title: Neurokininergic mechanism within the lateral crescent nucleus of the parabrachial complex participates in the heart-rate response to nociception.
abstract: We wanted to ascertain whether the lateral parabrachial nucleus was involved in mediating the heart-rate response evoked during stimulation of somatic nociceptors. Reversible inactivation of the lateral parabrachial nucleus, using a GABA(A) agonist, reduced the reflex tachycardia evoked during noxious (mechanical) stimulation of the forelimb by approximately 50%. The same effect was observed after blockade of neurokinin 1 receptors within the lateral parabrachial nucleus, indicating a possible involvement for substance P as a neurotransmitter. Immunocytochemistry revealed a strong expression of substance P-immunoreactive fibers and boutons in all lateral subnuclei, but they were particularly dense in the lateral crescent subnucleus. Histological verification showed that the most effective injection sites for attenuating the noxious-evoked tachycardia were all placed in or near to the lateral crescent nucleus of the lateral parabrachial complex. Many single units recorded from this region were activated by high-intensity brachial nerve stimulation. The brachial nerve evoked firing responses of some of these neurons was reversibly reduced after local delivery of a neurokinin 1 receptor antagonist. However, only a minority of these neurons followed a paired-pulse stimulation protocol applied to the spinal cord, suggesting a predominance of indirect projections from the spinal cord to the parabrachial nucleus. We conclude that the cardiac component of the response to somatic nociception involves indirect spinal pathways that most likely excite neurons located in the lateral crescent nucleus of the parabrachial complex via activation of neurokinin 1 receptors.
authors.affiliation: Department of Physiology, School of Medical Sciences, University of Bristol, Bristol BS8 1TD, United Kingdom.
authors.forename: Pedro
authors.initials: P
authors.lastname: Boscan
authors.forename: Mathias
authors.initials: M
authors.lastname: Dutschmann
authors.forename: Horst
authors.initials: H
authors.lastname: Herbert
authors.forename: Julian F R
authors.initials: JF
authors.lastname: Paton
mesh_terms: D000344:Afferent Pathways / Q000503:physiopathology; D000818:Animals; D001917:Brachial Plexus / Q000503:physiopathology; D003655:Decerebrate State; D004525:Efferent Pathways / Q000503:physiopathology; D005260:Female; D018755:GABA Agonists / Q000494:pharmacology; D058785:GABA-A Receptor Agonists; D006339:Heart Rate / Q000502:physiology*; D006973:Hypertension / Q000503:physiopathology; D007539:Isonicotinic Acids / Q000494:pharmacology; D008297:Male; D064729:Neurokinin-1 Receptor Antagonists; D009619:Nociceptors / Q000502:physiology*; D010146:Pain / Q000503:physiopathology; D010880:Piperidines / Q000494:pharmacology; D011149:Pons / Q000503:physiopathology* / Q000648:ultrastructure; D020671:Posterior Horn Cells / Q000502:physiology; D051381:Rats; D017207:Rats, Sprague-Dawley; D018040:Receptors, Neurokinin-1 / Q000502:physiology*; D012018:Reflex / Q000502:physiology; D013116:Spinal Cord / Q000503:physiopathology; D013373:Substance P / Q000502:physiology; D013564:Sympathetic Nervous System / Q000503:physiopathology; D013610:Tachycardia / Q000503:physiopathology*
chemical_list: D018755:GABA Agonists; D058785:GABA-A Receptor Agonists; D007539:Isonicotinic Acids; D064729:Neurokinin-1 Receptor Antagonists; D010880:Piperidines; D018040:Receptors, Neurokinin-1; C080755:3-(2-methoxybenzylamino)-2-phenylpiperidine; D013373:Substance P; C015300:isoguvacine