUNDBERG, A., AND VOORHOEVE, P., (1961); Monosynaptically evoked inhibitory postsynaptic potentials in motoneurones. Acta physiol. scand., 53, 185-195. ENGBERC, I . , (1963a); Effects from the pyramidal tract on plantar reflexes in the cat. Actapliysiol. scand., 59, Suppl. 213, 38. ENGBERG, I., (1963b); Plantar reflexes in cats. Experientia (Basel), 19, 487-488. FORBES, A., COBB,S., A N D CATTELL, H., (1923); Electrical studies in mammalian reflexes. 111. Immediate changes in the flexion reflex after spinal transection. Amer. J . fhysiol., 63, 30-44. FRANK, K., A N D FUORTES, M. G. F., (1957); Presynaptic and postsynaptic inhibition of monosynaptic reflexes. Fed. Proc., 16, 39-40. FULTON, J. F., (1926); Muscular Contraction andthe Reflex Controlof Movenient. Baltimore, Williams and Wilkins p. 644. GRANIT,R., (1955); Receptors and Sensory Perception. New Haven, Yale University Press. HAGEARTH, K . E., (1952); Excitatory and inhibitory skin areas for flexor and extensor motoneurones. Acta physiol. scancl., 26, Suppl. 94. 1-58. HAGBARTH, K. E., A N D KERR,D. I. B., (1954); Central influences on spinal afferent conduction. J . Netrropliysiol., 17, 295-307. HOLMQVIST, B., (1961); Crossed spinal reflex actions evoked by volleys in somatic afferents. Acta physiol. scand., 52, Suppl. 181. 1-67. HOLMQVIST, B., AND LUNDBERG, A., (1959); On the organization of the supraspinal inhibitory control of interneurones of various spinal reflex arcs. Arch. ital. Biol., 97, 340-356. HOLMQVIST, B., AND LUNDBERG, A,, (1961); Differential supraspinal control of synaptic actions evoked by volleys in the flexion reflex afferents in a-motoneurones. Acta physiol. scand., 54, SUPPI. 186. 1-51. HUGELIN, A,, (1955); Analyse de l’inhibition d’un reflexe nociceptif (rkflexe linguomaxillaire) lors de I’action du systeme reticulo-spinal dit ‘facilitateur’. C. R. SOC.Biol. (Paris), CXLIX, Novembre, p. 1893. HUGHES,J., AND GASSER, H. S., (1934); The response of the spinal cord to two afferent volleys. Anier. J. Physiol., 108, 307-321. Joe, C., (1953); Uber autogene Inhibition und Reflexumkehr bei spinalisierten und decerebrierten Katzen. Pfliigers Arch. ges. Physiol., 256, 406-418. KLEYNTJENS,F., KOIZUMI, K., AND BROOKS, C. McC., (1955); Stimulation of suprabulbar reticular formation. Arch. Neurol. Psychiat., 73, 425438. KUCELBERG, E., EKLUND, K., AND GRIMBY, L., (1960); An electromyographic study of the nociceptive reflexes of the lower limb. Mechanism of the plantar responses. Brain. 83, 394-410. KUNO,M., A N D PERL,E. R., (1960); Alteration of spinal rcflexes by interaction with suprasegmcntal and dorsal root activity. J . Physiol. (Lond.), 151, 103-122. KUYPERS, H. G. J. M., (1960); Central cortical projections to motor and somatosensory cell groups. Brain, 83, 161-1 84.
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LANDGREN, S., PHILLIPS, C. G., AND PORTER, R., (1962a); Minimal synaptic actions of pyramidal impulses on some a-motoneurones of the baboon’s hand and forearm. J . Physiol. (Lonrl.), 161, 91-111. LANDGREN, S., PimLIPs, C. G., A N D PORTER, R., (1962b); Cortical fields of origin of the monosynaptic pyramidal pathways to some a-motoneurones of the baboon’s hand and forearm. J . Physiol. (Lond.), 161, 112-125. LEKSELL, L., (1945); The action potential and excitatory effects of the small ventral root fibres to skeletal muscle. Acta physiol. scand., 10, Suppl. 31, 1-84. LINDBLOM, U. F., AND OTTOSSON, J. O., (1955): Bulbar influence on spinal cord doisum potentials and ventral root reflexes. Acta physiol. scanrl., 35,203-214. LINDBLOM, U. F., A N D OTTOSSON, J.O., (1956; 1957); Influence of pyramidal stimulation upon the relay of coarse cutaneous afferents in the dorsal horn. Acta physio/. scand., 38, 309-318. LIVINGSTON, A,, AND PHILLIPS, C. G., (1957); Maps and thresholds for the sensorimotor cortex of the cat. Quart. J . exp. Physiol., 42, 190-205. LLOYD,D. P. C., (1941); The spinal mechanism of the pyramidal system in cats. J . Neurophysiol.,4, 525-546. LUNDBERG, A., NORRSELL, U., A N D VOORHOEVE, P., (1962); Pyramidal effects on lumbo-sacral interneurones activated by somatic afferents. Acta physiol. scand., 56, 220-229. LUNDBERG, A,, AND VOORHOEVE, P., (1961); Actions on interneurones a t activation of supraspinal systems controlling the transmittability of spinal reflex arcs in the cat. Acta physiol. pharmacol. need., 10, 11-35. LUNDBERG, A., AND VOORHOEVE, P., (1962); Effects from the pyramidal tract on spinal reflex arcs. Acta physiol. scand., 56, 201-219. LUNDBERG, A,, A N D V Y K L I C KL., ~ , (1963a); Inhibitory interaction between spinal reflexes to primary afferents. Experientia (Basel), 19, 247-248. LUNDBERG, A., AND V Y K L I C KL., ~ ,(1963b); Brain stem control of reflex paths to primary afferents. Acta physiol. scand., 59, Suppl. 21 3 , 9 I . NYBERG-HANSEN, R., AND BRODAL, A,, (1963); Sites of termination of corticospinal fibers in the cat. An experimental study with silver impregnation methods. J . comp. Neurol., 120, 369-391. PAINTAL,A. S., (1961); Participation by pressure-pain receptors of mammalian muscles in the flexion reflex. J . Physiol. ( L o n d . ) , 156, 498-514. SHERRINGTON, C. S., (1947); The integrative Action of the nervous System. 2nd ed., Cambridge University Press pp. 290-291. SHERRINGTON, C. S., AND SOWTON,S. C. M., (1915); Observations on reflex responses to single break-shocks. J. Physiol. (Lond.), 49, 331-348. TOWER,S . S., (1935); The dissociation of cortical excitation from cortical inhibition by pyramid section and the syndrome of that lesion in the cat. Brain, 53,238-254. WALL,P. D., (1958); Excitability changes in afferent fibre terminations and their relation to slow potentials. J. Physiol. (Lond.), 142, 1-21. DISCUSSION
WALL: When you were speaking about the pathways necessary to maintain the decerebrate state and you were somewhat puzzled about the importance of the dorsal lateral columns, do you think that there is any possibility that also afferent pathways are involved in maintaining the decerebrate state?
LUNDBERG:Our experiments with spinal cord lesions have demonstrated that the descending paths are located in the dorsal part of the lateral funicles. It is probable that activity in ascending pathways regulates the descending control of reflex paths in the intact animal: the tracts activated from the FRA are of particular interest in this respect. We do not have decisive evidence with regard to your question if the descending decerebrate control depends on ascending activity, but the available evidence does not support this hypothesis. The control remains after transection of the
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ventral half of the spinal cord and also after ablation of the cerebellum. This suggests that activity in ventral ascending spinal tracts and in direct spinocerebellar tracts is not required in maintenance of the decerebrate state. KUYPERS : It is extremely difficult to look at your results and try to translate them into an anatomical language. I would suggest that in your experiments you are dealing again with a descending pathway which in its course hooks onto a propriospinal system, located in the lateral funiculus. This seems to me the most likely explanation of your physiological experiments. LUNDBERG: This explanation is attractive in view of the fact that anatomical investigations have failed to show a reticulospinal tract in the dorsal part of the lateral funicle. However, it has recently been shown that axons from nucleus raphe magnus descend in this part of the cord (Brodal, Taber and Walberg, 1960). The centres responsible for the tonic decerebrate control of transmission in reflex paths are located in the ventromedial part of the caudal brain stem, a region which contains the nucleus raphe magnus. WIESENDANGER: You showed that facilitation of the flexor reflex disappeared completely after section of the pyramids. This may be somewhat contrary to what Dr. Kuypers showed, that there are two systems, Bl and B2 operating with about the same effect. Could your results be explained by the fact that the investigations were done shortly after the operation and that some time is needed until the other systems come in operation? LUNDBERG: In the anaesthetized preparation the effects that can be evoked from the sensorimotor cortex at a moderate strength of stimulation seem to be transmitted entirely by the cortico-spinal tract. At higher strength of stimulation effects are mediated to the spinal cord also via other routes. So far our analysis has been confined to the effects evoked via the cortico-spinal tract. It is an interesting suggestion that the extrapyramidal route may be more effectively activated from the cortex some time after pyramidectomy. If so, this preparation could be utilized for a systematic analysis of the extrapyramidal actions. WALL: I would like to ask about this quite dramatic picture where yolv showed the dorsal root potential being evoked by a cutaneous volley, not being changed by spinalization in the segment, but a quite interesting change in neighbouring segments. I think the dorsal root potential in the neighbouring segments is produced by two different mechanisms, one by afferents which get into neighbouring segments and produce the fast component, and then a later component which comes in by spread through interneuronal pathways. A good demonstration of that is to look on the opposite side of the cord where you have only in the higher segments a slow component and not the fast one. What I wanted to ask is: this mechanism, whatever it produces, that is one that is
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very easily saturated. With 10% of the A input in the root you can produce the maximum dorsal root potential. Could it have been that the reason why you did not see a change in the root, in the segment that you were firing, was that it was already saturated, that you could not produce a larger dorsal root potential?
LUNDBERG:I think the situation is very different when you stimulate peripheral nerves. Component I of the dorsal root potential evoked from cutaneous nerves reaches its maximum only when the strength of stimulation is 2-4 times threshold for the nerve. Hence most of the low threshold cutaneous afferents do contribute to it. Furthermore, at some distance from the zone of maximal afferent entry component I is very small and in this case there cannot be the question of a saturated line. ECCLES:I wish to ask about the cortical areas from which you have been able to elicit dorsal root potentials in the spinal cord. We find that both somatosensory areas I and I1 are effective, but that I is mostly contralateral whereas 11 has much the same effectiveness on both sides. I would like particularly to know if you have studied the pre- and post-cruciate areas because it would be good to have corroboration of our finding that the pre-cruciate area is effective by way of the post-cruciate, being inactive when the post-cruciate is ablated. LUNDBERG: I agree with your finding that dorsal root potentials also can be evoked from the pre-cruciate area but in our experience only if the strength of stimulation is raised above the required to evoke an effect from post-cruciate region of the somatosensory area I. The area in the latter region from which dorsal root potentials can be evoked at threshold stimulation is that from which reflex paths to motoneurons can be facilitated. We have made no systematic investigation of effects from the somatosensory area I1 and have not made ablations in the cortex. In our experience bilateral effects can be produced also from area I. Fig. 4 of the manuscript shows that each pyramidal tract has bilateral effect in the lumbar cord.
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The Pyramidal Projection to Motoneurones of Some Muscle Groups of the Baboon’s Forelimb C. G. P H I L L I P S
AND
R. P O R T E R
University Laboratory of Pliysiology, Oxford (Great Britain)
INTRODUCTION
We shall describe experiments on colonies of cortico-spinal neurones which form synapses upon a motoneurones in the opposite side of the baboon’s cervical spinal cord. Abundant evidence for the existence of such synapses in the primates has been furnished by neuro-anatomical investigation (see Kuypers’ article in Vol. 11 of the Progress in Brain Research series) and by physiological experiment both on the forelimb (Cooper and Denny-Brown, 1927; Bernhard and Bohm, 1954), and on the hindlimb (Bernhard er al., 1953; Preston and Whitlock, 1960, 1961). Bernhard aiid Bohm (1 954) state that the monosynaptic cortico-motoneuronal response was ‘generally more pronounced’ in the forelimb than in the hind. A colony is defined as all those pyramidal neurones making monosynaptic connexion with a single u motoneuroiie (Landgren et a/., 1962b). Thus defined, the colony is, for the purpose of the experimentalist, a convenient abstraction from the complex totality of the cortico-spinal system, which also controls the iiiterneurones of reflex arcs, the fusimotor neurones, aiid the neurones of ascending spinal systems. It should be assumed, indeed, in the absence of evidence to the contrary, that the axons of the colony may send branches to some or all of these other cell-types, aiid also to other ( I motoneurones. Yet the justification for the concept of the colony does go beyond the mere methodological convenience that such colonies can be readily isolated by intracellular recording from the somas of (1 motoneurones. For the reflex management of muscle is in terms of the motor unit (Sherrington, 1931), and if the brain manages muscle in similar fashion, the colonies of pyramidal cells controlling the motor units become significant functional groupings with which intracortical mechanisms, lying upstream of the corticofugal pyramidal neurones, can operate. Hern et a/. (1962) and Landgren et al. (1962a,b) confined their experiments to colonies projecting to sample motoneurones of the hand and forearm, because the range and precision of hand movement in the baboon led them to expect a powerful cortical command of these final common paths. They found that pyramidal neurones could be selectively and directly stimulated by a focal surface anode (see also Phillips and Porter, 1962), and they used brief (0.2 msec), weak (0.4-3.1 mA) pulses to evoke well-synchronised pyramidal discharges. These discharges gave rise to minimal
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monosynaptic excitatory actions (EPSP) which they recorded intracellularly from the test motoneurones. These were followed in some cases by inhibitory synaptic actions (IPSP) beginning 1.2-1.4 msec after the start of the EPSP. Preston and Whitlock (1 961), the pioneers of intracellular recording of pyramidal synaptic actions, had found the same excitatory-inhibitory sequence in lumbar motoneurones. Landgren et al. (1962b) assumed that similar-sized cortical shocks excited similarsized populations of pyramidal cells. But they found that the colonies, or parts of colonies, contained within these populations commanded different quantities of monosynaptic excitatory action on different test motoneurones (Landgren et al.. 1962b, Fig. 2). This was evidence of different densities of monosynaptic connexion; but since the stimuli were very weak, there was no certainty that the populations were large enough to include whole colonies. The new experiments we now publish have used stronger stimuli in order to try to measure the maximum quantity of monosynaptic excitatory action commanded by the colony projecting to each test motoneurone, and in order to compare the quantities for different colonies. We have also looked at motoneurones of proximal muscle groups in order to compare their colonies with those of the forearm and hand. We have made intracellular recordings from 266 motoneurones in 26 baboons, using techniques described in detail by Hern et al. (1 962). The motoneurones were identified and classified by antidromic stimulation of the ulnar, median, posterior interosseous, musculocutaneous and triceps nerves, which innervate groups of muscles which, in terms of function, are sufficiently differentiated not to require further subdivision for the purposes of a first comparison of quantities of cortico-motoneuronal control. We assume that the method is capable of detecting the smallest synaptic action on the motoneurone membrane. The colonies projecting to test motoneurones cannot be stimulated in isolation. Cortical shocks excite populations of corticofugal neurones; these populations include parts and wholes of colonies, but must also include neurones projecting to other cortical areas and to basal structures. The first task is to assess the relative sizes, and the spatial extents (horizontally and in the depth of the Rolandic fissure), of the populations of cortico-spinal neurones excited by surface-anodal shocks of measured strengths. Such a n assessment is needed as a guide to the probable spatial extents of the colonies. Evidence that the shocks have been strong enough to reach cells in the depth of the Rolandic fissure is also necessary if one is to assert in any case that no monosynaptic connexion from the precentral gyrus to a test motoneurone exists. STIMULATION OF CORTICO-SPINAL POPULATIONS
Fig. 1 shows that the dorsolateral white matter of the baboon’s cervical cord contains enough cortico-spinal fibres of homogeneous conduction velocity to give a sharp ‘tract wave’ (Landgren et al., 1962a) in response to a brief shock to the cortical arm area. The histogram, which shows the time of arrival of impulses in 68 single corticospinal fibres at the same level (C 5-6) in six baboons of similar size, makes it clear Reference7 p . 242
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C. G. P H I L L I P S A N D R. P O R T E R
that the majority of the impulses reach this level at the time of the negative crest of the tract wave (negative deflexions are downwards in all records). The tract wave can be recorded from a fine enamelled silver wire resting lightly on the dorsolateral surface of the cord, and Fig. 2 shows its amplitude as a function of cortical stimulus strength. At strengths above about 4.5 mA, the tract wave is followed by 'I waves' (Patton and Amassian, 1954). The plotted curve shows that the tract wave reaches a
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Fig. 1. Above: wave recorded from lateral cortico-spinal tract of baboon at C5-6 level with silverfilled microelectrode. Positive deflexion upwards; about 20 superimposed traces. Cortical stimulation by surface anode, 0.2 msec, 2.8 mA. Below: times of arrival of impulses in 68 single cortico-spinal axons in response to surface-anodal stimuli in six experiments. Time scale applies to both parts of figure. (From Landgren et al., 1962a.)
maximum amplitude at strengths over 6.0 mA. Even the strongest of these shocks (repeated at 2 cis) caused no visible or palpable muscular response in any part of
Fig. 2. Right of figure shows increasing cortico-spinal discharge in response to increasing surfaceanodal stimulation of a point on the right precentral gyrus, midway between the superior and inferior precentral fissures. Superimposed records made from bare tip of enamelled 80 p silver wire applied to dorsolateral surface of left side of cord, caudal to lamina of C2 vertebra. Positivity upwards. Time in msec. For measurements see left of figure; amplitude of tract wave (ordinates) plotted against strength of 0.2 msec current pulses to cortex.
THE PYRAMIDAL PROJECTION TO MOTONEURONES
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the body. The measured amplitudes of thc tract wave are a function of the size of the responding cortico-spinal population; these amplitudes remained remarkably constant from the same point on the cord surface throughout many hours, provided that the shunting layer of cerebrospinal fluid was removed from under the covering paraffin pool at the times of recording. The growth of the population with increasing stimulation depends on physical
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C. G. P H I L L I P S A N D R. P O R T E R
spread of stimulating current both horizontally along the precentral gyrus, and in depth down the anterior Rolandic wall. Fig. 3 illustrates horizontal spread, and measures its extent at strengths up to 3.0 mA. The curves were made by measuring the threshold for single cortico-spinal units at points along lines ‘parallel’ and at right angles to the Rolandic fissure. The latency of response was the same at every point, indicating physical spread (for comparison with physiological spread, cf. Phillips and Porter, 1962). Spread of stimulus in depth is illustrated in Figs. 4 and 5. For these experiments sharpened enamelled silver wires (diameter 0.2 mm) were thrust free-hand through the post-central gyrus and into buried precentral cortex. A bead of sealing-wax limited the depth of penetration. The wire was free of external attachments which
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Fig. 4. Spread of surface-anodal stimuli in anterior wall of Rolandic fissure. Right: tracing of forrnalinhardened slice of cortex, cutting right Rolandic fissure at right angles, between superior and inferior precentral fissures. Scale (mm) makes no allowance for shrinkage. Bare, pointed tip of 200 ,u diameter enamelled silver needle lies in buried precentral cortex, having been inserted through postcentral gyms during life. Dotted line marks boundary between white and grey matter. Needle moves with pulsating brain; a bead of sealing wax prevents deeper penetration. Buried cortex can be stimulated by applying spring-mounted contact to bare wire on top of bead. Lefr: superimposed records of responses of single axon in left lateral cortico-spinal tract to just-supraliminal cortical stimuli (0.2 msec pulses): 2.5 mA to surface anode (see diagram), 0.28 mA anodal pulse at buried electrode, 0.36 mA cathodal pulse at buried electrode. Note tract wave in response to surface stimulation, its 0.28 rnA and small size at -0.36 mA. virtual absence at
+
might drag on it and damage the cortex, and it moved freely with the pulsating brain. Stimulation at its bare tip could be effected by applying a spring-mounted stigmatic electrode to the bare wire above the bead. In one type of experiment, a single cortico-spinal axon was found, by laborious probing of the dorsolateral cervical cord, which responded to ‘buried’ stimulation at a very low threshold (Fig. 4). The strength needed at a point on the convexity of the precentral gyrus was then determined. The threshold was nearly ten times higher at the surface than at the buried point; the upper record shows that the surface shock excited a good tract wave and that the responding population included the unit whose low threshold at the ‘buried’ point attested its nearness thereto. An experiment with populations instead of with single units was also made in the experiment whose geometry is drawn in Fig. 4. The first step was to establish that a
THE P Y R A M I D A L PROJECTION T O MOTONEURONES
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population could be stimulated by the buried electrode at such low strength as to make it likely that this population was very near to that electrode. Fig. 5 4 b, c illustrates the response to 0.4 mA cathodal (led from the surface of the cord), and measures the
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Fig. 5. Spread of surface-anodal stimuli in anterior wall of Rolandic fissure. For geometry see Fig. 4. Tract waves recorded as in Fig. 2. Left: a, b, c: Paired 0.2 msec stimuli to buried cathode, 0.4 mA. The responding population of axons was refractory at 0.57 (interval between shocks in cis 0.53 msec). Time in msec. d, e , f : First shock to surface anode, 1.8 mA; second to buried cathode, 0.45 mA. The ‘buried’ population is not made refractory by the surface stimulus. Right: surface-anodal shock (S +) precedes ‘buried’ cathodal shock at fixed interval of 0.65 msec. Increasing strengths of S + noted in margin. Top record is control response to ‘buried’ stimulus; bottom record is control response to S + , 3.2 mA. Surface stimulation at this strength makes the ‘buried’ population refractory.
population’s refractory period. The second step is to excite a similar-sized population by the surface anode (1.8 mA in Fig. 5d) and to show that the ‘buried’ population is not the same population, since the surface stimulus does not make the buried population refractory (Fig. 5d, e, f ) . This step proves that the ‘buried’ population is not merely the nearby axons of the ‘surface’ population. The final step is to increase the strength of the surface shock until the ‘buried’ population is stimulated by it, as shown by refractoriness. Fig. 5 (right) shows that the critical surface-anodal current in this experiment was 3.2 mA. The rate of conduction of the cortico-spinal volley through the cervical enlargement is measured in Fig. 6. In five baboons the slopes were of the order of 60 m/sec (legend, Fig. 6). The latency of EPSPs of cervical motoneurones will show that these are obviously related to this sharp, early component of the cortico-spinal volley. References p . 242
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Fig. 6 . Conduction of cortico-spinal volley through cervical enlargement. S t stimuli, 0.2 msec, 4.5 mA, to right precentral gyrus midway between superior and inferior precentral fissures. Right: superimposed records taken from contralateral dorsolateral surface of cord, at headward end of laminectomy and at points 4.75, 1 I .8, 17.1, 22.8, 27.4 and 32.5 mm caudal. Positivity upwards. Time: msec. Left: plot of conduction velocity. Time of arrival at each point was rr.easured from start of shock to start of negativity. Slope 59 m/sec. Slopes in other experiments were 63.4, 62.5, 56.5 and 58.7 m/sec. Dotted line originates 75 mm from rostra1 recording point. Shortest distance between this point and the stimulated point in these specimens was 77-84 mm.
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Fig. 7. Superimposed intracellular records of monosynaptic excitatory action of cortico-spinal volleys on a median nerve motoneurone at C7-8 level. Depolarization signalled by upward deflexion. Membrane potential - 74 mV. Strengths of 0.2 msec S + pulses noted in margin (in mA). Final record : extracellular control taken after microelectrode withdrawn from cell. Calibration of recording system: 1 mV for responses to 0.8 and 1.7 mA; 5 mV for remaining records. Time: msec.
229
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INVESTIGATION OF CORTICO-MOTONEURONAL COLONIES
Median nerve (radial flexors of wrist, pronators, flexors of proximal phalanges of all digits, flexors of distal phalanges of three radial digits, radial lumbricals, some intrinsic muscles of thumb). Records from the median motoneurone which received the largest quantity of monosynaptic cortico-spinal excitatory action are reproduced as Fig. 7. It was situated at C7-8 level. The earliest pyramidal impulses reached t h s level 1.74 msec after the start of the cortical shock (time of positive peak of tract wave), and the majority of impulses at 2.08 msec (time of negative peak of tract wave). The synaptic potential rose abruptly at 2.4 msec after the start of the shock. The delay 0
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Fig. 9. Fig. 8. Fig. 8. Quantities of monosynaptic excitatory action (ordinates) at different strengths of cortical stimulation with single S + , 0.2 msec pulses (abscissae) in 94 motoneurones of the median nerve. Eleven other motoneurones gave no monosynaptic excitatory response a t stimulus strengths of 4.5 mA. For three motoneurones, typical curves show growth of monosynaptic action with increasing volleys (filled circles). For remaining motoneurones, open circles show measurements a t a single strength (the largest strength, or the only strength, used). Fig. 9. Results, plotted as in Fig. 8, from 45 motoneurones of the ulnar nerve. References p . 242
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C. G . P H I L L I P S A N D R . P O R T E R
is thus 0.66 msec if measured from the arrival of the earliest impulses, or 0.32 msec if measured from the arrival of the majority of impulses at this segment. Since some of this time would be consumed in slowed conduction in tapering presynaptic arborisations, these measurements prove that the EPSP is monosynaptic. The second synaptic impact at strengths greater than 2.2 mA may be due to repetitive firing of pyramidal cells, or to the discharge of interneurones. It comes late enough not to interfere with the measurement of maximal monosynaptic amplitude. The absence of evidence of mV
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Fig. 10. Results, plotted as in Fig. 8, from 20 rnotoneuronesof the posterior interosseous nerve.
inhibitory synaptic action is not significant, since the membrane potential was -74 mV, and KC1-filled microelectrodes were used in these experiments. Growth of monosynaptic action as a function of cortical stimulus strength is plotted in Fig. 8 (tallest curve). The maximum quantity was not reached until 3.0 mA shocks were given. At this strength the pyramidal cell population would extend nearly to the depth of the Rolandic fissure (Figs. 4, 5) and up to 10 mm in the medial and lateral directions from the stimulated point (Fig. 3). We cannot escape the conclusion that the cells of this median motoneurone’s colony occupy a cortical territory which has about this extent (cJ Landgren et al., 1962b). That they d o not occupy a wider territory is shown by the flattening of the curve at a strength at which the population would still not have reached its maximum extent (Fig. 2).
THE P Y R A M I D A L PROJECTION T O MOTONEURONES
23 1
For simplicity three curves only are plotted in Fig. 8 (filled circles). These are tending to different maxima. The open circles show, for the remaining median motoneurones, either the largest monosynaptic action obtained, or the action obtained at a single stimulus strength in cases in which one strength only was used. Ulnar nerve (ulnar flexors of wrist, flexors of distal phalanges of ulnar fingers, ulnar lumbricals, interossei, hypothenar muscles, some thenar muscles). In Fig. 9 the curves for four ulnar motoneurones are plotted in full. These show different maxima, but their plateaux are reached at strengths of stimulation which indicate that the extent of the cortical territory occupied by their colonies is similar to that of the median motoneurone of Figs. 7 and 8. Posterior interosseous nerve (elbow flexors, supinators, dorsiflexors of wrist and digits, abductors of thumb). The results are plotted in Fig. 10. Musculocutaneous nerve (elbow flexion, supination). Fig. 11 shows the results. The curves indicate more extensive colonies : maximum monosynaptic action needs stronger stimuli than in Figs. 8-10. mV
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Fig. 1 1 . Results plotted as in Fig. 8, from 47 motoneurones of the musculocutaneous nerve.
Triceps nerves (adduction at shoulder, elbow extension). In preliminary experiments made with the whole musculospiral nerve trunk, (and not included in the present total of experiments), we found that 7/23 motoneurones showed no detectable monosynaptic action with cortical shocks of 5 mA. This was then the maximum output of our stimulator. We therefore increased its output before embarking on experiments on nerve branches to the triceps, which had to be laboriously dissected off the main musculospiral trunk in the musculospiral groove. About half of these motoneurones (28/49) showed no monosynaptic action, and therefore lacked cortical pyramidal colonies as defined. There is no doubt that the strongest shocks reached the depth of the fissure, so that no colony would have been missed. The results for the remaining 21 triceps motoneurones are plotted in Fig. 12. References p . 242
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Inspection of Figs. 8-12 makes it obvious that motoneurones of the distal groups receive, in general, greater quantities of monosynaptic action than those of proximal groups. It is legitimate to compare these quantities, since few membrane potentials were below 60 mV and none was below 55 mV (cf. Coombs et al., 1955, Fig. 2B). Detailed comparison is facilitated by an arbitrary division of the graphs into regions and by counting the numbers of curves and isolated responses falling within each region. Take first the ragion lying to the left of the tallest curve in Fig. 8. This contains about 30% of the median motoneurones (31/105), about 40% of the ulnars (18/45) and 60 % of the posterior interosseous motoneurones (12/20), but it contains no musculocutaneous or triceps motoneurones. Take then the region lying below the lowest curve of Fig. 11. This contains 73% of the triceps motoneurones (36/49); 57% (28/49) showed no monosynaptic response. This region contains 32% of the musculocutaneous motoneurones (1 5/47), but only 18 % of the median (19/105), 11 % of the ulnar (5/45), and about 10 % of the posterior interosseous (2/20). We now publish illustrative intracellular records of synaptic potentials from mV
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Fig. 12. Results, plotted as in Fig. 8, from 21 motoneurones of the triceps nerves. No monosynaptic excitatory responses were obtained from 28 further triceps motoneurones. Of these, 15 gave early inhibitory responses.
musculocutaneous and triceps motoneurones of baboons, to supplement our previously published records from ulnar, median and posterior interosseous motoneurones (Hern et al., 1962; Landgren et al., 1962a). Fig. 13 (A) is from a musculocutaneous motoneurone with a membrane potential of -75 mV. It may be compared with Fig. 7, in which, also, the monosynaptic EPSP showed no evidence of inhibitory action, but was followed by a second excitatory action. Fig. 13 (B) illustrates the findings in another musculocutaneous motoneurone whose membrane potential was -61 to -63 mV. Such a value may signify some injury to the membrane, but it may also be due, in part, to depolarization by background synaptic activity associated with light anaesthesia (nitrous oxide, oxygen and 0.5 % chloroform with minimal barbiturate). This sequence of monosynaptic excitation followed by early inhibition was seen in several musculocutaneous moto-
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neurones. The time between start of monosynaptic excitation and start of inhibition was 1.5 msec. Similar values were found by Preston and Whitlock (1960, 1961) in the lumbar enlargement of monkeys and by Landgren et al. (1 962a) in the cervical enlargement of baboons. Larger values would be expected in the lumbar enlargement A
2.5
3.6
B
-
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Fig. 13. Superimposed intracellular records from two motoneurones of the musculocutaneous nerve. (A) Rostra1 C5 level. Membrane potential -75 mV. Strengths of 0.2 msec stimulating pulses noted in margin in mA. Bottom record is extracellular control. (B) Caudal C4 level. Membrane potential -61 to -63 mV. Bottom record is extracellular control. Time in msec. Calibration: 1 mV for all records.
if different components of the cortico-spinal volley were responsible for the excitatory and inhibitory effects, since the temporal dispersion of such components would be greater at the longer conduction distance. This consideration supports Eccles’ suggestion (1957, p. 179) that the inhibition is mediated by local interneurones. Fig. 14 shows a musculocutaneous motoneurone with minimal EPSP and more conspicuous TPSP, which becomes complicated in response to the stronger shocks. Fig. 15 shows that an apparent absence of inhibitory synaptic action need not mean an absence of inhibitory synapses. The membrane potential of this musculocutaneous motoneurone was -72 mV. After the recording of EPSPs had been completed, it was deliberately damaged by repeated stabs with the microelectrode. This reduced the membrane potential to -41 mV, and unmasked a biphasic inhibitory action. It is obvious that any systematic study of cortico-spinal inhibition will require the References p . 242
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Fig. 14. Superimposed intracellular records from another motoneurone of the musculocutaneous nerve, to show minimal monosynaptic excitatory action followed by early inhibitory synaptic action, and complex responses to stronger 0.2 msec S stimuli (strengths in margin). Last record is extracellular control. Calibration: 1 mV. Time in msec.
+
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Fig. 15. Intracellular recording from another motoneurone of the musculocutaneous nerve, membrane potential -72 mV. First record is of surperimposed antidromic spikes. Series of excitatory synaptic potentials set up by S - t cortical shocks ( I .O-9.6 mA) show inhibitory notchings. Membrane potential was then reduced to -41 mV by several deliberate stabs. Note inhibitory synaptic potentials in response to 3.2 and 9.4 mA stimuli. Last record is extracellular control. Calibrations: 0 and -72 mV for antidromic spike; 1 niV for responses to 1.0 and 1.9 mA; 5 mV for remaining responses. Time in msec.
THE PYRAMIDAL PROJECTION TO MOTONEURONES A
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B
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Fig. 16. Intracellular records from two triceps motoneurones. (A) Membrane potential -68 mV. After responses to cortical stimuli of 0.7-8.8 mA had been recorded, cell was deliberately injured by stabbing; membrane potential -43 mV. Early inhibitory response unmasked. Bottom record is extracellular control. (B) Another motoneurone, membrane potential -62 mV. Threshold for inhibitory synaptic action (1.0 mA) is lower than that for monosynaptic excitatory action (>1.0, < 1.8 mA). Bottom record is extracellular control. Gain : 1 mV for (A), 0.7,0.9, 2.9 and 3.1, and (B), 1.0, 1.8, 3.2, 5.2; 5 mV for remaining records and extracellular controls. Time: msec.
use of electrodes and of depolarizing currents to reveal inhibition by shifting the membrane potential away from its equilibrium level. Fig. 16 (A) shows recordings from the triceps motoneurone from whlch the uppermost curve of Fig. 12 was plotted. Its membrane potential remained at -68 mV, until it was deliberately injured to unmask an IPSP. Fig. 16 (B) shows records from a second triceps motoneurone, in which the cortical threshold for IPSP (1.0 mA) was lower than that for the monosynaptic EPSP. Fig. 17 shows records from another triceps motoneurone. The presence of minimal monosynaptic action in the first record at stimulus strength 1.7 mA is made obvious in the second record by repetitive stimulation at 200/sec, in which condition the transmitting potency of pyramidal synapses is enhanced (Landgren et al., 1962a). As single-shock stimulation is strengthened, the initial monosynaptic response merges into a large, steadily-rising wave of depolarization, on which, exceptionally, one can no longer discern the early peak which permitted the measurement of References p . 242
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1.7
1.7
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Fig. 17. Intracellular records from a motoneurone of the nerve to long head of triceps. Membrane potential -77 mV. A small monosynaptic excitatory component at 1.7 mA is made more obvious when the shocks are repeated at 200/sec. As stimulation is strengthened, depolarisation continues in a slowly rising curve. Calibrations: 1 mV for records on left; 5 mV for synaptic potentials on right and extracellular control; 0 and -77mV for antidromic spike. Time: msec.
maximum monosynaptic action in most of our records ( e . g . Figs. 13-1 6). The measurement of quantity in this cell was possible only at strength 1.7 mA, and it is so plotted on Fig. 12. Fig. I8 illustrates pure inhibitory action on another triceps motoneurone. The latency of the first IPSP is 3.7 msec, and of the second, 8.0 msec. N o monosynaptic excitatory action could be detected in the triceps motoneurone whose records are shown in Fig. 19, even by repetitive stimulation at 200/sec (cf.
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Fig. 18. Intracellular records from a motoneurone of one of the nerve branches to distal part of triceps. Membrane potential -63 mV. N o monosynaptic excitatory action, but early inhibitory action. Final record is extracellular control. Calibrations: 1 mV. Time: msec.
THE PYRAMIDAL PROJECTION TO MOTONEURONES
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Fig. 17). This cell is interesting because stimulation at one cortical point (B) gave pure inhibitory effects whose latencies, at strength 6.8 mA, were 3.0 and 8.0 msec, whereas stimulation at point A, 9 mm medial to B, gave excitatory depolarization only. Membrane potential was the same (-64 mV) throughout both sets of recordings. A
3.1
B 4.8
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Fig. 19. Intracellular records from a motoneurone of a nerve branch to distal part of triceps, to show different actions of stimulation at point A (excitatory, with no monosynaptic component; this was also checked by repetitive stimulation, cJ Fig. 16), and point B, (inhibitory), 9 mm lateral t o point A. Membrane potential-64 mV. Separate extracellular control records for points A and B. Calibrations: 1 mV. Time: msec.
Since the muscles supplied by the inusculocutaneous nerve are antagonists of the triceps in the movement of elbow extension, and since Bernhard and Rohm (1954, Fig. 11) have published a map showing reciprocal localization of areas for monosynaptic excitation of biceps and triceps in the precentral cortex of the macaque, we have carefully reviewed our own experiments from this point of view. We felt obliged to reject all those motoneurones for whch no 'best point' (Landgren et al., 1962b) could be mapped, the synaptic actions being evoked only with stronger cortical stimuli, and then with equal ease from all parts of a wide area; we were then left with 31 musculocutaneous (Fig. 20, bi) and 31 triceps motoneurones (Fig. 20, tr) in eight preparations, in only one of which, unfortunately, did motoneurones of both types satisfy our criteria. Filled circles in Fig. 20 denote monosynaptic excitation; half-filled circles, monosynaptic excitation followed by inhibition (e.g. Fig. 13, B ) ; and open circles, pure inhibition (e.g. Fig. 18). Scrutiny of these maps has failed to convince us that any obvious reciprocal monosynaptic localization exists in the baboon. The suggestion contained in the bottom right-hand map is contradicted by the lower three maps on the left, which show bi points in positions lateral to the tr Refel emes p. 242
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bi
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tr
Fig. 20. Localization of ‘best points’ for 31 motoneurones of the musculocutaneous nerve (bi) and 31 motoneurones of the triceps nerves (tr) in eight brains. Each map shows the brachio-facial genu of the right Rolandic fissure (above) and the superior and inferior precentral fissures (below) ; the occipital pole lies above and the frontal pole below. These motoneurones were the only examples from these muscle groups for which ‘best points’ could be convincingly localized with 0.2 msec S stimuli of strength 2.0 mA or less. Unfortunately, ‘antagonistic’ motoneurones satisfying this criterion were collected from the same preparation in one experiment only (bottom right). Filled circles : monosynaptic excitatory action. Open circles: early inhibition only; no monosynaptic excitatory action. Half-filled circles : monosynaptic excitatory action followed by inhibitory action. There is no obvious grouping to suggest reciprocal localization. This part of the precentral gyrus also contained ‘best points’ for distal muscles in these and in other baboons’ brains.
+
point of the first-mentioned map. It is to be remembered that this region of the precentral gyrus also contained the colonies for motoneurones of the distal muscle groups in these and in our other brains. It is possible that the discrepancy is to be explained by the different experimental
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methods used by ourselves and by Bernhard and Bohm (1954). Their methods were the best available at that time. They stimulated the cortex at 25/sec. After 1 sec of stimulation, discharges appeared in the triceps and biceps nerves at monosynaptic latency. A background of facilitation was thus necessary to reveal these monosynaptic actions, and the observed reciprocity may have been due to localization in the ‘facilitatory’ system and not to localization in the monosynaptic pathway. It is interesting that Bernhard and Bohm’s biceps field lies to the lateral side of their triceps field. In our Fig. 19 the inhibitory region for a triceps motoneurone does lie lateral to the excitatory field, but this was a motoneurone on which no monosynaptic excitatory action could be detected. The lack of obvious reciprocal localization at the headward end of the monosynaptic cortico-motoneuronal pathway in the baboon has prompted us to wonder whether reciprocal control need necessarily imply reciprocal localization in the cortex. Such doubts gather force when one reflects upon the extraordinary mobility of the forelimb. The muscles acting at the elbow joint have complex functional relationships, not a simple antagonistic relationshp. Thus in man, whose forelimb resembles in general structure that of the baboon, biceps is a powerful supinator of the forearm. In the movement of supination, unwanted elbow flexion is prevented by co-contraction of triceps (Beevor, 1904, pp. 23-24). Again, triceps (long head) is an adductor of the arm. In the movement of adduction, unwanted extension of the elbow is prevented by co-contraction of biceps (Beevor, 1904, p. 34). Only in the movements of elbow flexion and extension are biceps and triceps related reciprocally. In the shoulder and in the hand, where joint mobility is so much greater, the reciprocal relationships of the muscles may be almost infinitely labile. Cortical control of the pyramidal colonies which innervate their motor units should be correspondingly subtle. CONCLUSION
Monosynaptic cortico-spinal excitation of motoneurones of the baboon’s forelimb is brought about by intermingled colonies of corticofugal pyramidal cells. These colonies thus provide for direct cortical control of the motor units of the final common path, which are the ultimate units of motor function. We have neglected the many important ‘indirect’ pathways which control the motor units through fusimotor neurones and through interneurones of the brain stem and cord. Nor have we here concerned ourselves with the intracortical synaptic mechanisms which play selectively on the corticofugal pyramidal cells in natural motor activity. To isolate the cortico-motoneuronal colonies for experimental study we have used the simplest type of electrical stimulation. We have deliberately avoided the complexities of classical repetitive stimulation, which may, and especially when focal cathodal or bifocal electrodes are applied to the cortex, engage synaptic systems upstream of the corticofugal cells (cf. Hern et al., 1962; Phillips and Porter, 1962), and may conceivably excite or inhibit the corticofugal cells in varying patterns of localization. Our results have shown that many of the colonies connected to distal motoneurones command larger quantities of monosynaptic excitatory action than are commanded References p . 242
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by any of the colonies connected to proximal motoneurones, and the significance of this finding must now be considered. The rate of rise of the cortically-evoked EPSP is comparable to the rate of rise of the EPSP evoked by stimulation of the Group Ia afferent fibres (Landgren et a/., 1962a, Fig. 2). This shows that these cortico-spinal synapses are not far from the soma of the motoneurone. But it will be noticed that even the largest quantity ofmonosynaptic action evoked by a single cortico-spinal volley in an ulnar motoneurone (Fig. 9, 3.4 mV) is too small to reach the firing level, and it might be supposed that the cortico-motoneuronal connexion would therefore be insignificant in normal function, at least without a background depolarization of the motoneurone sufficient to bring its membrane potential within 1 or 2 mV of the firing level. This difficulty is to some extent resolved by a special property of pyramidal synapses, illustrated in Fig. 21. The experiment begins by choosing strengths of stimulation of
1
200
I 1 1 1 1 1
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Fig. 21. Superimposed intracellular recordings from a motoneurone of the median nerve, comparing its responses to repetitive Group la afferent volleys and to repetitive cortico-spinal volleys, both at 200/sec. Upper pair: simultaneous recording of submaximal Group Ia volleys from dorsal root entry zone (upper trace) and of the monosynaptic EPSP's evoked by these (lower trace). Lower pair: response to repeated S pulses (0.2 msec, 2.4 mA), the first of which evokes a quantity of monosynaptic action comparable to that evoked by the first Group Ia volley. Upper frace: cortico-spinal volleys, recorded from pointed silver wire projecting 80 ,u from 15 p Pyrex capillary, inserted into dorsolateral white matter 22 mm rostra1 to the motoneurone. Lower trace: monosynaptic EPSPs. Time scale given by shock artefacts at 5 msec intervals.
+
Group la axons (upper records) and of corticofugal axons (lower records) which evoke monosynaptic EPSPs of approximately equal size on the same test motoneurone. Six of these stimuli are then delivercd at 200/sec. The upper records show that the size of the six incoming Group l a volleys does not change, and the resulting monosynaptic potentials do not increase in amplitude (Curtis and Eccles, 1960). It is otherwise when the cortico-spinal volleys are repeatcd. There is a progressive growth of monosynaptic transmitting potency, without obvious change in the size of the six cortico-spinal volleys (Landgren et al., 1962a). Thus the high-frequency discharges
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of which pyramidal neurones are known to be capable would be specially effective in depolarjzing the motoneurones over the monosynaptic pathway. Since monosynaptic connexion is most strongly developed in relation to distal motoneurones, attention turns naturally to its probable significance in relation to movements of the hand. Wood Jones (1920, p. 235) discussed the relative lack of morphological specialization in the hands of primates, and concluded that the essential differences lay in the central nervous organization. ‘The difference between the hand of a man and the hand of a monkey lies not so much in the movements which the arrangement of muscles, bones and joints makes it possible for either animal to perform, but in the purposive volitional movements which under ordinary circumstances the animal habitually exercises.’ Kuypers’ contribution (Vol. 1 1 of the Progress in Brain Research series) shows that the monosynaptic pathway is denser in chimpanzee than in macaque. It is probable that the baboon, whose brain is more convoluted than the macaque’s, occupies an intermediate position. Part at least of the increased nervous control postulated by Wood Jones may depend on the increase in monosynaptic control. Such an increase would confer greater possibilities of fractionating items of movement (Leyton and Sherrington, 1917). The powerful effect of iterative corticospinal activity should provide for the rapid initiation of movement. ACKNOWLEDGEMENT
We thank Mr. C. H. Carr for technical assistance. SUMMARY
I n trying to understand the working of the corticospinal motor systems it is rational to begin at the level of the corticofugal pyramidal neurones. One can begin by asking a fundamental question about the nature of motor localization: how large are the cortical areas contributing axons to different spinal destinations, and are these areas separate or do they overlap? We have confined ourselves to the simplest of several possible corticospinal control systems - the localization in the cortical arm area of the baboon of colonies of pyramidal neurones which project monosynaptically to sample motoneurones belonging to different muscle groups of the upper limb. Such colonies form significant functional groupings since the motor units to which they project are the ultimate elements in the organization of muscular contraction. The monosynaptic actions of the corticospinal discharges have been recorded from the sampled motoneurones with intracellular microelectrodes. We have avoided ‘classical’ repetitive stimulation, which could conceivably select pyramidal neurones in different combinations by activating synaptic mechanisms lying upstream of them in the cortex, and thereby obscure the fundamental pattern of corticofugal localization. We have used single, brief surface-anodal shocks which directly excite populations of corticospinal cells whose axons conduct impulses at about 60 mlsec. We have found that the cortico-motoneuronal colonies for motor units of different muscles overlap, and that they differ in their spatial extent and in the quantity of References p. 242
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monosynaptic excitatory action they command on the test motoneurones. The colonies projecting to motoneurones controlling distal muscles tend to occupy smaller cortical areas, and to command larger monosynaptic actions; the colonies projecting to the motoneurones of proximal muscles tend to occupy larger areas, but to command smaller monosynaptic actions. About half of the triceps motoneurones received no monosynaptic projection, i.e. possessed no corticofugal colonies as defined. They received polysynaptic excitatory control and also inhibitory synaptic control from the cortex. The hands of primates are morphologically primitive, and depend on a refined neural control for their wide range of usefulness. It is probable that such versatile but precise control depends in part on a special development of the monosynaptic corticospinal pathway to the motoneurones of the distal muscles of the upper limb. The directness of this pathway should increase the accessibility of hand motor units to the complex intracortical neuronal systems lying upstream of the corticofugal pyramidal neurones. REFERENCES BEEVOR, C. E., (1901); The Croonian Lectures on Muscular Movements and their Representation in the Central Nervous System. London, Adlard. BERNHARD, C. G., A N D BOHM,E., (1954); Cortical representation and functional significance of the corticomotoneuronal system. Arch. Neural. Psychiat. (Chic.), 72, 473-502. BERNHARD, C. G., BOHM,E., AND PETERS~N, I., (1953); Investigations on the organization of the cortico-spinal system in monkeys. Acta physiol. scand., 29, Suppl. 106, 79-105. COOMBS, J. S., ECCLES,J. C., AND FATT,P., (1955); Excitatory synaptic action in motoneurones. J. Physiol. (Land.), 130, 374-395. COOPER,S., AND DENNY-BROWN, D., (1927); Responses to stimulation of the motor area of the cerebral cortex. Proc. roy. Sac. B, 102, 222-236. CURTIS,D. R., AND ECCLES, J. C., (1960); Synaptic action during and after repetitive stimulation. J. Physiol. (Land.), 150, 374-398. ECCLES, J. C., (1957); The PhysioZogy of Nerve Cells. Baltimore, The Johns Hopkins Press. HERN,J. E. C., LANDGREN, S., PHILLIPS, C. G., AND PORTER, R., (1962); Selective excitation of corticofugal neurones by surface-anodal stimulation of the baboon’s motor cortex. J. Physiol. (Lond.), 161, 73-90. LANDGREN, S., PHILLIPS,C. G., AND PORTER, R., (1962a); Minimal synaptic actions of pyramidal impulses on some a-motoneurones of the baboon’s hand and forearm. J . Physiol. (Land.), 161, 91-111. LANDGREN, S., PHILLIPS, C. G., AND PORTER, R., (1962b); Cortical fields of origin of the monosynaptic pyramidal pathways to some a-motoneurones of the baboon’s hand and forearm. J. Physiol. (Land.), 161, 112-125. LEYTON, A. S. F., AND SHERRINGTON, C. S., (1917); Observations on the excitable cortex of the chimpanzee, orang-utan and gorilla. Quart. J . exp. Physiol., 11, 135-222. PATTON, H. D., AND AMASSIAN, V. E., (1954); Single- and multiple-unit analysis of cortical stage of pyramidal tract activation. J . Neurophysiol., 17, 345-363. PHILLIPS,C. G., AND PORTER,R., (1962); Unifocal and bifocal stimulation of the motor cortex. J. Physiol, (Land.), 162, 532-538. PRESTON, J. B., AND WHITLOCK, D. G., (1960); Precentral facilitation and inhibition of spinal motoneurons. J. Neurophysiol., 23, 154-170. PRESTON, J. B., AND WHITLOCK, D. G., (1961); Intracellular potentials recorded from motoneurons following precentral gyms stimulation in primate. J. Neurophysiol., 24, 91-100. SHERRINGTON, C. S., (1931); Quantitative management of contraction in lowest level co-ordination. Brain, 54, 1-28. WOODJONES,F., (1920); The Principles of Anatomy as seen in the Hand. London, Churchill.
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DISCUSSION
ECCLES:I am greatly interested by the remarkable finding with repetitive cortical stimulation. The potentiation of the successive EPSPs undoubtedly gives great power to the corticospinal action. This potentiation is so large that I would expect the synapses on motoneurons to look different from the group Ia synapses. With electron microscopy I would expect different arrangements of synaptic vesicles in synapses that exhibit little potentiation with repetitive stimulation and in synapses that exhibit such great potentiation. Possible selective degeneration would enable these two types of synapses to be identified. I would like to ask whether there has been any study of brief and delayed post-tetanic potentiation with these pyramidal tract synapses on motoneurons. 1 would certainly expect the brief post-tetanic potentiation to be very large. PHILLIPS: We have not investigated delayed post-tetanic potentiation in this system. With regard to the early effect: the superimposed sweeps of Fig. 21 were recurring at I-sec intervals. It is obvious that the potentiating effect of each train of 6 pyramidal volleys at 200/sec had subsided completely during this interval of time. Further work is needed on the effects of larger numbers of presynaptic volleys. LUNDBERG: You did mention that a number of triceps brachii motoneurons do not receive EPSP’s from the motor cortex. How do motoneurons of fast and slow muscles compare in this respect? PHILLIPS:We have not measured the contraction times of the different muscle groups. Something might be learned from the conduction velocities of the motor axons, but we recorded the antidromic impulses on slow sweeps, and the stimulus artefacts were so small that I am afraid we may not be able to compare the conduction velocities of the axons of those motoneurons which did, or did not, exhibit monosynaptic pyramidal actions. WILLIS:I would like to make two points. With regard to the question of reciprocal innervation in the cervical cord, Dr. Schmidt and I have evidence that the pattern of monosynaptic connections among cervical motoneurons does not always fit a simple myotatic unit relationship. The other point is that the monosynaptic corticofugal connections to reticulospinal neurons of the cat also show a striking potentiation with repetitive stimulation, as will be shown tomorrow. PHILLIPS:This is most interesting. It appears then that at the level of reflex control also, reciprocal innervation of the forelimb is a bonajde physiological affair, and not the mere consequence of rigidly stereotyped anatomical arrangements. It is very interesting that yet another corticofugal system shows an increasing monosynaptic action of repeated impulses. Dr. Lundberg has also seen such an increasing action of pyramidal synapses on lumbar interneurons in the cat. It may be a general property of the synapses formed by corticofugal pyramidal neurons.
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SZENTAGOTHAI : The non-existence of any specific topographic relation between pyramidal cells connected with the motoneurons of several partly antagonistic muscles, so beautifully shown in your experiments, might give rise to speculations concerning the developmental aspects. It would show that also if there apparently is a general tendency of corticospinal axons, arising from a certain region, to contact with certain segments of the spinal cord, there is no predetermined specific attraction between certain pyramidal axons and a fixed set of motoneurons. This would again mean that inside of a large group of axons entering a spinal segment the connections finally stabilized must be governed to considerable extent by chance and the pyramidal neurons that have gained connection with a given motoneuron are identified later on by some ‘learning process’ which builds them in into the functional pattern or connection system of the cortex. PHILLIPS : There are fascinating possibilities here. GELFAN: What was the particular reason to investigate the motoneurons to the forelimbs and not the cells in the lumbosacral cord? PHILLIPS: It was part of a general desire to get away from the much-studied hindlimb, which is largely a postural and locomotor organ; by contrast, the forelimb of primates, especially in its distal segments, is primarily an explorer and manipulator of the environment, and is therefore especially challenging to the student of cerebral motor control. GRANIT: Seeing this build-up in an animal which is so lightly anaesthetized, raises the question whether there might not be the same thing also from the peripheral muscles and in the monosynaptic paths.
PHILLIPS:In describing Fig. 21 I perhaps did not sufficiently emphasize that the records were from one and the same motoneuron, showing, under identical conditions of light anaesthesia, that these different synapses have these different effects. ECCLES:We have published records with the DSCT cells, where one and the same DSCT cell showed quite different potentiations to repetition to Ia fibers, which were negligible, and to the Ibfibers on the samecell which more than doubled with repetition. First we thought that it was perhaps the Ib synapse being different from la, perhaps with a different chemical transmitter, and, therefore, different relationships to frequencies of stimulation. But it turns out that it was within the la group. There are rules there, that we are gradually fumbling towards, about frequency but certainly not at all understood yet, but they seem of the greatest physiological importance. SPRAGUE:You have made a few remarks that possibly implicated the dendrites in this mechanism. Would you be willing to speculate further on possible anatomical connections that the pathway might have on the motor neurons in achieving these effects?
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PHILLIPS: We know from Dr. Szentigothai’s work that the synapses of group Ia afferents are applied to the basal dendrites and soma of the motoneuron. It may be inferred that those pyramidal synapses which evoke monosynaptic EPSPs whose time course is comparable to that of the group l a E P S P , are also applied so close to the soma t!iat their E P S P ’ s do not suffer electrotonic distortion when recorded from the soma. What I was speculating about was whether any part of the slowly-rising synaptic depolarization (e.g. Fig. 17) could possibly be due to large monosynaptic pyramidal actions up011 outlying dendrites. Such depolarization could of course be due to repetitive asynchronous bombardment of the motoneuron by pyramidallyactivated interneurons, and this would be the orthodox, and perhaps the more likely, explanation. But one can play with the idea that it may be the function of some synapses (those nearest the soma) to produce steeply-rising actions which can quickly interfere with the prevailing level of activity; and that other synapses (more remote from the soma) may bring about more smoothly-graded depolarizing pressures which affect the threshold and firing of the motoneuron. It seems improbable that the synapses applied to outlying dendrites can exert no action on the impulse-generating mechanism of the initial segment of the axon. But evidence will be hard to get. G R A N I T : Did you also see a delayed depolarization of the kind that we have been discussing?
PHILLIPS:We have not looked at the records of the antidromic impulses of these cervical motoneurons systematically to see if they ever show your delayed depolarization.
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Afferent Connections to Reticulo-Spinal Neurons F. M A G N I
AND
W. D. W I L L I S *
Istituto di Fisiologia dell’ Universitd di Pisa e Centro rli Neurojisiologia del C.N.R., Sezione di Pisa, Pisa (Italy)
In our previous paper (this Volume, p. 56), a method has been described for identifying reticulo-spinal neurons by intracellular recording of antidromic action potentials resulting from stimulation of their axons within the spinal cord. Neurons thus identified could then be investigated with respect to their afferent connections. Attention has so far been restricted to a study of the action of volleys from the cerebral cortex, from a pathway passing through the region of the central tegmental tract in the mesencephalon, and from peripheral nerves of the forelimb. METHODS
A description of most of the techniques employed in these experiments has already been given (Willis and Magni, this Volume, p. 56). Further details may be found in the text and in the full reports of the work (Magni and Willis, 1963, 1964a, b). RESULTS
Effects of corticofugal volleys upon reticulo-spinal neurons Since it would have been difficult to explore point by point the cerebral cortex with stimulating electrodes while recording intracellularly from a single neuron, no attempt was made to map the active and inactive cortical areas. Instead, a number of fixed bipolar electrodes were applied to various cortical regions, and stimuli were applied through these in succession during the time of impalement of each neuron. The strength of stimulation was kept subthreshold for movements. The areas stimulated are indicated by the rectangular shaded areas in the diagram of Fig. 1 (I). The full complement of electrodes was used only on one hemisphere, but additional electrodes were placed on the pre- and postcruciate regions of the opposite side to allow comparison of the effectiveness of the two sides. The neuron illustrated in Fig. 1 received excitatory postsynaptic potentials (EPSP’s) from all the cortical regions examined (Fig. I , A-G). The strongest action was from
* Postdoctoral Research Fellow, National Institute of Neurological Diseases and Blindness, U.S. Public Health Service.
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Fig. 1. EPSP’s from various cerebral cortical regions. In this and succeeding figures, sample records illustrating activity in reticulo-spinal neurons are arranged as follows. The upper traces are the intracellularly recorded potentials (depolarization upwards) and the lower traces the cord volley (usually recorded at T12). When three traces are shown, the lowermost one is the field potential recorded after the microelectrode was withdrawn to a just extracellular position. (A-G). EPSP’s recorded in a reticulo-spinal neuron after stimulation of the indicated cortical areas. (H). Antidromic action potential from cord stimulation at L1. The 10 msec timer and the 2 mV potential scale apply to A-G, while the msec and 50 mV scales are for H. The diagram in I shows the cortical areas stimulated. Abbreviations: pr., precruciate; PO., postcruciate; s.a., anterior suprasylvian gyrus; t., temporal; o., occipital. The letters I. or r. refer to the side of the body, left or right. (From Magni and Willis, 1964a.)
a temporal region which is considered to be part of the primary auditory cortex (Fig. IF; CJ Ades, 1959). A considerable effect was also obtained from an occipital region known to be part of the primary visual cortex (Fig. 1G; cJ Doty, 1958). The neuron received EPSP’s of about equal size from the pre- and postcruciate regions of both sides (Fig. 1, A-D). That this was widespread convergence of cortico-reticular impulses is suggested by the strikingly different patterns of postsynaptic activation observed in neighbouring reticulo-spinal neurons (Fig. 2). The excitatory actions shown in Fig. 2, among the most powerful observed in these experiments, were obtained from another unit of the same animal, within a short period of time. Many of the cortical regions had such a strong linkage to this reticulospinal neuron that it was fired repetitively (Fig. 2, C-F). However there was no EPSP from either the temporal or occipital area (Fig. 2G, H), although the neuron was found only a short distance from that illustrated in Fig. 1. The cell body was located on the left side of the brain stem, and the neuron received a slightly stronger excitation from the left than from the right precruciate area (c$ Fig. 2C, D). References p . 256
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The latencies of the EPSP’s in Fig. 2, C-F were all less than 1 msec. Therefore, these were undoubtedly monosynaptic, at least initially. The latencies of the EPSP’s in Fig. 1, however, were 2-4 msec. This longer delay may indicate a relay between the cortex and the reticular formation, a relay within the cortex, or simply the need
Fig. 2. Monosynaptic EPSP’s from various cortical areas. (A). The antidromic action potential from cord stimulation at L1. (B). An EPSP and orthodromic action potential from a volley in a pathway traversing the central tegmental tract region of the mesencephalon. (C-H). The effects of stimulation of the indicated cortical areas. The msec time scale applies to all the records. The 50 mV potential scale is for A, and the 2 mV scale for the other records. Note that the extracellular field potential in A was taken at the higher gain (2 mV scale). (From Magni and Willis, 1964a.)
for summation of the effects of slowly conducting corticofugal fibers with those of rapidly conducting ones before there is a detectable potential change. Other reticulospinal neurons receiving undoubted monosynaptic EPSP’s from the cerebral cortex are illustrated in later figures (eg. Fig. 3 shows an EPSP with a latency of 1.4 msec). In general, the most powerful excitatory effects have been produced by volleys from the pre- and postcruciate regions. No consistent differences have been found in the potency of ipsilateral and contralateral stimulation of comparable pericruciate sites. The other cortical areas explored were less effective, although individual reticulo-spinal neurons might receive a larger EPSP from one of these than from the sensorimotor cortex (e.g. Fig. 1). The least effective area of those tried was the occipital region. Inhibitory postsynaptic potentials (IPSP’s) have only occasionally been observed after cortical stimulation, and then only following an EPSP. Examples are shown in Figs. 5G and 9G. The only cortical areas tried which have produced 1PSP’s were in the pericruciate region. The effect of variation of stimulus parameters upon cortically evoked EPSP’s has
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been studied in some reticulo-spinal neurons. Fig. 3 shows the result of chinging the strength of stimulation upon the size of an EPSP. Th: site of stimulation was the anterior suprasylvian gyrus. The EPSP increased in amplitude as the stimulus strength was increased (0.5, 1, 3, 5 and 10 V in Fig. 3, A-E, respectively). The EPSP rcachd
Fig. 3. Effect of varying stimulus strengths upon EPSP size. A-E show the EPSP‘s and, in D and E, the orthodromic action potentials produced by a variety of strengths of stimulation applied to the cerebral cortex (see text for voltages). The record in F shows the antidromic action potential from cord stimulation at Ll ; note small EPSP in traces without spike. The 10 msec time scale applies to A-E, while the msec scale is for F. The 2 mV potential scale is for all records. (From Magni and Willis, 1964a.)
threshold height for initiating a spike discharge in many sweeps when the stimulus strength was 5V (Fig. 3D), while higher stimulus strengths resulted in firing of the neuron in each sweep (Fig. 3E). Sometimes single shock stimulation was insufficient to produce a large EPSP. When this occurred, it was often possible to evoke large summed EPSP’s by repetitive cortical stimulation. An example is shown in Fig. 4. The small EPSP’s from single shock stimulation of the left and right sensorimotor cortex are seen in Fig. 4E and G, respxtively. Brief tetanic trains of stimuli at 400/sec were employcd to produce the summed EPSP’s from the same cortical regions shown in Fig. 4F, H. Cortically evoked EPSP’s were also observed in neurons which had axons projecting both caudally into the spinal cord and rostrally at least to the mesencephalon. Fig. 5 gives an example of such a case. The antidromic action potentials from spinal cord (Fig. 5, A-C) and mesencephalic (Fig. 5D) stimulation are shown, as are EPSP’s from the left (Fig. 5E, G) and right (Fig. 5F, H) sensorimotor cortex. There is a small IPSP after the EPSP from left cortical stimulation (Fig. 5G). References p. 256
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Fig. 4. Effect of repetitive stimulation upon EPSP’s. A and B are the antidromic action potentials from cord stimulation at L l . C, E and G are EPSP’s produced by single shock stimulation of a pathway in the region of the central tegmental tract of the mesencephalon, the left and right sensorimotor cortex, respectively. Repetitive stimulation of the same areas (5 stimuli at 400/sec) produced the summed EPSP’s in D, F and H. The msec timer is for A-C, E and G, while the 10 msec timer is for D, F and H. The 50 mV potential scale is for A, while the 2 mV scale applies to the other records. (From Magni and Willis, 1964a.)
Fig. 5. Cortical connections to neuron with ascending and descending axons. (A-C). Antidromic action potentials from cord stimulation at LI . (D). Antidromic action potential from stimulation within the mesencephalon in the region of the central tegmental tract. Postsynaptic potentials from volleys evoked from the left sensorimotor cortex are seen in E and G and from the right sensorimotor cortex in F and H. The msec time scale applies to A-F, and the 10 msec scale to G and H. The 50 mV potential scale is for A, and the 2 mV scale for the remaining records.
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Efects of stimulation of a pathway in the region of the central tegmental tract Examples of EPSP’s produced in reticulo-spinal neurons by stimulation in the region of the central tegmental tract of the mesencephalon have bcen given in the preceding paper (this Volume, p. 56) and in Figs. 2B and 4C, D. Another instance of this action is shown in Fig. 6. The EPSP produced by various strengths of stimulation (2, 3, 7 and 10 V; 0.2 msec duration) is seen in Fig. 6, E-H. Its latency was 0.5 msec,
Fig. 6 . EPSP’s from region of central tegmental tract. A-D are the antidromic action potentials produced by stimulation of the spinal cord at L l . EPSP’s evoked by a variety of stimulus strengths (see text for voltages) applied through a concentric electrode in the rcgion of the central tegmental tract in the mesencephalon are shown in E-H. The location of a lesion made through the stimulating electrode at the end of the experiment is indicated by the darkened area in 1. The msec time sca!e is for A-H. The 50 mV potential scale is for A and B, while the 2 mV sca!e applies to C-H. (From Magni and Willis, 1361b.)
and so it was monosynaptic. The point of stimulation is indicatcd by the darkened area in the diagram of Fig. 6 (I), which shQws thc extent of a lesion made through the stimulating electrode at the conclusion of the experiment. In a few cats, mesencephalic stimulation was found to produce IPSP’s in some reticulo-spinal neurons. For instance, stimulation at the site indicated in the diagram of Fig. 7E produced both a small EPSP and an IPSP in the neuron illustrated (Fig. 7C). The latency of the EPSP was about 0.5 msec, while that of the IPSP was 0.5-1 msec greater. Several other reticulo-spinal neurons received EPSP-JPSP sequences, a few just IPSP’s ,while many showed only EPSP’s or no effect, after stimulation near this mesencephalic site. References p . 256
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Fig. 7. EPSP-IPSPsequence from region of central tegmental tract. (A, B). Antidromic action potentials from stimulation of the cord at LI. The change in form of the after-potential accompanied the alteration in spike height as the rccording conditions varied. (C). A small EPSP followed by an IP3P as the result of stimulation in the region of the central tegmental tract in the mesencephalon. (0). An EPSP from stimulation of the left sensorimotor cortex.(E). Diagram showing the location of a lesion placed at the mesencephalic stimulation site. The msec timer applies to A-D. The 50 mV pstential scale is for Aand B, and the 2 mV scale for C and D. (From Magni and Willis, 1964b.)
Fig. 8. Effects of peripheral nerve stimulation upon a reticulo-spinal neuron. A and E show the antidromic action potential produced by a volley set up at the LI level of the spinal cord. The postsynaptic potentials produced by various strengths of stimulation of the superficial radial nerve are shown in B-D and of the deep radial nerve in F-H. See text for details. The monitoring records in this and the following figures were made from the cord dorsum at C1. The msec timer is for A and E, and the 10 msec timer for the remaining records. The 50 mV potential scale is for E, while the 2 mV scale is for the others. (From Magni and Willis, 1964b.)
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Effects of peripheral nerve stimulation The study of peripheral nerve actions upon reticulo-spinal neurons has been limited with respect both to the nerves stimulated and to the neurons from which records have been made. Only two forelimb nerves, the superficial radial (cutaneous) and the deep radial (muscular) nerves, have been employed. The reticulo-spinal neurons studied were only those sending their axons caudally as far as L1. The animals in this series were all pyramidal cats (Whitlock et al., 1953) except for one decerebrate, immobilized by curare. A large proportion of the reticulo-spinal neurons, about half, were unaffected by stimulation of the superficial and deep radial nerves. The majority of the ones affected received either a simple EPSP or IPSP, usually an EPSP. A large number of neurons, however, received a more complex sequence of potentials IPSP-EPSP, EPSP-IPSP, or IPSP-EPSP-IPSP. The actions of the two nerves were generally identical. Fig. 8 shows an example of a reticulo-spinal neuron which received an IPSP-EPSP sequence from each of the two peripheral nerves. The effect of different stimulus strengths is seen, both for the action of the superficial radial (Fig. 8, B-D) and the deep radial (Fig. 8, F-H) nerves. The smallest detectable potential as the strength of stimulation was decreased was an EPSP from the superficial radial nerve (Fig. 8B; strength 1.8 times threshold for the most excitable fibers of the nerve) and an IPSP from the deep radial nerve (Fig. 8F; strength 3T). Raising the stimulus strength from 9 and 12T (Fig. 8C,G) to 30 and 38T (Fig. 8D, H) had little effect on the size of the potentials. The latencies of the IPSP’s were about 7-7.5 msec from the shock artifacts and of the EPSP’e about 19-20 msec.
Fig. 9. Complex response from peripheral nerve volleys. A shows the antidromic action potential and EPSP’s from cord stimulation at L l , B and E are postsynaptic potentials from stimulation of the superficial radial nerve, while C and F are from deep radial nerve volleys. D is from stimulation of the left sensorimotor cortex. The msec time scale is for A-C, and the 10 msec scale is for D-F. The 2 mV potential scale is for all the records. (From Magni and Willis, 1964b.) References p . 256
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A neuron receiving an IPSP-EPSP-IPSP sequence is illustrated in Fig. 9, the effects of the superficial radial volley being seen in Fig. 9E and that of the deep radial volley in Fig. 9F. The onset of these potentials is seen on a faster sweep in Fig. 9B, C. The neuron also received an EPSP followed by an IPSP from the left (Fig. 9D) and right (not illustrated) sensorimotor cortex. The latencies of the initial 1PSP’s from the peripheral nerve volleys were 8-9 msec from the shock artifacts; the EPSP’s began by 22-23.5 msec; and the late IPSP’s were apparent by 65-70 msec. It is interesting that stimulation of the spinal cord at LI (Fig. 9A) produced only EPSP’s, besides the antidromic action potential. While still recording from the same neuron as in Fig. 9, a study was made of the interaction of the initial IPSP from stimulation of the superficial radial nerve with the EPSP from the left sensorimotor cortex. The sample records in Fig. IOA, B are
s.r. 1. pr. s.r. + 1. p,: predicted. Fig. 10. Interaction of IPSP and EPSP. (A). The first IPSP and the EPSP produced by stimulation of the superficial radial nerve in the same reticulo-spinal neuron that was illustrated in Fig. 9. (B). The EPSP from a volley set up in the left sensorimotor cortex. (C). The effect of interacting the two. The tracings of D are explained in the text. The msec timer and the 2 mV potential scale are for A-C. (Fom Magni and Willis, 1964b.)
the controls, while Fig. 1OC shows the potential resulting from timing the cortical stimulus to fall at the beginning of the IPSP. The tracings of Fig. 10D represent the following: the approximate averages of the potentials produced by nerve and cortical stimulation; the potential predicted if these effects summed algebraically; the potential actually observed during the interaction. The observed potential is less than that predicted for the first 15 msec, while it is greater thereafter. When the cortical stimulus
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was timed to fall near the omet of the EPSP from peripheral nerve stimulation, the resultant potential was an algebraic summation (not illustrated). The simplest explanation for the interaction pattern observed in Fig. 10 would be as follows. The EPSP may have been reduced in height initially because of the high membrane conductance which occurs during the generation of IPSP’s (Eccles, 1961). The later facilitation could be the result of the convergence of cortico-spinal impulses and peripheral nerve impulses upon the same system of flexor reflex interneurons at the spinal cord level (cf. Lundberg and Voorhoeve, 1962; Lundberg et a/., 1962). DISCUSSION
There is ample evidence, both anatomic and physiologic, of a direct pathway from various areas of the cerebral cortex to the brain stem reticular formation (for references, see Brodal, 1957; Rossi and Zanchetti, 1957; Haartsen, 1962). The present work confirms this and demonstrates that reticulo-spinal neurons are among the reticular neurons receiving direct cortical control. The cortico-reticulo-spinal pathway would presumably be involved in ‘extrapyramidal’ activities. It would be of considerable interest to know how much of the cerebral cortex is capable of producing at least small effects in some reticular neurons. Previous investigations may not have used sensitive enough tests to provide a final answer to this question. Since several of the cortical regions studied in this work are consider:d to be sensory receiving areas, one wonders if corticofugal activity from these areas might have something to do with sensory control. This possibility comes particularly to mind when one considers that reticular neurons send axon collaterals into all the brain stem sensory nuclei (Scheibel and Scheibel, 1958). Little can be said at present concerning the excitatory and inhibitory potentials produced in reticulo-spinal neurons by stimulation in the region of the central tegmental tract. A number of pathways traverse the area, any of which could be responsible. The often complex actions evoked by peripheral nerve stimulation are difficult to explain. Since the cerebellum was removed and since a similar pattern could be observed in a decerebrate, cerebellectomized animal, a complicated supraspinal loop appears to be ruled out. However, it is possible that a lumbosacral cord loop could be involved. Alternatively, the complex actions may take origin in segmental mechanisms or in pathways linking cervical cord and brain stem. SUMMARY
Reticulo-spinal neurons of the cat brain stem have been shown to receive excitatory connections from a wide area of the cerebral cortex. The strength of the connections varies both with the cortical area stimulated and with the particular neuron investigated. The effects of changing stimulus parameters are described. Examples are given of excitatory and inhibitory postsynaptic potentials evoked in References p . 256
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A N D W . D . WILLIS
reticulo-spinal neurons by stimulation of a pathway traversing the region of the central tegmental tract of the mesencephalon. The action of peripheral nerves of the forelimb upon reticulo-spinal neurons is shown in many cases to be complex.
A C K N O W LEDCEMENT
This research has been sponsored jointly by the Office of Scientific Research, OAR, through the European Office, Aerospace Research, United States Air Force, under Grant EOAR 62-9, and by the Rockefeller Foundation.
REFERENCES ADES,H. W.,(1959); Ccntral auditory mechanisms. Handbook ofPhysrology, Sect. I , Neurophysiology, Vol. 1 . J. Field et al., Editors. Washington, American Physiological Society (p. 585-613). BRODAL,A., (1957); The Reticular Formation of the Brain Stem. Edinburgh, Oliver and Boyd. DOTY,R. W., (1958); Potentials evoked in cat cerebral cortex by diffuse and by punctiform photic stimuli. J . Neurophysiol., 21, 437464. ECCLES,J. C., (1961); The mechanism of synaptic transmission. Ergebn. Physiol., 51, 299-430. HAARTSEN, A. B., (1962); Cortical Projections to Mesencephalon, Pons, Medulla Oblongata and Spinal Cord. Leiden, Eduard IJdo. A., NORRSELL, U., AND VOORHOEVE, P., (1962); Pyramidal effects on lumbosacral interLUNDBERG, neurones activated by somatic afferents. Acta physiol. scand., 56, 220-229. LUNDBERC, A., AND VOORHOEVE, P., (1962); Effects from the pyramidal tract on spinal reflex arcs. Acta physiol. scand., 56, 201-219. MAGNI,F.,AND WILLIS,W. D., (1963); Identification of reticular formation neurons by intracellular recording. Arch. ital. Biol., 101, 681-702. MAGNI,F.,AND WILLIS,W. D., (1964a); Cerebral cortical control of brain stem reticular neurons. Arch. ital. Biol., submitted for publication. MAGNI,F., A N D WILLIS,W. D., (1964b); Subcortical and peripheral control of brain stem reticular neurons. Arch. ital Biol., submitted for publication. RON, G . F., AND ZANCHETTI, A., (1957); The brain stem reticular formation. Arch. iral. Biol., 95, 199435. SCHEIBEL, M. E., A N D SCHEIBEL, A. B., (1958); Structural substrates for integrative patterns in the brain stem reticular core. Reticular Formation of the Brain. H. H . Jasper et al., Editors. Henry Ford Hospital Symposium. Boston, Little, Brown and Co. (p. 31-55). WHITLOCK, D. G., ARDUINI,A., AND MORUZZI,G., (1953); Microelectrode analysis of pyramidal system during transition from sleep to wakefulness. J. Neurophysiol., 16, 414429.
DISCUSSION PHrLLiPs: I can't help drawing attention to the increasing transmitting potency of pyramidal synapses on the reticular spinal neurons. Dr. Lundberg showed the same phenomenon for spinal interneurons. We now have this phenomenon in two species of animal and on three different types of neurons. These synapses really need morphological investigation to see if there is anything special about the vesicles or the mitochondria or anything else.
WILLIS : The enhanced transmitter potency which we observed in reticulo-spinal neurons in response to repetitive cortical stimulation was strikingly similar to that
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seen at other synapses made by corticofugal fibers. We would agree with Dr. Phillips that this is an important property of these synapses and that this deserves fuller investigation. CREUTZFELDT: 1 should like to ask Drs. Magni and Willis how they explain the very short latencies of reticular neurons to cortical stimulation. From the pictures one gets the impression as if the latencies are between 0.8 and 1.5 msec even for stimulation in the visual and auditory area. A monosynaptic relay between the different cortical areas and the reticular nerve cells through the ‘pyramidal tract’ would indeed represent a very remarkable finding as clear antidromic effects in cortical nerve cells have not yet been found after stimulation in the mesencephalic reticular substance. Finally I should like to ask the authors whether they found in their intracellular records a long lasting after-positivity like the humps described by Prof. Granit and collaborators as being indicative for dendritic activity. Such a dendritic action potential should be visible especially in reticular neurons with their large and long dendrites. WILLIS: The latencies of the excitatory potentials produced in reticulo-spinal neurons by stimulation of the visual and auditory cortex were generally longer than those of the excitatory potential from stimulation of the sensorimotor cortex. Whereas the excitatory potentials having the shortest latencies (between just under 1 msec to I .5 msec) were no doubt monosynaptic, those having somewhat longer latencies may or may not have been monosynaptic. We feel they probably were monosynaptic, the impulses being conducted in relatively fine fibers, but we have no proof for this at present. An explanation for the negative results in attempts to fire cortical neurons antidromically from the mesencephalic reticular formation might be that, according to Brodal’s group, there are relatively few cortico-reticular endings at this level. Most cortico-reticular fibers end in the pons and medulla, at least in the cat. We did see ‘hump-like’ depolarizations after the spike potentials in some reticular neurons. We did not study these in detail, and so we could not say whether or not they had the same properties as the ones described by Prof. Granit and his co-workers. It is interesting that in some reticular neurons having low resting potentials a second discharge occurred at the peak of the ‘hump’. LUNDBERG: First of all I would like to congratulate you on your record in velocities. There is one specific point I would like to go into and that is the action of the ascending pathways. It seems to me that a FRA pathway influences these reticulospinal neurons, and this of course is extremely pleasing to us in view of our own results. KUYPERS : Your methods are extremely sophisticated ways of approaching the different connections in the reticular formation. A real problem arises in regard to the cortical projections to the cells in the reticular
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formation. We don’t have that much detailed knowledge of the cat, but in the monkey the temporal and occipital lobe do not give rise to very many pyramidal fibers. Another point concerns the preparation of a brain stem with only a pyramidal tract. I would think that it is very difficult to transect the total brain stem without touching the pyramidal tract or vice versa transecting the pyramidal tract and leaving everything else. According to work done in Brodal’s laboratory, there are cortico-reticular connections in the cat from the temporal and occipital lobes. Although these are less numerous than the ones from the sensorimotor cortex, we presume them to be responsible for the effects we have observed. Our ‘pyramidal’ cats had partial transections in the rostral mesencephalon, leaving little more than the pyramidal tracts and the substantia nigra intact. We do not have any evidence about the route followed by our corticofugal volleys below the rostral mesencephalon, although we feel that the collaterals known to enter the reticular formation of the pons and medulla from the pyramidal tracts are important in this regard.
259
Investigations on Respiratory Motoneurones of the Thoracic Spinal Cord T. A. S E A R S * The John Curtin School of Medical Research, The Australian National University, Canberra
As a fresh approach towards obtaining a better understanding of the mechanism of respiration, intracellular recording has been made from respiratory motoneurones of the spontaneously breathing, anaesthetised cat. In this way, it has been possible to determine some characteristics of the synaptic drives which cause the periodic and alternate discharge of inspiratory and expiratory motoneurones in the thoracic spinal cord, and to establish the nature of some of the segmental reflexes acting on these motoneurones. A preliminary account of these investigations has appeared elsewhere (Eccles et a/., 1962). In related studies I have also investigated some of the factors influencing the discharge of the fusimotor neurones innervating the intercostal muscle spindles (Sears, 1962; 1963). In this lecture I shall briefly describe the results of these investigations, and then discuss them with particular reference to the central control of the proprioceptive reflexes of the respiratory muscles. METHODS
The anatomy and dissection of the intercostal nerves, the method of fixation of the animal, and the electrical methods used for intracellular recording from thoracic motoneurones have been described previously (Eccles et al., 1962). In other experiments (Sears, 1962; 1963) recordings were made of the efferent discharge occurring during spontaneous respiration in thin, naturally occurring filaments of the intercostal nerves. The filaments were freed just prior to the level at which they take an intramuscular course in the intercostal muscles. Thus the terminal destination of each filament in either the external (inspiratory) or the internal (expiratory) intercostal muscle was known with complete certainty. These dissections confirmed that the external and internal intercostal muscles receive their innervation from the two nerves which previously were described as the ‘nerve to the external intercostal muscle’ and the ‘main intercostal nerve’ respectively (unpublished observations mentioned
* Visiting Wellcome Research Fellow. Present address: The Institute of Neurology, The National Hospital, Queen Square, London., W.C.1. Rrfermces p . 2711272
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in Eccles et al., 1962). Here I shall describe these nerves as the ‘external’ and ‘internal intercostal nerve’ respectively, since the terms connate both the anatomical relationship of the two nerves, and the intercostal muscle which each innervates. RESULTS
Eferent discharges in the intercostal nerves Patterns of activity in spontaneous respiration. It is appropriate to give first an account of the patterns of efferent discharges which may be recorded from the intercostal nerves in the lightly anaesthetised, spontaneously breathing cat. Such an account will also facilitate the understanding of the intracellular recordings to be described later. Although there were variations in the patterns of activity in different animals, according to the particular filament from which recording was made, and to the depth of anaesthesia, these patterns consistently showed certain distinctive features. Typical
Fig. 1. Efferent discharges in intercostal nerves of the spontaneously breathing, anaesthetised cat (sodium pentobarbital). Upper traces show monophasic recordings from expiratory nerve filaments in A, B and C, and from an inspiratory nerve filament in D. Lower traces, diaphragm EMG. Time scale 1 sec, voltage calibration 100 pV (a-spikes retouched). From Sears, 1963. (With courtesy of Nature.)
RESPIRATORY MOTONEURONES
26 1
recordings from expiratory nerve filaments of three different animals are shown in the upper traces of Fig. IA, B and C, and from an inspiratory nerve filament in Fig. 1D. The lower traces show the diaphragm electromyogram to denote the phase of inspiration. The activity in expiratory and inspiratory filaments consists of spikes of two distinct sizes. The small spikes of the expiratory filament of A, fired throughout each expiratory pause, and they were inactive during inspiration. The small spikes of B and C fired continuously throughout the respiratory cycle but their discharge frequency was modulated with a respiratory periodicity. This frequency was lowest at the height of inspiration (about 8 cjsec in B and 50 c/sec in C) but it accelerated the instant inspiration ceased and continued progressively to increase to reach a maximum towards the end of the expiratory pause (24 c/sec in B and 100 cjsec in C ) . C also showed a progressive recruitment in the number of small spikes, a phenomenon which was very striking in some filaments. During inspiration, there was a decrease both in the discharge frequency and in the number of active units in these expiratory nerve filaments. It should be noted that this decrease occurred before the onset of activity in the diaphragm EMG. In contrast, the large spikes of the expiratory nerve filaments fired at much lower frequencies, not usually greater than 8-10 c/sec in quiet respiration, and they did not commence firing until the latter half or two thirds of the expiratory pause (cf. the timing of the ‘active’ phase of the expiratory pause described by Sears, 1958); they also ceased firing, prior to the onset of inspiration, earlier than the small spikes. Small and large spikes discharging with a respiratory periodicity were also present in inspiratory nerve filaments, as illustrated in D, but their discharge occurred during inspiration. When the small spikes of inspiratory nerve filaments fired throughout the respiratory cycle, as often they might, their frequency accelerated at the onset of, and continued to increase during, the inspiratory phase of respiration. As in the case of the recordings from expiratory nerve filaments, the acceleration in frequency of the small spikes was apparent before the onset of large spike activity. Very often, especially in expiratory nerve filaments, there were only small spikes present during spontaneous respiration, such activity being phased during inspiration or expiration according to the filament. The subsequent occurrence of large spikes, whether spontaneously, or whether they were evoked such as by the Hering Breuer reflexes (Sears, 1963), confirmed that the small spikes had been correctly identified. In recordings made from 39 nerve filaments innervating the external intercostal muscle, the activity was either wholly confined to the inspiratory phase of respiration, or, the discharge frequency and the number of active units was then greatest. Conversely, the activity of 64 filaments innervating the internal intercostal muscle was always maximal during the expiratory phase. This phasing of the activity in the two types of filaments was the rule for all thoracic segments. Exceptions were always shown to be due to ‘false’ leading from nearby active muscle fibres. The constancy of these findings provides a physiological basis to justify the use of the terms inspiratory and expiratory nerve filaments. Function ofjbres giving rise to small and large spikes. Hunt (1951) showed on limb muscle nerves that spike potential size was an adequate criterion for identifying the References p . 2711272
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activity of a- and fusimotor fibres. The large and small spikes were so well differentiated in the present work that th3y may be assigned with assurance to groups of large and small diameter fibres (cf. Blair and Erlanger, 1933; Gasser and Grundfest, 1939). The presence of such grouping of the motor fibres in intercostal nerves has been established histologically (Sears, 1963). By utilising combined mechanical and electrical recording Andersen and Sears (1963) have shown that excitation of the group of high threshold motor fibres in the intercostal nerves does not lead to the development of external muscle tension so that a fusimotor fibre function may be attributed to these fibres (cf. Kuffler et al., 1951). Time does not permit me to cite the other evidence in detail, which derived from the use of electromyography, but there is therefore strong justification for concluding that the small spikes arise in fusimotor fibres and the large spikes in a-motor fibres (Sears, 1962, 1963). Ekland, et al., (1963) have also recorded large and small spike activity from nerve filaments innervating the external intercostal muscles. This finding confirmed the conclusion reached earlier by Critchlow and Von Euler (1962), on the basis of recordings they made of the afferent discharges from intercostal muscle spindles, that the intercostal fusimotor neurones are subjected to a rhythmic control. Some factors influencing intercostal a- and fusimotor neurone activity. It has been shown that the activity of fusimotor neurones innervating inspiratory and expiratory intercostal muscle spindles is phased during inspiration and expiration respectively. This phased activity characteristic of spontaneous respiration is central in origin since it persists in the flaxedil-paralysed animal, and it is not abolished by section of the dorsal roots (Sears, 1963). According to Ekland et al. (1963), the activity of the fusimotor neurones innervating the external intercostal muscle spindles may also be driven through a spinal reflex. However, they did not state to what extent in their experiments this spinal mechanism contributed towards the periodic fusimotor neurone discharge present during spontaneous respiration. The effect of hypercapnia, hypoxia or the pharmacological excitation of peripheral
Fig. 2. Effect of inhaling 5 % COZ in air on efferent discharges in the intercostal nerves. The upper traces show recordings from an expiratory nerve filament, and the lower traces from an inspiratory nerve filament. A = breathing air; only fusimotor discharges present in the expiratory nerve filament. B = during inhalation of 5 "/u COZin air; note inhibition of expiratory fusimotorneurone discharge during inspiration.
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chemoreceptors, was generally to augment the activity of a-and fusimotor neurones during the relevant phases of the respiratory cycle. This augmentation consisted of an increase in the discharge frequency of already active units, and the recruitment of fresh units into activity. However, as inspiratory activity increased, correspondingly there was greater inhibition of any expiratory fusimotor neurone activity occurring during inspiration, as illustrated in Fig. 2. It is well known that hyperventilation caused by artificial respiration abolishes spontaneous respiration. During an apnoea so induced the periodic activity of a- and fusimotor neurones was abolished, as seen in the record D of Fig. 3, although the
Fig. 3. Effect of hyperventilation by artificial respiration on efferent discharges in an expiratory nerve filament. Upper traces, recordings from filament; lower traces, diaphragm EMG. A = control during spontaneous respiration. B and C = during artificial respiration when the animal was apnoeic (C at increased amplification), D = during the apnoea shortly after stopping the pump. E = approximately 20 sec after D when the animal first began to breathe. Voltage calibration 50 pV.
fusimotor neurones continued to discharge tonically and asynchronously. This record was taken from an expiratory nerve filament at the beginning of an apnoea which lasted for about 20 sec, with the respiratory pump stopped. At the first sign of renewed inspiratory activity, the fusimotor neurone discharge in the expiratory nerve filament was inhibited (Fig. 3E); it then reappeared during the first expiratory pause (note the absence of a-motoneurone activity) and subsequently with each expiration. References p . 2711272
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a-Expiratory motoneurone activity did not resume in this filament until 4 more breaths were taken. When artificial respiration was applied while the animal was apnoeic, as in Fig. 3B, there then occurred in the expiratory nerve filament a periodic burst of repetitive firing of an a-spike with each inflation of the lungs and chest (Fig. 3B and C ) . The faster rhythm of the pump (30 strokes per min) compared to the rhythm of spontaneous respiration seen in Fig. 3A (about 15 per min), is clearly evident. By increasing the stroke volume of the pump, the discharge frequency was increased; by reducing the stroke volume to below a critical value the discharge was abolished. Since it was found that such activity was abolished by sectioning the dorsal roots in the same and adjacent segments, it is concluded that the response is due to a segmental reflex initiated from proprioceptors, presumably muscle spindles (Huber, 1902) which are excited by chest inflation. This reflex is the inflation reflex of expiratory muscles previously demonstrated by Sears ( I 958) using electromyography. It is probable that the spinal mechanism of this reflex is the same as that subserving the response of the intercostal muscle to stretch described by Ramos and Mendoza (1959). INTRACELLULAR
RECORDING
FROM
RESPIRATORY
MOTONEURONES
OF
THE THORACIC S P I N A L CORD
‘Central respiratory drive potentials’. Glass microelectrodes (resistance 5-10 M Q), filled with 3 M potassium chloride or 2 M potassium citrate, were pushed into the spinal cord just medial to the root entry zone through a small hole made in the pia. The regions containing motoneurones were located by searching for the motoneuronal field potentials evoked by stimulating the ipsi-segmental intercostal nerves. Impaled cells were identified as motoneurones by their ability to produce antidromic somadendritic spikes (Brock et al., 1953). In the spontaneously breathing, lightly anaesthetised animal the membrane potentials of different motoneurones were subjected to slow, rhythmic fluctuations having a respiratory periodicity as illustrated in Fig. 4. The motoneurones designated as inspiratory and expiratory were so identified according to whether an antidromic soma-dendritic spike was evoked in them by stimulation of the external or internal intercostal nerves respectively. These records were obtained within 15 min of each other during which time the rhythm of breathing was essentially unaltered. The records have, therefore. been arranged one above the other as if they had been taken simultaneously. In the inspiratory motoneurone, the depolarising phase of its slow potential occurred during inspiration as registered by the diaphragm electromyogram. On the other hand, the depolarising phase of the slow potential in the expiratory motoneurone occurred during the expiratory pause. The maximum amplitudes of such slow potentials were invariably greater in inspiratory than in expiratory motoneurones impaled in the same animal. Slow potentials such as those illustrated are normal occurrences in thoracic respiratory motoneurones of the spontaneously breathing animal. Since the periodic firing of respiratory motoneurones is causally dependent on
RESPIRATORY MOTONEURONES
A
B
-42
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EX P I R A T 0 R Y MOTON EURO N E
INSPIRATORY MOTONEURONE
t SEC
Fig. 4. 'Central respiratory drive potentials'. Upper traces, intracellular d.c. recordings from thoracic respiratory motoneurones. B = recorded approximately 15 min after A; records aligned above each other according to the diaphragm EMG (lower traces).
C
D
1 1 1 1 1 1 se c
Fig. 5 . A and C intracellular d.c. recordings from an inspiratory motoneurone, C recorded 10 sec after A. D same as C , recorded at low gain with a C.C. amplifier (time constant of 0.02 sec). B = diaphragm EMG, recorded simultaneously with A. From Eccleset al., 1962. (With courtesy of Nature.) :
References p. 271J.272
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these rhythmic slow potentials it has been suggested that they be called 'central respiratory drive potentials', abbreviated to CRDPs (Eccles et al., 1962). The intracellular recordings shown in Fig. 5, illustrate how the periodic repetitive discharge of an inspiratory motoneurone is related to the depolarising phase of its CRDP. Repetitive discharge occurs throughout that period of the CRDP when the membrane potential is lower than the critical firing threshold the actual discharge frequency being determined by the magnitude of the depolarisation below this level ; accommodation may occur. The recording from the expiratory motoneurone illustrated in Fig. 6 is of double interest. Firstly, it shows the transition from a phase of re-
i'l"
A
- 60
B I,ll"llol
.4
..,
C " " ~ ' " * l
sec
Fig. 6. A = intracellular d.c. recording from an expiratory motoneurone. Note firing during the depolarising phases of the first two cycles of the CRDP. B - diaphragm EMC. From Eccles et al., 1962. (With courtesy of Nature.)
petitive discharge throughout the latter half of the expiratory pause, to firing late in the pause, and finally, to a phase of CRDPs alone, due to a steady increase in the average membrane potential and a decrease in the amplitudes of successive cycles of the CRDP. Secondly, it illustrates a different form of the CRDP in that the membrane potential progressively diminished during the expiratory pause, whereas the membrane potential of the expiratory motoneurone of Fig. 4 remained relatively constant throughout the pause. These different forms of the CRDPs and the different discharge patterns they would be expected to evoke, clearly provide an explanation of the different 'activity patterns' of respiratory motoneurone discharge described by Gesell et al., (1940). Some minutes after respiratory motoneurones were impaled with potassium chloride filled electrodes, it was observed repeatedly that the hyperpolarising phases of their
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CRDPs were converted to phases of depolarisation so that there were then two phases of depolarisation for each respiratory cycle. Reversals of this sort were also induced by passing hyperpolarising currents through the microelectrode; they were not seen with potassium citrate filled electrodes. From the work of Coombs et al., (1955) on the ionic mechanism of inhibition it can be concluded that the hyperpolarising phase of the CRDP is, in fact, a phase of postsynaptic inhibition causcd by the release of inhibitory transmitter. Evidently, in spontaneous respiration, respiratory motoneurones are subjected alternately to periodic barrages of excitatory and inhibitory impulses. I n some expiratory motoneurones, it appeared from records taken after reversal had occurred, that the major part of the CRDP was due to the periodic inhibitory bombardment. The significance of the inhibitory phase of the CRDP is discussed later. Monosynaptic excitation of thoracic respiratory motoneurones. A synaptic potential of brief latency, similar in form to the monosynaptic excitatory postsynaptic potential (EPSP) of lumbosacral motoneurones, was evoked in thoracic motoneurones by stimulation of low threshold afferent fibres in the intercostal nerves (Fig. 7). This
w Fig. 7. Repetitive activation of monosynaptic pathway. Upper traces, monosynaptic EPSP evoked at the frequencies indicated in cjsec. Lower traces, afferent volley recorded from cord dorsum.
synaptic potential increased in amplitude, without significant changes in form, when the stimulus intensity was increased and it was usually maximal, or within 10 to 20 % of maximal, at the axon threshold of the impaled motoneurone. Since the onset of the synaptic potential occurred within 0.6 to 0.8 msec of the arrival of the afferent volley at the cord dorsum, so allowing time for only one synaptic delay (Brock et al., 1952), the existence of a monosynaptic pathway to thoracic motoneurones was thereby demonstrated (Eccles et al., 1962). The convergence of monosynaptic excitation on respiratory motoneurones was determined by stimulating several intercostal nerves in turn and measuring the amplitudes of the monosynaptic EPSPs so evoked (cf. Eccles et al., 1957). The respiratory motoneurones of all segments examined (T.5 to T. 11) received monosynaptic excitation from the ipsi-segmental internal intercostal nerve, and from one or other, or both, of the juxta-segmental internal intercostal nerves. On the other hand, about 30 % of inspiratory motoneurones did not receive any monosynaptic excitation from the ipsi-segmental external intercostal nerve. Some of these cells comprised the 70 % of inspiratory motoneurones which unexpectedly were found to receive monosynaptic excitation from the ipsi-segmental internal intercostal nerve. References p . 2711272
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Repetitive activation of the monosynaptic pathway. In about 65 % of motoneurones examined, the amplitude of the monosynaptic EPSP showed a striking potentiation with increasing frequeiicy of repetition. For example, in the recordings from an expiratory motoneurone shown in Fig. 7, increasing the repetition frequency from 1.0 cjsec to 43.0 cjsec caused more than a two-fold increase in the amplitude of the EPSP. This absolute potentiation of the monosynaptic EPSP in many cells (and the absence of significant depression in the remainder) may be contrasted to the absolute depression of the monosynaptic EPSP observed in most lumbosacral motoneurones (Curtis and Eccles, 1960). One consequence of this potentiation and the lack of depression, is that during repetitive activation of the monosynaptic pathway, successive EPSPs summate to produce a sustained depolarisation which may be several-fold greater in amplitude than that of single EPSP. Such a depolarisation can cause repetitive firing of the motoneurone as illustrated in Fig. 8. This expiratory motoneurone showed a CRDP,
Fig. 8. Summation of repetitively evoked monosynaptic EPSPs with CRDP in an expiratory motoneurone. A = antidromic somadendritic spike. B = superimposed EPSPs evoked at 9, 33 and 50 c/sec to show absence of depression (as. recording). C, D, E and F = d.c. intracellular recordings to show a t the left side of each trace in CRDP alone. The right side of each trace shows the CRDP in summation with the depolarisation evoked by repetitive stimulation of the monosynaptic pathway at the frequencies indicated in c/sec. Time scale 1 sec.
one cycle of which is shown as control at the left side of the traces in C , D, E and F. When the ipsi-segmental internal intercostal nerve was stimulated at 50 cjsec and 80 cjsec the evoked depolarisation summed with the concurrent CRDP without causing firing of the motoneurone. However, at 100 cjsec and 125 cjsec, the extra
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depolarisation was adequate to cause repetitive firing but only when in summation with the depolarising phase of the CRDP. Such recordings illustrate the physiological effectiveness of the segmental input. In fact, discharge frequencies as high as 40 impulses per sec have been evoked in expiratory motoneurones in this way. It may be noted, that the effectiveness of the intercostal monosynaptic pathway can only truly be judged when the pathway is activated repetitively. DISCUSSION
In spontaneous respiration thoracic respiratory motoneurones show slow, rhythmic fluctuations of their membrane potentials. These slow potentials have been named ‘central respiratory drive potentials’ on account of the causal relationship they clearly bear to the periodic discharge of respiratory motoneurones. The CRDPs consist of phases of depolarisation and hyperpolarisation in alternating succession, the phase of hyperpolarisation being a phase of synaptically induced inhibition, It is not intended to consider here how these CRDPs come about, for example, by associating them with any particular hypothesis concerning the functional organisation of the respiratory centres. To the best of my knowledge, however, no hypothesis has been formulated to include the possibility that spinal respiratory motoneurones are subjected alternately to excitatory and inhibitory impulses. The phased inhibition is of considerable functional significance since it provides one means by which the central nervous mechanism of respiration exerts a control over the segmental proprioceptive reflexes of respiratory muscles. This problem will now be discussed with reference to the ‘inflation’ reflex of expiratory muscles. If spontaneous respiration is abolished by hyperventilation or by spinalisation, it may be demonstrated that when the chest is inflated, activity is evoked in expiratory muscles due to th.: operation of a spinal reflex. The effective stimulus is almost certainly the stretchmg of the intercostal muscles, and the monosynaptic pathway is presumed to provide the afferent limb of the reflex arc. As I pointed out previously (Sears, 1958), when the animal is breathing spontaneously, the ‘inflation’ reflex must be inhibited during inspiration since expiratory muscles are then either inactive or least active even though the expiratory muscles are stretched and the reflex pathway excited. Such inhibition is clearly provided for by the hyperpolarising phase of the CRDP, the magnitude of which appears to be related to the amount of inspiratory activity (i.e., the depth of inspiration). On the other hand, when the activity of the central nervous mechanism of respiration is abolished by hyperventilation or by spinalisation, so abolishing the CRDPs, the inflation reflex is dis-inhibited. Since a monosynaptic pathway to inspiratory motoneurones from inspiratory muscles has also been demonstrated, the phased inhibition of inspiratory motoneurones is presumably required to inhibit their reflex activation which would otherwise occur during expiration. The question now arises, under what circumstances does the monosynaptic pathway become effective in controlling respiratory motoneurone discharge? The answer to this question resides in the nature of the rhythmic control exerted over the inRefrrrnces p 2711272
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tercostal fusimotor neurones. Intercostal fusimotor neurone discharge leads in time on a-motoneurone dischargc, and so leads on muscular contraction. It is evident, therefore, that the afferent discharge from the relevant intercostal muscle spindles must be driven in the manner conceived by Eldred et a/. (1953) in their ‘follow-up s m o ’ theory for the nervous control of muscular contraction (see also Granit, 1955; Hammond et al., 1956). In this theory, by causing the intrafusal muscle fibres to contract, S O extending the sensory portion of the muscle spindle, fusimotor neurone dischargc leads to an increased afferent discharge from the muscle spindle as if the muscle itself had been stretched. As a consequence, the stretch reflex pathway is activated and the resulting a-motoneurone discharge causes the muscle to shorten to a length proportional to the shortening of the spindles. Ln following the length of the muscle spindle (the latter measuring thc misalignment between the spindles and the muscle), the changing length of the muscle satisfies the ‘demand’ for a certain movement to occur, and this ‘demand’ is seen to be conveyed initially through the fusimotor fibre system, the so-called ‘indirect route of muscle activation’. The ‘demand’ in the situation considered here, appears to be related to the ‘demand’ for a certain pulmonary ventilation, since hypocapnia abolishes, and hypxcapnia and hypoxia augment, the periodic discharge of the iiispiratory and expiratory fusimotor neurones. More specifically, the system responds as if the time course of inspiratory and expiratory fusimotor neurone discharge represents the ‘demanded’ time course of inspiration and expiration appropriate to the prevailing chemical drive to respiration. Thus any mechanical factor which causes the shortening of the extra fusal fibres to lag on the shortening of the intrafusal fibres, such as an increased resistance to air flow to and from the lungs, would lead to an increased discharge from the inuscle spindles with the consequence that the intercostal motoneurones would be subjected to an increased excitatory drive. The extra depolarisation so evoked would summate with the concurrent central respiratory drive potential to increase the discharge frequency of active motoneurones and to recruit others into activity (cJFig. 8). The inspiratory and expiratory phasing of the fusimotor neurone discharge to inspiratory and expiratory muscle spindles, ensures that the information concerning the degree of misalignment between the intra- and extrafusal muscle fibres is fed back from the appropriate muscle according to the phase of the respiratory cycle under way. The possibility that the ‘indirect’ route of muscle activation is concerned in the regulation of respiratory movements, was suggestcd previously by Nathan and Sears (1960) on the basis of the paralysis of respiratory muscles which they observed following restricted dorsal root section in man. This possibility has also been considered i n some detail by Campbell and Howell (1962, 1963). The mechanism discussed above clearly provides a means by which the force and time course of respiratory movements can be controlled, either subtly in the moment to moment adjustments characteristic of normal breathing, voluntarily as in spcech, and during the maximal respiratory efforts required in coughing and straining. The importance of the proprioceptive reflexes of respiratory muscles, and of their central control, is thus clearly established.
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SUMMARY
An account has been given of some recent investigations on respiratory motoneuroiies of the thoracic spinal cord. Intracellular recording shows that during spontaneous respiration the membrane potentials of respiratory motoneurones are subjected to slow, periodic changes which have been called ‘central respiratory drive potentials’ (CRDPs). The CRDP consists of a phase of depolarisation during which the cell may discharge repetitively, followed by a phase of hyperpolarisation when the cell is inhibited; these changes occur reciprocally in inspiratory and expiratory motoneurones. Some features of the monosynaptic pathway to thoracic respiratory rnotoneurones are also described. Particular emphasis is placed on the potentiation of the monosynaptic EPSP when the pathway is activated repetitively, since the resulting summed depolarisation can cause repetitive discharge of the inotoneurone over a wide range of frequencies. Other experiments show that the activity of fusimotor neuroiies innervating inspiratory and expiratory muscle spindles, like the activity of the corresponding u-motoneurones, is phased during inspiration and expiration respectively. The characteristics of the fusimotor neurone discharge lead to the suggestion that the intercostal muscle spindles serve as misalignment detectors in a ‘follow-up length servo’ mechanism importantly concerned in the regulation of respiratory movements. REFERENCES ANDERSEN, P., AND SEARS,T. A., (1963); Submitted for publication. BLAIR,E. A., AND ERLANGER, J., (1933); A comparison of the characteristics of axons through their individual electrical responses. Amer. J. Physiol., 106, 524-570. BROCK,L. G., COOMBS, J. S., AND ECCLES,J. c.,(1952); The recording of potentials from motoneurones with an intracellular electrode. J. Physiol. (Lond.), 117, 431460. BROCK, L. G., COOMBS, J. S., AND ECCLES, J. C., (1953); Intracellular recording from antidromically activated motoneurones. J. Physiol. (Lond.), 122, 429461. CAMPBELL, E. J. M., AND HOWELL, J. B. L., (1962); Proprioceptive control of breathing. Ciba Found. Symp. Pulmonary Structure and Function. London, Churchill (p. 2 9 4 5 ) . CAMPBELL, E. J. M., AND HOWELL, J. B. L., (1963); The sensation of breathlessness. Brit. med. Bull., 19, 36-39. COOMBS, J. S., ECCLES,J. C., AND FATT,P., (1955); The specific ionic conductances and the ionic movements across the motoneuronal membrane that produce the inhibitory postsynaptic potential. J. Physiol. (Lond.),130, 326-373. CRITCHLOW, V., AND VON EULER,C., (1962); Rhythmic control of intercostal muscle spindles. Experientia (Basel), 18, 426427. CURTIS,D. R., AND ECCLES,J. C., (1960); Synaptic action during and after repetitive stimulation. J. Physiol. (Lond.), 150, 374-398. ECCLES,J. C., ECCLES,R. M., AND LUNDBERG, A., (1957); The convergence of monosynaptic excitatory afferents onto many different species of a-motoneurone. J. Physiol. (Lond.), 137, 22-50. ECCLES,R. M., SEARS,T. A., AND SHEALY, C. N., (1962); Intracellular recording from respiratory motoneurones of the thoracic spinal cord. Nature (Lond.), 193, 844-846. EKLAND, G., VONEULER,C., AND RUTKOWSKI, S., (1963); Intercostal y-motor activity. Ac/aphgsio/. scand., 57, 48 1 4 8 2 . ELDRED, E., GRANIT,R., AND MERTON, P. A., (1953); Supraspinal control of the muscle spindles and its significance. J . Physiol. (Lond.), 122, 498-523. GASSER, H. S., AND GRUNDFEST, H., (1939); Axon diameters in relation to the spike dimensions and the conduction velocity in mammalian A-fibres. Amer. J . Physiol., 127, 393-414.
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DISCUSSION
GESELL, R., MAGEE,C., AND BRICKER, J. W., (1940); Activity patterns of the respiratory neurons and muscles. Amer. J . Physiol., 128, 615-628. GRANIT, R., (1 955); Receptors and Sensory Perception. New Haven, Yale University Press; London, Cumberlege. HAMMOND, P. H., MERTON,P. A., AND SUTTON,G. G., (1956); Nervous graduation of muscular contraction. (Physiology of voluntary muscle). Brit. med. Birll., 12, 214-218. HUEER, G. C., (1902); Neuro-muscular spindles in the intercostal muscles of the cat. Amer. J. Anat., 1, 520-521. HUNT,C. C., (1951); The reflex activity of mammalian small-nerve fibres. J . Physiol. (Lond.), 115, 456469, KUFFLER, S. W., HUNT,C. C., A N D QUILLIAM, J. P., (1951); Function of medullated small nerve fibres in mammalian ventral roots: Efferent muscle spindlc innervation. J . NeurophyJiol., 14,29-54. NATHAN,P. W., AND SEARS, T. A., (1960); Effect of posterior root section on thc activity of some musclcs in man. J . Neurol. Neiiromrg. Psychiat., 23, 10-22. RAMOS,J . G., AND MENDOZA, E. L., (1959); On the integration of respiratory movements 11. The integration at spinal level. Acta physiol. laf.-amer., 9, 257-266. SEARS,T. A., (1958); Electrical activity in expiratory muscles of the cat during inflation of the chest. J. Physiol. (Lonrl.), 142, 35P. SEARS,T. A., (1962); The activity of the small motor fibres system innervating respiratory muscles of the cat. A u f . J . Sci., 25, 102. SEARS,T. A., (1963); Activity of fusimotor fibres innervating muscle spindles in the intercostal muscles of the cat. Nature (Lond.), 197, 1013-1014.
DISCUSSION
LUNDBERG: I think we must state very clcarly that thanks to the systematic and extremely fine work of the Canberra group these types of reflexes are now being regarded as important physiological mechanisms. GELFAN:Regarding the distribution of a- and fusiform fibers I suspect that for the intercostal fibers they may be half and half. Do you have any quantitative data on this fiber spectrum? SEARS:I have determined the fiber calibre spectra of motor and sensory fibers in the intercostal nerves, In chronically de-afferented nerves the calibre spectrum of the motor fibers is bi-modal. There is a well-defined peak at 4 to 6 p, intermediate sized fibers from 6 to 8 p, and a broad range of large diameter fibers extending from 8 t o 20 p. The largest diameter fibers are thus seen t o be as large as any found in limb muscle nerves. The broad range of large diameter fibers gives this end of the spectrum the form which would be obtained by combining the calibre spectra of limb nerves t o ‘slow’ and ‘fast’ muscles such as the soleus and gastrocnemius muscles. In fact, Dr. Andersen and I (submitted for publication) have found in agreement with Glebovskii (1961), but contrary to Biscoe (1961, 1962),* that the intercostal muscles are comprised of a mixture of fast and slow motor units, although the latter are nothing like as slow as the fibers of the soleus muscle. GRANIT:1 merely want to put on record that similar work has been carried out in Stockholm at the Nobel Institute for Neurophysiology by Prof. Curt Von Euler. I am happy to find that inasmuch as the two overlap, they are in essential agreement.
*
See list of references at the end of the main paper.
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In the main, however, they supplement each other and in both cases there is clear evidence for the great importance of the gamma loop in respiration.
SZENTAGOTHAI : D o you have convergence of primary sensory afferents from the second neighbouring segments? Already in 1939 I was amazed at the large number of primary sensory endings on motoneurons in the thoracic cord, as found by the aid of degeneration. Did you find any respiratory drive on motoneurons that send their axons into the dorsal branches of thoracic nerves? SEARS:Individual motoneurons showed considerable variation in the pattern of the monosynaptic innervation they received from the adjacent segments. Several motoneurons were impaled which received a small amount of monosynaptic excitation from two segments away. These were all expiratory motoneurons and this finding probably reflects the synergism to be expected between the internal intercostal muscles of adjacent segments, and between these muscles and the abdominal oblique muscle since both have an expiratory function. In answer to your second question, the motoneurons with axons in the dorsal spinal rami did not show ‘central respiratory drive potentials’, at least under the conditions of quiet, unstimulated respiration which were essential to the success of intracellular recording in the spontaneously breathing animal.
JUKES: I have one or two points I would like to make. Anaesthetics alter the sensitivity of the respiratory center on the whole respiratory apparatus, both to PC02 and anoxia, and may do so in different directions so that patterns of respiration you get with activity in the a- and other fibers may be different with different anaesthetics. There is another point which I would like to mention. If you cut all the dorsal roots in a cat the cat still goes on breathing, but unfortunately there are no studies on the relationship in such cats between PC02, anoxia and ventilation. If you cut the vagus you get an enormous increase in depth and a slowing in rate, but they have a normal response to PC02 in terms of total ventilation. Do you have any experience with micro-electrodes in spinal animals? SEARS:Thank you for your comments. I did of course mention at the beginning of the lecture the influence of changing levels of anaesthesia on the pattern of discharge of a- and fusimotor fibers, but this whole question must be gone into in much greater detail. In the few experiments I have done on spinal animals I have seen nothing comparable to the ‘central respiratory drive potentials’ present during spontaneous respiration. In such experiments it is necessary to exclude the possibility of segmental reflex activation of the motoneurons, but again, further experimentation is required before these questions can be properly answered.
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Reflexes to Toe Muscles in the Cat’s Hindlimb I. E N G B E R G Departtneni of Pliysiology, University of Giiirhorg, Ciiiehorg (Sweden)
The dominating spinal reflex response to activation of several afferent systems from the extremities is the flexion reflex. This has mainly been regarded as a single unitary reaction with the same type of activation of all muscles that shorten the limb whether the reflex is evoked by skin afferents, high threshold joint afferents or group I 1 and I I I muscle afferents. However, recent experiments have shown that there may be a more complex situation with different reflex actions from different skin areas (Hagbarth, 1952; Kugelberg, 1962). Already the demonstration ofthe extensor thrust (Sherrington, 1905) gave an example of a highly specialized reflex from the plantar. This was elicited by an innocuous pressure, and he suggested that it could be of some importance i n locomotion. Sherrington (1910) also compared muscle activation in the general flexion reflex with the reflex stepping and he based his classification of muscles into flexors and extensors both on their participation in the flexion reflex and on their activity during stepping. Thus, muscles like flexor digitorum longus and plantaris, extending the ankle and bending the toes in plantar direction were grouped as extensors, and toe dorsiflexors as flexors. The intrinsic muscles of the foot were not studied in this respect, and their reflex connections have not been subject to much investigation. In the following experiments on cats, information of a rather selective reflex from the plantar cushion to some of these muscles and to other toe extensors was found (Engberg, 1963). If one applies a moderate pressure, for example with the tip of a finger, to the central pad of the hindfoot (in an acute spinalized cat) one is able to see and feel activity in muscles plantar flexing the toes. In Fig. I the activity is led off from flexor digitorum brevis during a continuous gentle squeezing of the pad between two fingers. Attempts have been made to eliminate as far as possible stimulation of proprioceptors in the foot - they seem, however, not to be of any importance for this muscle activation, because any manipulation with the rest of the foot or the toes, leading to about the same dislocations as the pad squeezing, is ineffective in itself. As shown in Fig. 1, discharge in the muscle is continued as long as the pressure is kept up, at least within the tested periods of about 10-30 sec. It stops as soon as the stimulus is withdrawn. The minimum stimulus needed varied somewhat from one preparation to another. Sometimes there has been a slight efiect already upon a very gentle pressure by a finger tip, sometimes more pressure applied to the whole surface of the pad is
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required. In most cases, a pressure of the same type and magnitude as the cat exerts when standing on the leg, will have the effect illustrated in Fig. 1. Weak electrical stimulation with single shocks to the pad (see legend of Fig. 2 for parameters), produces a strongly increased excitability in the motor nuclei of flexor
20 msec
pad pessed
Fig. I . Electromyography from FDB showing excitatory effects from the central pad of the hind-foot. Several superimposed records with monosynaptic test reflexes (evoked by stimulation of the intact tibial nerve) are taken before, during and after the application of a continuous, very light pressure on the pad. The interval between each set of records is about 15 sec. (A reflex discharge is evoked from the pad besides the facilitation of the test). A
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Fig. 2. Facilitation of monosynaptic reflexes to FDB, F D L and PL obtained by electrical stimulation of the central pad with single shocks (condensor discharges of 12 V, half decay time 25 psec). 100 % on the ordinate represents the height of the unconditioned test reflexes. The time is measured between the conditioning and testing stimuli. The drawing indicates the areas from which the same muscles are activated on adequate stimulation. At the central pad only gentle pressure is required, in the dotted area stronger pinching.
digitorum longus (FDL), plantaris (PL) and flexor digitorum brevis (FDB), lasting about 30 msec. This is tested in Fig. 2 by conditioning monosynaptic reflexes evoked in the nerves to these muscles with pad stimuli at different time intervals. The excitatory effects from the pad are much more pronounced to flexor digitorum brevis than to flexor digitorum longus and plantaris. If the monosynaptic test reflex is evoked in the lower part of the tibial nerve supplying all the intrinsic muscles of the foot (except extensor digitorum brevis on the foot dorsum) and recorded in the S2 ventral root, there will be the same strong facilitation from the pad as for flexor digitorum brevis alone. As flexor digitorum brevis forms only a minor part of the References p . 2781279
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muscle mass in the foot, this indicates that the motor nuclei of several other of these muscles receive a corresponding effect from the pad. If the electric stimulus is applied in the same way to one of the small toe pads, this is not the case. A monosynaptic test reflex recorded by electromyography in flexor digitorum brevis is then facilitated though not as effectively as from the pad, but the ‘mixed’ test reflex of all the foot muscles is inhibited. The adequate stimulus to the toes needed to evoke this inhibition seems to be of a more nociceptive nature. Firm squeezing of the end phalanx or pinching of the skin is necessary, and the inhibition still goes on for a few seconds after the withdrawal of such a strong stimulus. Flexor digitorum longus and plantaris motor nuclei likewise receive inhibition from the toes. There is on the other hand some excitatory effect to all the mentioned motor nuclei evoked by pinching of the plantar skin in the neighbourhood of the central pad (stippled area in Fig. 2).
Pad
L
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hyperpol
P depol
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ii#hm!b
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Fig. 3. The upper tracings in each set are intracellular recordings of synaptic effects in motoneurones evoked by volleys in high threshold joint afferents (Joint), group I1 and I11 afferents from gastrocnemius-soleus (G-S), skin afferents in n. suralis (Sur) and n. peroneus superficialis (PS) and by electrical stimulation of the central pad (Pad). A-E are recorded in an FDB motoneurone, F-J in an interosseus motoneurone, K-P and Q-T in two plantaris motoneurones. In record K the maximal la EPSP in the first plantaris motoneurone is taken with a faster sweep speed. The lower traces are triphasic recordings of the incoming volleys at the dorsal root entry zones; some are taken with a short time constant.
Intracellular recordings from motoneurones in the spinal cord confirm these findings. Excitatory postsynaptic potentials are set up in all the four motoneurones of Fig. 3 on stimulation of the pad. The central delay of this action is 3.5-4 msec (incoming volleys are not clear in the figure). The additional depolarizing synaptic potential seen in the plantaris neurones when they are hyperpolarized (N,S) reveals
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that some inhibitory action is also evoked by the pad stimulation. The effect to FDL has sometimes shown a gradual change from an excitatory action towards a dominating inhibition when the stimulus strength was increased to a clearly nociceptive one. On the other hand there has been no sign of an inhibitory contribution to FDB or interosseus motor nuclei. In contrast to this excitatory action from the pad, are the dominating inhibitory synaptic potentials evoked by stimulation of flexion reflex afferents from different sources. Volleys in high threshold knee joint afferents (BGMR), group I1 and I11 muscle afferents (CH), and skin afferents in the sural nerve (DI), all give the IPSP’s typical of extensor motoneurones in the general flexion reflex. (There are some exceptions to this, in that FDB and probably some of the other small muscles in the foot receive excitation from skin branches of the superficial peroneal nerve (Fig. 3E) and sometimes from branches of the sural nerve that enter the foot.) It thus seems that these intrinsic foot muscles should be classified together with plantaris and FDL as extensor muscles and this also fits very well with their activity during normal locomotion. Electromyographic investigations have shown that they are activated in the extension phase of the step in a manner that is very similar to that of other extensors of the limb. Their special reflex activation from the pad is, however, not seen to go to any other extensors of the hindlimb. Therefore it would seem to be a reflex function suited to assist in the regulation of muscle tonus necessary to stabilize the metatarsals and toes when the cat puts its weight on the foot. It might be of interest in the discussion of supraspinal control of reflex arcs to see the cortical influence upon this plantar reflex. The mechanism behind the well-known influence of a pyramidal lesion upon the plantar reflexes in man has been elucidated in a recent work by Kugelberg et al. (1960). They concluded that the r61e of the pyramidal tract is to mediate a suprasegmental control of the spinal reflex systems responsible for the different plantar responses! It was postulated by Lundberg and Voorhoeve (1962) that in cats the pyramidal tract exerts influence on motoneurones by exciting interneurones of various spinal reflex arcs. Stimulation of the sensorimotor C o r t e x 4 FOB
Cortex+ short foot muscles
E
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-Av-.
C pyramidal A-v lesion
D -Av-
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h f7imrh I“”Q A
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Fig. 4. The effects of a conditioning stimulation of the sensorimotor cortex on the monosynaptic test reflexes of the short foot muscles. A-D are recorded in the FDB muscle (EMG) and E-H in the S1 S2 ventral roots. The test stimulus was given to the distal part of the intact tibia1 nerve. The cortical stimulation consisted of trains of square wave pulses each of 0.2 msec duration and a strength of 1 mA. A, C , E, and G are test stimuli alone, B, D, F, and H are the same tests conditioned from cortex. The lower row of records are taken after section of the contralateral pyramid. The extent of the lesion is shown in the drawing. (The lower traces in E-H are recorded at the dorsal root entry zone of L7.)
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cortex thus results in an inhibitory action on the motor nuclei of extensor muscles in general, in parallel with the strong inhibitory effect of the flexion reflex. In contrast to this, a dominating excitatory influence is exerted by the sensorimotor cortex on the motoneurones of the plantar nerves as seen in Fig. 4. A-D show the action in FDB motoneurones and E-H the summation of effects to the whole group. The effect is mediated via the pyramidal tract as shown by the control records taken after section of the pyramid. It can be demonstrated that there is spatial facilitation between the excitatory paths from cortex and from the pad. This is done in Fig. 5 by adjusting each conditioning
A
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Fig. 5. Spatial facilitation between the effects from cortex and from pad on the same monosynaptic test reflex that was used in the experiment of Fig. 4. The conditioning stimulations of pad and cortex are adjusted to give minimal effects when given alone (B, C) and then combined (D).(Lower traces recorded as in Fig. 3 and 4.)
stimulus for minimal effects i n itself upon the testing monosynaptic reflex, and then combining the two conditionings. From this it may be concluded that impulses in the pyramidal tract excite interneurones of the reflex paths from:the pad to motor nuclei of short foot muscles. SUMMARY
A description is given of a spinal reflex from the plantar, evoked by innocuous pressure particularly of the central pad. The intrinsic muscles of the foot are activated in the reflex together with flexor digitorum longus and plantaris. The reflex connections from other sources to the intrinsic foot muscles have been studied, partly by intracellular recordings from the motoneurones, partly by monosynaptic testing. I n general they receive inhibition from afferents giving rise to the flexion reflex, and it is concluded that they belong to the extensor group of hindlimb muscles. This is supported by some investigations of their activity during locomotion. Cortical excitatory action upon the motor nuclei of the short foot muscles is shown to be mediated via the pyramidal tract. There is spatial facilitation between the excitatory paths to these motor nuclei from cortex and from the pad and it is concluded that impulses in the pyramidal tract excite interneurones in the reflex path from the plantar. REFERENCES I., (1963); Plantar reflexes in cat. Experientia (Busel), 19, 487-488. ENGBERG, HAGBARTH, K.-E., (1952); Excitatory and inhibitory skin areas for flexor and extensor motoneurones. Acta physiol. scand., 26, Suppl. 94.
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KUCELBERG, E., (1962); Polysynaptic reflexes of clinical importance. Electroenceph. din. Neuuophysiol., Suppl. 22, 103-1 1 I . KUCELBERG, E., EKLUND,K., A N D C R I M B YL., , ( I 960); An electromyographic study of the nociceptive reflexes of the lower limb. Mechanism of the plantar responses. Brain, 83, 394-410. LUNDBERG, A., AND VOORHOEVE, P., (1962); Effects from the pyramidal tract on spinal reflex arcs. Acta physiol. scad.., 56, 201-219. SHERRINCTON, C. S., (1905); On reciprocal innervation of antagonistic muscles. Proc. uoy. SOC.B, 76, 161-269. SHERRINCTON, C. S., (1 910); Flexion-reflex of the limb, crossed extension-reflex, and reflex stepping and standing. J . Physiol. (Lond.), 40, 28-121.
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Effects of Spinal Cord Asphyxiation A. V A N H A R R E V E L D Kerckhoff Laboratories of the Biological Sciences, California Institute of Technology, Pasadena, Calq. ( U.S.A .)
Asphyxiation of the spinal cord arrests reflex activity and produces potential and impedance changes within minutes. These changes are readily reversible on reoxygenation of the tissue. Longer periods of asphyxiation cause death of nerve cells resulting in permanent functional alterations. The effects of asphyxiation on the spinal cord can therefore be divided in acute and chronic ones which will be discussed separately. A C U T E EFFECTS OF CORD A S P H Y X I A T I O N
Asphyxia1 survival of spinal reflexes Several authors noted that the arrest of spinal reflex activity by cord asphyxiation is preceded by a period in which the reflex responses are enhanced. The asphyxia1 survival time varies from about 0.5 to 4 min depending on the reflex activity used as the criterion of synaptic conduction. The most sensitive are tendon reflexes elicited by natural stimuli which after a period of enhancement disappear 35 to 45 sec after complete circulatory arrest. Flexion reflexes elicited by stimulation of the n. peroneus superficialis survive about 15 to 20 sec longer (Van Harreveld, 1944b). However, the reflex action potentials in ventral roots elicited by dorsal root stimulation survive much longer, up to 3 to 4 min (Van Harreveld, 1941). Asphyxial potentials In addition to the arrest of reflex activity a number of other changes occur in the spinal cord during the first minutes of asphyxiation. A potential develops between the gray matter and a n indifferent electrode (Van Harreveld and Hawes, 1946). Fig. I shows 3 such potentials caused by arrest of the artificial respiration (A), by ventilation of the lungs with nitrogen (B) and by arresting the circulation in the cord by clamping the aorta (C). A downward deflection indicates negativity of the gray matter with respect to the indifferent electrode. The potentials are quite similar, differing only in the latencies which had means of 50 sec, 21 sec and 8.5 sec respectively for the 3 methods of oxygen deprivation used (Van Harreveld and Hawes, 1946). These differences can be explained by the different oxygen reserves available t o the spinal
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Fig. 1. (A) Depolarization potential during 2 min respiratory arrest, (B) during nitrogen ventilation of the lungs for 1.5 min and ( C )during clamping of the aorta for 5 min. In the latter record a small adjustment of the galvanometer position was made at the arrow. A downward deflection indicates negativity of the gray matter. Beginning and end of the procedure causing the potential are indicated. The vertical calibration lines indicate 1 mV, the time signal minutes. (From Amer. J . Plzysiol., 147 (1946) 671 .)
cord after the start of the procedures. The potentials reach a maximum in 2 to 2.5 min and are readily reversible on reoxygenation of the cord. The similarity of the potentials elicited by ventilation with nitrogen (anoxia) and those caused by arrest of the respiration and circulation indicates that oxygen lack is the cause of the potentials and not accumulation of metabolites like carbon dioxide. Although the potentials shown in Fig. 1 are thus strictly speaking anoxic potentials they have usually been produced by asphyxial procedures and have been indicated as asphyxial potentials. The potential field in the spinal cord produced by asphyxiation was investigated by ventral direction through the cJrd, the bipolar electrode recorded negativity of the ventral tip in the dorsal horn, positivity i n the ventral horn. A reversal of the potential and Biersteker, 1964). When the electrode pair was advanced in a dorsoventral direction through the cord, the bipolar electrode recorded negativity o f the ventral tip in the dorsal horn, positivity in the ventral horn. A reversal o f the potential occurred somewhat dorsal of the level of the central canal. The monopolar recording showed that the asphyxial potential was largest at the spot where the reversal in direction of the bipolar potential occurred. The potential field can be conceived as consisting of two dipoles, one i n the dorsal and one in the ventral horn o f which the negative poles meet in the region o f the central canal. The monopolarly recorded potential is very large at this spot. Potentials up to 25 mV have been recorded in this location.
Fig. 2. Spinal conductivity changes produced by clamping the thoracic aorta for 5 and 15 min. At the arrow pointing up the aorta clamp was applied, at the arrow pointing down the blood flow was released. On the ordinate is plotted the conductivity in mhos x lofi,on the abscissa time in minutes. (From Amer. J . Physiol., 206 (1964) 8-14.) References p . 302-304
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Aspliyxicd itnpedance changes
Simultaneously with the development of the asphyxial potential the spinal cord impedance, measured with electrodes placed i n the gray matter, increases (Van Harreveld and Biersteker, 1964). Fig. 2 shows the changes in electrical conductivity (reciprocal of the impedance) during 5 and 15 min of circulatory arrest by clamping the aorta. The latency is short (about 10 sec). The conductivity drops rapidly for 5 to 6 min, then the rate decreases. During the initial rapid impedance increase 15 to 20% of the tissue conductivity is lost. The conductivity drop is like the asphyxial potential readily reversible by reoxygenation of the cord. Since blood has a lower impedance than the central nervous tissue proper, the emptying of blood vessels resulting from the circulatory arrest can be expected to cause a slight increase in tissue impedance (Van Harreveld and Ochs, 1956). However, ventilation of the lungs with nitrogen, which during the first minutes tends to cause an increase in blood pressure, results in a similar drop in conductivity as observed after circulatory arrest (Fig. 3). Since a rise in blood pressure has been shown t o cause a 130t
Fig. 3. Spinal conductivity changes caused by feeding nitrogen into the apparatus for artificial respiration. Nitrogen was administered during the period between t h e arrows. Conductivity in mhos x lo6 on the ordinate, time in minutes on the abscissa. (From Ameu. J . fhy.\ioI., 206 (1964) 8-14.)
decrease of the impedance of gray matter (Van Harreveld and Schade, 1962a), the d r o p in conductivity actually observed cannot be ascribed to vascular changes. The latency of the conductivity drop caused by ventilating the preparation with nitrogen was 20 to 30 sec. The mean latency of the anoxic potential in such experiments was 21 sec (Van Harreveld and Hawes, 1946). The similarity in the latency of the impedance drop and asphyxial potential after circulatory arrest and after ventilation with nitrogen suggests that these phenomena are related.
The nature of the changes in tissue impedance Similar asphyxial potentials and conductivity drops as observed in the spinal cord have been found in the cerebral and cerebellar cortex (see e.g. Fifkova et a/., 1961 ; Leilo, 1947; Leilo and Ferreira, 1953; Van Harreveld, 1961, 1962; Van Harreveld and Ochs, 1956; Van Harreveld and Stamm, 1953 a n d Van Harreveld and Tachibana, 1962).
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The impedance of a tissue is an important parameter since it can be considered as a measure for the quantity of extracellular electrolytes. The intracellular electrolytes, which are surrounded by high resistance cell membranes, can contribute only little to the transport of the low frequency current used for the impedance measurement which therefore, is carried almost exclusively by the extracellular electrolytes (Van Harreveld and Ochs, 1956). A major change in the tissue impedance thus indicates a change in the quantity of extracellular electrolytes. Evidence for this relationship between tissue impedance and extracellular electrolytes has been demonstrated in many tissues (Van Harreveld and Biber, 1962). For instance, the submaxillary salivary gland loses a mean of 40% of its conductivity during the first 4 to 5 min of secretion (Van Harreveld, Potter et al., 1961). This would in the concept developed above be indicative of a marked loss of extracellular sodium chloride during secretion. The chloride distribution in the gland was examined with a histochemical method for chloride which consisted in rapid freezing of the tissue followed by substitution fixation in an alcoholic silver nitrate solution at -25" (Van Harreveld and Potter, 1961). As the ice in the tissue is dissolved by the alcohol the chloride is precipitated by the silver ions. The silver chloride can then be made visible by reduction to a colored subhalide. Fig. 4 shows sections of glands treated with this histochemical
Fig. 4. Control (A) and experimental (B) submaxillary gland (rabbit) treated with a histochemical method for chloride after rapid freezing. The control gland was removed before, the experimental gland 6.3 rnin after an injection of pilocarpine. During this time the tissue lost 54% of its conductivity. Calibration line indicates 100 / t . (From Amev. J . PhyJiol., 201 (1961) 1005.)
method for chloride: (A) is of a non-secreting gland and (B) of a gland which had secreted for 6.3 min after an injection of pilocarpine. Chloride can be seen in the connective tissue of both glands. Much chloride is present in the spaces between the tubules of the non-secreting gland, but most of this material has disappeared from References p . 302-304
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the intertubular spaces of the secreting gland. Apparently the gland secretes the extracellular electrolytes faster than they can be replaced from the blood. Such observations support the concept that changes in tissue impedance indicate variation? in the amount of extracellular electrolytes. Because of the relationship between tissue impedance and extracellular electrolytes the specific impedance of gray matter is a parameter of considerable interest. This value has been determined in 3 laboratoria with different methods for the ccrebral cortex of cats and rabbits (Freygang and Landau, 1955; Ranck, 1963 and Van Harreveld, Murphy et a/., 1963). Mean values of 208 to 230 f2 cm were found. These values which are 4 t o 4.5 times those of a tyrode solution a t 38" are quite low and would indicate the presence of considerable amounts of extracellular electrolytes in the cortical gray matter. Assuming that the extracellular material is isotonic with blood and cerebrospinal fluid this would be indicative of an appreciable extracellular space in central nervous tissue (Van Harreveld, 1962; Van Harreveld and SchadC, 1960). Such a conclusion is contradicted, however, by the paucity of extracellular space i n electron micrographs of central nervous tissue reported by many authors. Attempts have been made to reconcile this discrepancy. The possibility has been considered that part or all the glia would have special features which would give it properties simulating an extracellular space (Katzman, 1961 ; Van Harreveld, 1962; Van Harreveld and SchadC, 1960). Glia elements would contain most of the sodium chloride found in gray matter, and would be surrounded by cell mEmbranes which hardly impede ion movements. An alternate explanation assumes the presence of an appreciable conventional extracellular space in the living tissue, which after the arrest of the circulation and the procedures necessary to prepare the tissue for electron microscopy is taken up by the intracellular compartment (Van Harreveld, 1962; Van Harreveld and SchadC, 1960).
Asphy.uia1 chloride transport Whatever the nature of the extracellular space in gray matter may be an asphyxial transport of chloride in certain cellular elements has been found to accompany the asphyxial conductivity drop. In the cerebral cortex such a transport has been observed into the apical dendrites of the pyramidal cells (Van Harreveld and SchadC, 1959). In the cerebellar cortex an asphyxial chloride movement was found into the dendrites of Purkinje cells and into the fibers of Bergmann (glial elements) which run through the entire thickness of the molecular layer (Van Harreveld, 1961). Fig. 5 shows sections of the cerebellar cortex treated with the histochemical method for chloride. (A) is a photomicrograph of a preparation frozen while the circulation was intact and (B) 8 min after arrest of the circulation. In the oxygenated cortex the chloride distribution i n the molecular layer is rather diffuse. In the asphyxiated tissue chloride is concentrated in large dendrites which can be seen to arise from Purkinje cells and in fibers of Bergmann, which show the chloride accumulation especially clearly close to the cerebellar surface. The findings in the cerebellar cortex are of special interest since they show that the asphyxial chloride transport is not restricted
EFFECTS OF S P I N A L CORD ASPHYXIATION
Fig. 5. Photomicrographs of cerebellar cortex of rats treated with a histochemical method for chloride after rapid freezing. (A) shows a preparation of cerebellum frozen while the circulation was intact; (B) after the asphyxial impedance change had occurred. The horizontal calibration line indicates 100 / r . (From J. cellular comp. Physiol., 57 (1961) 104.)
to neural elements but that under asphyxial conditions this ion can also move into glial structures, like the fibers of Bergmann. The asphyxial impedance increase in the spinal cord suggested that a similar chloride transport as observed in the cerebral and cerebellar cortex also occurs into spinal cellular elements. Although the conditions for the application of the histochemical method for chloride are less favorable for the spinal cord of the cat than for superficial structures like the cortex, an asphyxial chloride tra~isportcould be demonstrated into the dendrites of dorsal horn somas of rats (Van Harreveld and Biersteker, 1964). Fig. 6 shows two photomicrographs of the ventral part of the dorsal horn of rat spinal cord. (A) is of a cord frozen while the circulation was intact and (B) was frozen 8 min after arrest of the circulation. Dendrites are faintly visible in the oxygenated preparation. In the asphyxiated cord they contain more black material indicative of a chloride transport. Also the dendrites in the asphyxiated preparation appear to be thicker than in the oxygenated control. A swelling of the dendrites during asphyxiation could be demonstrated by measuring the diameters of dendrites in oxygenated and asphyxiated preparations. Fig. 7 shows two histograms of the dendritic diameters in control (plain histogram) and asphyxiated (hatched histogram) preparations. A similar swelling of the elements into which chloride is transported has been observed in the cerebral (Van Harreveld, 1957) and cerebellar cortex (Van Harreveld, 1961). This swelling has been ascribed to a transport of water, which must accompany the electrolytes moving into the cellular elements to maintain osmotic equilibrium. No evidence of a chloride or water movement has been found into the somas which give rise to the dendrites showing this transport. Rcfirmces p. 302-304
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Fig. 6. Photomicrographs of the ventral portion of the dorsal horn. The spinal cords were treated with a histochemical method for chloride after rapid freezing. The preparation sfown i n (A) was frozen while the circulation wds intact; ( B ) was frozen 8 min after circulatory arrest. The calibration line indicates 10 / I . (From Amer. J . PhyJ/o/., 206 (1964) 8-14.)
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Fig. 7. Histograms of the diameters of dendrites i n the ventral portion of the dorsal horn. The distribution of dendritic diameters in preparations frozen while the circulation was intact is represented by the histograms without cross-hatching, the distribution of diameters i n preparations frozen 8 min after circulatory arrest by the cross-hatched histogram. On the abscissa the classes are plotted (arbitrary units), on the ordinate the numbers of fibers in each class. (From A n w . J . Physrol., 206 (1964) 8-14.)
The changes i n the spinal cord and in the cerebral and cerebellar cortex after circulatory arrest, consisting of the development of an asphyxia1 potential, an impedance increase and a transport of electrolytes and water into certain cellular elements, are quite similar. All these changes can be explained by an increase in permeability of the cell membrane for inorganic ions, especially for sodium ions (Van Harreveld, 1962; Van Harreveld and Ochs, 1956). A markedly increased sodium permeability will result in depolarization of the cellular elements involved. If other
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sections of the cell remain polarized, sources and sinks are created which may produce the asphyxial potentials. Assuming furthermore, that the membrane remains impermeable for the large organic intracellular anions then the increased ion permeability elicits conditions in which Donnan forces will transport extracellular electrolytes into the cellular compartment, accounting for the conductivity drop of the tissue, and the transport of chloride accompanied by water into the cellular elements in which the membrane changes occurred.
The origin oj the asphyxial potential The histochemical findings in oxygenated and asphyxiated spinal cords support the concept that the asphyxial potential is caused by the depolarization of certain parts of nerve cells while in other parts of the cell the membrane potential is maintained. A chloride transport was observed into dendrites of dorsal horn neurons, whereas such a transport could not be demonstrated into the somas. The latter (and probably the axons) would then represent the sources of the potential developing during cord asphyxiation, whereas the dendrites would act as the sinks. The assumption that the asphyxial potential of the spinal cord is a neural phenomenon is supported by the observation that the destruction of the spinal neurons by asphyxiation prevents the development of the potential (Van Harreveld and Hawes, 1946). The following experiments demonstrate that the soma potentials of spinal neurons are quite resistant to oxygen lack (Van Harreveld and Biersteker, 1963). Microelectrodes were passed through the spinal cord of rats in a dorso-ventral direction. Each potential jump on entering a cellular element was recorded. Although part of these jumps may have been caused by entering glia cells, it is likely that the majority represent soma potentials since penetration results in general in single or repetitive discharges. The largest potentials (about 70 mV) were recorded in the ventral part of the cord. These may represent the membrane potential of motor cells. After circulatory arrest the maximum potentials dropped 10 to 15 mV during the first few minutes, followed by a slow decline over the ensuing 60 to 90 min. Kolmodin and Skoglund (1959), who also examined the soma potentials in cats with microelectrodes, observed a similar decline during the first minutes of asphyxiation, but Nelson and Frank (1959) found a smaller initial depolarization if any. It is tempting to ascribe the initial drop in the soma potential to dendritic depolarization, electrotonically conducted to the cell body. The membrane potentials could be restored promptly after an hour of asphyxiation by re-establishing the circulation. The great resistivity to oxygen lack of the soma potential seems to be a special property of spinal neurons. When the same experiment was performed on the rat's cortex a drop of the soma potential was noted starting 2 to 3 min after arrest of the circulation, when the cortical asphyxial potential began to develop. The cortical somas depolarized much faster than the spinal cells. A low value of the membrane potential was reached after 10 to 15 min of oxygen deprivation.'Also the depolarization of the cortical somas was reversible even after relatively long periods of asphyxiation (45 min). References p. 302-304
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These findings suggested an experiment to test the mechanism of the asphyxial potential proposed above. If the source of this potential is the soma membrane potential, then the course of the asphyxial potential after complete depolarization of the dendrites should be determined by the polarization state of the somas. The spinal asphyxial potential can, therefore, be expected to decline considerably slower after having reached its maximum than the cortical potential. This was investigated by leading the asphyxial potentials off with bipolar electrodes to minimize electrode potentials due to differences i n temperature and chloride concentration at the electrode tips (Van Harreveld and Biersteker, 1964). Fig. 8 (A) shows that the spinal asphyxial
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Fig. 8. (A) spinal asphyxial potential during prolonged asphyxiation. The aorta was clamped at time zero. The development of the asphyxial potential is shown during the first 4 min. The figures under the black bars indicate minutes of asphyxiation. The aorta is released after 60 min. (B) cortical asphyxial potential during prolonged asphyxiation. The vessels arising from the aortic arch were clamped at time zero. Development of the asphyxial potential during the first 8 rnin shown. The figures under the bars indicate minutes of asphyxiation. The vessels are released after 25 rnin of asphyxiation. The vertical calibration lines indicate 5mV. (From Arner. J . Physiol., 206 (1964) 8-14.)
potential had not declined completely after 60 min of oxygen deprivation, whereas the cortical potential (B) reached a low value about 15 min after the potential had reached its maximum. These experiments support the concept that the asphyxial potential is caused by the differential depolarization of dendrites.
The mechanism of the asphyxia1 arrest of reflex activity The differences in asphyxial survival of reflex activity mentioned above may be considered in the light of the asphyxial changes described above. The cells with the highest membrane potentials which were encountered in the ventral horn and which probably were motor nerve cells, depolarized 10 to 15 mV during the first minutes of asphyxiation. If, as suggested, this is due to dendritic depolarization conducted electrotonically to the soma then it can be expected that dendritic synapses become unoperational shortly after circulatory arrest. When reflexes are elicited by natural stimuli which activate a limited percentage of the synapses ending on the motoneurone, then
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dendritic depolarization may arrest the reflex by restricting the effective synapses to those connecting with the somas. This may explain the early arrest (after 35 to 60 sec of asphyxiation) of tendon reflexes and of flexion reflexes elicited by stimulation of the superficial peroneal nerve. Stimulation of the dorsal root may be able to overcome this adverse effect by the activation of a larger percentage of the somatic synapses, explaining the materially longer (3 to 4 min) survival time of this form of reflex activity. The arrest of the reflex action potentials elicited by dorsal root stimulation may be caused by other mechanisms either pre- or postsynaptically as discussed by Brooks and Eccles (1947) and by Lloyd (1953). C H R O N I C EFFECTS O F C O R D A S P H Y X I A T I O N
Reflex activity after recovery f r o m cord asphyxiation After recovery from the acute effects of asphyxiation of up to 20 to 25 rnin duration the spinal reflex activity of cats is usually not strikingly changed. Occasionally the reflexes are somewhat more vivid than in normal animals. Asphyxiation between 30 and 35 min changes the reflex activity of the preparation profoundly, however. One of the remarkable features of such preparations is the hypertone, rigidity or spasticity which has been observed by many authors (Biersteker and Van Harreveld, 1963; Haggqvist, 1938; Hochberg and HydCn, 1949; Gelfan and Tarlov, 1959; Kabat and Knapp, 1944; Kosman et al., 1951; Krogh, 1950; Rexed, 1940; Tureen, 1936; Van Harreveld and Marmont, 1939). It has not been generally realized, however, that distinct periods of tone develop which, as will be discussed, are apparently caused by different mechanisms. The
Fig. 9. Course of tone of the quadriceps muscle after 65 rnin asphyxiation. The quadriceps tendon was tapped every 2 rnin. The figures indicate the interval after the end of asphyxiation in minutes. The initial tone developed after 8 min, reached a maximum after 12-14 min and had disappeared after 20 min. At 60 min the cord was subjected to a renewed asphyxiation of 20 sec duration which caused a strong extensor contraction. After 85 min secondary tone developed which reached a maximum and disappeared 150 rnin after the end of asphyxiation. (From Amer. J. Physiol., 139 (1963) 619.)
following description is based on observations of cats in which the cord was asphyxiated by increasing the dural pressure above the blood pressure for 30 to 65 min (Van Harreveld, 1943, 1944a; Van Harreveld and Marmont, 1939). Very soon (within 6 to 20 min) after the end of the circulatory arrest a slight tone tends to develop, which is References p . 302-304
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transient and disappears again 5 to 15 min later (Van Harreveld, 1943, 1944a). This tone which has been called the ‘initial’ tone is so weak that it can be demonstrated only by recording the muscle tension (Fig. 9). This is followed by a period of one to several’ hours during which the limb is flaccid. The initial tone, which, as will be discussed below, must be considered as a reflex tone, is of considerable interest in view of the speedy repolarization of motoneurons on reoxygenation mentioned above. It would appear that as soon as the neurons are repolarized synaptic conduction becomes possible, resulting in tone. Of interest also is the transient nature of the initial tone. The disappearance of postasphyxial reflex activity as in the case of the initial tone was ascribed by Lloyd (1953) to postanoxic hyperpolarization of neural elements. During the flaccid period after the initial tone muscle contractions can be elicited by a short period of renewed cord asphyxiation (Fig. 9). The resulting dendritic depolarization could make conduction again possible by counteracting the postulated hyperpolarization. Indeed elements of myotatic reflex activity could be demonstrated in the contractions elicited in this way (Van Harreveld, 1943). After the flaccid period which lasts from one to several hours a much more pronounced ‘secondary’ tone develops (Fig. 9). This causes an extension of the hind legs and is often so strong that the knee and ankle can only be bent by exerting considerable force. During this time tendon reflexes are present which, when tone is slight, are distinctly hyperactive. At the height of tone the tendon reflexes are difficult to examine, but still appear brisk. Clonus can usually be elicited by bringing the leg in certain positions. A flexion reflex is sometimes observed at that time. The secondary tone is most obvious in the extensor muscles but can also be demonstrated in muscles with flexor function like the anterior tibia1 muscle (Van Harreveld, 1944a). The secondary tone tends to remain high during the first 24 to 48 h but then diminishes. It may even disappear completely, resulting in a second flaccid period during which no reflexes can be elicited. However, in preparations asphyxiated for relatively short periods (30 to 35 min) tone increases again, or may in the flaccid preparations redevelop about 1 week to 10 days after asphyxiation. This third period of rigidity, the ‘late’ tone, reaches a maximum several days to 1 week later and then remains unabated until the end of the animal’s life (Biersteker and Van Harreveld, 1963; Gelfan and Tarlov, 1959; Van Harreveld and Marmont, 1939). Brisk but small tendon reflexes and clonus are in general present during the late tone, and also small flexion reflexes can often be elicited. Gelfan and Tarlov (1959) showed that i n preparations with late tone a myostatic contracture of the musculature tends to develop, which hampers the evaluation of active muscle contractions. After long asphyxiations (up to about 65 min) the initial and secondary tone develop as described above. However, the longer the spinal cord has been asphyxiated the shorter the secondary tone tends to be. After 60 to 65 min asphyxiation the secondary tone may be present for not more than a few hours (Fig. 9). Then the preparation becomes flaccid, and since no late tone develops in the legs of such preparations they remain without tone for the duration of the animal’s life. After asphyxiations of 45 to 55 min there may develop a late tone in the tail, and slight movements on pinching the tail are usually observed.
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Nerve cell destruction by asphyxiation
The anatomical changes produced in the spinal cord by asphyxiations of 30 min and longer are profound. Preparations of spinal cords asphyxiated by increasing the pressure in the dural cavity above the blood pressure were compared with those of normal cords. In 4 normal cats the volumes were determined (SchadC and Van Harreveld, 1961) of a 25% sample of the nerve cells in the peroneus-tibialis neuron pool in the 7th lumbar segment (peroneus nucleus, dorsolateral and central tibialis nuclei, and ventro-lateral nucleus, which correspond to cell columns 4, 5 and 6 of Romanes, 195I). The plain histogram shown in Fig. 10 which represents the mean cell volume
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Fig. 10. Histogram (non-hatched) of the volume distribution of a 25 % sample of the nerve cells in the peroneus-tibialis neuron pool of L7. The figure represents the mean of 4 spinal cords. The hatched areas represent cells showing retrograde degeneration after severing the sciatic nerve. On the abscissa are plotted the classes (units indicate volume of 1000 p 3 ) ;on the ordinate the number of cells in each class. (From J. comp. Neurol., 117 (1961) 396.)
distribution in these preparations has two maxima, one at 2000 to 6000 p3 the other at 28,000 to 32,000 p3.The mean number of neurons in the 25 %sample of this nucleus was 73 1, of which 79 % had a volume smaller than 16,000 p3,2 1 % a larger volume. In preparations in which the sciatic nerve had been cut an appropriate time before the fixation of the spinal cord, motor cells could be recognized by the resulting retrograde degeneration. The (hatched) histogram of these cells shows that the group of cells larger than 16,000 p3 consisted mostly of motoneurons, the group of smaller cells mostly of interneurons, although about 10 % of this group showed retrograde degeneration. The latter cells may represent the motor neurons of y-efferents. Asphyxiations up to 20 min in duration did not significantly change the total number of nerve cells in the peroneus-tibialis nucleus. In preparations asphyxiated for 30 to 35 min and showing the late tone, extensive destruction of nerve cells had taken place; 93 % of the cells normally present in the peroneus-tibialis nucleus had disappeared (Van Harreveld and Schadt, 1962b). The (hatched) histogram of Fig. 11 shows the mean volume distribution in 5 spinal cords of the remaining cells in the peroneus-tibialis nucleus. The distribution had changed considerably as compared with the controls: only 38 % of the cells had a volume smaller than 16,000 p3 against References p . 302-304
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---+ ~(~100op3) Fig. 11. The hatched histogram shows the mean cell volume distribution of a 25% sample of the peroneus-tibialisneuronpool in L7 of 5 spinal cords asphyxiated for 28 to 35 min. The non-hatched histogram is the volume distribution in the normal cord. Units as in Fig. 10. (From J . Neuropathnl. exp. Neurol., 21, ( I 962) 4 18.)
79 in the controls, whereas 62 had a larger volume against 21 % in the controls. The destruction of interneurons thus was very severe and although the destruction of the motor cells was considerable, a larger percentage of them had survived. In the rest of the cord the destruction of neuronal elements was also severe. In the area around the spinal canal there was almost complete destruction of neurons. Considerable cell death was observed in the dorsal horn, and extensive neuronal destruction in the ventral horn especially i n its central medial region was found. Gelfan and Tarlov (1959, 1962) and Tarlov and Gelfan (1960) who asphyxiated the cord by clamping the thoracic aorta, also described an extensive destruction of interneurons in rigid dogs, but observed at least in part of their preparations with (late) tone hardly any destruction of motor cells. The above observations seemed to indicate a relationship between the size of a nerve cell and its sensitivity to oxygen deprivation. However, histograms of the diameters of the fibers in the ventral roots of asphyxiated preparations (Fig. 12) showed almost the same distribution in a- and y-groups as found in normal control cats (Biersteker and Van Harreveld, 1963). Assuming that thin axons take origin from small motcneurons, and thick motor fibers from large nerve cells, the relationship between cell size and sensitivity does not seem to hold. The sensitivity to asphyxiation may, therefore, depend more on the function of the cell than on its size, leading to the suggestions that interneurons are more sensitive to oxygen lack than motoiieurons and that a considerable percentage of the surviving cells in the group smaller than 16,000 p3 in the peroneus-tibialis nucleus of asphyxiated preparations may be cells of origin of y-efferents. There is an interesting contrast between the prompt reversibility of the spinal asphyxiat potential (Van Harreveld and Biersteker, 1964) and of the asphyxial soma depolarization (Van Harreveld and Biersteker, 1963) after long periods of asphyxiation and the very severe ultimate destruction of spinal neurons. This seems to indicate that the ion pumps which have to restore the concentration gradients resulting in the membrane potential are not very sensitive to oxygen lack and can
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resume their function soon after oxidative energy becomes available again (Van Harreveld and Tachibana, 1962). What seems to be sensitive to oxygen lack are the structures which form the enzyme systems necessary for the maintenance of the life of the neuron. This difference in sensitivity to oxygen deprivation explains the often 700-
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Fig. 12. Histograms of the fiber diameters in the ventral root of L7 of a normal preparation, (A) and of 3 preparations, (B), ( C ) and (D), asphyxiated for 30 to 35 min and showing destruction of motoneurons which varies in seriousness. On the abscissa the classes are plotted in p, on the ordinate the number of fibers in each class. (From J . Physiol. (London), 166 (1963) 385.)
pronounced but transient secondary tone observed in preparations asphyxiated for 50 to 65 min from which it is known that the ultimate destruction of the spinal neurons is very severe (Van Harreveld and Marmont, 1939). It has to be assumed that neurons damaged so severely that they will be destroyed in the end are able to function temporarily as shown by the secondary tone. Electrophysiological features of preparations with secondary and late tone The electrophysiological properties of preparations with secondary and late tone were compared with those of acute and chronic spinal control cats (Van Harreveld and Spinelli, 1964). Reflex action potentials elicited by stimulation of the dorsal root of the first sacral segment (DSl) and of the gastrocnemic nerve with conditioning and test shocks supramaximal for the monosynaptic response were recorded from the first sacral ventral root (VS1). Tnhibition of monosynaptic responses elicited by stimulation of the gastrocnemic nerve by shocks to the sural nerve, and retrograde inhibition of responses to DS1 stimulation by shocks to VSl were examined. FurtherReferences p.-302-304
294
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more, the responses in VS1 elicited by repetitive stimulation of DSl and of the gastrocnemius nerve were recorded. Fig. 13 (A) shows the recovery cycles of 6 acute spinal preparations obtained by plotting the heights of the monosynaptic test responses to stimulation of DSI (ex-
Fig. 13. (A) recovery cycles of the monosynaptic spike in the ventral root of SI , elicited by stimulation of the dorsal root at the same segmental level with 2 supramaximal stimuli in 6 acute spinal control preparations. On the ordinate the heights of the monosynaptic responses to the test stimuli are plotted as a percentage of the height of the conditioning spike; on the abscissa the stimulus interval in msec. (B) in the same preparations the heights of the first 20 monosynaptic responses at a stimulus frequency of 50/sec are plotted as a percentage of the response to the first stimulus in the series. The potentials were led off from the ventral root of SI. The dorsal root was stimulated with shocks which were supramaximal for the monosynaptic response. (From Topics in Basic Neurology, Vol. 6, Progress in Brain Research).
pressed as a percentage ofthe spike caused by the preceding supramaximal conditioning shock), against the stimulus interval. These recovery cycles are characterized by varying degrees of direct facilitation caused by summation of excitatory postsynaptic potentials, and by a pronounced postactivation depression from which the preparation has often not recovered 400 msec after the conditioning shock. The responses elicited by stimulation of the gastrocnemic nerve showed a similar cycle. Comparable results were obtained in chronic spinal control preparations. The marked and long lasting depression observed in the recovery cycle of the control preparations by stimulation of DS1 is a complex phenomenon. It includes the effects of the positive after-potentials of motoneurons (Brooks et a]., 1950), of indirect inhibition, both autogenic and by stimulation of cutaneous pathways, and of antidromic inhibition by the activation
295
EFFECTS OF S P I N A L CORD ASPHYXlATION
of Renshaw cells. The long duration of the postactivation depression suggests that the later part of the cycle is a presynaptic effect which may be identified with the presynaptic inhibition described by Eccles et 01. (1962a, b). In all these mechanisms resulting in the depression of reflex activity interneurons are involved except in the effect of positive after-potentials. Sural stimulation caused marked inhibition of the monosynaptic spike produced by gastrocnemic stimulation, and the depressing effect of antidromic stimulation of VS1 was pronounced. The reflex arcs in spinal control preparations carry impulse trains elicited by stimulation of the dorsal root at 50/sec poorly. I n Fig. 1 (B) the responses to the first 20 shocks of such a repetitive stimulus are plotted as a percentage of the monosynaptic spike on the first shock. The incomplete transmission of the impulse trains can be ascribed to the mechanisms which cau3e the postactivation depression. Preparations with secondary tone yielded different recovery cycles. Fig. 14 (A)
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Fig. 14. Recovery cycles (A) and responses to stimulation at 50/sec (B) in preparations with secondary tone, 24 h after 30 to 35 min asphyxiation of the cord. See Fig. 13 for explanation of the graphs. (From Topics in Basic Neurology, Vol. 6,Progress in Brain Research).
shows the cycles of 5 preparations produced by stimulation of DS1 with two supramaximal stimuli. There was evidence of direct facilitation at intervals of 2 to 3 msec. However, the facilitation in most of the preparations was of longer duration than would be consistent with the direct facilitation due to summation of postsynaptic potentials. In one preparation the response remained facilitated for 150 msec. The long durationoffacilitation indicates that it is due to interneuronal, indirect facilitation. The postactivation depression in 4 of the preparations was slight or even absent. The References p . 302-304
296
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recovery cycle produced by stimulation of the gastrocnemic nerve showed less indirect facilitation, but was characterized by a very short (20 nisec) postactivation depression. The preparations showed antidromic inhibition although this was less pronounced than in the controls. Sural stimulation did not inhibit the monosynaptic response elicited by gastrocnemic stimulation. The attenuation of antidromic inhibition and the absence of indirect inhibition suggest a mechanism for the pronounced indirect facilitation. In normal control preparations indirect facilitation may not be able to manifest itself because of the inhibitory mechanisms responsible for the postactivation depression which include antidromic and indirect inhibition. By attenuation of inhibition as demonstrated in preparations with secondary tone indirect facilitation may then be unmasked as one of the prominent features of these preparations. In agreement with the lack of pronounced postactivation depression these preparations were able to transmit trains of impulses with much less attenuation than the controls (Fig. 14, B). In one preparation the responses even became larger during repetitive stimulation which may have been the result of indirect facilitation and potentiation. The reflex action potentials elicited by DSI stimulation in preparations with late tone were several times larger than the potentials in the control preparations, notwithstanding the severe destruction of motor cells reported above. An unusual niagnitude of reflex action potentials was also observed in similar preparations by Gelfan and Tarlov (1959). In Fig. 15 (A) are shown the recovery cycles produced by stimulating
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Fig. 15. Recovery cycles (A) and responses to stimulation at 50/sec (B) in preparations with late tone, 2 weeks after 30 to 35 min asphyxiation of the cord. See Fig. 13 for explanation of the graphs. (From Topics in Basic Neurology, Vol. 6 , Progress in Brain Research).
DSI with two shocks in 6 preparations examined 2 weeks after 30 to 35 min asphyxiation. Direct facilitation is not marked, although the maxima at an interval of 2 to 3 msec suggest that this is not entirely lacking. The postactivation depression is not pronounced in 3 of the preparations. These recovery cycles were of cats with the most pronounced late tone. Some of the recovery cycles produced by gastrocnemic nerve
EFFECTS O F S P I N A L C O R D A S P H Y X I A T I O N
297
stimulation also did not show a marked postactivation depression. Antidromic inhibition was present. Also indirect inhibition was observed in all but one preparation. Three preparations with pronounced late tone transmitted trains of impulses rather well (Fig. 15, B). These were the same preparations with pronounced late tone which showed little postactivation depression. Gelfan and Tarlov (1959) suggested that the excitability of motoneurons in preparations with (late) tone is markedly increased due to the death of a large percentage of the interneurons (denervation hypersensibility). This is supported by the unusual magnitude of the reflex action potentials on DSl stimulation in such preparations, indicating that a large part of the reduced pool of motoneurons is activated by single volleys. Also the near absence of direct facilitation, suggesting that the subliminal fringe of the motoneuron pool is small, favors the assumption of an abnormally high excitability of the motoneurons. This increased excitability of the motoneurons can be expected to counteract the mechanisms causing the postactivation depression, which as mentioned above is not marked in preparations with a pronounced late tone. The preparations with late tone gave evidence of interneuronal activities nothwithstanding the extensive destruction of interneurons observed. Many of the preparations showed a small (multisynaptic) flexion reflex. Also the reflex action potentials elicited by DSI stimulation showed some late activity. Some postactivation depression was always present in the recovery cycles. Most of the preparations exhibited indirect and antidromic inhibition. Denervation hypersensitivity of the motoneurons to the excitatory transmitter compound might make up for the loss of interneurons, accounting for multisynaptic excitatory responses in these preparations. The assumption that the motoneurons become hypersensitive not only for the excitatory but also for the inhibitory transmitter compound might in the same way explain inhibitory activities notwithstanding the major loss of interneurons. The features of the reflex activity in preparations with secondary and late tone described above suggest a mechanism for the rigidity observed in these animals. In order to produce reflex tone the monosynaptic arc must be able to transmit impulse trains from the muscle stretch receptors at a frequency which can maintain sustained contractions. In the spinal control prepartions impulse trains at 50/sec, elicited by stimulation of the gastrocnemius muscle nerve or DS1, were transmitted poorly. Preparations with secondary tone transmitted impulse trains at this frequency much more efficiently. It has been suggested that this is due to the inactivation of inhibitory mechanisms responsible for the postactivation depression which results in the unmasking of indirect facilitation. The rigidity observed may be based on this improved transmission of impulse trains. The monosynaptic arcs in preparations showing pronounced late tone also tended to transmit impulse trains more efficiently than in spinal controls. As mentioned above the motoneurons in these preparations have become hyperexcitable which will reduce postactivation depression and promote the transmission of impulse trains. The enhanced motoneuron excitability will furthermore result in the activation of a major portion of the motoneuron pool on single stimuli. Both these effects of the enhanced motoneuron excitability may account for the late tone. References p . 302-304
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Little i s known of the activity of the y-efferent system in rigid preparations. Gelfan and Tarlov (1959) demonstrated action potentials i n y-efferents of preparations with (late) tone. There is no doubt, however, that in the preparations with late tone described above a considerable percentage of the y-efferents are destroyed (Biersteker and Van Harreveld, 1963; Van Harreveld and SchadC, 1962b). The electrophysiological differences between preparations with secondary and late tone described above support the distinction of these two periods of tone as separate entities. This is of importance, since occasionally the secondary tone in the cat continues into the late tone without a period of flaccidity or even a marked decrease in rigidity. The r e j e x nature of the asphyxial rigidity
In the preceding discussion exaggerated myotatic activity was assumed to be the basis of the asphyxial rigidity. This concept is supported by the following observations. Monosynaptic reflexes are electrophysiologically functional in preparations with secondary and late tone as shown above. The unusual magnitude of the monosynaptic potentials in cats with late tone even indicates that in such preparations myotatic reflexes are hyperactive. The myotatic nature of the rigidity is furthermore supported by myograms led off during stretch and relaxation of muscles in preparations with asphyxial tone. Figs. 16 and 17 show that during initial, secondary and late tone
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Fig. 16. Effects of bending and stretching the knee on the electromyogram of the quadriceps muscle. The start of flexion and extension is indicated by dots. (A) 70 min after 50 min cord asphyxiation when secondary tone starts to develop flexion of the knee increases the electrical activity. (B) 20 min later the effect of flexion is enhanced. ( C ) stretch of the knee arrests the electrical activity. (D) 8 min after a 50 min cord asphyxiation when initial tone starts to develop, flexion of the knee causes activity in the electromyograni. (E) 10 min later activity is present which can be arrested by extension of the knee. Time signal indicates seconds. (From Anlev. J . Physiol., 139 (1963) 622.)
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Fig. 17. Electromyograms of the quadriceps muscle in preparations with late tone, 3 months after 30 to 35 min asphyxiation. Preparation (A) had no pronounced tone, (B) and ( C ) showed the late tone. At the arrows pointing up the knee is flexed; at the arrows pointing down it is extended again. The horizontal calibration line indicates 1 sec, the vertical 100 pV. (From J. Physiol. (London), 166 (1963) 386.
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Fig. 18. Electromyograms of the quadriceps muscles on the operated (upper traces) and normally innervated (lower traces) sides of a unilaterally deafferented preparation. In record (A) the knee on the innervated side is flexed at the arrow pointing upward and extended again at the arrow pointing down. In record (B) the bending and stretching is repeated on the deafferented side. The horizontal calibration line indicates 1 sec, the vertical lines 100 p V for the records of normal and operated sides. Note the difference in amplification used for the two records. (From J . Physiol. (London), 166, (1963) 387.)
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stretch of the muscle enhances the activity in the myogram, whereas relaxation decreascs it (Biersteker and Van Harreveld, 1963 ; Krogh, 1950; Van Harreve!d, 1943, 1944a). Another concept of the asphyxia1 rigidity has been developed lately by Gelfan and Tarlov (1959), according to which the rigidity would be caused by the spontaneous discharge of motoneurons made hypersensitive by the destruction of interneurons. This concept was mainly based on the observation that deafferentiation produced only a temporary relaxation of the asphyxial rigidity. However, deafferentiation does more than eliminate the sensory influx. It apparently causes an additional increase in the excitability of the motor cells i n rigid preparations as shown by the following observation (Biersteker and Van Harreveld, 1963). Stretch of the quadriceps muscle in a n animal with late tone causes sometimes a slight increase in the electrical activity of the heterolateral muscle. Several days after unilateral deafferentiation this reaction may become quite marked and stretch of the quadriceps muscle with intact sensory innervation may cause a pronounced tonic contraction of the heterolateral muscle and a marked increase of its electrical activity (Fig. 18). Such observations would seem to indicate that deafferentiation of rigid preparations enhances the excitability of the motoneurons. The destruction of their monosynaptic innervation may enhance the denervation hypersensitivity already present i n these preparations. In experiments i n which preparations with late tone were bilaterally deafferentiated the excitability became apparently so high that even a small intact rootlet was able to maintain rigidity (Biersteker and Van Harreveld, 1963). However, in cats in which the deafferentiation had been complete, and in which by appropriate sections of the spinal cord the flow of impulses from other segments had been prevented, no evidence of active muscle rigidity was found. I n such preparations a light pressure directly on the cord, made possible by the laminectomy necessary for the deafferentiation. resulted in muscular activity, proving that functional motoneurons were present. The concept first proposed by Gelfan and Tarlov (1959), that motoneurons in rigid preparations become hypersensitive due to the loss of a substantial part of their neural connections, has been very fruitful, and explains many of the features of preparations with late tone as discussed above. This hypersensitivity could conceivably lead to the spontaneous discharge of motoneurons, although no evidence was found for such a mechanism of rigidity in preparations with secondary and late tone. (Biersteker and Van Harreveld, 1963). The prolonged asphyxial survival t i m e in preparations with late tone
A remarkable feature of the preparations with late tone is their enhanced resistance to renewed asphyxiation (Van Harreveld, 1941). The attention was first directed to this phenomenon by the slow relaxation of the rigidity after sacrificing such preparations. This is not a reliable criterion for the survival of reflex tone, however, since the active muscle tone is complicated by the myostatic contractures which tend to develop in such preparations. The asphyxial survival of the reflex action potentials in a ventral root elicited by dorsal root stimulation is a more useful indicator of the
EFFECTS OF SPINAL CORD ASPHYXIATION
30 1
sensitivity of the reflex arc to oxygen deprivation. The survival time of these potentials in acute and chronic spinal control preparations after circulatory arrest by severing the aorta or by ventilation of the lung with nitrogen was between 2 min 25 sec and 4 min 35 sec. In preparations asphyxiated for 35 rnin and showing two weeks later the late tone, the survival time varied between 7 rnin 35 sec and 13 rnin 40 sec after cutting the aorta, and between 13 rnin 30 sec and 17 rnin 45 sec after ventilating the preparation with nitrogen. In 4 animals asphyxiated for 35 rnin and examined two days later the survival time varied between 1 min 10 sec and 4 min 25 sec. In 3 preparations maintained for 3 to 4 days the survival time was 3 rnin 20 sec to 4 min, and in 3 cats kept for 6 days it was between 6 rnin 40 sec and 8 rnin 5 sec. The greater resistivity to oxygen lack is thus not present during the first days after asphyxiation but starts to develop after about 1 week. The possibility has been considered that the death of a large percentage of the spinal neurons would decrease the metabolism of the cord to such an extent that the oxygen stored in the blood and in the nervous tissue would suffice for the needs of the remaining structures for a materially longer period than in the controls. However, when 2 weeks after asphyxiation the preparations show the long asphyxia1 survival time, the glia has proliferated markedly. The metabolism of these newly formed glia cells will diminish the expected decrease of the oxygen consumption of the cord due to the neuronal death. The oxygen uptake of the spinal cord 2 weeks after 35 min asphyxiation was found to be about half that of control cords (Van Harreveld and Tyler, 1942) which is insufficient to explain the marked increase in survival time. Furthermore the long survival time after ventilating the preparations with nitrogen which washes the oxygen out of the blood (and tissues) disagrees with this thesis. The enhanced survival time in preparations with late tone is for the time being unexplained. It shows, however, that the anoxic survival of synaptic conduction can under unusual conditions be of the same order as that of mammalian peripheral nerve. The short survival of spinal reflexes in normal control cats is, therefore, probably not an intrinsic property of the reflex arc, but may for instance be caused by the release of compounds which arrest reflex activity. The changes produced in the cord by asphyxiation might interfere with such a mechanism. SUMMARY
Acute asphyxiation of the spinal cord causes negativity of the gray matter with respect to an indifferent electrode. Also an increase of the impedance of the gray matter was observed. The latency of these changes is quite short (about 10 sec) and they are quickly reversible on reoxygenation of the cord. The impedance change is believed to be due to a transport of electrolytes from an extracellular space into cellular elements of the cord. This explanation is supported by the observation of an asphyxial chloride transport into dendrites of dorsal horn cells. The transport would be caused by an increase in ion permeability of the cellular membrane, creating Donnan forces responsible for the electrolyte movements. The increased ion permeability of the dendritic membrane, which will result in the depolarization of the cellular elements Rcfermces p . 302-304
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involved, may also account for the asphyxia1 potential, since the soma membrane potential of spinal neurons was found to be quite resistant to 0 2 deprivation. One of the more enduring effects of spinal cord asphyxiation for 30 to 35 rnin is the development of extensor tone in the hind legs. Three periods of tone were distinguished. A slight and fleeting ‘initial’ tone developed 6 to 20 min after the end of asphyxiation and disappeared again 5-15 min later. This was followed, after a period of flaccidity of one to several hours duration, by a marked ‘secondary’ tone. This tone declined or even disappeared after 1 to 3 days. However, a few days later tone developed (or increased) again. This third period of rigidity, the ‘late’ tone, which may be quite pronounced remained to the end of the animal’s life. Evidence was found in all 3 periods of tone for the involvement of myotatic reflex activity. A marked cell destruction especially of interneurons was found in preparations with late tone. The preparations with secondary tone showed less postactivation depression in the recovery cycle than spinal control preparations. Also these preparations conducted trains of reflex impulses with less attenuation than the controls. In preparations with late tone signs of hyperexcitability of the motoneurons were found. These preparations also showed less postactivation depression and conducted trains of reflex impulses rather well. It was suggested that the ability of the asphyxiated spinal cords to conduct impulse trains is a mechanism underlying the hypertone in these preparations. Preparations with late tone are relatively insensitive to renewed asphyxiation. Reflex action potentials have been observed in such preparations up to 10 to 15 min after asphyxiation of the cord. ACKNOWLEDGEMENTS
The investigations discussed in this paper were supported in part by research grants from the United States Public Health Service, from the National Science Foundation and from the Office of Naval Research. REFERENCES
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DISCUSSION
VAN HARREVELD, A., AND OCHS,S., (1956); Cercbral impedance changes after circulatory arrest. Anier. J . Physiol., 187, 180-192. VAN HARREVELD, A,, A N D POTTER, R. L., (1961); Histochemical differentiation of chloride from other ions precipitated by silver nitrate i n freeze-substitution fixation. Slain Techno/., 36, 185-1 93. VAN HARREVELD, A,, POTTER, R. L., A N D SLOSS,L. J., (1961); Electrical conductivity and clectrolytc distribution in a secreting salivary gland. Amer. J . Physiol., 201, 1002-1006. VAN HARREVELD, A,, AND SCHADE, J. P., (1959); Chloride movements in cerebral cortex after circulatory arrest and during spreading depression. J . cell. comp. Physiol., 51, 65-77. VAN HARREVELD, A., AND SCHADE, J. P., (1960); On thc distribution and movements of water and electrolytes in the cerebral cortex. Sirirciure anti Function of [he Cerebral Cortex. D. 0 . TOWER A N D J. P. SCHADE, Editors. Proceedings of the Second International Meeting of Neurobiologists, Amsterdam. Amsterdam. Elsevier (p. 239-256). VAN HARREVELD, A., AND SCHADE, J. P., (1962a); Changes in the electrical conductivity of cercbral cortex during seizure activity. Exp. Neurol., 5, 383-400. VAN HARREVELD, A., A N D SCHADE, J. P., ( I 962b); Nerve cell destruction by asphyxiation of the spinal cord. J . Neuropathol. exp. Neurol., 21, 410-423. VAN HARREVELD, A,, A N D SPINELLI, D., (1964); Mechanisms of the extensor rigidity caused by spinal cord asphyxiation. Topics in Basic Neirrology, Vol. 6 , Progress in Brain Research. W. Bargmann and J. P. Schadi., Editors. Proceedings of the Third International Meeting of Neurobiologists. Amsterdam. Elsevier (p. 174-179). VAN HARREVELD, A., AND STAMM, J. S., (1953); Cerebral asphyxiation and spreading cortical depression. Atner. J . Physiol., 173, 171-175. VAN HARREVELD, A., A N D TACHIBANA, S., (1962); Recovery of cerebral cortex from asphyxiation. Amer. J . Physiol., 202, 59-65. VAN H A R R ~ V EA,, L D A, N D TYLER, D. B., (1942); Metabolism of asphyxiated spinal cord. Anier. J . Physiol., 138, 140-148.
DISCUSSION
GRANIT:Would there be any sprouting (a) of afferent terminals, and (b) of muscular terminals? VAN HARREVELD: In answering this question one has to distinguish between the secondary tone and the late tone. In the mechanism of the secondary tone which is present only during the first 2 to 3 days axon sprouting can hardly be involved. The development of the late tone between 10 and 14 days after asphyxiation might be accompanied by axon sprouting, however. Eccles, Eccles and Shealy did not find physiological evidence for this after cutting the dorsal roots. However, as remarked by Prof. Eccles, the deafferentiation in the rigid preparations is much more severe and axon sprouting might be a factor. It is likely that during the late tone sprouting of the muscle terminals occurs, but we have n o direct evidence for this. G R A N I T With : hyperexcitability one would also have to consider the possibility of loss o f tonic inhibitions. Perhaps one should try various methods of assessment: (a) reflexes; (h) strychnine; (c) picrotoxine. : As mentioned during secondary tone there are indications that VAN HARREVELD inhibition is markedly depressed. During the late tone this is less obvious. No exhaustive investigations of the effects of strychnine and picrotoxine in rigid preparations have been carried out.
EFFECTS OF S P I N A L CORD A S P H Y X I A T I O N
305
ECCLES:I have several comments and questions. Firstly, I would suggest that Dr. Stavraky’s evidence that cutting of dorsal roots causes development of hyperexcitability of motoneurons be regarded with caution until it can be corroborated by modern testing procedures. Secondly, I am uncertain how the recording procedures could have discriminated between asphyxia1 changes in membrane potentials of the somas and dendrites of neurons. I would regard it as more probable that the axons were less depolarized by asphyxia and consequently the sources for the soma-dendritic sinks. Thirdly, I would like to enquire if the changes in membrane potentials of neuronal elements were associated with changes in spike potentials. VAN HARREVELD: The typical discharges on penetration of the soma membrane, and the observation of antidromic potentials with the inflection indicating the presence of the action potential of the initial segment and of the soma-dendritic potential make us believe that the potentials are not axon, but soma potentials. The spike potentials during asphyxiation are now being investigated. GELFAN:I should -also -like to reply] to Prof. Granit’s question about sprouting terminals. This question was raised by Dr. McCough at the end of my report to the American Physiological Society in 1957 on experimental hind-limb rigidity in dogs. I asked him in turn about the latency for the onset of the reflex exaggeration and ‘spasticity’ in spinal animals, which he proposed as due to replacement of degenerated terminals of descending tracts by sprouts from neighbouring afferent fibres. The latency is 2 or more weeks. In view of the undisputed fact that dogs and cats, after temporary aortic occlusion, promptly exhibit the rigidity after recovery from anaesthesia, there is no possibility of dorsal root fiber sprouting, if it occurs, playing any role in this rigidity. We discussed this matter in our publication (Gelfan and Tarlov, 1959). Van Harreveld and Schade (1962) for the same reason, also did not consider terminal sprouting as a factor in this rigidity. The 7 days latency for the ‘final’ stage of rigidity whichVan Harreveld described is still lj2 of the latent period for functioning terminal sprouts. In dogs (Gelfan and Tarlov, 1959) and cats (Murayama and Smith, 1961) made rigid by temporary occlusion of thoracic aorta, the rigidity is usually maintained uninterruptedly from the beginning. Dr. Van Harreveld does not dispute the rigidity of our dogs whose lumbosacral dorsal roots had been cut extradurally 30 days before the aortic occlusion. In these there can obviously be no question about dorsal root fiber sprouting. Finally, the evidence which I presented about the reduction of synaptic density on spinal neurons of rigid dogs to about 1/4 of normal cannot support any contention about terminal sprouting in such preparations. We have also recorded electromyographically from unanaesthetized chronically rigid dogs; animals with intact dorsal roots and whose cords had not been transected. The effect of attempts to flex the rigid knees, or turning of head and neck, on the ‘spontaneous’ motoneuron discharges, as recorded with concentric needle electrodes in quadriceps and hamstring muscles, varied from animal to animal, reflecting no doubt the differences in degree of neuronal destruction. Usually very little or no
306
DISCUSSION
effect could be directly ascribed to these maneuvers since similar variations in number of discharging motor units and frequency of discharge occurred spontaneously. This is similar to the observations made on a human case of rigidity of the arms of spinal origin by Rusworth et al. (1961). The Oxford group found very little evidence of a true stretch reflex in the muscles involved. As previously pointed out, the unremitting pillar-like rigidity of the dog’s hind limbs cannot be an exaggerated stretch reflex (Gelfan andTarlov, 1959). It is comparable to an ‘u’-rigidity, to use Granit’s terminology, since it is not abolished or prevented by dorsal root section. The extensive destruction of interneurons must also interrupt the y-loop. If it is still felt necessary to consider this hind-limb rigidity in reflex terms there can now be hardly any doubt that it is the excitability of the motoneurons which is exaggerated. The contention that really complete deafferentiation of motoneurons is not possible is essentially only a formal one. As 1 showed, the extensive destruction of lumbosacral interneurons reduces the synaptic density on cell bodies and dendrites in the rigid preparations to about 1/4 of normal. This degree of denervation of motoneurons appears to be enough to alter motoneuron characteristics in such preparations. The immediate external environment of the soma membrane is altered by this removal of synaptic covering over the surface. As already suggested (Gelfan, 1963), the denervated motoneuron is also deprived of a stabilizing influence normally provided by input terminals in addition to dying impulses. These negative factors may constitute the ‘stimuli’ for the oscillating membrane potentials which, when large enough, induce spontaneous discharges. There can hardly be a pacemaker for these discharges since they are asynchronous. Each motoneuron is its own pacemaker. As emphasized in my presentation, most or even all of the motoneurons in our rigid dogs may survive when 75% or more of the interneurons in the entire L7 spinal gray is destroyed. The intense pillar-like rigidity of the hind limbs in our dogs also reflects the high motoneuron survival rate. Dr. Van Harreveld used a different method of producing temporary ischemia of the cat lumbrosacral cord, previously isolated by transection. The motoneuron survival, at least in the peroneus-tibialis nucleus of his cats, was only about 15 %and he characterizes the hind-limbs as having ‘extensor’ or ‘high extensor tone’. One wonders about the additional effect of dorsal root section on such a small percentage of surviving motoneurons. Sherrington had already noted more than half a century ago the profound and permanent effect of rhizotomy. The effect of cutting dorsal columns, on the other hand, appears to be temporary. Ransom also claimed that it is not possible to cut dorsal roots without damaging the cord. VAN HARREVELD: Dr. Gelfan’s insistance that the rigidity of animals with asphyxiated cord is due to a spontaneous discharge of deafferented motor cells is in contradiction to the monosynaptic action potentials which can be recorded from such preparations. As found, also by Gelfan and Tarlov, these action potentials are of unusual magnitude, notwithstanding an appreciable loss of motoneurons. This indicates that a large percentage of the motor neuron pool is activated which supports the very fruitful suggestion of Gelfan and Tarlov that the excitability of the moto-
EFFECTS O F S P I N A L CORD A S P H Y X I A T I O N
307
neurons in the rigid preparations i s enhanced. It would seem logical that this enhanced monosynaptic activity is the basis for the high extensor tone of the asphyxiated preparations. The enhanced activity in the myogram during stretch of muscles in rigid preparations supports this mechanism. An ultimate increase in excitability might result in spontaneous discharges of the motoneuron, however. Dr. Gelfan questioned the possibility that the surviving motoneurons in our preparations could account for the hypertone observed. It would seem, however, that the surviving lj5 of the motoneurons when all activated by volleys of impulses from muscle spindles during attempts to bend the joint would be able to produce a contraction of considerable force. Furthermore it is possible that by terminal branching a materially larger part of the muscle becomes innervated than the percentage of surviving motoneurons would indicate. HUGHES:May I mention a human case that is relevant to the experimental rigidity produced in cats by the speaker, and in dogs by Prof. Gelfan. This case, a man with a cervical cord tumour, developed intensepgidity of the upper limbs. At necropsy isolated motoneurons were demonstrated and considered to be responsible by their functional isolation for the unusual rigidity. The case was published (Rusworth et al. (1961).
VAN HARREVELD: I am familiar with this interesting observation. A destruction of interneurons by tumor growth could well account for the rigidity observed in this patient. WIESENDANGER: The problem seems to remain whether this rigidity is caused by the y- or the a-fibers. As you said, cutting of the dorsal roots is not a criterium to decide this question because the deafferentiation as such may result in a rigidity. I have investigated electromyographically this deafferentiation rigidity in a group of animals with section of the roots intradurally and extradurally. In the intradurally deafferentiated animals the rigidity developed only after 3 weeks or later and there was no rigidity in the extradural group. So this may be a way to approach this problem. And if you say that this rigidity came a few days after the deafferentiation again I would suggest that this was a real a-rigidity and not due to hypersensitivity of the a-motoneurons. VAN HARREVELD: There is no doubt that a large percentage of the y-efferents are destroyed in asphyxiated preparations. However, it would seem possible that the muscle contracture which tends to develop also includes intrafusal fibers promoting the sensory discharge of muscle spindles. Although an enhanced y-efferent discharge can therefore not be excluded, we believe that the increased excitability of the amotoneurons is the main factor in the late tone. REFERENCES RUSWORTH, G . , LISHMAN, W. A,, HUGHES, J. T., AND OPPENHEIMER, D. R., (1961); Intense rigidity of the arms due to isolation of motoneurons by a spinal tumour. J . Neurol. Neurosurg. Psychiat., 24, 132-142.
308
Author Index * Ades, H. W., 247 Adrian, E. D., 39, 191 Amassian, V. E., 63, 188, 224 Andersen, P., 111, 191, 200, 203, 214, 262 Anderson, F. D., 154 Anderson, R. F., 142 Anderson, S. A. ,148, 155 Araki, T., 4, 5, 7, 8, 17, 18,21, 35,42, 43,49, 198 Arduini, A., 56, 253 Ballif, L., 207 Barrera, S. E., 185 Barron, D. H., 65, 95, 96, 98, 102, 106, 107, 111, 120,203
Beck, G. M., 142 Becker, M. C., 7 Beevor, C. E., 239 Berlin, L., 188 Bernhard, C. G., 65, 206, 210,222, 237, 239 Berry, C. M., 154, 155 Bessou, P., 137 Biber, M. P., 283 Biersteker, P. A., 281,282,285,287-290,298,300 Blair, E. A., 262 Blumenau, L., 185 Bohrn, E., 154,206, 222, 237, 239 Bonnet, V., 65, 106 Bradley, K., 35, 122, 137 Bremer, F., 65, 106 Bricker, J. W., 266 Brock, L. G., 4, 13, 42, 57, 264, 267 Brodal, A., 56, 63, 142, 154, 173, 185, 207, 255 Bronk, D. W., 39, 191 Brookhart, J. M . , 23, 42, 43, 49 Brooks, C. McC., 65,96, 101, 106,207,210,21 I , 289, 294
Brooks, V. B., 27 BureS, J., 282 Busch, H . F. M., 146 Caldwell, P. C., 2, 12 Campbell, B., 135, 140, 144, 184, 270 Carpenter, D., 63, I l l , 159, 201-204, 210-214 Carrea, R. M. E., 184 Carter, W. B., 146 Catalano, J. V., 149 Cattell, H., 207
*
Chambers, W. W., 185 Cobb, S., 207 Combs, C. M., 184 Coombs, J . S., 3,4,6,7, 10, 1 I , 13, 17, 19,21,42, 57, 76, 232, 264,267
Cooper, S., 125, 173, 222 Covian, M. R., 187 Creed, R. S., 125 Critchlow, V., 262 Curtis, D. R., 9, 16-18, 22, 25, 75, 119, 123, 129, 142, 144, 168, 240, 268
Dell, P. C., 111 Demirijan, C., 148 Denny-Brown, D . B., 39, 222 DeVito, R. V., 63 Doty, R. W., 247 Douglas, W. W., 93 Downman, C. 9. B., 294 Dun, F. T., 106, 124 Earle, K. M., 110 Easton, D. M., 122 Eccles, J. C., 1-34, 35, 42, 47, 49, 50, 57, 65-91, 96, 101, 106, 108, 109, 119-124, 126, 128, 129, 137, 142-144, 147,150-152,154,156, 173, 179, 183, 186,191, 197-200,203,204,207-209,211, 214,215,232,233,240,264-268,289,294,295 Eccles, R. M., 8, 9, 13, 14, 20, 42, 63, 66, 68, 72, 101, 111, 119, 120, 137, 147, 173, 197, 259, 260, 267 Eide, E., 198 Eisenman, G., 135, 164 Ekland, G., 262 Eklund, K., 206, 277 Eldred, E., 270 Engberg,I., 63, 111, 159, 199, 200, 210-214, 274-279 Erlanger, J., 262 Escolar, J., 164, 172
Fadiga, E., 23, 42, 43, 49 Fatt, P., 3, 4, 6, 7, 10-13, 19--21, 76, 119, 123, 198, 232, 267
Feng, T. P., 124 Ferraro, A., 185 Ferreira, H. M., 283
Italics indicate the pages on which the paper of the author in these proceedings is printed.
AUTHOR INDEX
Fifkovri, E., 282 Flechsig, P., 142 Florey, E., I19 Forbes, A., 207 Frank, K., 7, 65, 68, 93, 101, 120, 168, 197, 287 Frankenhaeuser, B., 46 Freygang, Jr., W. H., 284 Fulton, J. F., 207 Funkenstein, H., 210-214 Fuortes, M. G. F., 7, 65, 68, 93, 101, 120, 197 Gasser, H. S., 65, 67, 106, 262 Gelfan, S., 289, 290,292, 296-298, 300 Gesell, R., 266 Gordon, G., 149 Graham, H. T., 65, 67 Granit, R., 14, 35-4/, 42-44, 47, 49, 191, 197, 270
Grant, G., 141, 142, 151, 184, 185, 190 Gray, E. G., 73, 78 Grimby, L., 206, 277 Grundfest, H., 125, 135, 140, 144, 146, 184, 262 Haapanen, L., 20 Haartsen, A, B., 255 Hagbarth, K. E., 11I, 199, 210, 274 Haggqvist, G., 289 Hagiwara, S., 101 Hammond, P. H., 270 Harrison, C. R., 187 Hashimoto, Y . , 54 Hawes, R. C., 280, 282, 287 Henatsch, H. D., 14 Hern, J. E. C., 222, 223, 232, 239 Hill, J., 289 Hochberg, I., 280 Hodgkin, A. L., 2, 3, 11, 12, 14, 46 Holmqvist, B., 63, 138-140, 142-144, 150, 154, 156, 157, 164, 166-168, 171, 172, 180, 181, 185-187, 191, 192, 199, 209, 210, 216 Howell, J. B. L., 270 Howland, B., 65, 96-98, I08 Hubbard, J. I., 9, 14, 21, 24, 27, 149-152, 154, 173, 179, 183 Huber, G. C., 264 Hugelin, A., 207 Hughes, J., 106 Hunt, C. C., 9, 20, 80, 93, 122, 261 Hyden, H., 289 Hyndman, 0. R., 175
309
Kabat, H., 289 Kandel, E. R., 50 Katz, B., 77, 78 Katzman, R., 284 Kernell, D., 35-39, 42-55 Kerr, D. I. B., 1 11, 210 Keynes, R. D., 2, 12, 14 Kiraly, J. K., 129 Kitai, S. T., 148 Kleyntjens, F., 207, 210, 21 1 Knapp, M. E., 289 Koizumi, K., 207, 210, 21 I Koketsu, K., 12, 13, 20, 54, 64, 107, 119, 123 Kolmodin, G. M., 20, 94, 287 Koshtoyants, 0. Kh., 282 Kosman, A. J., 289 Kostyuk, P. G., 20,21,27, 56, 65, 74, 77, 78, 101, 107-1 10, 120, 121, 204, 294, 295
Krivanek, J., 282 KrnjeviC, K., 27, 168 Krogh, E., 289, 300 Kuffler, S. W., 262 Kugelberg, E., 206, 274, 277 Kuno, M., 9, 20, 101, 208 Kuypers, H. G. J. M., 154, 207 Lamarche, G., 149 Landau, W. M., 284 Landgren, S., 23, 155, 198, 206, 222-225, 230, 232, 235, 237, 239, 240
Laporte, Y . , 135-140, 142, 144, 164, 186. Lelo, A. A. P., 282 Leksell, L., 197 Lettvin, J. Y . ,65, 95-98, 108, 111 Leyton, A. S. F., 241 Libet, B., 50 Liddell, E. G . T., 125, 207 Liley, A. W., 27, 77 Limanski, Y . P., 56 Lindblom, U. F., 198, 207 Liu, C.-N., 164, 172 Livingston, A,, 189, 198 Lloyd, D. P. C., 26, 27, 63, 98, 102, 104, 106, 112, 126, 135, 146, 179, 191, 198, 289, 290
Longo, V. G., 119 Lorente de Nb, R., 5, 6, 9, 142 Lundberg, A., 8,9, 13, 14,20,42,63, 72, 78, 105, 107, 111, /35-163, 164, 171-174, 179, 182, 184, 186, 187, 191, 192, 197-221, 255, 267, 277
Iggo, A., 20, 93 Ito, M., 12, 14, 21, 54, 198
Machne, X., 42, 43, 49 Magee, C., 266 Magni, F., 56-64, 65, 66, 68, 69, 71-73, 76, 101,
Jansen, J., 142, 173, Job, C., 208 Johnson, A. R., 27, 102 Jukes. M. G. M.. 149
120, 156-160, 164, 166, 169, 174, 197, 203, 207, 210, 215, 246-258 Malcolm, J. L., 65, 76, 96, 101, 106, 124, 126 Mark, R. F., 20, 135, 139 Marmont, G., 289, 290, 292
310
AUTHOR INDEX
Martin, W. R., 119 Matthews, B. H. C., 65, 95, 96, 98, 102, 106, 107, 111, 120, 203 McCulloch, W. S., 65, 95-98, 108, 111 Mclntyre, A. K., 20, 80, 93, 98, 106, 122, 135, 139, 146, 179, 187, McLennan, H., I 1 9 Mendoza, E. L., 264 Merton, P. A., 270 Miledi, R., 27, 168 Morin, F., 148, 149, 154 Moruzzi, G., 56, 253 Mountcastle, V. B., 187 Murakami, M., 54 Murphy, T., 284 Nathan, P. W., 270 Nauta, W. J . H., 154 Nelson, P. G., 287 Nishi, S., 54 Nobel, K. W., 284 Norrsell, U., 145, 147-149, 155, 157, 201 -205, 255 Nyberg-Hansen, R., 207 Ochs, S., 282, 283, 286 O’Leary, J. L., 154 Oscarsson, O., 9,14,20-24,63,135-146,149-160, 164-178, 179-196 Oshima, T., 12, 14, 21 Otani, T., 7, 35,42,43 Ottosson, J. O., 198, 207 Paine, C. H., 149 Paintal, A. S., 199 Paton, W. D. M., 119 Patton, H. D., 223 Perl, E. R., 208 Perry, W. L. M., 119 Petersen, I., 206, 222 Phillips, C. G., 14,23, 189, 191, 198,206,222-245 Phillis, J. W., 119, 129 Pitts, W., 65, 95-98, 108, 111 Pompeiano, O., 142, 185 Porter, R., 23, 206, 222-245 Portnov, H., 148 Potter, R. L., 282 Preston, J. B., 222, 223, 233 Quilliam, J . P., 262 Rall, W., 26, 27 Ramos, J. G., 264 Ranck, Jr., J. B., 284 Renkin, B., 40 Renshaw, B., 20, 65, 96 Reuben, J. P., 125 Rexed, B., 92, 142, 179, 289 Rickles, N. H., 125
Ritchie, J . M., 93 Robbins, J., 125 Romdnes, G. J., 291 Rostn, I., 165, 166, 169, 170, 185-191 Rossi, G. F., 56, 154, 255 Rudin, D. C., 135, 164 Rutkowski, S., 262 Sasaki, Y . , 54 Schade, J . P., 282, 284, 291, 298 Scheibel, A . B., 56, 63, 255 Scheibel, M. E., 56, 63, 255 Schimert, J., 164, 172 Schmidt, R. F., 20, 21, 27, 65, 67, 68, 70-80, 82-86, 101, 107-109, 119-134, 144, 152, 204, 207, 210, 215, 295 Schwartz, H. G., 154 Sears, T. A,, 23, 24, 11 I , 200, 203, 214, 259-273 Shaw, T. I., 2, 12 Shealy, C. N., 259, 260, 265-267 Sherrington, C . S., 11, 125, 173, 185, 197, 206, 207, 222, 241, 274 Shortess, G. K., 35, 37-39 Skoglund, C. R . , 20, 287 Skoglund, S., 14, 20, 190 Sloss, L. J., 283 Smith, R. S., 35, 36,42-44, 47,49 Snider, R. S., 184, 289 Somjen, G. G., 35 Sowton, S. C. M., 207 Spencer, W. A., 50 Spinelli, D., 293 Sprague, J. M., 164, 168, 172, 173, 185 Stamm, J. S., 282 Steg, G., 14 Steiner, J . , 20 Stookey, B., 175 Stowell, A,, 184 Strom, G., 179 Sutton, G. G., 270 Tachibana, S., 282, 293 Takeuchi, A., 21, 27, 76, 101 Takeuchi, N., 21, 27, 76, 101 Tarlov, I. M., 289, 290, 292, 296-298, 300 Tasaki, I., 101 Taub, A., 94 Tauc, L., 54 Terzuolo, C . A., 4, 5, 7, 8, 17, 18, 49 Thesleff, S., 190 Toennies, J. F., 95 Tomita, T., 54 Torvik, A,, 56, 63 Tower, S. S., 207 Tureen, L. L., 289 Tyler, D. B., 301 Uddenberg, N., 165-167, 169-171, 180-184 Urnrath, K., 124
A U T H O R INDEX
Unna, K. R., I19 Van Der Kloot, W. G., 125 Van Harreveld, A., 280-307 Von Euler, C., 262, 272 Voorhoeve, P., 145, 147, 149, 156, 157, 198-200, 204, 205, 216, 255, 277 Vyklicky, L., 105, 107, 207, 213, 215, 216 Wall, P. D., 20, 27, 65, 72, 92-118, 120, 173, 203 Watkins, J. C., 119, 129 Weiss, T., 282 Whitlock, D. G., 56, 222, 223, 233, 253
31 1
Willis, W. D., 20, 23, 56-64, 65, 67-73, 75, 76, 79, 80, 82-86, 119-122, 124, 128, 142-144, 152,156,l86,203,201,207,210,215,246-258, 295 Wilson, V. J., 191 Winsbury, G., 142, 186 Wolkin, J., 175 Wolpow, E. R., 156 Wood Jones, F., 241 Woolsey, C. N., 188 Young, R. R., 50 Zanchetti, A., 56, 255
312
Subject Index Accommodation, asynchronous synaptic bombardment, 28 relation to adaptation, 38 Adaptation, cortical potential depression, I90 frequency of discharge, motoneuron, 186 motoneuron membrane, 38, 39 relation to accommodation, 38 relation to after-hyperpolarization, 55 Afferent fibers, Ia from sural muscle, relation to EPSP, 101 connections to reticulo-spinal neurons, 246-258 cutaneous, depolarization and presynaptic inhibition, 102 inhibition, 80-83, 85 membrane potential, 103 post-tetanic potentiation, 102 effect of synaptic depolarization, 54 flexor reflex, reticulo-spinal neuron, 63, 107 presynaptic, inhibition of Ia, 66, 79, 107 inhibition of Ib, 79-81, 107 localization of, 121 relation to spinal interneurons, 147 After-hyperpolarization (see also Hyperpolarization) action on EPSP, 55 cutaneous relay cells, 14 effect on adaptation, 39 effect on potassium-sodium balance. 14 primary afferent depolarization, 75 properties of spinal neurons, 12-15 relation to delayed depolarization, 44 relation to SD spike, 12 time course, relation to delayed depolarization, 45 transmembrane stimulation, 36 Amino acids, effect of dorsal root potential, 129 Anaesthetics, effect, on blood pressure, DRP, I34 on motoneuron, 244 on sensorimotor cortex, 220 Antidromic impulse, activity, identification of DSCT, 141 identification of VSCT, 149, 150 after-potential and refractory period, 58
delayed depolarization, 43, 45 evoking intracellular responses, 3-6, 35 identification of reticule-spinal neurons, 246 inhibition of dendrites, 1 I relation to Na-injection, 10 relation to presynaptic potentials, 75 repetitive effect, 45 slope characterization, 12 Apnoea, effect on motoneurons, 263 Asphyxiation, cell membrane permeability, 286, 287 chloride transport, 284-287 effect on metabolism, 301 effect on spinal cord, 280-307 mechanism, arrest of reflex activity, 288, 289 myotatic rigidity, 298, 300, 306 nerve cell destruction, 29 I , 292 survival time, 300, 301 Barbiturates, effect on presynaptic inhibition, 70 primary afferent depolarization, 126 sensitivity of substantia gelatinosa, 1 1 3 Brain stem, control centers of inhibition, 209 effect on delayed depolarization, 44 effect on membrane potential, 48, 49 primary afferent depolarization, 21 I , 2!2 supraspinal control, motoneurons, 197-221 Cerebellar cortex, asphyxial chloride transport, 284-287 projection forelimb nerves, 192 projection group I afferents, 181-191 stimulation, antidromic activity, 141, 142 Cerebral cortex, areas stimulated, effect on reticulo-spinal neurons, 246,255 postcruciate, 247 primary auditory, 247, 257 primary visual, 247, 257 sensorimotor, 248 asphyxial chloride transport, 284-287 circulatory arrest, 286 effect on motoneurons, 206, 207 evoked potential, somatic area, 188, I89 facilitation of reflexes, 197-207 localization, facilitatory system, 239 motor control, 244
SUBJECT INDEX
projection forelimb nerves, 192, 195 sensorimotor, conditioning system, 277, 278 Cerebrospinal fluid, electrolytes during asphyxiation, 284 Cholinergic drug, effect on dorsal root potential, 129 Conduction, blockade, orthodromic versus antidromic, 95 cortico-spinal, 227, 228 Control, cortical, on reticulo-spinal neurons, 255 decerebrate inhibition, 210 inhibitory, reflex pathways, 215-217 presynaptic impulse transmission, blockade, 95-98 depolarization, 98-1 02 hyperpolarization, 102-105 supraspinal, motoneurons, 197-221 plantar reflex, 277 Convulsan ts, picrotoxin, inhibitory effects, 125 strychnine, inhibitory effects, 122-124 Cuneate nucleus, descending pathways, 196 relation to cuneo-cerebellar tract, 185 relation to group I afferents, 179, 193 Cuneo-cerebellar tract, characterization of activation, 185-1 87 discharge pattern, 190 properties of neurons, 190 relation to cuneate nucleus, I85 subdivision, 185, 187 Current, action on glial cells, 90 determination by voltage-clamp method, 18 effect on delayed depolarization, 46-49 electrotonic spread, 16, 17 extracellular relation to dendrites, 5 hyperpolarizing effect on depolarization. 47, 49, 51 polarizing, effect on monosynaptic activity, 76. 77 Decerebrate animal, descending control, 219 effect on motoneurons, 208 tonic inhibition, 208-211, 216 Dendrite, asphyxial arrest of reflex activity, 288, 289 asphyxial potential, 287 chloride transport, spinal cord, 285 control mechanism for transmission, 106 delayed depolarization, 36 crustacean stretch receptors, 53 depolarization, recovery after asphyxiation, 290 measure of conduction time, 5, 6 reticulo-spinal neurons, 257
313
Depolarization, afferent, relation to depolarizing synapses, 73, 76, 79, 80, 83, cutaneous afferent fibers, 98, 113 delayed, chromatolysed motoneurons, 50 effect of antidromic invasion, 35, 44 effect of polarizing currents, 46, 47 general characteristics, 42-44 relation to somadendritic membrane, 44 reticular formation, 54 time course, 45 dendritic, asphyxial arrest, 288, 289 excitability test, 72 presynaptic fiber, 75 primary afferent, effect of anaesthetics, 128 methods of recording, 120 properties of initial segment, 36 reticular neurons, 257 threshold level, 7 voltage-clamp recording, 7 Discharge, adaptive, I86 ascending tracts, 180 asphyxiation, motoneuron, 305 massive, Ia and I b afferents, 136-138 ascending tract, 164, 165, 181 effect in cuneo-cerebellar tract, 185 initial component, 166 medial lemniscus, 191 monosynaptic, 191 repetitive, during central respiratory drive, 266 effect from subsynaptic currents, 35 effect on membrane, 106 relation to antidromic invasion, 37 reticulo-spinal neurons, 63 DOPA, inhibition of primary depolarization, 132, 133 Dorsal spino-cerebellar tract (DSCT), conditioning cutaneous stimulation, 183, 184 discharge pattern, 135 monosynaptic activation, 171 properties of neurons, 140-146, 173, 179 convergence, summation, 143, 144 cutaneous afferents, 140 propriocertive information, 144 termination, 140, 142 relation to cuneo-cerebellar tract, 187 termination area, 184 DSCT (see Dorsal spino-cerebellar tract) Electromyogram, during expiration and inspiration, 261 quadriceps muscles, 298-300 EPSP (see Excitatory postsynaptic potential)
314
SUBJECT INDEX
Eserine, inhibitory effect on transmitter, 20 Excitation, cortical stimulation, 205 flexor reflex afferents, 183 orthodromic stimuli, 100 pre- and postcruciate cortex, 248 relation to inhibition, 40 relation to initial segment, 9 reticulo-spinal neurons, from cortex, 255 sensorimotor cortex, effect on afferents, 198-200 Excitatory postsynaptic potential (EPSP), central tegmental tract, 251, 252 cortically evoked, 240 current flow, 17 depression, 66-79, 101 influencing factors, 78 relation to presynaptic depolarization, 71, 101 effect of membrane potential, 20 ionic flux, 28 monosynaptic, 18 repetitive stimulation, 22, 23 relation to post-tetanic potentiation, 26 relation to presynaptic inhibition, 67 Facilitation, convergence of cortico-spinal nerves, 255 extrapyramidal, 160 flexor reflex, 220 recovery response, dorsal root, 234, 295 sensorimotor cortex, 197-207 temporal presynaptic inhibition, 68 Feedback, forelimb information, 192, 195 relation t o spinal control mechanism, 90 Glutamic acid, depolarization of primary afferent fibers, 129 effect on massive discharge, 137 relation to presynaptic inhibition, 79 Hippocampus, depolarization of pyramids, SO, 54 Hyperpolarization (see also After-hyperpolarization), peripheral nerves, 104 primary afferents, 201 relation to cortical depolarization, 102-104, 1 I3 respiratory drive potential, 266, 267 Impedance, nature of extracellular electrolytes, 282-284 registration in spinal cord, 280, 301 relation to chloride transport, 285
Inhibition (see also Presynaptic inhibition), afferent fibers, 65, 66 cortical stimulation, 205 hyperpolarization of synaptic stimuli, 48 interneuronal pathways to motoneurons, 21 1 pathway to la afferents, 203, 204 potential generator, 65 presence in spinal cord, 98 recurrent, effect on motoneuron adaptation, 39 reflex paths to motoneuron and primary afferents, 201-215 relation to facilitation, 40 relation to initial segment, 9 thalamic relay, I91 tonic decerebrate inhibition, 208-21 1 Inhibitory postsynaptic potential (IPSP), antidromic activity, 12, 13 occurrence in gray substance, 223 presence in spinal cord tract, 144 Interneurons, decerebrate tonic inhibition, 216 denervation hypersensitivity, 297 destruction after asphyxiation, 292, 302, 306 effect of anaesthetics, 128 excitability, relation to strychnine, 124 extrapyramidal facilitation, 160 inhibitory regulation, 216 local inhibition, 233 nembutal, rate of discharge, 128 picrotoxin, depression of presynaptic inhibition, 125 rate of discharge, relation to dorsal root potential, 134 sensorimotor influence on, 204-206 source of primary afferent depolarization, 78, 79, 81, 85, 107, 119, 121 Ionic composition, alteration by current flow, 1I distribution on neuronal membrane, 1 effect on EPSP, 21 relation to spinal cord asphyxiation, 283 IPSP (see Inhibitory postsynaptic potential) IS spike (see Potential) Metabolic pump, influence of electrolytes, 2, 11, 12, 14, 15 spinal asphyxia1 potential, 292, 293 Motoneurons, adaptation membrane, 38, 39 asphyxiation membrane, 286, 287 effect of anaesthetics, 244 effect of recurrent inhibition, 39 influence of decerebration, 208 inhibitory pathways, 201-215 properties of respiratory, 23 relation to interneuronal pathways, 21 1 stimulation cortex. potential changes, 206,207 supraspinal control, brain stem, 197-221
SUBJECT INDEX
Nembutal, effect, on blood pressure, discussion, 134 on dorsal root potential, 126 on retina, discussion, I33 interneuron, decreased rate of discharge, 128 Nerve, intercostal, discharge, 260, 261, 272 fusimotor fiber function, 262, 272 Neuroglia, asphyxiation, survival time, 301 electrolytes during asphyxiation, 284 electrophysiological relationships to neurons, 90 Neuron, activation from muscle spindle, 138 adaptation, frequency of discharge, 39 amplifier, function, 35 dipole model, 33 effect of hypoxia, 262-264 massive discharge, 139 measurement of cell volume, 291 recurrent inhibition, I I rebistance to oxygen lack, 287 size, 292 Pathway, la afferents, presynaptic inhibition, 78 ascending spinal, cat, 135-160 cortico-reticulo-spinal, 255 cutaneous, presynaptic control, 92-1 18 input-output relations, 95 presynaptic inhibitory, 119, 120 sensorimotor to motoneurons, 199, 200 supraspinal control, 153, 156, 157 Peduncle, superior cerebellar, relation to VSCT, 149 Permeability, after circulatory arrest, 286 change during postsynaptic, 65 ionic, relation to currents in EPSP, 21 potassium, during spike potential, 3 relation to spike potential, 11 relation to transmitter, 76 Picrotoxin, presynaptic inhibitory effect. 124, 125 Post-tetanic potentiation, control depolarization, 102 pyramidal tract synapse, 243 relation to EPSP, 26 Potassium, permeability, spike potential, 3 Potential, asphyxial, 280, 281 origin, 287, 288 central respiratory drive, 264-267 dorsal root, 65, 67, 99 cutaneous afferent activation, 220 @
315
effect, of amino acids, 129 of brain stem, 115 of cholinergic drugs, 129 of strychnine injection, 123 evoked by ventral roots, 126, 127 hyperpolarization, 102, 214 tonic activated, 105 electrochemical, 2 endplate, 21 equilibrium, electrolytes, I , 20 extracellular complex, 4-6 interneuronal rate of discharge, 134 membrane, 3, 4 depolarization afferent fibers, 98 displacement by current, 20 effect from voltage-clamp method, 19 effect of tetanic stimulation, 47 level, effect on depolarization, 46 negative after-potential, 46 postsynaptic, reticulo-spinal neurons, 59 relation to depolarization, 50, 52 relation to presynaptic inhibition, 107 spike, of spinal neurons, 3-12 IS, antidromic stimulation, 4 recurrent inhibition, 1I relation to EPSP, 16 relation to SD, 13 reticulo-spinal neurons, 57-59 threshold depolarization, 7 SD, antidromic stimulation, 4 relation to IS, 9 reticulo-spinal neurons, 57-59 Potentiation, conditioning tetanic, 25, 26 EPSP, cortical stimulation, 243 post-activation, 23 repetitive stimulation, 23 respiratory motoneurons, 268, 271 Presynaptic inhibition (see also Inhibition), afferent neurons, producing, 121 antidromic and orthodromic, 105 blockage of spinal cord conditioning, 96 depolarization, 66, 76, 87 effect from prolonged asphyxiation, 295 factors, depolarization and local current flow, 78 ionic flow origin, 78 magnitude, relation to EPSP, 77, 101 pharmacological aspects, 119-1 34 regulation sensory input, 213, 214 relation to dorsal root potential, 107, 1I5 relation to superimposed action potential, 75, 76
reticulo-spinal neurons, 63 spinal cord, 65-89, 197
3 16
S U B J E C T INDEX
Receptors, exteroceptors, information storage, 145 projection to cerebral cortex, 189 proprioceptors, information storage, 144 skin, afferent neurons to cortex, 93 Recruitment, a-fusimotor neurons, 263 inspiration, 261 Reflex, control, 243 y-control, 197 cortico-spinal tract, facilitation, 197-200 depression, presynaptic inhibition, 69, 70 dorsal root, 95, 105, 210, 21 1 y-efferent system, 298 flexor afferent, 139, 145, 147, 152-154, 156 effect on ascending spinal pathway, 156160, 199 excitatory inhibition to motoneurons, 209 influence on reticulo-spinal neurons, 257 inhibitory action on interneurons, 206 polysynaptic effect, 192 tonic decerebrate inhibition, 208 mechanism of asphyxia1 arrest, 288, 289 monosynaptic test, 275, 276 plantar, supraspinal control, 277, 278 presynaptic inhibition, 66 sensorimotor, excitatory and inhibitory, 199,200 stretch, relation to tonic firing, 39 stretch, respiration, 270 Refractory period, antidromic invasion, 58, 63 delayed depolarization, 44, 49 Renshaw cells, comparison to synaptic depolarization, 75 relation to dorsal root potential, 134 relation to IPSP, 12 synchronous synaptic bombardment, 20 time of transmitter action, 90 transmitter function, acetylcholine, I 19 Respiration, activity pattern, motoneurons, 264 central drive potential, 264-267, 269, 271 hyperventilation, 263 inflation reflex, 264, 269 influence on stroke volume, 264 recruitment of respiratory neurons, 261 Reticular formation, afferent connections, 246-258 delayed depolarization, 54 descending and ascending axons, 59-62 influence on ascending conduction, 177 influence on border cells, 177 neurons, properties, 56-64 presynaptic inhibition, 63 properties of axon$, 59-62 relation to EPSP, 59
reticulo-spinal inhibiting system, 159, 160 Reticulo-spinal neurons, afferent connections, 246-258 central tegmental tract, 255 cortical control, 255 mesencephalic stimulation, 251 monosynaptic cortical connection, 248
SD spike (see Potential) Spinal cord, Ia afferents, 198 ascending hindlimb pathways, cat, 135-1 60 ascending tracts, course and organization, 164-1 78 asphyxiation, effects from, 280-307 conductivity after aorta clamping, 281 cortico-spinal inhibition, 233, 234 cortico-spinal population, 223-228, 241 descending influence, dorsal root potential, 104 descending influence on ascending conduction, I77 distribution of synaptic activity, 174, 175 dorsal tracts, polysynaptic, 171 effect of circulatory arrest, 286 fascicles, dorsal, 166, 167 intermediate, I67 lateral, 170 ventral, 166, 167, 170 funicular cells, location, 176 horizontal lamina, presynaptic control, 92 hypersensitivity, 300 intermediate nucleus, 73, 75, 78 location of respiratory motoneurons, 259-273 nerve cell destruction, asphyxiation, 291, 292 oxygen lack compared t o cortex, 287 primary afferent depolarization, 21 3 pyramidal synapses, 256 reflex facilitation, sensorimotor cortex, 197207 respiratory motoneurons, 259-273 reticulo-spinal tract, 220, 243 structure of cuneo-cerebellar tract, I79 supraspinal control, motoneurons and primary afferents, 197-221 thalamic relay, 191 voltage contour maps, 108 Spino-thalamic tract, characterization, I75 contralateral receptive field, 175 Strychnine, action on pre- and postsynaptic inhibition, 91, 131, 121-124 convulsive effect, 124, 132 effect on tonic stretch, 131 Substantia gelatinosa, dorsal root potential and inhibition, 96, 116 relation to lamina IV, 93, 134
SUBJECT INDEX
source of primary afferent depolarization, 107 Succinyl choline. effect on cortical potential, 190 Synapse, activity, effect on delayed depolarization, 47, 49, 51 axo-axonic, in intermediate nucleus, 78,79 cortico-spinal, 240 distribution, IS and SD membranes, 13 excitatory, 15-28 action from antidromic impulse, 4 mechanism of, 21 time course of EPSP, 17 hyperpolarizing stimuli, 48 inhibitory stimuli, 48, 277 monosynaptic, characteristics, frog, 170 cortico-spinal excitation, 239, 242 distribution, ascetlding tract, 171, 172, 175 dorsal fascicle, 166, 167 EPSP, cortex, 248 excitatory, 204 forelimb nerves stimulated, 167 presynaptic inhibition, 66 respiratory excitation, 267 sacral caudal roots, 168 polysynaptic, distribution, ascending tracts, 171-1 73 dorsal fascicle, 167 reflex paths to a-motoneurons, 199 post-activation potentiation, 23-26 potentials, 232 potentiation, 23
317
presynaptic spikes from after-hyperpolarization, 27 pyramidal, 256 respiratory, 259 survival time, 301 vesicles, content of transmitter, 28 Thalamus, corticopefal afferent fiber, discussion, 196 relay function, 191 Transmission, influence of hyperpolarization, 105 relation between block and presynaptic inhibition, 101 Transmitter, acetylcholine, 28 action time, 90 concentration, relation to EPSP, 23, 101 in central respiratory drive potential, 267 interneurons, 40 potentiation, effect on, 27 rate of liberation, repetitive stimulation, 26 relation to afferent depolarization, 75, 76 Ventral spino-cerebellar tract, characterization, 148-1 53, 173, 179 conditioning cutaneous stimulation, 183, 184 connection, 159 monosynaptic activation, 171 relation to border cells, 177 terminal area, 184 Vesicles, relation to afferent depolarization, 73
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