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The Journal of Neuroscience, November 1, 1999, 19(21):9508-9518
c-fos Expression in Brainstem Premotor Interneurons
during Cholinergically Induced Active Sleep in the Cat
Francisco R.
Morales,
Sharon
Sampogna,
Jack
Yamuy, and
Michael H.
Chase
Department of Physiology and the Brain Research Institute,
University of California Los Angeles, Los Angeles, California
90024
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ABSTRACT |
The present study was undertaken to identify trigeminal premotor
interneurons that become activated during carbachol-induced active
sleep (c-AS). Their identification is a critical step in determining
the neural circuits responsible for the atonia of active sleep.
Accordingly, the retrograde tracer cholera toxin subunit B (CTb) was
injected into the trigeminal motor nuclei complex to label trigeminal
interneurons. To identify retrograde-labeled activated neurons,
immunocytochemical techniques, designed to label the Fos protein, were
used. Double-labeled (i.e., CTb+,
Fos+) neurons were found exclusively in the ventral
portion of the medullary reticular formation, medial to the facial
motor nucleus and lateral to the inferior olive. This region, which
encompasses the ventral portion of the nucleus reticularis
gigantocellularis and the nucleus magnocellularis, corresponds to the
rostral portion of the classic inhibitory region of Magoun and Rhines
(1946) . This region contained a mean of 606 ± 41.5 ipsilateral
and 90 ± 32.0 contralateral, CTb-labeled neurons. These cells
were of medium-size with an average soma diameter of 20-35 µm.
Approximately 55% of the retrogradely labeled cells expressed
c-fos during a prolonged episode of c-AS. We propose
that these neurons are the interneurons responsible for the
nonreciprocal postsynaptic inhibition of trigeminal motoneurons that
occurs during active sleep.
Key words:
REM sleep; motor control; brainstem; trigeminal; immunohistochemistry; cholera toxin; Fos
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INTRODUCTION |
The state of active sleep [AS; also
called rapid-eye-movement (REM) sleep] is a complex mosaic of
incompletely understood physiological processes (for review, see
Siegel, 1989 ; Steriade and McCarley, 1990 ; Jones, 1991 ). A key
consistent component of this state is the suppression of somatic muscle
activity (Dement, 1958 ; Jouvet et al., 1959 ) that is dependent on
postsynaptic inhibitory processes acting on somatic motoneurons
(Pompeiano, 1967 ; Chandler et al., 1980 ; Morales and Chase, 1981 ). As
originally described, the suppression of muscle tone was thought to
involve mostly antigravity musculature; hence, this component of AS
received the designation of postural atonia. However, it is now clear
that the postsynaptic inhibitory processes that occur during AS control
motoneurons throughout the neuroaxis (Chandler et al., 1980 ; Glenn and
Dement, 1981 ; Morales and Chase, 1981 ; Morales et al.,
1987a ), including those that do not participate in postural or
antigravity functions such as jaw opener or hypoglossal motoneurons
(Pedroarena et al., 1994 ; Fung et al., 1998 ).
Motoneuron inhibition during AS is likely produced by an as yet
unidentified population of glycinergic premotor interneurons (Chase et
al., 1989 ; Soja et al., 1990 ). We believe that it is important to
identify these neurons as a first step in unraveling the circuitry
responsible for the suppression of motor activity that occurs during
AS. Accordingly, in the present study, we focused on the functional
innervation of the trigeminal motor pool. Two immunohistochemical
techniques were combined to identify which population, of the many
groups of trigeminal premotor interneurons, becomes activated during an
AS-like state induced by pontine injections of carbachol (c-AS)
(Baghdoyan et al., 1987 ; Vanni-Mercier et al., 1989 ). The first
immunohistochemical technique consisted of labeling premotor neurons
after cholera toxin subunit B (CTb) injections within the trigeminal
motor nucleus (mV) complex (Fort et al., 1990 ). The second
immunohistochemical technique involved the detection of the nuclear
protein Fos, which is synthesized during certain forms of neuronal
activation as a consequence of intraneuronal metabolic changes
(Dragunow and Faull, 1989 ; Menétrey et al., 1989 ;
Luckman et al., 1994 ; for recent review, see Herrera and Robertson,
1996 ; Chaudhuri, 1997 ). Thus, we sought to determine the cells that
project to the trigeminal motor pool that are activated during
c-AS.
Premotor trigeminal interneurons that expressed c-fos after
a prolonged episode of c-AS (CTb+,
Fos+ cells) were located in the nucleus
reticularis gigantocellularis (NRGc) and in the nucleus
magnocellularis (Mc). Colocalized with these trigeminal premotor
interneurons in these nuclei and extending caudally into the nucleus
paramedianus reticularis (nPR), a significant number of
Fos+ cells during c-AS were found. These
three nuclei (NRGc, Mc, and nPR) are part of the "inhibitory region
of Magoun and Rhines" (see Magoun and Rhines, 1946 ; Jankowska et al.,
1968 ). Therefore, we propose that these nuclei contain premotor
inhibitory interneurons, which control motoneuron activity during the
state of active sleep.
Parts of this paper have been published previously (Morales et
al., 1996 ).
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MATERIALS AND METHODS |
Fourteen adult cats of both sexes, weighing 3.0-3.5 kg, were
used in the present study. Eleven animals were studied after prolonged
c-AS (experimental animals); three cats in which saline was injected
into the reticularis pontis oralis nucleus (NPO) were used as controls
(control animals).
Initial surgical procedures. All experimental procedures
were conducted in accordance with the Guide for the Care and Use of Laboratory Animals (7th edition) and approved by the
Chancellor's Animal Research Committee of the University of
California Los Angeles office for the protection of research subjects.
Before anesthesia, the animals were premedicated with atropine (0.4 mg/kg, i.m.) and Xylazine (2 mg/kg, i.m.). Anesthesia was first
induced with Ketamine (15 mg/kg, i.m.) and maintained with a gas
mixture of halothane in oxygen (2-3%).
The head of the cat was positioned in a heavy-duty stereotaxic frame,
and the calvarium was exposed. Stainless steel screw electrodes were
threaded into the frontal and parietal bones and into the orbital
portion of the frontal bone to record EEG and electro-olfactogram (EOG)
waves, respectively. A Winchester plug that was connected to these
electrodes and a chronic head-restraining device were bonded to the
calvarium with acrylic cement. A hole 3.0-4.0 mm in diameter was
drilled in the calvarium overlying the cerebellar cortex; it was then
covered with bone wax. This hole provided later access (1) to
the trigeminal motor nuclei for injection of CTb and (2) to the NPO for
the injection of carbachol. During the recovery period from surgery, an
analgesic (Buprenex, 0.01 mg/kg, i.m.) was administered. An antibiotic
(Cephazolin) was administered parenterally for 4 d. The wound
margins were regularly cleaned and covered with antibiotic ointment
(Fougera). The animals were allowed to recover from these surgical
procedures for 2 weeks. After this period, they were adapted to the
head-restraining device until they exhibited episodes of naturally
occurring sleep.
Micropipette and microelectrode assembly for injection of
substances and for recording masseter antidromic field potentials. To inject CTb within the trigeminal motor nucleus, a three-barrel assembly, consisting of a carbon fiber-recording microelectrode and two
side barrels containing CTb, was lowered into the motor pool. CTb was
injected by iontophoresis (2 µA positive current pulses, 7 sec on and
7 sec off, for 20 min in each barrel) where the masseteric antidromic
field potential was largest [4-5 mV (Castillo et al., 1991 )]. The
cats were allowed to survive for 10-14 d before the final experimental procedure.
Microinjections of carbachol were performed by iontophoresis using a
five-barrel assembly (López-Rodríguez et al., 1994 ). The
tips of the micropipettes were broken to a total diameter of 40-50
µm (10 µm tip diameter for each micropipette). Four pipettes of the
assembly were filled with carbachol dissolved in saline (200 mM); one was filled with 2 M NaCl for automatic
current balancing. The same currents used for carbachol iontophoresis
were applied in control animals; in this case the barrels were filled
with saline.
One day before the final experiment, each animal was briefly
anesthetized with halothane, the bone wax plug covering the access hole
in the calvarium was removed, and the underlying dura matter was cut.
On the day of the final experiment, EEG, EMG, and EOG activity was
recorded. The micropipette assembly was lowered through the access hole
to inject carbachol at the following stereotaxic coordinates:
posterior, 2.0; lateral, 1.3; and vertical, 3.5 (Berman, 1968 ). Eleven
cats were injected with carbachol. Total currents of 300-500 nA
applied for 1-3 min were usually required to induce c-AS. These
injections were occasionally repeated to maintain the state for a total
duration of 2 hr. The experimental animals remained in c-AS 90% of the
recording time. In three control cats the same procedures were followed
except that saline was substituted for carbachol. During the recording
session, these control animals remained in a state of quiet wakefulness
with intermittent episodes of quiet (N-REM) sleep except for one cat in
which a 3 min episode of "spontaneous" AS (2.5% of the total
recording session) took place.
After the 2 hr recording session, the animals were given an overdose of
sodium pentobarbital (60 mg/kg, i.p.) and perfused transcardiacally
with 1 l of saline followed by 2.5 l of a solution of 4%
paraformaldehyde, 15% saturated picric acid, and 0.25% glutaraldehyde in 0.1 M phosphate buffer at pH 7.4. The brainstem was
removed and immersed for a 24 hr post-fixation period in a solution
consisting of 2% paraformaldehyde and 15% saturated picric acid in
0.1 M phosphate buffer at pH 7.4. After post-fixation, the
tissue was kept in a solution of sucrose (30%) in 0.1 M
phosphate buffer at pH 7.4.
Forty-eight to seventy-two hours later, the brainstem was frozen and
cut in 15-µm-thick sections using a Reichert-Jung cryostat. Each
section was placed in one well of a 36-well tray containing a
PBS-buffered solution. The first section obtained was placed in the
first well of the tray, and consecutive sections were placed in the
remaining wells in serial order. Section number 37 was placed in well
1, and the procedure was repeated until the entire brainstem was
sectioned. Each well contained a sample of the entire brainstem with
each section in the well separated by 540 µm (i.e., 15 µm × 36). By the use of this procedure, neighbor wells contained pairs of
adjacent sections. The tissue was stored in 0.1 M PBS containing 0.3% Triton X-100 and 0.1% sodium azide. The brainstems were cut in a coronal plane with the exception of two experimental cats
whose brainstems were sectioned horizontally.
Immunocytochemistry. Immunohistochemical detection of CTb
was performed by sequential incubations of free-floating sections. Sections were first incubated in goat antiserum to CTb (List Biologic, Campbell, CA) at a dilution of 1:40,000 in PBS, 0.25% Triton X-100, and 0.1% Na azide (PBST-AZ), pH 7.4, at 4°C with gentle agitation for 72 hr or at a 1:20,000 dilution overnight at room temperature. The
sections were rinsed over a 30 min period and placed for 90 min at room
temperature in biotinylated donkey anti-goat serum (The Jackson
Laboratory, Bar Harbor, ME) diluted 1:2000 with PBST. After
rinsing for 30 min, the sections were incubated in standard ABC
(Vector Laboratories, Burlingame, CA) for 90 min at room temperature at
a dilution of 1:400. The tissues were then rinsed for a total of 30 min
followed by the nickel ammonium sulfate-enhanced DAB method consisting
of immersion in 0.6% nickel ammonium sulfate, 0.2% DAB, and 0.05%
hydrogen peroxide in 50 ml of 50 mM Tris buffer, pH = 7.6, for 15-30 min. The reaction was then terminated by several rinses
in PBST.
These same sections were then processed for Fos immunostaining using a
polyclonal rabbit antibody (Fos Ab5; Oncogene Research Products/Calbiochem, La Jolla, CA). The free-floating sections were incubated overnight in this antiserum at a dilution of 1:20,000 in
PBST-AZ. The sections were then rinsed in PBST for 30 min and incubated
for 90 min in biotinylated donkey anti-rabbit IgG diluted 1:300 and
containing 1.5% normal donkey serum. After rinsing for 30 min, the
sections were incubated for 90 min in the ABC at a dilution of 1:200.
The tissues were then rinsed, and the peroxidase activity was
visualized by the DAB method described above (omitting nickel
enhancement). After several rinses of PBST, the sections were mounted
onto Superfrost Plus slides from a PBST diluted to 0.01%.
We began the examination of the neurotransmitter phenotype(s) of the
population of Ctb+,
Fos+ ventral medullary neurons by first
assaying the distribution pattern of glycine-like immunoreactivity.
(This work is being developed in collaboration with Claire Rampon and
Pierre Luppi from the Laboratoire of Médecine Experimental, Lyon,
France.) Two different rabbit antibodies raised against
glycine-conjugated proteins with glutaraldehyde (one antibody was
obtained from Chemicon, Temecula, CA; the other was from
Interchim) were used. Sections processed for detection of CTb or
Fos were then processed for detection of glycine-like immunoreactivity.
For a full description of the glycine-immunostaining technique, see
Rampon et al. (1996a) .
Data analysis. Histological sections were examined using an
Olympus BX60 microscope (Olympus Optical, Tokyo, Japan). First, the
extent of the CTb injection was examined in several sections for each
cat. The deposits of CTb consisted of a circular central zone of dark
reaction product [mean diameter, 0.9 ± 0.08 mm (± SEM)]
surrounded by a lighter-stained zone, probably caused by the
extracellular diffusion of CTb to adjacent regions (Fig.
1).

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Figure 1.
Top, Diagram is of a coronal
section of the pons of an experimental animal. The dark
area represents a deposit of CTb in the trigeminal motor
nucleus. Bottom, The photomicrograph is of this deposit.
The arrow in the photomicrograph points to a group of
CTb-retrogradely labeled neurons in the sensory principal nucleus of
the trigeminal complex. The arrowhead points to fiber
bundles of the trigeminal nerve. Scale bars: Top, 0.5 mm; Bottom, 3 mm. bc, Brachium
conjunctivum; bp, brachium pontis; mV,
trigeminal motor nucleus; p, pyramid;
PAG, periaqueductal gray; pV, sensory
principal trigeminal nucleus.
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Diagrams of CTb deposits in different animals are shown in
Figure 2. Figure 2A is
an example in which the deposit of CTb included a significant portion
of mV with little diffusion to adjacent structures. This localization
of the injection to the mV was accomplished in four experimental
(another example is shown in Fig. 1) and two control cats. In Figure
2B we illustrate the example of an experimental cat
with two deposit sites within the mV. In two experimental cats the
injection site was dorsal to the mV (Fig. 2C). In three cats
there were two deposits of CTb (Fig. 2D), which probably occurred as a result of the displacement of the tip of one of
the CTb-carrying micropipettes of the injection assembly during the
descent through an estimated 14 mm of cerebellum and brainstem tissue.
In two experimental animals the deposit of CTb was mainly within the
mV, but it also extended beyond the nucleus. In the two remaining cats,
their brainstems were sectioned horizontally. In one of these animals
the CTb deposit was within the mV, whereas in the other the injection
was posterior to this nucleus.

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Figure 2.
Diagrams of coronal sections of the pons at the
level of the trigeminal motor nucleus in four different cats. The
dark areas represent the deposit site of
CTb in these animals. A, The injection site is
relatively large and almost completely within the motor nucleus.
B, Two injection sites are within the motor nucleus (see
Materials and Methods). C, The injection was instead
located in the dorsal portion of the sensory principal nucleus of the
trigeminal complex. D, There were two deposits of CTb;
one was located dorsal to the mV within the sensory principal, and the
second, more ventral, one was within a portion of the mV. Histological
data for the present report were collected from cats with CTb injection
sites such as those presented in A and B
(see another example in Fig. 1). Scale bar, 3 mm. bc,
Brachium conjunctivum; bp, brachium pontis;
mV, trigeminal motor nucleus; p, pyramid;
PAG, periaqueductal gray; pV,
sensory principal trigeminal nucleus.
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The distribution of CTb-labeled neurons was first assessed using
drawings of the histological sections made with the aid of a camera
lucida attachment. Pretrigeminal, AS-"activated" neurons were found
exclusively within the ventromedial medullary reticular formation;
subsequent quantitative analyses were performed on the cells of this
region. The rostrocaudal extension of this region was 1.2 mm from the
posterior pole of the facial nucleus to the anterior portion of
the inferior olive; its mean coronal area was 2.5 mm2.
To estimate the number of retrogradely labeled neurons, the
stereological dissector method, as described by Coggeshall (1992) and
Coggeshall and Lekan (1996) , was used (see also Saper, 1996 ). This
method requires an estimation of the volume occupied by the region
under study (volume reference or Vref)
and an estimation of the "density"
(Nd), in this case, of the CTb-labeled
neurons in histological samples of the region.
[(Vref)·(Nd)]
yields an estimate of the number of CTb-labeled cells in the ventral medulla.
Vref was calculated using the mean
area of the region as measured in 10 randomly selected sections. This
value was multiplied by the product of section thickness and the total
number of sections (80) that would encompass the whole region.
Nd was estimated using a "physical
dissector," i.e., pairs of consecutive serial sections that were
examined both at low and high magnifications to identify the neuronal
profiles present in one section and not in the other. Each profile was
counted as a neuron. Profiles of neurons that were present in two
sections were not counted. The volume of the region in each given
section was estimated by multiplying its area by section thickness (15 µm). The density of CTb-labeled neurons in any given section was
determined as the number of profiles divided by the volume of that
section. A total of 12 pairs of sections per cat were analyzed using
this method.
To estimate soma profile size, a 100× oil immersion objective lens was
used. Stained neurons in which the nucleolus was apparent were
photographed, and their major and minor soma diameters were measured
and averaged. Photomicrographs for neuronal counting and illustrations
were obtained by means of a digital camera attached to the microscope
and connected to a microcomputer with Photoshop software.
Reticular formation nomenclature. Our designation of the
different regions of the reticular formation is based on the
nomenclature used by Taber (1961) and Berman (1968) (see also Yamuy et
al., 1993 ). The boundary between the midbrain and the pons is defined as a coronal plane immediately posterior to the inferior colliculi; the
boundary between the pons and the medulla is another plane immediately
posterior to the border of the abducens nucleus. The boundary between
the medulla and the spinal cord is the decussation of the pyramidal
tract. The pons and medulla are subdivided into lateral and medial
regions by an imaginary sagittal plane, 3 mm from the midline, that
separates the lateral from the medial aspects of these structures.
The core of the pons and medulla is occupied by the reticular
formation. The lateral portion is the parvocellular reticular formation. From caudal to rostral, we examined this region in the
following four levels: (1) the parahypoglossal reticular formation in
the caudal medulla, (2) the parvocellularis immediately dorsal to the
facial nucleus, (3) a region located lateral and dorsal to the motor
root of the facial nerve, which in the rat corresponds to the
subdivision of the parvocellularis, and (4) the parvocellularis just caudal to the mV. The medial reticular formation has different subdivisions such as the NPO and the nucleus reticularis pontis caudalis in the pons and the NRGc and Mc in the rostral medulla. NRGc
contains the so-called giant cells (~60 up to 100 µm in diameter). Mc is devoid of cells of this "giant" size but contains large cells
(between 30 and 40 µm in diameter). Intermingled with giant and large
cells in the medial RF are cells of medium (20-30 µm in
diameter) and small (between 15 and 20 µm in diameter) size. The most
caudal portion of the medullary reticular formation contains the nPR
and the lateral reticular nucleus.
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RESULTS |
The following description of the populations of premotor
trigeminal interneurons is derived from the analyses of the material from cats in which CTb injections were restricted to the mV, as illustrated in the diagrams of Figures 1 and
2A. In Figure 3, we
present diagrams of coronal sections of the brainstem of one experimental cat. The CTb injection site is indicated as a
black area in Figure 3B.
Empty circles represent the location of
Ctb+, Fos
neurons. Filled circles, all located within the
ventromedial medullary reticular formation (Fig. 3C),
represent CTb+,
Fos+ neurons.

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Figure 3.
Localization of CTb-labeled trigeminal
interneurons at four representative levels (A-D)
of the cat brainstem. The diagrams are from an experimental animal from
which tissue was obtained immediately after a long episode of c-AS and
was processed for both CTb and Fos protein immunostaining.
Empty circles represent
CTb+, Fos neurons;
filled circles represent
CTb+, Fos+ neurons, all of which
were located within the ventromedial medulla. In B, the
dark area represents the CTb deposit in
this animal. Scale bar, 3 mm. bc, Brachium conjunctivum;
bp, brachium pontis; iC, inferior
colliculus; iO, inferior olive; KF,
Kolliker-Fuse nucleus; MeV, mesencephalic trigeminal
nucleus; mV, trigeminal motor nucleus;
mVII, facial nucleus; mXII, hypoglossal
nucleus; p, pyramid; P,
posterior; PAG, periaqueductal gray;
pV, sensory principal trigeminal nucleus;
rO, raphe obscurus; sV, spinal trigeminal
complex; V, trigeminal tract.
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The structures that contain trigeminal premotor neurons (i.e.,
CTb+) are classified into four groups: (1)
those related to the trigeminal sensory system, (2) those immediately
adjacent to the mV that are involved in jaw reflexes and movements (see
below), (3) those belonging to monoaminergic nuclei, such as the
Kolliker-Fuse and raphe nuclei, and (4) those of different subdivisions
of the pontine and medullary reticular formation. Our description of
the location of CTb-labeled neurons in the cat is in agreement with
that of previous publications in which retrograde tracers were injected within the confines of the mV in rodents and cats (Mizuno et al., 1983 ;
Travers and Norgren, 1983 ; Landgren et al., 1986 ; Fort et al.,
1990 ).
The following is a description of trigeminal premotor structures in
relation to their neuronal c-fos expression after a
prolonged episode of c-AS.
CTb-labeled neurons in sensory trigeminal structures
Numerous CTb-labeled neurons were located in the mesencephalic
trigeminal nucleus (MeV), in the sensory principal nucleus, and in the
spinal nucleus of the trigeminal tract. Examples of these cells are
shown in Figure 4, A and
B. None of these pretrigeminal neurons expressed
c-fos during c-AS.

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Figure 4.
Lack of c-fos expression in sensory
and premotor interneurons. A, A cluster of neurons of
the MeV is shown. Two heavily CTb-stained cells are indicated by the
short arrows; in close apposition are two
unstained neurons that are indicated by long
arrows. B, Neurons of the spinal complex
of the trigeminal nerve are represented. C, D,
Interneurons of the supratrigeminal and commissural groups,
respectively, are represented. All of these cells were
CTb+, Fos neurons. Scale bars,
50 µm.
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Mesencephalic trigeminal neurons are distributed along a thin
ipsilateral band that extends from just anterior to the mV nucleus to
the midportion of the mesencephalon where they are located in the
lateral border of the periaqueductal gray. The microphotograph in
Figure 4A illustrates a cluster of these neurons. In
this photograph, two stained cells are indicated by short
arrowhead; in contact with these neurons there are two cells
that did not contain the intracellular tracer (long
arrows) in spite of the fact that CTb remained in this
animal for 2 weeks before the terminal experiment and that gap
junctions between MeV neurons provide a potential pathway for
substances to diffuse from one neuron to another (Liem et al., 1991 ).
On the basis of this evidence, we suggest that gap junctions are not
permeable to CTb. Previously, Fort et al. (1990) have discussed the
evidence that also indicates that there is no trans-synaptic retrograde
transport of the CTb.
Structures adjacent to the mV that contain
trigeminal interneurons
These structures include the supratrigeminal (SuV) (Lorente de
Nó, 1922 ; Mizuno et al., 1983 ) and the intertrigeminal nuclei (IntV) (Landgren et al., 1986 ) and a region that contains a set of commissural neurons located ventromedial to the mV, described by
Mizuno et al. (1978) . SuV and IntV play an important role in mediating
jaw-opening and -closing reflexes (Kidokoro et al., 1968 ; Luschei and
Goldberg, 1981 ; Lund and Olsson, 1983 ; Minkels et al., 1995 ). The
function of the commissural neurons is unknown. Numerous
CTb+ neurons were found in these regions;
however, none expressed c-fos. (See, for example, the
photomicrographs in Fig. 4C,D).
Monoaminergic structures that innervate the mV
Noradrenergic innervation of trigeminal motor nuclei originates
from cells located in the Kolliker-Fuse nucleus (KF) (Fort et al.,
1990 ). Within this structure, we found scattered CTb-labeled cells that
did not express c-fos. We have reported previously that a
small percentage (~6%) of the catecholaminergic neurons within the
KF express c-fos in control conditions and during c-AS (Yamuy et al., 1998 ). The results of the present study suggest that
these neurons do not innervate trigeminal motor pools.
CTb+ neurons were observed in the raphe
magnus, pallidus, and obscurus; none expressed c-fos during
c-AS. The location of these monoaminergic cells is illustrated in the
diagrams in Figure 3, A and D.
Reticular formation
Parvocellular reticular formation
Numerous premotor trigeminal interneurons were found in this
region (see Figs. 3, 6, diagrams). None of these cells
expressed c-fos during c-AS. Examples of
CTb+, Fos
neurons are illustrated in Figure 5.
These are significant data because it has been suggested previously
that the parvocellular reticular formation was the origin of the
inhibitory processes acting on trigeminal motoneurons during AS
(Pedroarena et al., 1990 ; Rampon et al., 1996b ). These suggestions are
difficult to reconcile with the present data (see Discussion).

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Figure 5.
Distribution of CTb+,
Fos trigeminal interneurons in the parvocellular
reticular formation (PCRf). Left, The diagrams are of
coronal sections of the brainstem of an experimental cat at three
different brainstem levels. At P6, medial to the spinal sensory
nucleus of the trigeminal complex, the PCRf corresponds to the rat
parvocellularis . Note that none of the PCRf premotor neurons
expressed c-fos during c-AS. A-C
(right), In the photomicrographs are examples of
CTb+, Fos neurons located in
histological sections from the three levels represented in the
diagrams. Scale bars: A-C, 50 µm; diagram on
left, 3 mm. iO, Inferior olive;
mVII, facial nucleus; mXII, hypoglossal
nucleus; p, pyramid; P,
posterior; sO, superior olive;
sV, spinal trigeminal complex; V,
trigeminal tract; 7g, genus of the facial nerve.
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Medial pontine reticular formation
The medial pontine reticular formation did not contain CTb-labeled
cells. The distribution and characteristics of pontine Fos+ neurons have been described
previously (Yamuy et al., 1993 ). The present results confirm that the
medial pons does not project directly to the trigeminal motor nuclei.
Medial medullary reticular formation
Numerous CTb+ pretrigeminal
interneurons were found in the ventromedial medulla (see Figs. 3,
6, diagrams). Examples of
these cells are illustrated in the photomicrographs in Figure 6,
A and B. A mean number of 606 ± 41.5 CTb+ neurons were found ipsilateral to the
injection site; there were 92 ± 32 contralateral neurons. In
terms of stereotaxic coordinates (Berman, 1968 ), the structures
occupied by these cells are bounded by posterior 8.2-9.4,
lateral 0.0-3.0, and vertical 6.5-8.5. These neurons were therefore
located within the Mc and the ventral aspects of the NRGc. These
neurons were more often present in clusters in the lateral portions of
the Mc, usually intermingled with CTb+,
Fos cells and with
CTb , Fos+
neurons (Fig. 7). In those cats in which
the CTb injection site did not include the mV (two animals in which it
was dorsal to the nucleus and one in which the injection was more
posterior), the ventral medullary reticular formation did not contain
neurons with the retrograde tracer.

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Figure 6.
Fos+ neurons in the
ventromedullary reticular formation. A, A
photomicrograph of a heavily CTb-stained premotor neuron located in the
magnocellularis nucleus of an experimental cat is shown.
B, A photomicrograph of a cluster of
Fos+ neurons located in the same structure in
another animal is shown. The arrows indicate neurons
that contain intracytoplasmic granules of retrogradely transported CTb.
The nuclei of these cells were immunoreactive for the Fos protein. The
arrowheads point to two neurons of the cluster that do
not contain the retrograde label but whose nuclei express
c-fos. Bottom, The diagram illustrates
the location of double-labeled Ctb+,
Fos+ neurons within the ventromedial medulla,
ipsilateral to the injection site (filled
circles). This diagram was drawn from four superimposed
sections. Scale bars: A, 20 µm; B, 10 µm. iO, Inferior olive; mVII,
facial nucleus; P, posterior.
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Figure 7.
Fos+ neurons in the
magnocellular reticular formation. A, B, The
photomicrograph in A was taken at low magnification
(10×) to illustrate the concentration of Fos+
nuclei in this region. The arrows point to three
double-labeled CTb+, Fos+ neurons
in this section; the neuron on the left is shown at a
higher magnification (40×) in the photomicrograph in B.
C, In this photomicrograph there are two CTb-retrogradely
labeled magnocellular neurons. The arrow points to one
premotor cell that did not express c-fos during
c-AS.
|
|
CTb-labeled neurons exhibited a variety of cell bodies: multipolar,
triangular, circular, oval, or elongated. Their mean soma diameter was
24.0 ± 0.82 µm (± SEM) (10-90% values were 18 and 32 µm,
respectively). The multipolar or triangular neurons were generally
larger than the oval or elongated cells. An example of a multipolar
CTb-labeled neuron is illustrated in the photomicrograph in Figure
6A.
A large percentage (55%) of CTb+
neurons expressed c-fos after c-AS in experimental animals
(n = 4). In contrast, in control cats
(n = 2) only 7% of CTb-labeled cells expressed
c-fos (p < 0.001). In Figure
8 are two photomicrographs obtained from
comparable medullary levels from an experimental and from a control cat
illustrating Ctb+ neurons. The
bars charts in this figure illustrate the average number of CTb+,
Fos cells (empty
bar) and the corresponding number of
CTb+, Fos+
cells (filled bar) counted in five
sections of the ventromedulla in four experimental and two
control cats, respectively.

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Figure 8.
c-fos expression in premotor
medullary interneurons in control (A) and
experimental (B) cats. The sections illustrated
were processed for both CTb and Fos protein immunostaining. A
(left), The photomicrograph illustrates three CTb-labeled
neurons in the ventromedulla of a control cat. These cells did not
express c-fos. B (left), In the
photomicrograph is a cluster of Fos+ neurons in the
ventromedial medulla of an experimental cat. Three of these neurons
(indicated by arrows) contained CTb and likely innervate
the trigeminal motor nuclei. Another neuron of the cluster (indicated
by the left arrowhead) did not contain the CTb label.
Right, The bar charts represent the number of
CTb+, Fos+ neurons expressed as
percentages of the total number of CTb+ neurons
within the ventromedial medulla. These data were obtained from two
control and four experimental cats. Mean control: 7.5 ± 0.7% (± SEM); mean carbachol-induced active sleep (As-Carb.):
52 ± 1.2%; p < 0.0001. Scale bars, 25 µm.
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|
Immunostaining for protein-conjugated glycine in combination with
either CTb or Fos (see Materials and Methods) indicated that many
Fos+ ventromedullary cells are glycinergic
and that, in addition, many glycinergic cells are indeed pretrigeminal
interneurons. Examples of these neurons are illustrated in Figure
9. Because during the course of this work
we have found many premotor neurons with diverse neurotransmitter
phenotype (see also Holstege, 1996 ), we consider that the
quantification of the data and the issue of the nature of other
c-fos-expressing cells must await the termination of a
comprehensive immunocytological study.

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Figure 9.
Glycine-like immunoreactive neurons in the
ventromedial medullary reticular formation of an experimental cat that
was injected with CTb in the trigeminal motor nucleus.
A, The histological section in the photomicrograph was
processed for both glycine and CTb immunostaining. Two neurons of the
magnocellular reticular formation that stained positive to an antibody
raised against glycine-conjugated protein may be observed in this
photomicrograph. The cell indicated by the arrowhead
exhibits glycine-like immunoreactivity but does not contain CTb.
Instead, the cell indicated by the arrow on the
right exhibits both glycine-like immunoreactivity and
CTb retrogradely transported from the mV deposit. B, The
histological section in the photomicrograph was processed for both
glycine and Fos immunostaining. Neurons illustrated in B
(arrows), positive to the glycine antibody, express
c-fos during carbachol-induced active sleep. Scale bars,
15 µm.
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|
c-fos expression in the nucleus paramedianus
We did not find CTb-labeled cells within this structure. However,
this nucleus exhibited a greater number of
Fos+ neurons after AS compared with
control animals (12 ± 0.9 and 3 ± 0.5, respectively;
p < 0.0001 per section, respectively). There was a
tendency for neurons that express c-fos to be located in the
ventral portions of this nucleus immediately dorsal to the inferior olive.
 |
DISCUSSION |
In the present study we describe a population of premotor
interneurons that, according to their pattern of c-fos
expression, are activated during c-AS. The inhibitory postsynaptic
processes that take place in somatic motoneurons during this
pharmacologically induced state are indistinguishable from those
occurring during normal AS (Morales et al., 1987b ;
López-Rodríguez et al., 1995 ; Kohlmeier et al., 1996 ; Xi
et al., 1997a ,b ). Therefore, it is likely that the responsible premotor
inhibitory cells are activated during c-AS; the data in the present
work are interpreted based on this assumption. Premotor,
Fos+ neurons were found within the Mc and
the ventral portion of the NRGc and therefore populate the rostral
portion of the medullary area known as the "inhibitory region of
Magoun and Rhines" (Magoun and Rhines, 1946 ; see also Jankowska et
al., 1968 ).
The subdivisions of the medullary reticular formation populated by
CTb+, Fos -labeled neurons
The parvocellularis reticular formation contained most of
the reticular interneurons that innervate the trigeminal motor pool, confirming results obtained in feline and rodents (Mizuno et al., 1983 ;
Travers and Norgren, 1983 ; Fort et al., 1990 ; Ter Horst et al., 1991 ;
Turman and Chandler, 1994 ; Rampon et al., 1996b ). The possibility that
the parvocellularis reticular formation contains premotor cells that
inhibit trigeminal motoneurons during AS has been proposed previously
(Castillo et al., 1991 ; Rampon et al., 1996b ). Recently, Rampon et al.
(1996b) hypothesized that the subdivision of the parvocellular
reticular formation is the source of trigeminal inhibition during AS.
Their arguments were based on their determination that this region is
the principal source of the glycinergic innervation of the mV.
The parahypoglossal parvocellular reticular formation was also regarded
as a source of postsynaptic inhibition during AS. For example,
low-intensity stimulation (as low as 10 µA) of this region evoked
nonreciprocal, bilateral, monosynaptic glycinergic inhibition in both
jaw closer and opener motoneurons (Pedroarena et al., 1990 ; Castillo et
al., 1991 ). There is now evidence of the existence of inhibitory and
excitatory premotor masseter interneurons in this region that discharge
rhythmically during mastication (Nozaki et al., 1993 ). Therefore, the
parvocellular reticular formation probably contains networks that have
integrative functions in jaw movements and posture (see also Mogoseanu
et al., 1993 ).
The data obtained in the present work make the possibility that
parvocellular reticular formation premotor interneurons participate in
the generation of the atonia of AS doubtful. In effect, we did not
observe parvocellularis premotor cells expressing c-fos during c-AS, whereas a considerable population of premotor interneurons of the ventromedullary reticular formation expressed this immediate early gene. Nevertheless, the results obtained using c-fos
immunocytochemical methods must be critically evaluated because there
are cases in which neurons that discharge action potentials are not
labeled by the Fos antibody [false negatives (Dragunow and Faull,
1989 ; Yamuy et al., 1993 ; Herrera and Robertson, 1996 ; Chaudhuri,
1997 )]. In addition, as pointed out by Maloney et al. (1999)
c-fos may be expressed independently of neuronal discharge
as a consequence of intracellular metabolic changes (see also Dragunow
and Faull, 1989 ; Herrera and Robertson, 1996 ; Chaudhuri, 1997 ).
Glycinergic pretrigeminal interneurons are also located in both the SuV
and the IntV nuclei (Turman and Chandler, 1994 ; Rampon et al., 1996b ).
A wealth of evidence indicates that neurons in these structures
participate in jaw movements, posture, and reflexes (Luschei and
Goldberg, 1981 ; Lund and Olsson, 1983 ; Turman and Chandler, 1994 ;
Minkels et al., 1995 ).
The reticular formation subdivisions populated by double-labeled,
CTb+, Fos+ neurons
In the medial medullary reticular formation there were an
estimated 700 CTb+-labeled neurons, 90%
of them ipsilateral to the CTb injection site. Fifty five percent of
these neurons expressed c-fos during c-AS. These neurons
tended to cluster in lateral regions of the ventromedial medullary
reticular formation, although scattered double-labeled cells were also
found in the medial aspect of the medullary reticular formation. It is
likely that these neurons, or a subpopulation, are responsible for
trigeminal motoneuron inhibition during AS. Evidence from previous
experiments supports this hypothesis. Electrical stimulation of this
region suggested the existence of a direct, monosynaptic inhibitory
projection from this region to masseter motoneurons (Nakamura et al.,
1975 ). In addition, Chase et al. (1984) recorded units in this region that showed their highest frequency of discharge during AS and elicited
monosynaptic IPSPs in the masseter pool as determined by field
potential analysis using spike-triggered averaging techniques.
The ventromedial medulla contains neurons of diverse neurotransmitter
phenotypes that are involved in a variety of functions (for review, see
Holstege, 1996 ). Among these, there are inhibitory neurons that project
to other motor nuclei of the brainstem and the spinal cord. With
respect to brainstem nuclei, anatomical studies in the rat have
demonstrated the existence, in this region, of glycinergic neurons that
project to facial and hypoglossal nuclei as well as to trigeminal motor
pools (Fort et al., 1990 ; Li et al., 1996 , 1997 ). A direct
neuronal projection from the Mc to hindlimb motoneurons has been
demonstrated by Taal and Holstege (1994) . According to these authors, a
considerable portion of the synaptic terminals from these projections
have glycine and GABA colocalized. In turn, Yang et al. (1997) have
also found mixed glycine-GABAergic synapses impinging on trigeminal
motoneurons, but their source has not yet been determined. In
pharmacological experiments designed to identify the neurotransmitter
that mediates the AS-specific IPSPs (Morales et al., 1987a ), we
have shown that although these IPSPs were completely blocked by
strychnine, a glycinergic antagonist, they were shortened by GABA-A
blockers, as though there was some (although small) GABAergic component in the AS postsynaptic inhibition of motoneurons (Chase et al., 1989 ).
Electrical stimulation of the ventral medulla results in inhibition of
spinal and trigeminal motoneurons (Magoun and Rhines, 1946 ; Jankowska
et al., 1968 ; Nakamura et al., 1975 ). Glutamatergic stimulation
suppresses the tone of the cervical musculature in the decerebrate cat,
an effect that is viewed by the authors (Lai and Siegel, 1988 , 1990 ) as
reflecting the process by which the atonia of AS is generated.
Extracellular recordings from NRGc and Mc neurons demonstrate units
that discharge specifically during AS (Kanamori et al., 1980 ; Chase et
al., 1984 ; Sakai, 1988 ). In narcoleptic dogs specific discharge of Mc
units has been described during cataplectic attacks (Siegel et al.,
1991 ). Therefore these data, taken together, indicate that the
ventromedial medulla contains interneurons that are the source of
motoneuron inhibition under both physiological (active sleep) and
pathological (narcolepsy) conditions.
In the present report we have demonstrated a direct, probably
inhibitory, projection to the mV that appears to be activated during
AS. However, similar data are not available for spinal cord motor
pools. In fact, the possibility that the spinal motoneurons are
inhibited during AS via segmental inhibitory interneurons that are
activated, in turn, by an excitatory projection from the medulla still
needs to be considered (Mori, 1987 ; Takakusaki et al., 1989 ) [We, in
fact, have examined this possibility before (Morales et al., 1988 ; Xi
et al., 1997 ) and concluded that neither Renshaw cells, Ia, nor the
subtype of Ib interneurons that innervate Clarke neurons are likely to
mediate this inhibition.] It is, in this regard, conceivable that
Fos+ neurons consist of a heterogenous
population of cells with respect to their neurotransmitter phenotype
and that some could function as excitatory neurons. Moreover, the Mc
reticulospinal projections that mediate spinal motoneuron inhibition
appear to be more complex that originally thought (Pompeiano,
1967 ). For example, Kohyama et al. (1998) recently described two sets
of reticulospinal units that had different conduction velocities and
different patterns of activation from the pons. According to these
authors, these results indicate the existence of two systems that
mediate the atonia of AS. It is possible that one set of reticulospinal
units excites spinal inhibitory interneurons and the other directly inhibits spinal motoneurons, although Kohyama et al. (1998) did not
consider this possibility.
Glutamatergic synaptic transmission seems to underlie the activation of
the Mc neurons that are responsible for the suppression of decerebrate
rigidity in the cat (Lai and Siegel, 1988 ; Kodama et al., 1998 ).
Cholinergic, but not glutamatergic, agonists administered within the
nPR evoke a similar response. These observations suggest that there is
a dichotomy in the process of motor suppression during AS, with two
regions involved, one cholinoceptive and the other sensitive to
glutamate. The data described in the present work (see also Yamuy et
al., 1993 ) support a role for the nPR after AS because a greater number
of Fos+ neurons was found in this
structure during c-AS than in control animals. However, our data do not
provide information regarding the neurotransmitter phenotype of the
activated neurons within this nucleus and/or of the type of synaptic
innervation that these neurons receive, which would be needed to
elucidate the function(s) of the nPR nucleus during AS.
CONCLUSION
The present report describes, at a cellular level of anatomical
analysis, premotor interneurons that are located in the ventromedial medullary reticular formation and are likely responsible for motor inhibition during active sleep.
 |
FOOTNOTES |
Received June 2, 1999; revised Aug. 12, 1999; accepted Aug. 16, 1999.
This work was supported by the United States Public Health Service
Grants NS 23426, NS 09999, and MH 43362. We are grateful to P. H. Luppi who contributed to the development of CTb immunostaining in our
laboratory. F. López-Rodríguez and K. Kohlmeier
participated in the initial experiments of this project. Inés
Pose contributed with the artwork. We thank Gerardo Morales for his
excellent technical assistance.
Correspondence should be addressed to Dr. Francisco Morales, Department
of Physiology, University of California Los Angeles School of Medicine,
Los Angeles, CA 90095. E-mail: fmorales{at}ucla.edu.
 |
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