The distribution of the sympathetic preganglionic neurons projecting onto the stellate ganglion of the guinea pig. A horseradish peroxidase study

Low-Frequency Oscillations in Cardiac Sympathetic Neuronal Activity

Sudden cardiac death caused by ventricular arrhythmias is among the leading causes of mortality, with approximately half of all deaths attributed to heart disease worldwide. Periodic repolarization dynamics (PRD) is a novel marker of repolarization instability and strong predictor of death in patients post-myocardial infarction that is believed to occur in association with low-frequency oscillations in sympathetic nerve activity. However, this hypothesis is based on associations of PRD with indices of sympathetic activity that are not directly linked to cardiac function, such as muscle vasoconstrictor activity and the variability of cardiovascular autospectra. In this review article, we critically evaluate existing scientific evidence obtained primarily in experimental animal models, with the aim of identifying the neuronal networks responsible for the generation of low-frequency sympathetic rhythms along the neurocardiac axis. We discuss the functional significance of rhythmic sympathetic activity on neurotransmission efficacy and explore its role in the pathogenesis of ventricular repolarization instability. Most importantly, we discuss important gaps in our knowledge that require further investigation in order to confirm the hypothesis that low frequency cardiac sympathetic oscillations play a causative role in the generation of PRD.

Monoaminergic and Peptidergic Innervation of the Intermedio-Lateral Horn of the Spinal Cord

In the rat the monoaminergic and neuropeptidergic innervation of the sympathetic visceral nuclei of the entire thoracic spinal cord has been analysed in serial horizontal sections using immunocytochemistry. Tyrosine hydroxylase (TH), Phenyl-ethanolamine-N-methyl-transferase (PNMT), 5-hydroxytryptamine (5-HT), substance P (SP) and enkephalin (ENK) immunoreactive (IR) nerve terminals form tufts of plexa with strong IR in the principal part of the intermediolateral nucleus (ILp) with the terminals in an extraperikaryal location. High densities of these strongly IR terminals are also found in the principal part of the intercalated nucleus (ICp) and in the paraependymal part of the intercalated nucleus (ICpe). The various types of IR nerve terminals also form rostro-caudally oriented and latero-medially oriented strands of strongly IR nerve terminals at regular intervals within each segment. Outside these sympathetic nuclei the terminals are absent or only weakly to moderately IR. The similar pattern of monoamine and peptide innervation of the putative preganglionic sympathetic neurons along the entire thoracic spinal cord may be related to the general three dimensional architecture of the preganglionic multipolar neurons. Thus, these inputs tend to cover the entire surface area of the preganglionic neurons in a uniform way. Some heterogeneities have been observed for the TH, PNMT and neuropeptide Y (NPY) innervation which may contribute to a differential control of sympathetic preganglionic neurons. It is suggested that the unique features of the descending monoaminergic or peptidergic neurons to sympathetic spinal nuclei are related to a demand for maintained transmission upon prolonged activation in these cardiovascular systems, allowing the maintenance of cardiovascular homeostasis.

Spinal segments communicating resting sympathetic activity to postganglionic nerves of the stellate ganglion

It has been shown earlier using sympathetic reflexes and anatomic techniques that preganglionic neurons controlling different effectors occupy wide and overlapping ranges of adjacent segments in the spinal cord (cardiac: T1-T7, vertebral: T2-T8). Because, however, the majority of preganglionic neurons are silent at resting states, the present study was designed to estimate the segmental map of subsets of these neurons including only those active at rest using simultaneous recordings from the inferior cardiac and vertebral nerves, under chloralose-urethan or urethan anesthesia. In 22 cats, thoracic white rami T1-T8 were cut in a sequential manner. Three-minute-long data segments were recorded between sectionings and analyzed in the frequency domain using the fast Fourier transform. We found that cardiac and vertebral active maps involved segments T3-T5 and T4-T8, respectively. In individual experiments, however, most of the power of rhythmic activity originated from only one or two segments and the dominant segments for the two nerves never overlapped. Moreover, the separation between dominant segments generating cardiac and vertebral nerve discharges was wider and the distribution of tonically active preganglionic neurons projecting to each nerve was narrower under urethan than chloralose-urethan anesthesia. We conclude that the proportion of active to quiescent preganglionic neurons regulating cardiac and vertebral nerve discharges varies from spinal segment to segment and that active neurons projecting to these nerves are nonoverlapping.

Synapses on axons of sympathetic preganglionic neurons in rat and rabbit thoracic spinal cord

Axosomatic and axodendritic synapses occur on sympathetic preganglionic neurons, but it is not yet known whether their axons receive synaptic input, which could be particularly effective at regulating sympathetic outflow. Here, we examined retrogradely labelled sympathetic preganglionic axons to see if they received synapses. Cholera toxin B subunit (CTB) or CTB conjugated to horseradish peroxidase (CTB-HRP) was used to label neurons projecting to the rat or rabbit superior cervical ganglion, the rat adrenal medulla, or the rabbit stellate ganglion. At the light microscopic level, small groups of CTB-immunoreactive axons travelled through the ventral horn near its lateral boundary, with occasional axons taking a more medial course. The axons passed through the ventrolateral funiculus to exit at the ventral roots. In parasagittal section, a few axons branched within the ventral horn, sending processes rostrally and caudally for short distances before they turned ventrally to exit the spinal cord. At the ultrastructural level, CTB-immunoreactive rat and rabbit sympathetic preganglionic axons were almost exclusively unmyelinated. In contrast, labelling with CTB-HRP revealed both myelinated and unmyelinated axons in the ventral horn, the ventrolateral white matter, and the ventral roots. CTB-HRP also allowed the detection of the initial segment of a sympathetic preganglionic axon. Synapses, with vesicles clustered presynaptically and membrane specializations postsynaptically, were found on some unmyelinated CTB-immunoreactive axons. Occasional axons received several synapses. Synapses were most common on CTB-containing axons just ventral to the intermediolateral cell column. One synapse was found on an axon within 2 microns of its origin from a proximal dendrite. Rare synapses were found several hundred micrometers ventral to the intermediolateral cell column. One branching axon had synapses just below the branch point on both the main axon and the axonal branch. These findings indicate an extensive synaptic input to the axons of at least some sympathetic preganglionic neurons. These axoaxonic synapses could have a profound effect on sympathetic activity.

Immunohistochemical evidence for different pathways immunoreactive to substance P and calcitonin gene-related peptide (CGRP) in the guinea-pig stellate ganglion

The colocalization of immunoreactivities to substance P and calcitonin gene-related peptide (CGRP) in nervous structures and their correlation with other peptidergic structures were studied in the stellate ganglion of the guinea pig by the application of double-labelling immunofluorescence. Three types of fibre were distinguished. (1) Substance P+/CGRP+ fibres, which sometimes displayed additional immunoreactivity for enkephalin, constituted a small fibre population of sensory origin, as deduced from retrograde labelling of substance P+/CGRP+ dorsal root ganglion cells. (2) Substance P+/CGRP- fibres were more frequent; some formed baskets around non-catecholaminergic perikarya that were immunoreactive to vasoactive intestinal polypeptide (VIP). (3) CGRP+/substance P- fibres were most frequent and were mainly distributed among tyrosine hydroxylase (TH)-immunoreactive cell bodies. The peptide content of fibre populations (2) and (3) did not correspond to that of sensory ganglion cells retrogradely labelled by tracer injection into the stellate ganglion. Therefore, these fibres are thought to arise from retrogradely labelled preganglionic sympathetic neurons of the spinal cord, in which transmitter levels may have been too low for immunohistochemical detection of substance P or CGRP. CGRP-immunoreactivity but no substance P-immunolabelling was observed in VIP-immunoreactive postganglionic neurons. Such cell bodies were TH-negative and were spared by substance P-immunolabelled fibre baskets. Retrograde tracing with Fast Blue indicated that the sweat glands in the glabrous skin of the forepaw were the targets of these neurons. The streptavidin-biotin-peroxidase method at the electron-microscope level demonstrated that immunoreactivity to substance P and CGRP was present in dense-cored vesicles of 50-130 nm diameter in varicosities of non-myelinated nerve fibres in the stellate ganglion. No statistically significant difference in size was observed between vesicles immunolabelled for substance P and CGRP. Immunoreactive varicosities formed axodendritic and axosomatic synaptic contacts, and unspecialized appositions to non-reactive neuronal dendrites, somata, and axon terminals. Many varicosities were partly exposed to the interstitial space. The findings provide evidence for different pathways utilizing substance P and/or CGRP in the guinea-pig stellate ganglion.

Transneuronal transfer of herpes simplex virus type 1 (HSV 1) from mixed limb nerves to the CNS. I. Sequence of transfer from sensory, motor, and sympathetic nerve fibres to the spinal cord

The time course of transneuronal transfer of Herpes simplex virus type 1 (HSV 1) from sensory, motor, and sympathetic nerve fibres to connected spinal neurones was examined. After injection of a constant number of infectious units into distal forelimb or hindlimb nerves of inbred rats of the same age, the extent of viral transfer was strictly dependent on the survival time postinoculation (p.i.). Retrograde transport to somatic motoneurones occurred at 28-29 hours p.i. (stage 1), in synchrony with anterograde transneuronal transfer via small cutaneous afferents (to laminae I-II). At 36-43 hours p.i. (stage 2), retrograde transneuronal transfer from sympathetic nerve fibres first labelled sympathetic preganglionic neurones. At 48-51 hours p.i. (stage 3), transfer via sensory and sympathetic axons became more extensive, labelling laminae III-IV and other preganglionic neurones. Transneuronal transfer from large muscle afferents and motoneurones (to Clarke's columns and the spinal intermediate zone) occurred only at 66-78 hours p.i. (stage 4). Further increases in distribution (stages 5-6) obtained between 78 and 97 hours p.i. may reflect both specific labelling of second and third order neurones and a gradual local loss of specificity. These results indicate that transfer of HSV 1 occurs through all main classes of peripheral axons, but that both anterograde and retrograde transneuronal transfer from small (unmyelinated and fine myelinated) cutaneous and sympathetic axons precedes transfer from large (myelinated) cutaneous and muscle afferents and motor axons. Analysis of viral transfer at sequential intervals is required to distinguish serially connected neurones, determine the route of labelling, and ensure its specificity.

Relative effects of different spinal autonomic nuclei on cardiac sympathoexcitatory function

Mean arterial pressure and heart rate were monitored in immobilized and artificially ventilated male Wistar rats either anesthetized with pentobarbital or decerebrated at midcollicular level. The rate of increase in the left ventricular pressure was also monitored in order to compute contractility index. L-glutamate (1.77 nmole) was microinjected (10 nl) into the following autonomic nuclei of the spinal cord at C8 to T4 levels: 1) intermediolateral column (IML), 2) n. intercalatus spinalis (IC) and 3) n. intercalatus pars paraependymalis (ICpe); this region is commonly known as the central autonomic area (CA). The site of microinjection was marked by injection of a dye; these studies suggested that microinjections of glutamate into the IML are likely to encompass the neurons in the nucleus (n.) intermediolateralis thoracolumbalis pars principalis (ILp) and n. intermediolateralis thoracolumbalis pars funicularis (ILf). Sympathoexcitatory cardiac responses to glutamate microinjections were elicited from T1 to T3 levels; these responses could not be evoked at C8 and T4 levels. In each of these segments, maximum responses were obtained from the IML while the responses evoked from the IC and the CA were minimal. These results suggest that at T1 to T3 levels of the spinal cord, IML is the main cell group regulating sympathetic cardiac function; CA and IC may play a relatively minor role in this function.

Calcitonin gene-related peptide containing sympathetic preganglionic and sensory neurons projecting to the superior cervical ganglion of the rat

The origin of calcitonin gene-related peptide (CGRP)-containing fibers observed in the superior cervical ganglia (SCG) of the rat was investigated by a combined technique of retrograde axonal tracing and indirect immunofluorescence. Following the injection of Fast blue (FB) into the SCG, labeled neurons were observed in the C8-T5 spinal cord segments, with the highest density in T1-T3 (5-8 neurons per section). More than 90% of them were located in the ipsilateral intermediolateral cell column (IML) and the rest were found in the central autonomic area (CA) and intercalated region (IC) between the IML and CA. CGRP-like immunoreactive (IR) neurons were detected in these areas in animals pretreated with colchicine. About one-fourth of FB-labeled cells were CGRP-IR, which corresponded to three-fourths of the CGRP-IR neurons in the above-mentioned autonomic areas of these spinal cord segments. Most of these double-labeled cells were found in the IML (95%). A few FB-labeled cells were also observed in dorsal root ganglia (C8-T5) and 30% of them were CGRP-IR. These findings suggested that the CGRP-IR fibers in the rats SCG are supplied from both sympathetic preganglionic neurons in the spinal cord and sensory ganglion cells, although the latter projection is quite rare.

Distribution of sympathetic preganglionic neurons and monoaminergic nerve terminals in the spinal cord of the rat

A study was made of the distribution of sympathetic preganglionic neurons identified by retrograde labeling with horseradish peroxidase from various peripheral nerve trunks and of the distributions of monoaminergic terminals in the spinal cord of the rat. Nerve terminals were stained immunohistochemically by using antisera raised against tyrosine hydroxylase, phenylethanolamine-N-methyl-transferase, neuropeptide Y, and 5-hydroxytryptamine and by using formaldehyde-induced fluorescence. The three-dimensional distribution of sympathetic preganglionic neurons was described by using computer reconstruction and compared with the arrangement of each population of immunohistochemically stained terminals in the intermediate zone. Although monoaminergic terminals are associated with most sympathetic neurons, particularly in the intermediolateral column, the relationship of many terminals to sympathetic neuron somata in other parts of the intermediate zone is tenuous. Some of the descending innervation may terminate on interneurons. The data are consistent with the coexistence of phenylethanolamine-N-methyl-transferase and neuropeptide Y in terminals arising from cell bodies in the C1 region in the ventrolateral medulla and with the presence of at least two populations of catecholaminergic terminals as well as the adrenergic one. Serotoninergic terminals are denser and have a different arrangement from those of catecholaminergic terminals in the intermediate zone.

False-positive artifacts of tracer strategies distort autonomic connectivity maps

The widespread use of new axonal transport tracing techniques in the ANS has resulted in substantially revised and amended descriptions of ANS organization. The present review suggests, however, that at least some of the results on which proposed revisions of ANS anatomy have been based have incorporated artifacts and therefore should be cautiously interpreted. The peripheral nervous system and viscera are composed in part of connective and endothelial tissues that are porous or 'leaky' to solutes with appropriate chemical characteristics, including the major tracer compounds. As a result, several extra-axonal routes for redistribution of label from the application site into other tissues are present. These include (1) diffusion through tissue membranes to enter directly adjacent tissues and (2) leakage into extracellular fluids within the body cavity, vasculature, lymphatics, exocrine ducts, or organ lumens to migrate to more distant tissues. As a consequence of the extreme sensitivity of the methods used, such redistribution of even minute amounts of label can produce false positives. Review of autonomic neuroanatomy suggests additional mechanisms, including tracer uptake by fibers of passage, can produce artifactual staining. Based on these surveys of tissue composition, tracer characteristics and sources of artifact, experimental controls and criteria for identifying and avoiding labeling artifacts are described. Since no single procedure is foolproof for ANS experimentation, the routine application of multiple controls, particularly ones which restrict or prevent tracer diffusion, are needed.

Synaptic structure of the monoamine and peptide nerve terminals in the intermediolateral nucleus of the guinea pig thoracic spinal cord

Synaptic organization of the intermediolateral nucleus of the guinea pig thoracic spinal cord was examined with particular focus on monoamine- and peptide-containing nerve terminals. Axon varicosities having flat synaptic vesicles constituted 17% of all axons in the nucleus and formed exclusively symmetric synapses. Enkephalin-, substance P-, somatostatin-, 5-hydroxytryptamine-, and catecholamine-immunoreactive nerve terminals were densely distributed, while neurotensin, vasoactive intestinal polypeptide-, oxytocin-, and cholecystokinin-8-immunoreactive nerves were sparse in the nucleus. Coexistence of 5-hydroxytryptamine and enkephalin was demonstrated, and coexistence of somatostatin and enkephalin as well as somatostatin and 5-hydroxytryptamine in the same axons was also shown by serial semithin sections. Catecholamine axons labelled by 5-hydroxydopamine formed axodendritic and axosomatic synapses and made direct synaptic contacts on the preganglionic sympathetic neurons identified by retrograde transport of horseradish peroxidase. Direct synaptic contacts from enkephalin- and substance P-immunoreactive axons to preganglionic sympathetic neurons were also revealed. Enkephalin-, substance P-, and 5-hydroxytryptamine-immunoreactive axons formed axodendritic and axosomatic synapses. Catecholamine axon varicosities constituted 19% of all axon varicosities in the nucleus and 30% of them showed synaptic specializations in a sectional plane. Axon varicosities immunoreactive to enkephalin, 5-hydroxytryptamine, and substance P constituted approximately 35, 19, and 13% of all axon varicosities, respectively, while those with synaptic contacts made up 27, 30, and 26%, respectively, in a sectional plane. Enkephalin-, 5-hydroxytryptamine-, and noradrenaline-immunoreactive axons showed mainly symmetric synaptic contacts.

Rostrocaudal location of sympathetic preganglionic neurones within the third thoracic segment of the cat spinal cord investigated by the retrograde transport of horseradish peroxidase and by recording of antidromic field potentials

The rostrocaudal location of sympathetic preganglionic neurones (SPNs) in the intermediolateral cell column of the third thoracic segment was studied in the cat by the retrograde transport of horseradish peroxidase and by recording of antidromic field potentials in the spinal cord in response to stimulation of white ramus T3. By both methods, the position of the rostral and caudal border of SPNs was determined in relation to the entry of segmental dorsal roots. It was found that SPN's are confined in the spinal cord to the length of one segment (9494 +/- 823 micron), but are shifted rostrally by about 3 mm with respect to the point of entry of the dorsal roots of segment T3.

Light microscopic observations on the morphology of sympathetic preganglionic neurons in the pigeon, Columba livia

Experiments were performed in anesthetized, immobilized, artificially respirated pigeons (Columba livia). Extracellular recordings from 56 antidromically activated and collided sympathetic preganglionic neurons were obtained. Eleven cells were intracellularly labeled with horseradish peroxidase and reconstructed at the light microscopic level. Electrophysiologically there were no statistical differences between labeled and unlabeled neurons. Four different somatic shapes were observed: fusiform, pyriform, multipolar and stellate. Nine of 11 cells were located within the principal preganglionic cell column (column of Terni), the other two were within nucleus intercalatus spinalis. Principal column neurons exhibited planar, horizontally aligned dendritic arbors with major extensions directed rostrocaudally. Unexpectedly, the majority of these cells also had dendritic branch projections which spanned the entire width of the ipsilateral zona intermedia. Contralateral dendritic terminal arborizations were evident in seven neurons. Intercalatus neurons were multipolar-shaped and exhibited a notably different dendritic arrangement from principal column preganglionic cells. The dendrites of intercalated cells coursed obliquely within the transverse spinal cord axis, giving rise to major dendritic extensions into the base of the dorsal horn, the dorsolateral funiculus, and the dorsal aspects of the ventral horn. Irrespective of somatic subnuclear location, the morphology of preganglionic dendrites was similar: (1) Largely primary, secondary, and tertiary processes were smooth. (2) Fine caliber proximal and distal elements appeared beaded or "varicose." (3) Distal processes gave rise to thin-stalked, spine-like appendages. The axons of preganglionic neurons arose from cell bodies as well as primary and secondary dendrites. The axons of two cells branched intraspinally. The present findings provide detailed descriptions of the somatic structures and accompanying dendritic trees of preganglionic neurons within nucleus intercalatus. The observations also include anatomical evidence showing the intraspinal collateralization of sympathetic preganglionic axons. In general, avian sympathetic preganglionic neurons located within the principal cell column appear to be structurally homologous to their mammalian counterparts within the intermediolateral cell column of thoracic spinal cord.

The spinal distribution of sympathetic preganglionic and visceral primary afferent neurons that send axons into the hypogastric nerves of the cat

The spinal distribution of sympathetic preganglionic neurons (PGN) and visceral primary afferent neurons sending axons into the hypogastric nerve of the cat has been studied with HRP tracing techniques. After application of HRP to the cat hypogastric nerve, labeled PGN were identified in segments L2-L5. Most of these neurons were oriented transversely and were divided approximately equally between two nuclei: the principal nucleus and the intercalated nucleus. Cells were distributed in clusters at 160-361-microns intervals along the length of the cord. Sensory neurons were labeled in dorsal root ganglia from T12 to L5. Central axons of these visceral afferents were observed in the medial half of Lissauer's tract from T13 to L7. Afferent axon collaterals extended through lamina I on both sides of the dorsal horn but were most prominent on the lateral side, where they continued into lateral lamina V and VII, often overlapping the dorsal dendrites of PGN in this region. Labeled afferent projections exhibited a periodic distribution in lamina I with clusters of axons occurring at 235-343-microns intervals in the rostrocaudal axis. The central projection of hypogastric nerve primary afferents was qualitatively similar to the distribution of visceral afferent projections at other levels of the spinal cord.

Morphology of sympathetic preganglionic neurons in the thoracic spinal cord of the cat: an intracellular horseradish peroxidase study

Horseradish peroxidase was intracellularly injected into sympathetic preganglionic neurons (SPN) of the third thoracic segment in cats. Seven neurons were reconstructed from serial horizontal or parasagittal sections of the spinal cord. The cell bodies of all neurons were located in the n. intermediolateralis pars principalis (ILp). They were spindle-shaped with the long axis in craniocaudal direction or large and multipolar or small and oval in shape. Preferentially on the cranial and caudal pole of the cell body, five to eight primary dendrites arose from the cell body. Dendritic branches were traced to their terminations at distances up to 1,330 microns from the cell body. The dendritic fields of all SPNs were strictly oriented in the longitudinal direction with a total length of 1,500-2,540 microns. The cranial and caudal dendritic fields were about equal in length but, with one exception, the degree of branching was always greater in the cranial than in the caudal dendritic field. The dendritic fields of all SPNs were primarily restricted to the ILp. In the mediolateral direction it extended from 130 to 360 microns and in the dorsoventral direction from 50 to 180 microns. Only rarely, a higher-order dendrite left the boundaries of the ILp and projected dorsolaterally or laterally into the white matter or ventromedially or medially into the adjacent n. intercalatus. All dendrites showed various forms of spines. At a distance of 132-437 microns from the cell body the axon arose as a direct extension of a process which closely resembled a primary or second-order dendrite. The axons projected ventrally and mostly caudally along the lateral border of the gray matter until they turned laterally at the end of the ventral horn. No axon collaterals were observed.

Tracing of afferent and efferent pathways in the left inferior cardiac nerve of the cat using retrograde and transganglionic transport of horseradish peroxidase

Retrograde and transganglionic transport of horseradish peroxidase (HRP) was used to trace afferent and efferent pathways in the left inferior cardiac nerve of the cat. Cardiac efferent and afferent neurons were located, respectively, in the stellate ganglion (average cell count per experiment:2679) and in the ipsilateral dorsal root ganglia (DRG) from C8 to T9 (average cell count per experiment:213). Labeled cardiac afferent projections to the spinal cord were most dense in segments T2-T6 where they were located in Lissauer's tract and in lamina 1 on the lateral border of the dorsal horn. Labeled afferent axons extended ventrally through lamina 1 into lamina 5 and the dorsolateral region of lamina 7 in proximity to the intermediolateral nucleus. A weak projection was noted on the medial side of the dorsal horn. These sites of termination are similar to projections by other sympathetic afferent pathways (i.e. renal, hypogastric and splanchnic nerves) to the lower thoracic and lumbar spinal cord, indicating that visceral afferents may have a uniform pattern of termination at various segmental levels. This pattern of termination in regions of the gray matter containing spinothalamic tract neurons and neurons involved in autonomic mechanisms is consistent with the known functions of sympathetic afferent pathways in nociception and in the initiation of autonomic reflexes.

Localization of neurotensin-immunoreactivity in the spinal cord and peripheral nervous system of the guinea pig

The mapping of the regional distribution of neurotensin-immunoreactive (NT-IR) fibers and neurons is presented for cervical, thoracic, lumbal and sacral segments of the guinea pig spinal cord. The occurrence of NT-IR fibers in para- and prevertebral ganglia and intramural plexus of viscera is described. It is suggested that NT-IR fibers originating from neurons in the substantia intermedia of the spinal cord are connected with peripheral ganglia.