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Volume 16, Number 11,
Issue of June 1, 1996
pp. 3775-3789
Copyright ©1996 Society for Neuroscience
A Primary Acoustic Startle Pathway: Obligatory Role of Cochlear
Root Neurons and the Nucleus Reticularis Pontis Caudalis
Younglim Lee1,
Dolores E. López2,
Edward G. Meloni1, and
Michael Davis1
1 Yale University School of Medicine, Abraham Ribicoff
Research Facilities of The Connecticut Mental Health Center, New Haven,
Connecticut 06508, and 2 Departamento de Biología
Celular y Patología, Facultad de Medicina, Universidad de
Salamanca, Salamanca, Spain
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
CONCLUSION
FOOTNOTES
REFERENCES
ABSTRACT
Davis et al. (1982) proposed a primary acoustic startle circuit in
rats consisting of the auditory nerve, posteroventral cochlear nucleus,
an area near the ventrolateral lemniscus (VLL), nucleus reticularis
pontis caudalis (PnC), and spinal motoneurons. Using fiber-sparing
lesions, the present study reevaluated these and other structures
together with the role of neurons embedded in the auditory nerve
[cochlear root neurons (CRNs)], recently hypothesized to be involved
in acoustic startle. Small electrolytic lesions of the VLL or
ventrolateral tegmental nucleus (VLTg) failed to eliminate startle.
Large electrolytic lesions including the rostral ventral nucleus of the
trapezoid body (rVNTB) and ventrolateral parts of PnC or lesions of the
entire PnC blocked startle. However, small NMDA-induced lesions of the
rVNTB failed to block startle, making it unlikely that the rVNTB itself
is part of the startle pathway. In contrast, NMDA lesions of the full
extension of the ventrolateral part of the PnC blocked startle
completely, suggesting that the ventrolateral part of the PnC is
critically involved. Bilateral kainic acid lesions of CRNs also blocked
the startle reflex completely, providing the first direct evidence for
an involvement of CRNs in startle. This blockade probably was not
caused by damage to the auditory nerve, because the lesioned animals
showed intact compound action potentials recorded from the ventral
cochlear nucleus. Hence, a primary acoustic startle pathway may involve
three synapses onto (1) CRNs, (2) neurons in PnC, and (3) spinal
motoneurons.
Key words:
startle;
cochlear root neurons;
reticular
formation;
cochlear nucleus;
compound action potential;
lateral
lemniscus;
ventral tegmentum
INTRODUCTION
The acoustic startle reflex is a short-latency
behavior elicited by a sudden and intense acoustic stimulus. The
amplitude of the acoustic startle reflex can be modified by various
behavioral and pharmacological treatments. In rodents, startle exhibits
within as well as between session habituation (Prosser and Hunter,
1936 ; Landis and Hunt, 1939 ; Hoffman and Stitt, 1969 ; Davis, 1970 ;
Groves and Thompson, 1970 ; Leaton, 1976 ; Adams and Geyer, 1981 ;
Kokkinidis, 1986 ; Leaton and Supple, 1986 ; Swerdlow et al., 1986 ; Geyer
and Braff, 1987 ; Jordan, 1989 ; Parham and Willott, 1990 ), sensitization
to environmental stimuli (Groves and Thompson, 1970 ; Davis, 1974 ; Cory
and Ison, 1979 ; Russo and Ison, 1979 ), prepulse facilitation and
inhibition (Hoffman et al., 1969 ; Ison and Hammond, 1971 ; Hoffman and
Ison, 1980 ; Ison, 1982 ; Mansbach and Geyer, 1991 ; Swerdlow et al.,
1992 ; Koch et al., 1993 ), and enhancement by previous fear conditioning
(Brown et al., 1951 ; Davis and Astrachan, 1978 ) or shock stress (Korn
and Moyer, 1965 ; Davis, 1989 ; Krase et al., 1994 ). Furthermore, the
acoustic startle response (cf. Davis, 1980 ), as well as
fear-potentiated startle (cf. Davis et al., 1993 ) and prepulse
inhibition (cf. Swerdlow et al., 1992 ), is sensitive to a variety of
different drugs, making the reflex a useful animal model of
sensorimotor reactivity, fear, and attention. Finally, results obtained
in rats have consistently proven to generalize to humans (Landis and
Hunt, 1939 ; Davis and Heninger, 1972 ; Graham, 1975 ; Braff et al., 1978 ;
Ornitz et al., 1986 ; Lang et al., 1990 ; Grillon et al., 1991 ; Braff et
al., 1992 ; Cook et al., 1992 ; Bradley et al., 1993 ; Fillon et al.,
1993 ; Lipp et al., 1994 ).
Because the acoustic startle reflex has an extraordinarily short
latency (e.g., 6-8 msec measured electromyographically in the hindleg
muscles) (Ison et al., 1973 ), it must be mediated by a simple pathway.
Using a variety of techniques, our laboratory proposed a primary
acoustic startle circuit in rats that consisted of the auditory nerve,
posteroventral cochlear nucleus (PVCN), an area ventral and medial to
the ventral nucleus of the lateral lemniscus (VLL), the nucleus
reticularis pontis caudalis (PnC), and motoneurons in the spinal cord
(Davis et al., 1982 ).
Although lesion and stimulation data generally supported different
aspects of this circuitry (Davis et al., 1982 ; Yeomans et al., 1989 ;
Pellet, 1990 ; Koch et al., 1992 ; Yeomans and Cochrane, 1993 ; Yeomans et
al., 1993 ; Lingenhöhl and Friauf, 1994 ; Frankland et al., 1995 ),
relatively large lesion sizes and the nonselective nature of
electrolytic lesions and electrical stimulation did not allow us to
delineate definitely some important details throughout the proposed
neural pathway. For example, lesions of the VLL in the original study
often included the paralemniscal zone (PL), the ventrolateral tegmental
area (VLTg), the rostral part of the ventral nucleus of the trapezoid
body (rVNTB, called the rostroperiolivary region by some authors), and
the anterior and ventrolateral areas of the PnC. Therefore, the present
studies reevaluated the role of structures implicated previously in the
primary acoustic startle circuit using discrete bilateral electrolytic
and chemical lesion techniques.
In addition, we also evaluated the possible role of cochlear root
neurons (CRNs) in acoustic startle responses. In several species
including rats and humans, a cluster of neurons have been found
embedded in the eighth cranial nerve. The CRNs receive input from the
cochlea and give off collaterals terminating contralaterally in the
ventrolateral part of the PnC (López et al., 1993b ). Because it
has been suggested that CRNs may be involved in the acoustic startle
response (López et al., 1993a ,b; Lingenhöhl and Friauf,
1994 ), we also tested their role in the acoustic startle reflex.
MATERIALS AND METHODS
Animals. The animals were male albino Sprague-Dawley
rats (Charles River, Wilmington, MA) that weighed between 330 and 370 gm. Before surgery, the rats were housed in group cages of three and
maintained on a 12 hr light/dark cycle (light on at 7:00 A.M.) with
food and water continuously available. After surgery, the animals were
housed singly.
Startle apparatus. Five separate stabilimeters were used to
record the amplitude of the startle responses. Each stabilimeter
consisted of an 8 cm × 15 cm × 15 cm Plexiglas and wire mesh cage
suspended between compression springs within a steel frame. Cage
movement resulted in displacement of an accelerometer where the
resultant voltage was proportional to the velocity of cage
displacement. The analog output of the accelerometer was amplified and
digitized on a scale of 0-4096 units by a MacADIOS II board (GW
Instruments, Somerville, MA) interfaced to a Macintosh II
microcomputer. Startle amplitude was defined as the peak accelerometer
voltage that occurred during the first 200 msec after onset of the
startle stimulus. The stabilimeters were housed in a ventilated,
sound-attenuating chamber (2.5 m × 2.5 m × 2 m) (Industrial
Acoustic).
The startle stimuli were delivered by high-frequency speakers (Radio
Shack Supertweeters, range, 5-40 kHz) located 10 cm behind each
stabilimeter. High-frequency startle stimuli were 50 msec bursts of
white noise, generated by a Lafayette 15011 noise generator (0.02-20
kHz), with a rise-decay time of 5 msec at various intensities (90, 95, 100, 105, or 115 dB). Throughout all experiments, background white
noise (0.02-20 kHz) of 55 dB sound pressure level (SPL) was provided
by a white noise generator (Grason-Stadler, model 901B) and delivered
by a single Jamocar 70 speaker (range, 0.02-20 kHz) located ~70 cm
in front of each cage. SPL measurements were made with a Brüel & Kjær (Marlborough, MA) condenser microphone (type 4133) fitted to a
Brüel & Kjær model 2235 sound-level meter (A scale; random
input).
Matching. One day before surgery, animals were placed in the
startle chambers and, after a 5 min acclimation period, presented with
30 startle stimuli, 10 at each of three intensities (either 90, 95, and
105 dB or 100, 105, and 115 dB) in a semirandom order at a 30 sec
interstimulus interval. For NMDA-lesion and kainic acid lesion studies,
the animals' activity levels also were recorded by measuring the cage
movement in the absence of the startle-eliciting noise bursts. These
activity samples occurred 15 sec after each startle trial. The animals
subsequently were divided into sham or lesion groups, having similar
mean startle amplitudes across the 10 stimuli at each intensity.
Electrolytic lesions. Rats were anesthetized with chloral
hydrate (400 mg/kg, i.p.) and placed in a Kopf stereotaxic instrument
(model 900) with blunt earbars. The skin was retracted, and bilateral
holes were drilled in the skull above the structures to be lesioned. An
NE-300 electrode (0.25 mm diameter, insulated to within 0.5 mm of the
tip) (Rhodes Medical Instruments) was lowered into the brain, and a
lesion was made by passing a 0.1 mA DC current (anode in the brain) for
10-20 sec. Bilateral lesions were made in the VLL (n = 20),
PL/VLTg (n = 20), and the rVNTB (n = 30).
Bilateral lesions were made using the following coordinates relative to
bregma and the following times: VLL, 8.4 mm to bregma
[anterior-posterior (AP)], ± 2.3 mm lateral to midline
[medial-lateral (ML)], 9.3 mm ventral from skull [dorsal-ventral
(DV); 10 sec]; PL/VLTg, 8.3 mm AP, ± 1.6 mm ML, 9 mm DV (15 sec);
rVNTB, 8.3 mm AP, ± 1.5 mm ML, 10.3 mm DV (20 sec). The procedure
for the sham lesion (n = 5 for each location) was identical,
except that no current was delivered.
NMDA lesions. NMDA (Sigma, St. Louis, MO) was dissolved in
0.1 M phosphate buffer (PB), pH 7.4. The animals
were anesthetized with Nembutal (50 mg/kg, i.p.) and placed in a Kopf
stereotaxic instrument (model 900) with blunt earbars. The skin was
retracted, a hole was drilled in the skull, and a 1 µl Hamilton
syringe (model 7002) filled with NMDA solution (2 mg/100 µl) was
lowered into the structure of interest. Five minutes later, 100 or 200 nl of NMDA solution was infused at a rate of 100 nl/2 min. After the
infusion, the syringe remained in the brain for 10 min. All infusions
were made bilaterally, and the animals were kept warm with a heating
lamp throughout the operation. Lesions were placed in the area of the
rVNTB/PnC (n = 20) and the ventrolateral part of the PnC
(n = 20) using the following coordinates relative to bregma:
rVNTB, 8.0 mm AP, ± 1.5 mm ML, 10.3 mm DV; PnC, 9.3 mm AP, ± 1.3 mm ML, 10.3 mm DV. For the control animals (n = 15), an
equivalent amount of PBS was infused into the ventrolateral part of the
PnC using the procedures described above.
Kainic acid lesions. Because preliminary data showed that
NMDA failed to destroy CRNs after local infusion into the auditory
nerve, kainic acid was used to destroy these cells. The animals were
anesthetized with Nembutal (50 mg/kg, i.p.) and secured in a Kopf model
1430 stereotaxic frame assembly. To minimize bleeding and trauma to the
middle ear, we chose to gain access to the CRNs by inserting a glass
micropipette through the cerebellum and then out through the skull via
the internal acoustic meatus. To do this, it was necessary to use an
angled approach to gain access to these neurons and to use the base of
the lambdoid suture as a reference point. The electrode carrier (model
1455) of the stereotaxic instrument was adjusted 20° to the right,
and the swivel was fixed at level +6 (turn to left) to reach the left
CRNs. To reach the right CRNs, the swivel level was changed to 6
(turn to right), without adjusting the angle of the electrode carrier.
The coordinates relative to the base of lambda were 0.9 mm AP, ± 4.3 mm ML, and 0.0 mm DV. Kainic acid (Sigma) was dissolved in 0.1 M PB, pH 7.4, at a concentration of 30 mmol (6.4 mg/ml). In 40 animals, bilateral pressure injection of kainic acid into
CRNs was made by using a 3-mm-wide glass pipette pulled to a tip
diameter of 50 µm, attached to a Hamilton microsyringe (model 7002).
After the proper adjustments were made, the pipette attached to the
microsyringe was lowered gently into the brain through the inside of
the skull and out through the entrance of the internal acoustic meatus
into the auditory nerve. A volume of 200 nl of kainic acid solution was
infused at a rate of 100 nl/2 min. After infusion, the pipette remained
inside the eighth cranial nerve for 10 min. In 15 control animals, an
equivalent amount of PBS was infused, using the procedures described
above. The animals were kept warm during the operation with a heating
lamp.
Startle response test. After 7-10 d of recovery, the
animals again were placed in the startle chambers and given a startle
test identical to the matching test.
Compound action potential recording. Because the cell bodies
of the CRNs are embedded within the auditory nerve fibers, the
integrity of auditory function was examined after the kainic acid
lesioning of the CRNs. After the startle response test, auditory evoked
field potentials (the compound action potentials) were recorded from
the ventral cochlear nucleus (VCN) in representative animals that
received bilateral kainic acid (n = 3) or sham lesions
(n = 3) of the CRNs. The three animals in the bilateral
kainic acid lesion group were chosen because they had a total blockade
of the acoustic startle reflex. To be sure that the compound action
potential methodology would detect damage to the auditory nerve, six
other control rats were given unilateral electrolytic lesions of the
CRNs. These animals were anesthetized with Nembutal (50 mg/kg, i.p.)
and subjected to electrolytic lesioning of the CRNs using the identical
angled approach to the CRNs described above. An NE-300 electrode (0.25 mm diameter, insulated to within 0.5 mm of the tip) (Rhodes Medical
Instruments) was lowered into the brain, and a lesion was made by
passing a 0.1 mA DC current (anode in the brain) for 30 sec. Lesions
were made unilaterally.
Ten days after sham, kainic acid, or electrolytic lesioning of the
CRNs, all animals were anesthetized with Nembutal (50 mg/kg, i.p.) and
placed in a Kopf stereotaxic instrument with blunt, hollow earbars. Two
holes were drilled in the skull (AP 10.8 mm and ML ± 3.8 mm), and
30-gauge stainless steel cannulas were lowered bilaterally into the
ventral cochlear nucleus to a point 6 mm below the dura. A bundle of
four, 25 µm nichrome wires then was lowered stereotaxically through
each guide cannula until the compound action potential could be
recorded from each cochlear nucleus in response to acoustic stimuli.
Dental cement and 0-80 jeweler's screws secured to the top of the
skull held the wire bundles in place when the animals were removed from
the stereotaxic device to record compound action potentials.
The acoustic stimuli used to produce these potentials were 2 msec white
noise pulses or 10 kHz tones produced by a tone generator (Wavetek,
model 182A) connected to an electronic switch (Grason-Stadler, model
829E) to provide a 0.5 msec rise-fall time. The auditory stimuli were
delivered through a high-frequency speaker (Radio Shack supertweeter)
placed 3 m above the animals so that all of the electrical artifacts
occurred ~3 msec before the sound pressure wave actually reached the
animal's ear, allowing artifact-free measurement of the compound
action potential. The intensity of the acoustic stimuli (70, 80, and 90 dB) was measured at the animal's ear with a sound-level meter
(Brüel & Kjær, model 2235, A scale) presented over an ambient
noise level of 45 dB from a white noise generator. The compound action
potential was passed through a Fintronics single-unit amplifier (gain
4000×), filtered (0.4-6 kHz), and fed in parallel to an oscilloscope
and through an analog-to-digital converter to an IBM AT computer. The
compound action potential was recorded and analyzed using an Enhanced
Graphics Acquisition and Analysis program (R. C. Electronics,
Computerscope).
Biotinylated dextran amine (BDA) injections in the CRNs.
To visualize the trajectory and termination of CRNs, an
anterograde tracer, BDA, was infused into the CRNs. Using the angled
approach described above, unilateral injections of a 10% solution of
BDA (Molecular Probes, Eugene, OR) in saline were iontophoretically
made into the CRNs by passing pulses of positive current (3-5 µA DC,
duty cycle 7 sec) for 15 min. The micropipette was left in place for 15 min after finishing the injection to minimize the leakage of BDA along
the electrode track. After a 1 week survival, the animals were
anesthetized deeply and perfused intracardially with a mixture of
aldehydes (paraformaldehyde 1%, glutaraldehyde 1.25% in PB 0.1 M, pH 7.4). After a cryoprotection in 30%
sucrose in PB, 0.1 M, pH 7.4, frozen sections of
the brainstem (40 µm thick) were processed to visualize the tracer by
standard ABC methods. In short, the sections were rinsed in PB and
incubated in Vectastain ABC reagent (1:225) for 90 min. Tissue-band
peroxidase was visualized by incubating the sections with 0.07%
3,3 diaminobenzidine and 0.003% hydrogen peroxide in Tris buffer (0.1 M, pH 7.6) for 10-15 min. Finally, the sections
were dehydrated gradually using a series of ethanol solutions in
increasing concentrations and mounted for light microscopic
examination. Alternate 40 µm sections were counterstained with cresyl
violet.
Histology: electrolytic lesion and NMDA lesion studies.
All animals were killed by chloral hydrate overdose and perfused
intracardially with 0.9% saline followed by 10% formalin. The brains
then were removed and stored in 10% formalin containing 30% sucrose
for at least 3 d. Subsequently, 40 µm frozen coronal sections were
cut through the areas containing the lesions, and every third section
was mounted on gelatin-coated slides. For verification of the
electrolytic lesions, the brain sections were stained with cresyl
violet. For NMDA lesion verification, the brain sections were stained
using the Klüver-Barrera method (Klüver and Barrera, 1953 )
to assess damage to cell bodies versus fibers of passage
separately.
Histology: kainic acid lesion and CRN-projection studies.
Because CRNs are stained very clearly with Calbindin, we used
Calbindin immunohistochemical stain for histological verification of
CRNs lesions. The animals were killed by chloral hydrate overdose and
perfused intracardially with 100 ml of 0.1 M PB,
pH 7.4, containing 0.5% of sodium nitrite (Sigma) followed by 1 l of
0.1 M PB, pH 7.4, fixative solution containing
4% paraformaldehyde (Fisher Scientific, Orangeburg, NY), 0.12%
glutaraldehyde (Fisher Scientific), and 15% saturated solution of
picric acid (Sigma). This extensive perfusion procedure was necessary
to remove the brains without damaging the eighth nerve and to enhance
the tissue reactivity for the immunohistochemical procedure.
Subsequently, 40 µm frozen coronal sections were cut through the
brainstem, and every third section was mounted on gelatin-coated slides
and prepared for Calbindin staining.
The sections were washed in several changes of PBS and incubated
free-floating for 36 hr at 4°C in the primary monoclonal antibody
1/200 (Sigma, ref. C8666) in PBS containing 10% fetal calf serum and
0.3% Triton X-100 0.1 M. The sections were
washed in PBS and incubated by gentle shaking with biotinylated
anti-mouse immunogammaglobulin (Vector Laboratories, Burlingame, CA,
ref. PK 4002) and diluted 1:200 (in PBS containing 10% fetal calf
serum and 0.3% Triton X-100 0.1 M) for 2 hr at
room temperature. After being rinsed in PBS, the sections were
processed by standard ABC method (see previous section). Finally, the
sections were dehydrated in a series of ethanol solutions in increasing
concentrations and mounted with Entellán using coverslips. To
minimize the background endogenous peroxidase reaction before the ABC
incubation, the sections were maintained for 10 min in a mixture of
buffer, methanol, and commercial (30%) hydrogen peroxide in a ratio of
8:1:1.
RESULTS
Electrolytic lesions
Four VLL, 2 PL/VLTg, and 12 rVNTB animals were excluded after
histology because of misplaced lesions, leaving successful electrolytic
lesions in 16 VLL, 18 PL/VLTg, and 18 rVNTB animals. Because of their
anatomical proximity, lesions of the rVNTB always encroached on some
part, if not all, of the area just ventral to the posterior aspect of
the ventrolateral part of the nucleus reticularis pontis oralis (PnO).
Eight of the 18 lesioned animals retained for analysis had rVNTB
lesions combined with lesions of the posterior aspect of the
ventrolateral part of the PnO, whereas 10 animals from the intended
rVNTB lesion group showed complete lesions of the posterior aspect of
the ventrolateral part of the PnO as well as the ventrolateral part of
the PnC without damaging the rVNTB area. Therefore, data from these two
subgroups of animals were analyzed separately. Histological
reconstructions of the smallest and largest electrolytic lesions of the
VLL, the PL/VLTg, the rVNTB plus the posterior aspect of the
ventrolateral part of the PnO, and the posterior aspect of the
ventrolateral part of the PnO plus the ventrolateral part of the PnC
are presented with their behavioral data in Figures 1
and 2.
Fig. 1.
Mean startle amplitude elicited by three different
noise burst intensities before and after electrolytic lesioning of the
VLL (A), or the VLTg (B), or sham lesioning of
these areas (C). Histological reconstructions, based on the
atlas of Paxinos and Watson (1986) , of the smallest (left)
and the largest (right) electrolytic lesions aimed at the
VLL and the PL/VLTg are shown next to the behavioral data. Three plates
(bregma 7.80, 8.00, and 8.30 mm) used in histological
reconstructions of lesions were taken from Paxinos and Watson
(1986) .
[View Larger Version of this Image (38K GIF file)]
Fig. 2.
Mean startle amplitude elicited by three different
noise burst intensities before and after electrolytic lesioning of the
rVNTB combined with the ventrolateral part of the PnO (A),
the ventrolateral part of the PnC alone (B), or sham
electrolytic lesioning of the rVNTB or the PnC (C).
Asterisk indicates a significant pre- to postreduction
(p < 0.01) in startle amplitude at a given noise burst
intensity. Histological reconstructions of the smallest
(left) and the largest (right) electrolytic
lesions aimed at the rVNTB/ventrolateral part of the PnO, and the
ventrolateral part of the PnC are shown next to the behavioral data.
Plates (A, bregma 8.00, 8.30, and 9.16 mm;
B, bregma 8.30, 9.16, and 9.68 mm) used in
histological reconstructions of lesions were taken from Paxinos and
Watson (1986) .
[View Larger Version of this Image (38K GIF file)]
The left panels of Figure 1, A and B, show that
electrolytic lesions of either the VLL or the PL/VLTg did not reduce
the amplitude of the startle reflex elicited by the three different
noise burst intensities (90, 95, and 105 dB). The right panels of
Figure 1, A and B, show histological
reconstructions of the largest and smallest lesions of the VLL and
PL/VLTg, respectively. Sham electrolytic lesions of the VLL and the
PL/VLTg failed to reduce startle amplitudes, so the data were combined
and presented in Figure 1C.
The left panel of Figure 2A shows that lesions of the rVNTB
plus the posterior aspect of the ventrolateral part of the PnO
significantly reduced startle amplitude elicited by either 90 dB
(t(7) = 2.95, p < 0.022), 95 dB
(t(7) = 5.00, p < 0.002), or
105-dB (t(7) = 6.93, p < 0.000)
white noise bursts. However, there was still a significant amount of
startle in these animals, especially at the 105 dB test intensity. The
right panel of Figure 2A shows histological reconstructions
of the largest and smallest lesions of the rVNTB plus the posterior
aspect of the ventrolateral part of the PnO. On the other hand, the
left panel of Figure 2B shows that electrolytic lesions of
the posterior aspect of the ventrolateral part of the PnO plus the
ventrolateral part of the PnC resulted in a total blockade of startle
at each the three test intensities (90 dB,
t(9) = 6.80, p < 0.000; 95 dB,
t(9) = 7.94, p < 0.000; 105 dB,
t(9) = 10.23, p < 0.000). The
right panel of Figure 2B shows histological reconstructions
of the largest and smallest lesions of the posterior aspect of the
ventrolateral part of the PnO plus the ventrolateral part of the PnC.
Sham electrolytic lesions of these various areas did not reduce startle
amplitudes, so the data were combined and are shown in Figure
2C.
NMDA lesions
Of the 40 original rats with NMDA-induced lesions of the rVNTB and
PnC, 21 were excluded because of misplaced lesions and/or mostly
unilateral damage. Of the 19 remaining animals, 5 were judged to have
extensive cell loss in the rVNTB and minor cell loss in the posterior
aspect of the ventrolateral part of the PnO; 6 to have extensive cell
loss in both the rVNTB and the posterior aspect of the ventrolateral
part of the PnO and partial cell loss in the anterior aspects of the
ventrolateral part of the PnC, and 8 to have extensive cell loss in
both the posterior aspect of the ventrolateral part of the PnO and the
anterior and posterior aspects of the ventrolateral part of the PnC
without cell loss in the rVNTB.
The left panel of Figure 3A shows that rats
with extensive cell loss in the rVNTB and minor cell loss in the
posterior aspect of the ventrolateral part of the PnO showed a partial
decrease in startle that was statistically significant only at the 105 dB test intensity (t(4) = 5.38, p < 0.006). However, this partial reduction in startle
probably was not caused by lesions of the rVNTB per se, because some
cases (n = 2) were found which had no reduction in startle
despite lesions that included both the rVNTB and areas rostral to the
rVNTB (data not shown). The right panel of Figure 3A shows
histological reconstructions of the largest and smallest lesions of
rVNTB and the posterior aspect of the ventrolateral part of the PnO
(area 1). The left panel of Figure 3B shows that rats with
extensive cell loss in both the rVNTB and the posterior aspect of the
ventrolateral part of the PnO and partial cell loss in the anterior
aspects of the ventrolateral part of the PnC showed a larger loss of
startle that was significant at all three stimulus intensities (90 dB,
t(5) = 4.38, p < 0.007; 95 dB,
t(5) = 5,97, p < 0.002; 105 dB,
t(5) = 6.11, p < 0.002). The
right panel of Figure 3B shows histological reconstructions
of the largest and smallest lesions of this area (area 2). The left
panel of Figure 4A shows that rats with
extensive cell loss in both the posterior aspect of the ventrolateral
part of the PnO and the anterior and posterior aspects of the
ventrolateral part of the PnC without cell loss in the rVNTB had the
greatest reduction in startle. The blockade was significant at all
three stimulus intensities (90 dB, t(7) = 4.50, p < 0.003; 95 dB, t(7) = 3.81, p < 0.007; 105 dB, t(7) = 6.93, p < 0.000). In fact, startle in these rats was just
barely above the level of cage output sampled in the absence of a
startle stimulus (activity sampling; average of 30 units). Thus, if one
considers the difference between cage output after a startle stimulus
minus cage output during activity sampling as the actual startle
amplitude, cell loss in these areas almost completely blocked the
startle reflex. The right panel of Figure 4A shows
histological reconstructions of the largest and smallest lesions of in
this area (area 3). In contrast, injections of PB into the same areas
(sham lesions) did not affect startle amplitude (Fig.
4B).
Fig. 3.
Mean startle amplitude elicited by three different
noise burst intensities before and after NMDA lesioning of the the
rVNTB/ventrolateral part of the PnO (A) or
rVNTB/ventrolateral part of the PnO plus partial damage to the anterior
ventrolateral part of the PnC (B). Stippled bar
(Activity) illustrates animals' mean activity level
measured by sampling the cage movement in the absence of startle
stimuli. Asterisk indicates a significant pre- to
postreduction (p < 0.01) in startle amplitude at a given
noise burst intensity. Histological reconstruction of the smallest
(left) and the largest (right) NMDA lesions in
the different areas are shown next to the behavioral data. Plates
(A, bregma 8.00, 8.30, and 8.80 mm; B,
bregma 8.30, 8.80, and 9.16 mm) used in histological
reconstructions of lesions were taken from Paxinos and Watson
(1986) .
[View Larger Version of this Image (47K GIF file)]
Fig. 4.
Mean startle amplitude elicited by three different
noise burst intensities before and after NMDA lesioning of the
posterior part of the ventrolateral part of the PnO and the
ventrolateral part of the PnC (A) or sham lesioning of
rVNTB/ventrolateral part of the PnO and PnC combined (B).
Stippled bar (Activity) illustrates animals'
mean activity level measured by sampling the cage movement in the
absence of startle stimuli. Asterisk indicates a significant
pre- to postreduction (p < 0.01) in startle amplitude at a
given noise burst intensity. Histological reconstruction of the
smallest (left) and the largest (right) NMDA
lesions in the ventrolateral part of the PnO and the ventrolateral part
of the PnC are shown next to the behavioral data. Three plates (bregma
8.80, 9.68, and 10.04 mm) used in histological reconstructions of
lesions were taken from Paxinos and Watson (1986) .
[View Larger Version of this Image (32K GIF file)]
Photomicrographs shown in Figure 5 illustrate the
location and size of a typical NMDA lesion of the PnC area, compared
with a sham lesion. Interestingly, NMDA lesions that completely blocked
startle typically spared the more medially located giant neurons
(arrows), which have been implicated in mediating the
startle reflex (Koch et al., 1992 ). Clearly, therefore, additional
studies are required to test how cell body-specific lesions restricted
only to these medially located giant neurons will affect the acoustic
startle response.
Fig. 5.
Photomicrographs showing typical sham
(A) and NMDA (B) lesions of the PnC. The
encircled area (broken line) indicates the location of cell
loss. The arrows point to more medially located intact giant
neurons within the PnC after lesioning.
[View Larger Version of this Image (136K GIF file)]
Because of the close proximity of the rVNTB, PnO, and PnC, NMDA lesions
of any given area always included some cell loss in surrounding areas.
Thus, lesions of rVNTB always included some cell loss in the PnO or the
PnC, and lesions of the PnC always extended into the PnO. In Figure
6, the behavioral and histological results from these
NMDA lesion studies are summarized by grouping the animals based on the
extent of the lesion across these three structures. Figure
6B shows the mean startle amplitude at the 105 dB test
intensity in the sham rats from these various groups and the NMDA
lesion groups, ordered in terms of the amount of total cell loss in the
ventrolateral parts of the PnO and PnC, extending rostrally to caudally
(Fig. 6A). When the animals that had damage in area 1, between bregma 8.0 mm and 8.8 mm, according to Paxinos and Watson
(1986) , were grouped together, they showed a slight attenuation of
startle. The animals with cell loss in area 2, between bregma 8.3 mm
and 9.16 mm, however, showed a greater attenuation of startle. In the
animals with the most extended rostrocaudal lesions, which included the
area between bregma 8.8 mm and 10.04 mm (area 3), startle responses
were abolished completely.
Fig. 6.
Summary diagram of the mean startle amplitude at
the 105 dB test intensity in the sham rats and the NMDA lesion groups
ordered in terms of the amount of total cell loss in the ventrolateral
parts of the PnO and PnC, extending rostrally to caudally.
[View Larger Version of this Image (40K GIF file)]
CRN projections to the PnC
Figure 7 shows the location of the CRNs in the
auditory nerve and their trajectory through the ventral acoustic stria
and trapezoid body (A) and collateral terminals in the PnC
(B) at a level where NMDA lesions eliminate the acoustic
startle reflex (C). The plate shown in C comes
from Paxinos and Watson (1986) at bregma 9.16 mm. This is the closest
plate from this atlas that matches the location of the CRN collaterals
shown in B. However, the actual location of these
collaterals is represented more closely by the atlas of Swanson (1992)
at bregma 9.25 mm.
Fig. 7.
Photomicrographs showing typical BDA injection
site for CRNs and the trajectory of their axons through the ventral
acoustic stria at the very base of the brain (A).
Asterisk indicates the injection site within the CRNs, and
small arrowheads indicate axons of the CRNs in the acoustic
stria and at the level of the nucleus of the trapezoid body.
B shows CRN axons (small arrows) and collaterals
(large arrows) terminating in the part of the PnC outlined
in the box in the coronal section in C. Scale
bar, 200 µm. The plate shown in C comes from Paxinos and
Watson (1986) at bregma 9.16 mm. This is the closest plate from the
atlas that matches the location of the CRN collaterals shown in
B. However, the actual location of these collaterals is
represented more closely by the atlas of Swanson (1992) at
bregma 9.25 mm.
[View Larger Version of this Image (98K GIF file)]
Kainic acid lesions of the CRNs
Because of the angular approach and the small diameter of the
internal acoustic meatus, lesioning the CRNs proved to be exceedingly
difficult. Of the original 40 lesion group animals, 21 did not have any
damage to the CRNs and showed no significant change in startle, so
their data were excluded. Of the 19 lesioned animals, 10 showed
incomplete, mostly unilateral lesions of the CRNs, and their data were
analyzed separately. Nine animals showed bilateral lesions of the CRNs.
Figure 8A shows that bilateral kainic acid
lesions of CRNs essentially eliminated the startle response at each of
the three test intensities (90 dB, t(8) = 9.28, p < 0.000; 95 dB, t(8) = 9.26, p < 0.000; 105 dB, t(8) = 11.09, p < 0.000). Interestingly, Figure 8B
shows that the incomplete kainic acid lesions of the CRNs also reduced
startle amplitude significantly, although some residual startle clearly
was evident. These partial lesions reduced startle amplitude
significantly across each of the three test intensities (90 dB,
t(9) = 7.91, p < 0.000; 95 dB,
t(9) = 6.43, p < 0.000; 105 dB,
t(9) = 6.00, p < 0.000). In
addition, there were small but significant increases of activity levels
after complete as well as incomplete kainic acid lesioning of CRNs. In
contrast, Figure 8C shows that sham lesions of the CRNs did
not change startle amplitude.
Fig. 8.
Mean startle amplitude elicited by three different
noise burst intensities before and after bilateral kainic acid
lesioning of the CRNs (A), unilateral-incomplete kainic
acid lesioning of the CRNs (B), or sham lesioning of the
CRNs (C). Stippled bar (Activity)
illustrates animals' mean activity level measured by sampling the cage
movement in the absence of startle stimuli. Asterisk
indicates a significant pre- to postreduction (p < 0.01) in
startle amplitude at a given noise burst intensity after a
lesion.
[View Larger Version of this Image (22K GIF file)]
Figure 9A again shows the location of the
CRNs in sham animals, and C shows a loss of these cells in
rats infused with kainic acid. Figure 9B and D
show the location of CRN axons in the trapezoid body in a sham animal
(B) and the loss of these axons in animals with kainic acid
lesions of CRN cell bodies (D).
Fig. 9.
CRNs after sham lesioning (A) or kainic
acid lesioning (C). Left panels show CRN
axons traveling through the trapezoid body after sham lesioning
(B) or kainic acid lesioning of the CRNs (D).
Small arrowheads indicate the location of the axons stained
with Calbindin D-28K. After kainic acid lesioning, axons show severe
degeneration, whereas no visible damage was observed after sham
lesioning.
[View Larger Version of this Image (124K GIF file)]
Compound action potential recording from VCN
The compound action potentials recorded from the VCN after
presentation of an auditory stimulus showed two distinct peaks known as
the N1 and N2 components. The N1 component is the action potential
generated in the auditory nerve itself, whereas the N2 component
represents the action potential generated within the cochlear nucleus
after a synaptic input from the auditory nerve (Møller, 1983).
Measurement of these components was carried out to evaluate whether the
auditory nerve was damaged after kainic acid lesioning of the CRNs.
Figure 10A-C illustrates
representative recordings of the compound action potential generated by
an 80 dB, 10 kHz tone pulse from sham-lesioned, kainic acid lesioned,
and electrolytic-lesioned animals. These data show that there was no
apparent difference in the compound action potential between the sham
and kainic acid lesioned animals, which suggests that the auditory
nerve had not been damaged by infusion of kainic acid sufficient to
destroy CRNs.
Fig. 10.
Individual compound action potential recording
(N1 wave-auditory nerve response; N2 wave-cochlear nucleus response)
from a sham-lesioned, kainic acid-lesioned, and electrolytic-lesioned
animal in response to an 80 dB, 10 kHz tone burst.
[View Larger Version of this Image (21K GIF file)]
Figure 11 summarizes the data for all animals, using
the mean amplitudes of the N1 components in the compound action
potentials recorded from the VCN. To analyze these data statistically,
the mean of the peak N1 amplitudes of the compound action potentials
over 15 observations across three intensities (70, 80, and 90 dB) was
calculated for each animal. Data from each ear was considered
independent data, so that the the number of observations for the
statistical analysis was double the number of the subjects for the
kainic acid lesion and sham lesion groups (three subjects, 6 data
points each). For the electrolytic-lesion group, because lesions were
made unilaterally, the number of observations was same as the number of
subjects (n = 6).
Fig. 11.
Summary data illustrating mean amplitudes of the
auditory nerve response (N1 component of the compound action potential)
in sham-lesioned, kainic acid-lesioned, and electrolytic-lesioned
animals at three different intensities.
[View Larger Version of this Image (29K GIF file)]
ANOVA showed a significant lesion effect (kainic acid lesion vs sham
lesion vs electrolytic lesion: F(2,30) = 22.82, p < 0.000) and an intensity effect
(F(2,30) = 34.08, p < 0.000).
More importantly, there was significant interaction between lesion and
intensity (F(4,30) = 7.79, p < 0.002). Subsequent post hoc tests showed that there was no significant
difference in the peak amplitude of the compound action potentials
between the kainic acid-lesioned animals and the sham-lesioned animals.
However, the peak amplitude of the compound action potentials in the
electrolytic-lesioned animals was significantly smaller than those of
the sham-lesioned animals at each of the three test intensities (70 dB,
F(1,30) = 6.63, p < 0.015; 80 dB, F(1,30) = 22.61, p < 0.000;
90 dB, F(1,30) = 49.41, p < 0.000). Comparisons between the kainic acid-lesioned animals and the
electrolytic-lesioned animals also showed significant differences at 70 dB (F(1,30) = 5.37, p < 0.027),
80 dB (F(1,30) = 20.62, p < 0.000), and 90 dB (F(1,30) = 55.33, p < 0.000), indicating that the auditory nerve was
functionally intact after the kainic acid lesioning but not after the
electrolytic lesioning of the CRNs.
DISCUSSION
Davis et al. (1982) proposed a primary acoustic startle circuit in
rats that consisted of the auditory nerve, PVCN, an area ventral and
medial to the VLL, the PnC, and spinal motoneurons. The present study
evaluated the role of the VLL, the VLTg, the rVNTB (previously
known as the periolivary nucleus), and the PnC in mediating the
acoustic startle reflex using more recently developed fiber-sparing,
cell-specific chemical lesions. Special emphasis also was placed on
evaluating the role of neurons embedded in the auditory nerve (CRNs)
that have direct projections to the PnC. Chemical lesions of CRNs or
ventrolateral parts of the PnC eliminated startle, whereas lesions of
the VLL, VLTg, or rVNTB did not. Although the role of the PVCN,
originally suggested as critical for startle, is still unclear, the
primary acoustic startle pathway in rats may consist of only three
synapses onto (1) CRNs, (2) neurons in ventrolateral parts of the PnC,
and (3) spinal motoneurons (Fig. 12).
Fig. 12.
Diagram illustrating a primary acoustic startle
circuit consisting of the CRNs, the ventrolateral part of the PnC, and
axons projecting to motoneurons in the spinal cord.
[View Larger Version of this Image (27K GIF file)]
CRNs
In the rat, CRNs are activated by collaterals from the auditory
nerve even before these auditory nerve fibers reach the cochlear
nucleus complex (Harrison and Warr, 1962 ; Osen et al., 1991 ). However,
CRNs send thick axons and axon collaterals to brainstem areas not known
traditionally as part of the central auditory system (López et
al., 1993a ). The neuroanatomical characteristics of their projections
suggested the involvement of CRNs in the acoustic startle reflex
(López et al., 1993b ; Lingenhöhl and Friauf, 1994 ). Their
axons run in the ventral acoustic stria (Fig. 6A), lesions
of which abolished the acoustic startle reflex (Davis et al., 1982 ).
Axon collaterals of CRNs synapse mainly in ventrolateral parts of the
PnC (López et al., 1993b ), known to be critical in acoustic
startle.
CRNs have thick soma diameters, about 35 µm, and have well-myelinated
large axons that average 3.7 µm in diameter (Harrison and Irving,
1965 ; Merchán et al., 1988 ). This suggests fast-conducting axonal
properties, which would be critical for neurons mediating a
short-latency reflex, such as acoustic startle (Yeomans et al.,
1989 ).
Bilateral kainic acid lesions of CRNs abolished the acoustic startle
reflex completely. This blockade did not appear to result from damage
of the auditory nerves per se, because lesioned animals showed normal
orienting behaviors (data not shown) and normal compound action
potentials recorded from the cochlear nucleus. These data provide the
first direct evidence that CRNs may contain the first synaptic relay in
the acoustic startle reflex.
In our previous studies (Davis et al., 1982 ), electrolytic lesions of
the PVCN abolished startle, whereas stimulation of the PVCN elicited
startle-like responses. Although the role of the PVCN should be
reevaluated carefully (see below), given the large lesion size and
nonselective nature of electrical stimulation, we now believe these
original observations result from lesions or stimulation of CRN
axons.
VLL and VLTg
Because electrolytic lesions of the area medial and ventral to the
VLL abolished startle, and electrical stimulation of this area elicited
startle-like responses, this area was included as the second synapse in
startle reflex pathway (Davis et al., 1982 ). Subsequently, it was
deemed important in acoustic head startle (Pellet, 1990 ) and whole body
startle (Frankland et al., 1995 ).
In the present study, small, discrete electrolytic lesions of the VLL
and adjacent areas such as VLTg and rVNTB did not block startle.
However, whenever these lesions invaded at least the anterior part of
the ventrolateral part of the PnC, they significantly reduced startle
amplitude (e.g., Fig. 2B), suggesting that only the PnC is
necessary in mediating acoustic startle. Considering the anatomical
proximity (less than 1 mm separation) between the ventrolateral part of
the PnC and the areas adjacent to the VLL, we now believe that our
original lesion and stimulation data resulted from damage to, or
stimulation of, anterior regions of the ventrolateral part of the PnC.
Alternatively, electrolytic lesions of this area would have destroyed
CRN axons of passage (López et al., 1993) and eliminated startle
via subsequent degeneration of CRNs. Preliminary results show that
unilateral electrolytic lesions of the VLTg and anterior ventrolateral
part of the PnC, even smaller than those of our original study, induced
substantial degeneration of CRNs axons and cell bodies in the
contralateral auditory nerve (n = 2) (Y. Lee, D. López, and M. Davis, unpublished observations). More recently,
Frankland et al. (1995) have suggested that a synapse exists in the
VLTg that is involved in the acoustic startle reflex based on
electrical stimulation of the anterior ventral cochlear nucleus using
currents greater than 1,500 µA in anesthetized rats. We have not
found that lesions of the anteroventral cochlear nucleus block startle
(E. Meloni, Y. Lee, and M. Davis, unpublished observations). Hence,
such high-stimulation currents may have spread to other brain areas to
elicit motor movements that look like startle but may involve pathways
other than those normally used by physiological stimuli.
rVNTB
Rats with extensive cell loss in the rVNTB and minor cell loss in
the posterior aspect of the ventrolateral part of the PnO showed a
partial decrease in startle that was statistically significant only at
the 105 dB test intensity. However, this partial reduction in startle
probably was not caused by lesions of the rVNTB per se, because
electrolytic lesions of the VLTg and rVNTB alone did not affect startle
at any intensity and two cases with NMDA lesions were found that had no
reduction in startle despite cell loss in both the rVNTB and areas
rostral to the rVNTB.
PnC
NMDA lesions of the ventrolateral part of the PnC blocked startle
completely, further supporting the essential role of the PnC in the
acoustic startle response (Szabo and Hazafi, 1965 ; Hammond, 1973 ;
Rossignol, 1973 ; Groves et al., 1974 ; Leitner et al., 1980 ; Davis et
al., 1982 ; Gokin and Karpukhina, 1985 ; Cassella and Davis, 1986 ; Wu et
al., 1988 ; Yeomans et al., 1989 ; Pellet, 1990 ; Koch et al., 1992 ;
Lingenhöhl and Friauf, 1992 ; Yeomans et al., 1993 ;
Lingenhöhl and Friauf, 1994 ; Frankland et al., 1995 ). The
critical parts of the PnC where chemical lesions eliminated startle
were the areas dorsal to the superior olivary complex and ventral to
the motor trigeminal nucleus (Mo5). This area also is critical for the
pinna component of the startle reflex. It has direct projections to the
ventral medial division of the facial motor nucleus, which contains the
motoneurons that move the pinna backwards, and lesions of this area
block the acoustically elicited pinna response completely (Meloni and
Davis, 1992 ). This is the area where CRN collaterals terminate (Fig.
10B) (López et al., 1993) and the part of the PnC
identified as a critical synapse in acoustic startle using electrical
stimulation techniques (Yeomans et al., 1993 ; Frankland et al.,
1995 ).
Infusion of excitatory amino acid antagonists into the ventrolateral
part of the PnC almost totally blocked startle at very low doses (Krase
et al., 1993 ; Miserendino and Davis, 1993 ). Earlier, Spiera and Davis
(1988) reported that excitatory amino acid antagonists infused into the
vicinity of the VLL reduced startle amplitude markedly. However, the
doses infused into this area were 50-60 times higher than those
required to produce a comparable depression of startle after infusion
into the PnC (Miserendino and Davis, 1993 ). Hence, depression of
startle after infusion into the vicinity of the VLL probably resulted
from drug diffusion into the ventrolateral part of the PnC. In fact,
exploratory studies showed that infusion of CNQX into the VLL did not
affect startle (Y. Lee and M. Davis, unpublished observations) at a
dose that did after infusion into the PnC (Miserendino and Davis,
1993 ). These data further support the idea that the VLL and surrounding
areas are not involved in acoustic startle, whereas the ventrolateral
part of the PnC is. PnC neurons project to spinal motoneurons (Grillner
and Lund, 1968 ; Grillner et al., 1971 ; Peterson, 1979 ; Peterson et al.,
1979 ; Tohyama et al., 1979 ; Lingenhöhl and Friauf, 1994 ), making
both mono- and polysynaptic connections.
Alternative, modulatory pathways
Others have reported startle reflexes in rats with latencies
longer than 8 msec. Fox (1979) recorded muscle activation in the neck
that had an 11 msec latency, and Szabo (1965) and Prosser and Hunter
(1936) reported latencies in the hindlegs as long as 15-25 msec.
Hence, alternative pathway(s) that include more than three synapses may
exist that eventually converge at some point with the trisynaptic
pathway outlined above.
One possible alternative pathway might involve the VCN, superior olive,
dorsal nucleus of the lateral lemniscus, the PnC, and spinal
motoneurons (Davis et al., 1982 ). Another might include the dorsal
cochlear nucleus (DCN), the VLTg, the PnC, and spinal motoneurons. The
VCN and the DCN clearly respond to auditory information and send heavy
projections to the PnC directly and indirectly (Kandler and Herbert,
1991 ). Although our lesion study concluded otherwise, involvement of
the VLTg in the startle reflex has been suggested by Frankland et al.
(1995) . Although Lingenhöhl and Friauf (1994) ruled out the VLTg
because acoustically driven neurons showed long response latencies, it
still might be involved in a longer-latency response.
Another possibility would be that the short- and long-latency
components of startle reflect activation of different neurotransmitters
involved in startle. Boulis et al. (1990) found that intrathecal
infusion of CNQX preferentially blocked the early EMG component of
startle measured in the hindlimb (8 msec latency), whereas infusion of
an NMDA receptor antagonist preferentially blocked the late component
(15 msec latency). As discussed at length in Boulis et al. (1990) ,
short-latency EMG components of startle might reflect rapidly occurring
excitatory postsymatic potential mediated by non-NMDA receptors,
whereas the longer-latency components might reflect slower excitatory
postsynaptic potentials mediated by NMDA receptors. If so, then more
complex neural pathways would not be required to account for these
longer-latency startle responses.
CONCLUSION
A primary acoustic startle circuit
The present series of experiments provides the first clear
evidence suggesting that CRNs form the first synapse in a primary
acoustic startle circuit. The second synapse likely occurs not in the
VLTg area but at the level of the ventrolateral part of the PnC. The
elimination of a second synapse in the VLTg area originally was
proposed based on lesion studies (Lee and Davis, 1992 ) and later
supported by Lingenhöhl and Friauf (1994) . The present
electrolytic and chemical lesion studies further confirm this
speculation and suggest that a primary acoustic startle circuit
consists of CRNs, the ventrolateral part of the PnC, and spinal
motoneurons (Fig. 12).
FOOTNOTES
Received Nov. 8, 1995; revised March 13, 1996; accepted March 19, 1996.
This research was supported by National Institute of Mental Health
Grants MH-25642 and MH-47840, a grant from the Air Force Office of
Scientific Research and Research Scientist Development Award MH-00004
to M.D., and by the FIS 94/1403 and DGICYT PB-93 0610-CO2 from the
Spanish government.
Correspondence should be addressed to Dr. Michael Davis, Yale
University School of Medicine, Abraham Ribicoff Research Facilities of
The Connecticut Mental Health Center, 34 Park Street, New Haven, CT
06508.
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