Karl-Gunnar Westberg

Mechanoreceptor activity from the human face and oral mucosa

SummaryThe feasibility of adopting the microneurography technique (Vallbo and Hagbarth 1968) as a tool to investigate the mechanoreceptive innervation of peri- and intra-oral tissues was explored. Multi-unit activity and impulses in single nerve fibers were recorded from the infraorbital nerve in healthy volunteers. The innervation territories of individual nerve fascicles were mapped. These varied considerably but most fascicle fields comprised the corner of the mouth. Twenty-four single mechanoreceptive units were recorded. Eighteen innervated the skin of the face, and six innervated the mucous membranes of the lips or cheeks. A majority of the mechanoreceptive afferent units were slowly adapting with small and well defined receptive fields. It is suggested that the various slowly adapting responses may originate from two different types of afferent units. No afferents showed response properties similar to typical Pacinian-corpuscle afferents.

Bulbar neurones with axonal projections to the trigeminal motor nucleus in the cat

SummaryThe location of bulbar neurones with axons projecting to the ipsi- and contralateral trigeminal motor nucleus were investigated in cats anaesthetized with sodium pentobarbital. Wheat germ agglutinin-conjugated horseradish peroxidase (WGA-HRP) was injected in amounts of 5–24 nl. A volume-calibrated microelectrode was used for recording of evoked potentials and pressure injection of WGA-HRP. The injection site was guided by the position where a maximal antidromic response was evoked by electrical stimulation of the masseteric nerve. The survival time was 19–22 h. In preparations with the depot located in the masseteric subnucleus retrogradely stained neurones were found bilaterally in the borderzone of the trigeminal motor nucleus. Dense populations of stained neurones were observed ipsi- and contralaterally in the dorsal division of the main sensory trigeminal nucleus and the subnucleus-γ of the oral nucleus of the spinal trigeminal tract. Clusters of WGA-HRP-neurones were observed bilaterally in the lateral tegmental field at the level of the subnucleus-β of the oral nucleus of the spinal trigeminal tract, bilaterally dorsal to the facial nucleus and contralaterally adjacent to the hypoglossal nucleus. No stained neurones were found in the gigantocellular reticular nucleus. A group of stained neurones was located in the marginal nucleus of brachium conjunctivum and some were found in the raphé nuclei near obex. Cell profiles were of two types: medium-sized neurones with a triangular profile and 30–40 μm diameter, and fusiform neurones 10×50–70 μm. Convergence of descending cortical and trigeminal afferent inputs on interneurones located in the lateral borderzone of the trigeminal motor nucleus, i.e. the intertrigeminal area, is reported in the preceding paper.

Identification of brainstem interneurons projecting to the trigeminal motor nucleus and adjacent structures in the rabbit.

Neurons of several nuclei within the medial pontomedullar reticular formation are active during mastication, but their relationship with other elements of the pattern generating circuits have never been clearly defined. In this paper, we have studied the connection of this area with the trigeminal motor nucleus and with pools of last-order interneurons of the lateral brainstem. Retrograde tracing techniques were used in combination with immunohistochemistry to define populations of glutamatergic and GABAergic neurons. Injections of tracer into the Vth motor nucleus marked neurons in several trigeminal nuclei including the ipsilateral mesencephalic nucleus, the contralateral Vth motor nucleus, the dorsal cap of the main sensory nucleus and the rostral divisions of the spinal nucleus bilaterally. Many last-order interneurons formed a bilateral lateral band running caudally from Regio h (the zone surrounding the Vth motor nucleus), through the parvocellular reticular formation and Vth spinal caudal nucleus. Injections of tracer into Regio h, an area rich in last-order interneurons, marked, in addition to the areas listed above, a large number of neurons in the medial reticular formation bilaterally. The major difference between injection sites was that most neurons projecting to the Vth motor nucleus were located laterally, whereas most of those projecting to Regio h were found medially. Both populations contained glutamatergic and GABAergic neurons intermingled. Our results indicate that neurons of the medial reticular formation that are active during mastication influence Vth motoneurons output via relays in Regio h and other adjacent nuclei.

Location of, and peripheral convergence on, the interneurone in the disynaptic path from the coronal gyrus of the cerebral cortex to the trigeminal motoneurones in the cat

SummaryPrimary afferent and descending corticobulbar convergence on 186 interneurones located in the intertrigeminal area was investigated. The experiments were performed on cats anaesthetized with chloralose. Nerves from the three trigeminal dermatomes were stimulated electrically at intensities below and above twice the threshold level. Nerves from oral, perioral and periorbital structures, and afferents from the masseteric and digastric muscles were included. The surface of the cerebral cortex was stimulated electrically in systematically selected, maximally receptive points within the trigeminal primary projection fields. The intertrigeminal neurones generally responded to stimulation of lowthreshold afferents from periodontal, lingual or perioral cutaneous receptors with a polysynaptic latency. Inputs from 3–5 nerves were common but one afferent input was usually most effective. The neurones were generally discharged from two or more cortical points, as a rule those of the oral and perioral projection fields in areas 3a and 3b of the coronal gyrus. The fastest path from the cerebral cortex to the intertrigeminal area was monosynaptic. However, the median latency was 4–5 ms which indicates an oligosynaptic path. The path went through the pyramide at the pontine level. The discharge pattern of the intertrigeminal neurones was 1–4 spikes in 54% of the neurones and a high frequency train of spikes in 46%. Cortical excitation followed by inhibition of the neurones was observed. The neurones were not discharged by electrical stimulation in the defence-attack area of the hypothalamus. Transsynaptic responses evoked from the mesencephalon were seen in 1/3 of the tested neurones.

Evidence for functional compartmentalization of trigeminal muscle spindle afferents during fictive mastication in the rabbit.

Primary afferent neurons innervating muscle spindles in jaw‐closing muscles have cell bodies in the trigeminal mesencephalic nucleus (NVmes) that are electrically coupled and receive synapses. Each stem axon gives rise to a peripheral branch and a descending central branch. It was previously shown that some spikes generated by constant muscle stretch fail to enter the soma during fictive mastication. The present study examines whether the central axon is similarly controlled. These axons were functionally identified in anaesthetized and paralysed rabbits, and tonic afferent firing was elicited by muscle stretch. For the purpose of comparison, responses were recorded extracellularly both from the somatic region and from the central axon in the lateral brainstem. Two types of fictive masticatory movement patterns were induced by repetitive stimulation of the masticatory cortex and monitored from the trigeminal motor nucleus. Field potentials generated by spike‐triggered averaging of action potentials from the spindle afferents were employed to determine their postsynaptic effects on jaw‐closing motoneurons. Tonic firing of 32% NVmes units was inhibited during the jaw‐opening phase, but spike frequency during closing was almost equal to the control rate during both types of fictive mastication. A similar inhibition occurred during opening in 83% of the units recorded along the central branch. However, firing frequency in these was significantly increased during closing in 94%, probably because of the addition of antidromic action potentials generated by presynaptic depolarization of terminals of the central branch. These additional spikes do not reach the soma, but do appear to excite motoneurons. The data also show that the duration and/or frequency of firing during the bursts varied from one pattern of fictive mastication to another. We conclude that the central axons of trigeminal muscle spindle afferents are functionally decoupled from their stem axons during the jaw‐closing phase of mastication. During this phase, it appears that antidromic impulses in the central axons provide one of the inputs from the masticatory central pattern generator (CPG) to trigeminal motoneurons.

Integration in trigeminal premotor interneurones in the cat

SummarySeventy-one (n = 71) premotor interneurones have been localized by extracellular recordings within the subnucleus-γ of the oral nucleus of the spinal trigeminal tract (NVspo-γ) in nineteen chloralose anaesthetized cats. The neurons were antidromically activated by microstimulation (minimum = 3μA) applied to the digastric motoneurone subnucleus of the trigeminal motor nucleus. Fifty-one (n = 51) of the interneurones were discharged from the ipsiand nineteen (n = 19) from the contralateral digastric subnucleus. One neurone out of four tested was antidromically activated from both stimulation sites suggesting a bifurcated axon. The identified premotor neurones had a unique convergence profile of oral and perioral primary afferents. Latency calculations indicated that at least 55% of these interneurones were monosynaptically activated by low stimulus strength applied to the inferior alveolar (minimum=1.0 T) and/or the lingual nerve (minimum=1.0 T). The thresholds for evoking the neuronal discharges coincided statistically with those required to evoke a jaw opening reflex response by stimulation of the same nerves. It is suggested that the specific group of NVspo-γ interneurones under different contexts mediates the disynaptic reflex and participates in the centrally and reflexly evoked “patterning” adjustments of the digastric jaw opening motoneurones during ongoing jaw movements. A companion paper reports the convergence of descending cortical, tectal and ascending cervical inputs, as well as of oro-facial and neck primary afferent inputs onto an unselected population of interneurones in the NVspo-γ (Westberg and Olsson 1991).

The Trigeminal Circuits Responsible for Chewing

Mastication is a vital function that ensures that ingested food is broken down into pieces and prepared for digestion. This review outlines the masticatory behavior in terms of the muscle activation patterns and jaw movements and gives an overview of the organization and function of the trigeminal neuronal circuits that are known to take part in the generation and control of oro-facial motor functions. The basic pattern of rhythmic jaw movements produced during mastication is generated by a Central Pattern Generator (CPG) located in the pons and medulla. Neurons within the CPG have intrinsic properties that produce a rhythmic activity, but the output of these neurons is modified by inputs that descend from the higher centers of the brain, and by feedback from sensory receptors, in order to constantly adapt the movement to the food properties.

Assessment of the Potential Role of Muscle Spindle Mechanoreceptor Afferents in Chronic Muscle Pain in the Rat Masseter Muscle

Background The phenotype of large diameter sensory afferent neurons changes in several models of neuropathic pain. We asked if similar changes also occur in “functional” pain syndromes. Methodology/Principal Findings Acidic saline (AS, pH 4.0) injections into the masseter muscle were used to induce persistent myalgia. Controls received saline at pH 7.2. Nocifensive responses of Experimental rats to applications of Von Frey Filaments to the masseters were above control levels 1–38 days post-injection. This effect was bilateral. Expression of c-Fos in the Trigeminal Mesencephalic Nucleus (NVmes), which contains the somata of masseter muscle spindle afferents (MSA), was above baseline levels 1 and 4 days after AS. The resting membrane potentials of neurons exposed to AS (n = 167) were hyperpolarized when compared to their control counterparts (n = 141), as were their thresholds for firing, high frequency membrane oscillations (HFMO), bursting, inward and outward rectification. The amplitude of HFMO was increased and spontaneous ectopic firing occurred in 10% of acid-exposed neurons, but never in Controls. These changes appeared within the same time frame as the observed nocifensive behaviour. Ectopic action potentials can travel centrally, but also antidromically to the peripheral terminals of MSA where they could cause neurotransmitter release and activation of adjacent fibre terminals. Using immunohistochemistry, we confirmed that annulospiral endings of masseter MSA express the glutamate vesicular transporter VGLUT1, indicating that they can release glutamate. Many capsules also contained fine fibers that were labelled by markers associated with nociceptors (calcitonin gene-related peptide, Substance P, P2X3 receptors and TRPV1 receptors) and that expressed the metabotropic glutamate receptor, mGluR5. Antagonists of glutamatergic receptors given together with the 2nd injection of AS prevented the hypersensitivity observed bilaterally but were ineffective if given contralaterally. Conclusions/Significance Low pH leads to changes in several electrical properties of MSA, including initiation of ectopic action potentials which could propagate centrally but could also invade the peripheral endings causing glutamate release and activation of nearby nociceptors within the spindle capsule. This peripheral drive could contribute both to the transition to, and maintenance of, persistent muscle pain as seen in some “functional” pain syndromes.

Discharge patterns of neurons in the medial pontobulbar reticular formation during fictive mastication in the rabbit

In this study, we describe functional characteristics of neurons forming networks generating oral ingestive motor behaviours. Neurons in medial reticular nuclei on the right side of the brainstem between the trigeminal and hypoglossal motor nuclei were recorded in anaesthetized and paralysed rabbits during two types of masticatory‐like motor patterns induced by electrical stimulation of the left (contralateral) or right (ipsilateral) cortical masticatory areas. Sixty‐seven neurons in nucleus reticularis pontis caudalis (nPontc), nucleus reticularis parvocellularis (nParv), and nucleus reticularis gigantocellularis (Rgc) were studied. These were classified as phasic or tonic depending on their firing pattern during the fictive jaw movement cycle. Phasic neurons located in the dorsal part of nPontc were active during the jaw opening phase, whilst those in dorsal nParv tended to fire during the closing phase. In most neurons, burst duration and firing frequency changed between the two motor patterns, but there was little change in phase of firing. Tonic units were mainly recorded in the ventral half of nPontc, and at the junction between Rgc and caudal nParv. Cortical inputs with short latency from the contralateral masticatory area were more frequent in phasic (82%) than tonic (44%) neurons, whilst inputs from the ipsilateral cortex were equal in the two subgroups (57% and 56%). Phasic neurons had significantly shorter mean contralateral than ipsilateral cortical latencies, whilst there was no difference among tonic neurons. Intra‐ and perioral primary afferent inputs activated both types of neurons at oligo‐synaptic latencies. Our results show that subpopulations of neurons in medial reticular nuclei extending from the caudal part of the trigeminal motor nucleus to the rostral third of the hypoglossal motor nucleus are active during the fictive masticatory motor behaviour. Unlike masticatory neurons in the lateral tegmentum, the medial subpopulations are spatially organized according to discharge pattern.

Physiological characterization, localization and synaptic inputs of bursting and nonbursting neurons in the trigeminal principal sensory nucleus of the rat

A population of neurons in the trigeminal principal sensory nucleus (NVsnpr) fire rhythmically during fictive mastication induced in the in vivo rabbit. To elucidate whether these neurons form part of the central pattern generator (CPG) for mastication, we performed intracellular recordings in brainstem slices taken from young rats. Two cell types were defined, nonbursting (63%) and bursting (37%). In response to membrane depolarization, bursting cells, which dominated in the dorsal part of the NVsnpr, fired an initial burst followed by single spikes or recurring bursts. Non‐bursting neurons, scattered throughout the nucleus, fired single action potentials. Microstimulation applied to the trigeminal motor nucleus (NVmt), the reticular border zone surrounding the NVmt, the parvocellular reticular formation or the nucleus reticularis pontis caudalis (NPontc) elicited a postsynaptic potential in 81% of the neurons tested for synaptic inputs. Responses obtained were predominately excitatory and sensitive to glutamatergic antagonists DNQX and/or APV. Some inhibitory and biphasic responses were also evoked. Bicuculline methiodide or strychnine blocked the IPSPs indicating that they were mediated by GABAA or glycinergic receptors. About one‐third of the stimulations activated both types of neurons antidromically, mostly from the masseteric motoneuron pool of NVmt and dorsal part of NPontc. In conclusion, our new findings show that some neurons in the dorsal NVsnpr display both firing properties and axonal connections which support the hypothesis that they may participate in masticatory pattern generation. Thus, the present data provide an extended basis for further studies on the organization of the masticatory CPG network.