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The Journal of Neuroscience, May 15, 2002, 22(10):4103-4113
Projection Neurons in Lamina I of Rat Spinal Cord with the
Neurokinin 1 Receptor Are Selectively Innervated by Substance
P-Containing Afferents and Respond to Noxious Stimulation
Andrew J.
Todd1,
Zita
Puskár1, 2,
Rosemary C.
Spike1,
Catriona
Hughes1,
Christine
Watt1, and
Lisa
Forrest1
1 Spinal Cord Group, Institute of Biomedical and Life
Sciences, University of Glasgow, Glasgow G12 8QQ, United
Kingdom, and 2 Department of Anatomy, Histology and
Embryology, Faculty of Medicine, Semmelweis University, Budapest,
H-1094, Hungary
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ABSTRACT |
Lamina I of the spinal cord is densely innervated by nociceptive
primary afferents, many of which contain substance P. It contains
numerous projection neurons: the majority of these respond to noxious
stimuli, however some are activated by cooling. In the rat, ~80% of
the projection neurons express the neurokinin 1 (NK1) receptor, on
which substance P acts, and most cells with this receptor are activated
by noxious stimuli. Lamina I neurons can be classified morphologically
into pyramidal, multipolar, and fusiform types. It has been reported in
the cat that pyramidal neurons are activated only by cooling and that
in monkey relatively few pyramidal cells are NK1
receptor-immunoreactive.
We have used immunocytochemistry to examine the innervation of lamina I
projection neurons in the rat by substance P-containing primary
afferents and their responses to a noxious stimulus (subcutaneous formalin injection). NK1 receptor-immunoreactive projection cells received a significantly higher density of contacts from substance P-containing afferents than neurons that lacked the receptor. Most
contacts on NK1 receptor-immunoreactive cells were associated with
synapses. Formalin injection induced c-Fos in ~80% of projection neurons with the NK1 receptor and in 25-45% of those without it. More
than 80% of pyramidal neurons expressed the receptor, and for both
substance P innervation and c-Fos expression there were no
significant differences among different morphological types of NK1
receptor-immunoreactive neuron.
We conclude that presence or absence of the NK1 receptor is a better
indicator of function than morphology for lamina I projection neurons
in the rat.
Key words:
pain; c-Fos; confocal microscopy; electron microscopy; synapse; calcitonin gene-related peptide
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INTRODUCTION |
The importance of lamina I in
nociception has long been recognized. Most neurons in this lamina
respond to noxious stimulation (Christensen and Perl, 1970 ; Light et
al., 1979 ; Ferrington et al., 1987 ; Han et al., 1998 ; Bester et al.,
2000 ), and many have ascending axons that project to brain regions that
have a role in pain mechanisms, including the medullary reticular
formation, parabrachial area, periaqueductal gray matter, and thalamus
(Trevino and Carstens, 1975 ; Giesler et al., 1979 ; Menétrey et
al., 1982 ; Lima et al., 1991 ; Craig, 1995 ; Villanueva and Bernard,
1999 ). Many nociceptive primary afferents contain substance P (Lawson et al., 1997 ), and the central terminals of these afferents form a
dense plexus in the superficial laminas (Hökfelt et al.,
1975 ). Substance P acts on the neurokinin 1 (NK1) receptor, which is concentrated in lamina I (Bleazard et al., 1994 ; Nakaya et al., 1994 ;
Vigna et al., 1994 ; Brown et al., 1995 ; Littlewood et al., 1995 ; Todd
et al., 1998 ) and is expressed by ~80% of projection neurons in this
lamina (Marshall et al., 1996 ; Todd et al., 2000 ). The majority of
lamina I neurons with the NK1 receptor are thought to be activated by
nociceptors, because most show internalization of the receptor (Mantyh
et al., 1995 ) or express c-Fos (Doyle and Hunt, 1999 ) after noxious
stimulation. Intrathecal administration of substance P conjugated to
the cytotoxin saporin selectively destroys NK1 receptor-immunoreactive
neurons in the superficial dorsal horn and dramatically reduces the
development of hyperalgesia after capsaicin treatment, indicating that
these cells play an important role in the development of hyperalgesia
(Mantyh et al., 1997 ). Less is known about the functions of lamina I
projection neurons that lack the NK1 receptor.
Lamina I neurons have also been classified according to the morphology
of their cell bodies and dendritic trees, which are best seen in
horizontal sections. Gobel (1978) identified pyramidal and multipolar
neurons in lamina I of cat spinal trigeminal nucleus, and more recent
studies have divided projection neurons in this lamina into three major
classes: pyramidal, fusiform, and multipolar (or flattened) cells (Lima
et al., 1991 ; Zhang et al., 1996 ; Zhang and Craig, 1997 ). In an
intracellular recording study in the cat, Han et al. (1998) found that
cells of each morphological type had characteristic receptive field
properties: pyramidal neurons responded exclusively to innocuous
cooling, whereas fusiform and multipolar cells were activated by
noxious stimuli. Consistent with this finding, Yu et al. (1999)
reported that most pyramidal cells in lamina I of the monkey did not
possess the NK1 receptor, although Cheunsuang and Morris (2000) found
many NK1 receptor-immunoreactive pyramidal neurons in lamina I of the
rat spinal cord.
In this study we have investigated lamina I projection neurons in the
rat, to determine whether (1) the density of innervation by substance
P-containing (nociceptive) primary afferents, and (2) responsiveness to
an acute noxious stimulus (as judged by c-Fos expression; Hunt et al.,
1987 ) were more closely related to morphology or to expression of the
NK1 receptor.
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MATERIALS AND METHODS |
Animals and general features of tissue preparation.
Eleven adult male Wistar rats (Harlan, Loughborough, UK; 270-340 gm)
were deeply anesthetized either with halothane or with a mixture of ketamine and xylazine (7.33 and 0.73 mg/100 gm, i.p., respectively, supplemented as necessary) and placed in a stereotaxic frame. Each rat
received an injection of either 200-250 nl 1% cholera toxin B subunit
(CTb; Sigma, Poole, UK) or 50-100 nl 4% Fluorogold (Fluorochrome
Inc., Englewood, CO) through a glass micropipette into the brainstem on
the left side. In all cases the injections were targeted on the caudal
ventrolateral medulla (CVLM) and specifically the region between the
spinal trigeminal nucleus and the lateral reticular nucleus, because
injections in this region label many lamina I neurons in the rat (Lima
et al., 1991 ; Todd et al., 2000 ). Fluorogold was used as a tracer in
experiments to investigate contacts from substance P-containing primary
afferents onto NK1 receptor-immunoreactive lamina I projection neurons
with confocal microscopy (three rats) or combined confocal and electron
microscopy (three rats). CTb was used for studies of contacts formed by
substance P-containing axons onto lamina I projection neurons that
lacked the NK1 receptor (two rats) and also for experiments in which a
terminal acute noxious stimulus was applied to induce c-Fos expression
(three rats). In all cases the rats survived 3 or 4 d after the
tracer injection before either perfusion or noxious stimulation under
terminal general anesthesia (see below).
Contacts between SP axons and lamina I projection neurons.
Eight of the rats (six with Fluorogold and two with CTb) were
reanesthetized with pentobarbitone and perfused with a fixative
containing 4% freshly depolymerized formaldehyde (confocal microscopy
alone) or 4% formaldehyde-0.2% glutaraldehyde-0.2% picric acid
(combined confocal and electron microscopy). The brain and lumbar
spinal cord segments were removed and stored for 4-24 hr in fixative. The region of the brainstem that included the injection site was cryoprotected with 30% sucrose overnight and cut into 100-µm-thick coronal sections with a freezing microtome. Every fifth section was
kept and either mounted directly onto slides (Fluorogold injections) or
reacted with goat antiserum against CTb (List Biological Laboratories, Campbell, CA; 1:50,000) using an immunoperoxidase method (Todd et al.,
2000 ). The spread of tracer from the injection site in each case was
plotted onto drawings of the brainstem (Paxinos and Watson, 1997 ).
Lumbar spinal cord segments were notched (so that the right and left
sides could be distinguished) and were then cut into 70-µm-thick
horizontal sections with a Vibratome. The sections were treated with
50% ethanol for 30 min to enhance antibody penetration (Llewellyn-Smith and Minson, 1992 ), and those from animals fixed with
glutaraldehyde were incubated for 30 min in 1% sodium borohydride. After rinsing, sections were incubated for 3 d in one of the
following cocktails of primary antibodies: (1) rabbit antiserum against NK1 receptor (Sigma; diluted 1:10,000), rat monoclonal antibody against
substance P (Sera-Lab, Crawley Down, UK; 1:200), and sheep antiserum
against calcitonin gene-related peptide (CGRP) (Affiniti, Exeter, UK; 1:5000) or (2) rabbit anti-NK1 receptor and rat
anti-substance P (as above) and goat antiserum against CTb (List;
1:5000). The first antibody combination was used on sections from
Fluorogold-injected rats for the study of contacts formed by substance
P-CGRP-containing axons onto NK1 receptor-immunoreactive projection
neurons with either confocal or combined confocal and electron
microscopy. The second combination was used on sections from
CTb-injected animals to investigate contacts from substance
P-containing axons onto projection neurons that lacked the NK1 receptor.
Sections that were to be examined only with confocal microscopy were
incubated for 1 d in secondary antibodies (anti-rabbit, anti-rat,
and anti-goat IgG) each conjugated to a different fluorochrome (fluorescein, rhodamine, or cyanine 5.18) (all raised in donkey, obtained from Jackson ImmunoResearch, West Grove, PA, and diluted 1:100), mounted in anti-fade medium (Vectashield; Vector Laboratories, Peterborough, UK), and stored at 20°C until needed. For sections that were to be processed by the confocal-electron microscopic technique the same combination of secondary antibodies was used, but
this also included biotinylated donkey anti-rat IgG (Jackson; 1:500).
The sections were then rinsed, incubated in avidin conjugated to
horseradish peroxidase (Extravidin peroxidase; Sigma, 1:1000), and
mounted in Vectashield. After the completion of confocal microscopy (see below), the sections were removed from slides, rinsed in buffer,
reacted for 5 min with 3,3'-diaminobenzidine in the presence of
hydrogen peroxide to reveal substance P immunoreactivity, osmicated (1% OsO4 for 20 min), block stained in uranyl
acetate, dehydrated in acetone, and flat-embedded in Durcupan that was
cured at 60°C for 48 hr. Serial ultrathin sections were cut through
regions of interest with a diamond knife, mounted onto Formvar-coated single-slot grids, contrasted with lead citrate, and viewed with a
Philips CM100 transmission electron microscope.
For sections used for confocal microscopy alone, antibodies were
diluted in PBS that contained 0.3% Triton X-100. Triton was omitted
for sections that were to be used for combined confocal and electron microscopy.
Analysis of contacts. Thirty NK1 receptor-immunoreactive
projection neurons were selected from rats injected with Fluorogold and
perfused with formaldehyde (10 neurons from each of the three rats). To
avoid bias, the selection was made before peptide immunoreactivity was
examined. Because we intended to compare projection neurons belonging
to different morphological classes, only cells that could be
unequivocally assigned to pyramidal, multipolar, or fusiform classes
were selected. For each neuron digital images of the Fluorogold in the
cell body were captured with a Zeiss Axiocam using an ultraviolet filter set. The cell body and as much of the dendritic tree as could be
followed were then scanned with a Bio-Rad MRC1024 confocal microscope
equipped with a krypton-argon laser. Sequential scanning with each
line of the laser was performed using a 40× oil-immersion objective to
produce z-series with a z-separation of 0.5 µm.
The resulting images were analyzed with Neurolucida for Confocal
(MicroBrightField, Inc., Colchester, VT). The positions of all contacts
which the cells received from axonal varicosities that were both
substance P- and CGRP-immunoreactive were plotted onto drawings of the
neurons. The lengths of dendrites were measured, and their surface
areas were estimated based on the assumption that they were
cylindrical. The surface areas of cell bodies were also measured, and
the number of contacts per 1000 µm2 of
combined dendritic and somatic membrane was determined for each cell.
Ten projection neurons that lacked NK1 receptors were analyzed (five
each from two rats injected with CTb) in the same way, except that in
these cases contacts from all substance P-immunoreactive axonal
varicosities were counted (because CGRP was not detected in these sections).
Combined confocal and electron microscopy was performed on
six cells (between one and three each from three rats injected with
Fluorogold and perfused with formaldehyde-glutaraldehyde-picric acid). Cells with numerous contacts from substance
P-CGRP-immunoreactive axonal varicosities near one surface of the
Vibratome section were selected, because penetration of the
immunoperoxidase staining is often incomplete with the combined method.
The cells were scanned with the confocal microscope and then processed
as described above. Ultrathin sections were cut through regions
containing these contacts, and between 20 and 25 contacts that had been
identified with confocal microscopy were examined with the electron
microscope for the presence of synapses.
c-Fos expression by projection neurons. Three rats that had
been injected with CTb were reanesthetized with ketamine and xylazine and received injections of 2% formaldehyde into the plantar pad and
digits of the right hindpaw (100 µl in total). They were maintained under anesthetic for 2 hr, injected with intraperitoneal
pentobarbitone, and fixed by perfusion with 4% formaldehyde. Brain and
lumbar spinal cord segments were post-fixed for 4 hr, and transverse sections through the caudal medulla were used to demonstrate the injection site (as described above). Horizontal Vibratome sections of
spinal cord were reacted for triple-immunofluorescent labeling with
goat anti-CTb (List; 1:5000), guinea pig antiserum against NK1 receptor
(Polgár et al., 1999 ; diluted 1:1000), and rabbit anti-c-Fos
(Hunt et al., 1987 ; diluted 1:5000) and corresponding secondary
antibodies labeled with rhodamine, fluorescein, or cyanine 5.18 (Jackson; 1:100). Two or three of the sections from the L4 segment that
included lamina I were scanned at low magnification to reveal c-Fos and
CTb, and projected images of these scans were used to plot the outlines
of the medial region of lamina I in which c-Fos-immunoreactive neurons
were present. The presence of c-Fos in individual projection neurons
was not examined at this stage. High-magnification sequential
z-series (40× objective lens; 5 µm
z-separation) of the entire medial part of lamina I in each
section were then scanned to detect CTb, NK1 receptor, and c-Fos
immunoreactivity. The files containing CTb and NK1 receptor immunoreactivity were analyzed with Neurolucida for Confocal and from each animal 30 NK1 receptor-immunoreactive projection neurons belonging to each of the three main morphological classes (pyramidal, fusiform, and multipolar) were selected, together with 20 projection neurons that lacked the receptor. For the NK1 receptor-immunoreactive neurons, only those that could be unequivocally assigned to one of these morphological classes were selected. The cell bodies and
proximal dendrites of these cells were drawn, and their locations were plotted onto the outline of the dorsal horn. Files containing CTb,
NK1 receptor, and c-Fos immunoreactivity were then used to determine
whether the nuclei of the selected cells contained c-Fos.
NK1 receptor-immunostaining of pyramidal cells. Because Yu
et al. (1999) reported that only 25% of pyramidal spinothalamic neurons in the monkey were NK1 receptor-immunoreactive, we estimated the proportion of retrogradely labeled pyramidal neurons that expressed
the NK1 receptor in sections from the three rats that had been used for
the c-Fos experiments. The files containing CTb that had been scanned
and analyzed for c-Fos were reexamined, and all of the immunoreactive
neurons that could be unequivocally identified as pyramidal cells were
drawn with Neurolucida and counted. The corresponding files of NK1
receptor-immunostaining were then used to determine whether each cell
possessed the receptor.
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RESULTS |
Injection sites and general features of retrograde labeling and
immunostaining in lamina I
In all cases the injection sites included the region between the
lateral part of the lateral reticular nucleus and the spinal trigeminal
nucleus, however there was usually spread into both of these
structures and also into surrounding parts of the reticular formation
(Fig. 1). Fluorogold injections contained
a necrotic core and a surrounding halo, whereas CTb injections produced
a more restricted spread of tracer (Figs. 1,
2). In all cases numerous retrogradely
labeled neurons were seen on the contralateral side in lamina I of the
lumbar spinal cord (Fig. 3).

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Figure 1.
Diagrams to show the spread of tracer in each of
the 11 experiments. The drawings in each horizontal row
are from rats used for a single part of the study. a,
Fluorogold injections for confocal microscopic analysis of substance
P-CGRP contacts on NK1 receptor-immunoreactive projection neurons;
b, Fluorogold injections for combined confocal-electron
microscopy of contacts; c, CTb injections for analysis
of substance P contacts on projection neurons that lacked NK1
receptors; d, CTb injections for c-Fos experiments. For
Fluorogold injections, the dark shaded area shows the
necrotic core of the injection, and the paler area the
halo of tracer, whereas for CTb injections, the shaded
area shows the extent of CTb immunostaining in the injection
site. In each case, the drawing shows the level of the medulla at which
the maximum spread of tracer was present. Numbers at the
top left of each drawing give the approximate position
of the section posterior to the ear bar. Drawings are based on those by
Paxinos and Watson (1997) . 12, Hypoglossal nucleus;
Cu, cuneate nucleus; Gr, gracile nucleus;
LRt, lateral reticular nucleus; Sol,
tractus and nucleus solitarius; SpV, spinal trigeminal
nucleus.
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Figure 2.
Examples of sections through injection sites with
Fluorogold or CTb. a shows Fluorogold seen with
epifluorescence illumination and an ultraviolet filter set, whereas
b is a section reacted to reveal CTb with an
immunoperoxidase method. Scale bar, 1 mm.
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Figure 3.
Examples of lamina I neurons retrogradely labeled
with CTb and detected with immunofluorescence in a horizontal section.
Note the large number of labeled cells and the extensive dendritic
filling. Scale bar, 100 µm.
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Penetration of immunofluorescence staining with each antibody appeared
to be complete in spinal cord sections that were processed only for
confocal microscopy. CTb-labeled lamina I projection neurons generally
showed extensive dendritic filling, and dendrites could usually be
followed for at least 100 µm or until they left the section (Fig. 3).
Many of the labeled cells could be allocated to one of the three main
morphological classes (pyramidal, multipolar, or fusiform), however
many cells either showed atypical features or were transitional in
shape. Fluorogold was not detected by the confocal microscope, however
the morphology of Fluorogold-labeled neurons that were NK1
receptor-immunoreactive could be examined in confocal images of NK1
receptor immunostaining (Fig. 4).

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Figure 4.
Two of the NK1 receptor-immunoreactive lamina I
projection neurons included in the quantitative analysis of contacts
from substance P primary afferents. a, Photograph of
Fluorogold labeling in the two cells (1, 2) taken with
an ultraviolet filter set. b, Confocal image of the
corresponding field scanned to reveal NK1 receptor that is present on
both cells and outlines their cell bodies and proximal dendrites. Cell
1 is a fusiform cell, and cell 2 is a pyramidal cell. Built from 11 optical sections at 1 µm z-spacing. c,
Drawings of the two cells showing the contacts that they received from
axonal varicosities that were immunoreactive with both substance P and
CGRP antibodies. Each dot represents a single contact.
Boxes show parts of the dendritic tree of each cell that
are illustrated in Figure 5. Scale bars: a,
b, 25 µm; c, 50 µm.
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Quantitative analysis of substance P-CGRP contacts on
projection neurons
All of the 30 NK1 receptor-immunoreactive Fluorogold-labeled cells
that were analyzed received contacts on their cell bodies and dendrites
from substance P-immunoreactive axonal varicosities, and the great
majority of these varicosities also contained CGRP immunoreactivity.
Examples of contacts on two of the cells that were analyzed are
illustrated in Figures 4 and 5. The
density of contacts varied on different parts of each cell: in all
cases there were regions that received few contacts, however all of the
cells also had patches of membrane on which numerous contacts from
substance P-CGRP-immunoreactive varicosities were present, often
outlining parts of the cell body and dendrites (Figs. 4c, 5). Contacts occurred on both proximal and distal dendrites, and we did
not find any evidence of preferential innervation of particular parts
of the dendritic tree. The mean density of contacts that these cells
received from substance P-CGRP-containing varicosities was 23.1/1000
µm2 (±1.1 SEM; range, 13.5-38.4). Most
of the cells also received a few contacts from substance
P-immunoreactive varicosities that lacked CGRP. The proportion of
substance P-immunoreactive varicosities in contact with the cells that
were also CGRP-immunoreactive varied from 89.7 to 100% (mean,
97.2 ± 0.5%). The 30 neurons analyzed in this part of the study
included 10 pyramidal cells, 11 multipolar cells, and 9 fusiform cells,
and the mean values for density of contacts from substance
P-CGRP-immunoreactive varicosities per 1000 µm2 for each type were 21.5 (± 2.2),
24.8 (± 1.4), and 22.6 (± 2.3), respectively. These values were not
significantly different (one-way ANOVA). To allow comparison of these
cells with NK1 receptor-immunoreactive projection neurons that have
cell bodies in laminas III and IV (Naim et al., 1997 ), we also
determined the density of contacts from substance
P-CGRP-immunoreactive varicosities per 100 µm length of dendrite.
The mean density was 16.2 contacts/100 µm (± 0.7).

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Figure 5.
Confocal images showing contacts from substance P
primary afferents onto the cell bodies and dendrites of the two NK1
receptor-immunoreactive lamina I projection neurons illustrated in
Figure 4. In each row, the left image
shows NK1 receptor (green), the middle
image shows substance P (red) and CGRP
(blue), whereas in the right image all
three colors have been merged. Profiles that contain both peptides
appear purple. a and b
show the cell bodies of cells 1 and 2, whereas c and
d include parts of a dendrite from each cell
(corresponding to boxes in Fig. 4c).
There are several contacts formed by axons that contain both substance
P and CGRP on each cell body, and the dendrites receive so many
contacts in these regions that they are outlined by immunoreactive
axons. The images in a-d are built from projections of
6, 4, 5, and 4 optical sections, respectively, at 0.5 µm
z-separation. Scale bar, 10 µm.
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The 10 CTb-labeled cells that were not NK1 receptor-immunoreactive also
received contacts from substance P- immunoreactive varicosities, however, these tended to be less numerous than those on
the NK1 receptor-immunoreactive neurons. Regions with densely packed
contacts from substance P-immunoreactive varicosities were never seen
on these cells. The mean density of contacts was 12.9/1000 µm2 (± 1.0; range, 9.1-17.9), and this
was significantly different from the mean density of contacts from
substance P-CGRP-immunoreactive varicosities on the 30 NK1
receptor-immunoreactive neurons (t test; p < 0.001).
Electron microscopy of contacts
Six Fluorogold-labeled NK1 receptor-immunoreactive projection
neurons were examined with combined confocal and electron microscopy: this sample included three multipolar, two pyramidal, and one fusiform
cell. Between 20 and 25 contacts from substance P-CGRP-immunoreactive varicosities onto each of the neurons were found with the electron microscope. Most of these contacts involved dendrites of the neurons, but for five of the cells one or more axosomatic contacts were also
examined. Asymmetrical synapses were seen at between 74 and 95% of
these contacts (mean 84%). Six contacts
onto one of the multipolar cells are
illustrated in Figures 6 and 7.

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Figure 6.
One of the multipolar cells examined with combined
confocal and electron microscopy. a, Epifluorescence
image taken with ultraviolet filter set to show Fluorogold in the cell
body. b, Confocal image showing the NK1 receptor, which
can be seen on the cell body and proximal dendrites (projected from 4 optical sections at 1 µm z-separation). The
box shows the region illustrated in c and
d. c, Confocal image showing a single
optical section through the dendrite scanned to reveal NK1 receptor
(green), substance P (red), and
CGRP (blue). The dendrite is in contact with six axonal
varicosities that contain both peptides and therefore appear
purple (numbered arrows).
d, Low-magnification electron micrograph through the
region corresponding to the confocal image in c. The six
axonal varicosities are labeled with diaminobenzidine, which has been
used to reveal substance P immunoreactivity, and can just be seen at
this magnification. Scale bars: a, b, 25 µm; c, d, 10 µm.
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Figure 7.
High-magnification electron micrographs of the six
substance P-CGRP-immunoreactive axonal varicosities illustrated in
Figure 6d, taken either from the same ultrathin section
or from one nearby in the series. In each case the labeled axon forms
an asymmetrical synapse with the dendrite (D).
The synaptic specialization is visible between the
arrows. Numbers on the axons correspond
to those in Figure 6, c and d. Scale bar,
0.5 µm.
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c-Fos expression by lamina I projection neurons
Many c-Fos-immunoreactive nuclei were seen in the medial part of
the superficial dorsal horn on the ipsilateral side after formalin
injection into the right hindpaw. These were present in lamina I (which
could be identified in horizontal sections by the high density of NK1
receptor immunostaining) and also in the region that lay immediately
below this (i.e., lamina II). In each of the three animals, 30 NK1
receptor-immunoreactive projection neurons belonging to each of the
three morphological types were analyzed, and the majority of these
(between 20 and 28 of 30) had nuclei that were c-Fos-immunoreactive
(Table 1). No differences were found
between the results for the different morphological classes of NK1
receptor-immunoreactive projection neuron (one-way ANOVA). Nuclear
c-Fos immunoreactivity was much less common in the population of
projection neurons that lacked the NK1 receptor (between 5 and 9 of 20)
(Table 1). Comparison of cells that lacked the NK1 receptor with the
NK1 receptor-immunoreactive neurons analyzed from each experiment
showed that these two groups were significantly different (t
test; p < 0.05). Examples of c-Fos expression by
different types of lamina I projection neuron are shown in Figure
8.

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Figure 8.
Expression of c-Fos in lamina I projection
neurons. In each row, the left panel
shows immunostaining for CTb (red) in a projected image
from a confocal series, and the center panel shows the
equivalent field scanned for NK1 receptor immunoreactivity
(green). The right panel is a
single optical section from the confocal series showing CTb
(red), NK1 receptor (green), and
c-Fos (blue). a, A CTb-labeled pyramidal
cell (P) with the NK1 receptor has c-Fos in its
nucleus, whereas another pyramidal neuron that lacks the receptor
(N) is not c-Fos-immunoreactive.
b, c, Multipolar
(M) and fusiform (F)
cells with the NK1 receptor have nuclear c-fos. d, This
field contains several neurons, including one that is not NK1
receptor-immunoreactive (N) but has a nucleus
that is c-Fos-immunoreactive. Projections in a-d are
from seven, seven, five, and seven optical sections, respectively, at 2 µm z-separation. Scale bar, 20 µm.
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NK1 receptor-immunoreactive pyramidal cells
The total numbers of CTb-labeled cells that were identified as
pyramidal neurons in the regions of the L4 segments scanned from the
three rats varied from 40 to 59, and between 80 and 86% of these cells
were NK1 receptor-immunoreactive (33 of 40, 51 of 59, and 37 of 46).
Figure 8a includes two pyramidal neurons, one that was NK1
receptor-immunoreactive (P), and one that lacks the receptor (N).
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DISCUSSION |
The main findings of this study were that lamina I projection
neurons with the NK1 receptor received more numerous contacts from
substance P-containing primary afferents (most of which were associated
with synapses) and were more likely to express c-Fos after injection of
formalin into the hindpaw than those that lacked the receptor. However,
there were no significant differences in terms of either innervation
density or c-Fos expression among different morphological types of NK1
receptor-immunoreactive projection neuron.
Injection site and retrograde tracers
The CVLM was chosen as an injection site, because in previous
studies we found that more lamina I neurons were retrogradely labeled
from this region than from other projection targets (Marshall et al., 1996 ; Todd et al., 2000 ). We have recently injected Fluorogold into the parabrachial area and CTb into the CVLM in rats and found that
most retrogradely labeled lamina I neurons contained both tracers
(A. J. Todd and Z. Puskár, unpublished observations). This
suggests that many of the cells examined in the present study projected
to the parabrachial area. We have found that numbers of retrogradely
labeled lamina I neurons were far higher after injections into CVLM or
parabrachial area than after injections into dorsal reticular nucleus,
periaqueductal gray matter, or thalamus (Marshall et al., 1996 ; Todd et
al., 2000 ), and it is therefore likely that the great majority of
lamina I projection neurons were labeled in this study.
Because Fluorogold was not detected by the confocal microscope, we were
able to perform triple-labeling immunocytochemistry when this tracer
was used. In addition to identifying projection neurons with the NK1
receptor, we could therefore also detect substance P and CGRP.
Immunostaining for these peptides can be used to identify substance
P-containing primary afferents, because all of these contain CGRP in
the rat, and CGRP is restricted to primary afferents in the dorsal horn
(Ju et al., 1987 ; Todd and Spike, 1993 ). The NK1 receptor antibody
outlined somata and dendrites of Fluorogold-labeled projection neurons
that expressed the receptor, which allowed us to examine contacts from
substance P afferents onto these cells (Figs. 4-6). To investigate
contacts onto projection neurons that lacked the NK1 receptor, we used
CTb as a retrograde tracer, because this gave excellent dendritic
labeling that could be revealed with confocal microscopy (Figs. 3, 8).
Because CTb was detected with immunocytochemistry, only two other
antibodies could be used, and because the NK1 receptor antibody was
needed to identify cells that lacked the receptor, we could detect
substance P, but not CGRP (see below).
Morphology, substance P innervation, and c-Fos expression
Although many of the retrogradely labeled cells could be
classified as pyramidal, fusiform, or multipolar, it was often not possible to allocate a neuron unequivocally to one class, because many
cells showed atypical features or were transitional in shape. To avoid
problems of interpretation when comparing cells in different morphological classes, throughout this study we selected NK1
receptor-immunoreactive projection neurons that could reliably be
assigned to one of the three classes, and we excluded cells that were
atypical or transitional. Because many cells could not be classified,
we were unable to determine the proportion of neurons in each
morphological class that were retrogradely labeled in these
experiments. However, during the analysis of the c-Fos experiments, we
found that typical pyramidal, fusiform, and multipolar neurons occurred
with approximately equal frequency among the NK1
receptor-immunoreactive population.
Lamina I projection neurons with the NK1 receptor received
significantly more contacts from substance P-containing primary afferents than did projection neurons that lacked the receptor. The
figures for the latter group included all substance P-containing axons,
because CGRP was not detected in these sections (see above), and
therefore the density of contacts from substance P primary afferents
would presumably have been slightly lower than the figures obtained.
Because of the high density of substance P-containing axons in lamina
I, it is likely that many appositions involving these axons occurred by
chance. However, the presence of numerous contacts from substance P
primary afferents on stretches of dendritic or somatic membrane (Figs.
5, 6c), which was seen on all of the NK1
receptor-immunoreactive neurons, suggests a targeted innervation of
these cells. Electron microscopy of a sample of contacts on six NK1
receptor-immunoreactive projection neurons confirmed that the great
majority of substance P primary afferents that contacted these cells
formed synapses. Because substance P is likely to act through volume
transmission, the presence of asymmetrical synapses at these contacts
suggests that glutamate acts as a transmitter in this situation (De
Biasi and Rustioni, 1988 ; Broman et al., 1993 ). McLeod et al. (1998)
reported that dendrites with the NK1 receptor in lamina I have a higher
frequency of synapses from substance P-immunoreactive axons than
dendrites that lack the receptor, and our findings are consistent with
this observation.
We have previously shown that NK1 receptor-immunoreactive projection
neurons with cell bodies in laminas III or IV and dendrites that enter
the superficial laminas also receive dense synaptic innervation from
substance P primary afferents (Naim et al., 1997 ; Todd et al., 2000 ).
These cells had on average 18.8 contacts/100 µm from substance
P-containing axons onto dendrites within laminas I and II (Naim et al.,
1997 ), and this is similar to the mean contact density for substance
P-CGRP-immunoreactive varicosities on dendrites of the NK1
receptor-immunoreactive lamina I neurons in the present study (16.2/100
µm). These results indicate that both groups of projection neurons
are major synaptic targets for substance P-containing primary afferents
in the superficial dorsal horn.
c-Fos expression by lamina I projection neurons in response to formalin
injection was more closely related to presence of the NK1 receptor than
to morphology (Table 1). Basal levels of c-Fos are very low in the
dorsal horn, and because innocuous stimulation does not result in
expression by neurons in lamina I (Hunt et al., 1987 ), the presence of
c-Fos in lamina I neurons in this study can be taken as evidence that
they were activated by chemical and/or mechanical nociceptors. Han et
al. (1998) reported that all pyramidal cells in lamina I of the cat
spinal cord were cooling-specific and did not respond to noxious
stimulation, and in agreement with this Yu et al. (1999) observed that
only 25% of pyramidal spinothalamic neurons in the monkey were NK1
receptor-immunoreactive. Surprisingly, we found that >80% of
projection neurons with typical pyramidal morphology were NK1
receptor-immunoreactive and that ~80% of these cells expressed
c-Fos. It therefore seems that in the rat, unlike the situation
reported in cat, many pyramidal neurons in lamina I are activated by
nociceptors. The lamina I component of the spinothalamic tract appears
to be relatively small in the rat compared with that in the cat and
monkey (Marshall et al., 1996 ; Zhang et al., 1996 ; Zhang and Craig,
1997 ), and at least some of the neurons examined in the study of Han et
al. (1998) belonged to this tract. If the relationship between
morphology and receptive field properties for spinothalamic tract
neurons is different from that for cells belonging to other tracts,
this may account for the discrepancy between our results and those of
Han et al. (1998) and Yu et al. (1999) .
Although c-Fos expression was more common in projection neurons with
the NK1 receptor, between 25 and 45% of those without the receptor
also expressed c-Fos, and therefore a significant proportion of these
cells were excited by noxious stimulation. Mantyh et al. (1997)
reported that intrathecal infusion of substance P-saporin in rats
caused destruction of 85% of NK1 receptor-immunoreactive neurons in
lamina I and apparent damage to the remainder. Although these animals
showed dramatic reduction of hyperalgesia, their responses to acute
noxious stimuli were normal. Lamina I projection neurons that lack the
NK1 receptor but are activated by nociceptors may therefore have
contributed to the responses to acute stimuli in the substance
P-saporin-treated animals.
Although c-Fos is a useful marker for cells that have been activated by
a stimulus, lack of c-Fos expression is more difficult to interpret.
The neurons that were not c-Fos-immunoreactive after formalin injection
may have received input from nociceptors that were not activated by the
stimulus or may have been excited without expressing c-Fos. Bester et
al. (2000) found that all of their sample of rat spinoparabrachial
lamina I neurons responded to noxious stimulation, however, there are
known to be projection cells in this lamina in other species that
respond only to innocuous cooling (Han et al., 1998 ). If
cooling-specific projection neurons are present in the rat, they would
presumably have been included among those that were not
c-Fos-immunoreactive. Because all NK1 receptor-immunoreactive
projection neurons in lamina I appear to be innervated by substance
P-containing (nociceptive) primary afferents, it is likely that any
cooling-specific neurons would be found among the cells that lack the receptor.
In conclusion, our results suggest that for lamina I projection neurons
in the rat that are retrogradely labeled from the CVLM, presence or
absence of the NK1 receptor provides a better indication of primary
afferent input and the response to acute noxious stimulation than does
somatodendritic morphology.
 |
FOOTNOTES |
Received Dec. 6, 2001; revised Jan. 23, 2002; accepted Jan. 24, 2002.
We thank M. M. McGill and R. Kerr for expert technical assistance
and the Wellcome Trust for financial support.
Correspondence should be addressed to Dr. A. J. Todd, Spinal Cord
Group, West Medical Building, University of Glasgow, University Avenue,
Glasgow G12 8QQ, UK. E-mail: a.todd{at}bio.gla.ac.uk.
 |
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