Abstract
The long-standing doctrine regarding the functional organization of the direct dorsal column (DDC) pathway is the “somatotopic map” model, which suggests that somatosensory afferents are primarily organized by receptive field instead of modality. Using modality-specific genetic tracing, here we show that ascending mechanosensory and proprioceptive axons, two main types of the DDC afferents, are largely segregated into a medial–lateral pattern in the mouse dorsal column and medulla. In addition, we found that this modality-based organization is likely to be conserved in other mammalian species, including human. Furthermore, we identified key morphological differences between these two types of afferents, which explains how modality segregation is formed and why a rough “somatotopic map” was previously detected. Collectively, our results establish a new functional organization model for the mammalian direct dorsal column pathway and provide insight into how somatotopic and modality-based organization coexist in the central somatosensory pathway.
Introduction
The spinal cord dorsal column contains ascending axons of primary somatosensory neurons [direct dorsal column (DDC) pathway] and secondary neurons of spinal cord, and descending axons from the dorsal column nuclei (DCN). In rodents, the dorsal corticospinal tract also descends in the dorsal column. Given that the dorsal column is one of the major axonal bundles bridging the periphery and brain, it is important to thoroughly understand its normal functional organization.
The DDC is divided into a medial gracile fasciculus and a lateral cuneate fasciculus, which contains afferents of DRG neurons below and above T6, respectively, and innervate the ipsilateral DCNs of medulla (see Fig. 1A). A prevailing view on the functional organization of the DDC pathway is the “somatotopic map” model, which suggests that ascending somatosensory fibers entering at successive rostral levels are located lateral to those from lower segments (Watson and Kayalionglu, 2009). This “somatotopic map” model is supported by physiological recordings (Nord, 1967; Johnson et al., 1968; Whitsel et al., 1969, 1970; Culberson and Brushart, 1989), dye tracing (Maslany et al., 1991; Giuffrida and Rustioni, 1992), and lesion studies (Smith and Deacon, 1984).
On the other hand, multiple types of somatosensory afferents, two major types of which are proprioceptors and Aβ low-threshold mechanoreceptors (LTMRs), project through the DDC pathway. Because these different types of somatosensory afferents join the dorsal column from each spinal cord segment, the “somatotopic map” model predicts that they would intermingle together (see Fig. 1B). However, physiological recordings suggested that somatosensory fibers carrying the same modality of information project together in the dorsal column (Uddenberg, 1968) and innervate distinct domains of DCNs (Dykes et al., 1982; Hummelsheim et al., 1985; Fyffe et al., 1986). These seemingly contradictory observations raise the question of how the somatotopic and modality-based organization coexists in the DDC pathway.
Previously, we found that fibers of genetically traced rapidly adapting (RA) mechanoreceptors, a major type of Aβ LTMR, are highly enriched in the cervical gracile fasciculus and innervate subdomains of DCNs (Luo et al., 2009). However, it is unclear whether this observation truly reflects a modality-based organization in the DDC pathway or it is simply the result of somatosensory fiber re-sorting as they ascend toward the medulla (Whitsel et al., 1970; Willis, 1991).
Using a combination of genetic and anatomical approaches, here we show that mouse mechanosensory and proprioceptive afferents are largely segregated into a medial–lateral pattern throughout the entire dorsal column. In addition, we found that this modality-based organization is likely to be conserved in other mammalian species, including human. Finally, using modality-specific sparse genetic tracing, we identified key morphological distinctions between mechanosensory and proprioceptive afferents, which lead to the “modality segregation” and explains why a rough “somatotopic map” was previously detected. Collectively, our results suggest that ascending somatosensory afferents in the mammalian DDC pathway are primarily organized by modality and that a somatotoptic map exists within the same modality. Our work provides a new anatomical reference for studying dorsal column development, injury, and regeneration.
Materials and Methods
Mouse strains and genetic labeling of RA mechanoreceptors and proprioceptors.
Mice were raised in a barrier facility in the Hill Pavilion, University of Pennsylvania. All procedures were conducted according to animal protocols approved by the Institutional Animal Care and Use Committee of the University of Pennsylvania and the National Institutes of Health guidelines. Mice used in this paper were described previously: RetCreERT, PvCreERT2, PvCre(Arbr), PvCre(Aibs), Rosa26Tdt, Rosa26iAP, and TaumGFP mice (Hippenmeyer et al., 2005; Badea et al., 2009; Luo et al., 2009; Madisen et al., 2010; Taniguchi et al., 2011). We set timed pregnancy mating for RetCreERT2 and Rosa26Tdt, TaumGFP, or Rosa26iAP reporter mice and treated pregnant female mice with 4-hydroxy-tamoxifen (1.5, 2, and 1 mg at E10.5, E11.5, and E12.5) by oral gavage to specifically label the RA mechanoreceptor population. RetCreERT2; Rosa26iAP mice were treated with either a very low dosage of 4-hydroxy-tamoxifen (4HT; 0.05 mg at E12.5) or no 4HT (background recombination) to achieve sparse labeling of RA mechanoreceptors. As for proprioceptors, PvCreERT2 mice were mated with Rosa26iAP reporter line, and 20 and 10 mg of tamoxifen was gavaged at E16.5 and 17.5, respectively, to label the population. Sparse labeling of proprioceptors was achieved by treating the PvCreERT2; Rosa26iAP mice with 1.5–2.5 mg of tamoxifen at E16.5.
Tissue preparation and histology.
Mice were killed with CO2, transcardially perfused with PBS/4% PFA, postfixed with 4% PFA for 2 h at 4°C, and cryo-protected in 1 × PBS, 30% sucrose overnight. Frozen sections of spinal cord and DRGs from animals younger than P21 were cut within the spinal column using a Leica CM1950 cryostat, and spinal cords of adult mice were dissected out before sectioning. Immunostaining of spinal cords, whole-mount DRGs, interosseous membrane, glabrous skin, and whole-mount hairy skin was performed as described previously (Luo et al., 2009). Antibodies and dyes used are as follows: rabbit anti-parvalbumin (Swant, PV 25), goat anti-parvalbumin (Swant, PVG214), chicken anti-GFP (Aves, GFP-1020), chicken anti-NFH (Aves, NF-H), rabbit anti-NF200 (Sigma, N4142), rabbit anti-cRet (IBL, 18121), rabbit anti-CGRP (Immunostar, 24112), guinea pig anti-VGluT1 (Millipore, AB5905), rabbit anti-S100 (Dako, Z0311), and Alexa fluorescence-conjugated goat or donkey secondary antibodies (Invitrogen or Jackson ImmunoResearch Laboratories). Sections of spinal cord and whole-mount DRGs of PvCreERT2; Rosa26iAP mice were immunostained with parvalbumin (Pv) antibody and then AP color reaction using HNPP-fast red substrate (Roche, 11758888001) was performed according to the manufacturer's protocol. AP color reaction with BCIP/NBT (Roche, 1138221001 and 11383213001) substrate was also performed with sections of RetCreERT2; Rosa26iAP and PvCreERT2; Rosa26iAP spinal cord. Whole-mount spinal cords of sparsely labeled animals were dissected out carefully with all DRGs attached, and AP color reaction with BCIP/NBT substrate was performed as previously described (Li et al., 2011).
Semithin sections of mammalian dorsal column.
Mice were anesthetized with an intraperitoneal injection of xylazine and ketamine and perfused transcardially with fresh prepared fixative: 2% PFA and 2% glutaraldehyde in in 0.1 m phosphate buffer, pH 7.4, for half an hour. Deeply fixed human cervical spinal cord tissue of a 21-year old male was kindly provided by Dr. William W. Schlaepfer in the Department of Pathology at the Perelman School of Medicine, University of Pennsylvania. Fixed adult monkey spinal cord tissue was kindly provided by J. M. Wilson at the Children's Hospital of Philadelphia. Human and monkey spinal cords were dissected, cut into 2 mm transverse slices and postfixed in the same fixative overnight at 4°C. Tissues were postfixed in 1% OsO4 for 2 h and rinsed with 0.1 m phosphate buffer. After gradient ethanol dehydration and rinse in propylene oxide, tissues were embedded in Epon for cutting 1 μm semithin sections. Sections were stained either in toluidine blue or paraphenylenediamene. Semithin sections of adult rat, feline, and canine cervical spinal cords were processed and sectioned by Dr. Ian D. Duncan at University of Wisconsin as previously described (Jackson et al., 2009).
Central root rhizotomy.
The survival surgery of central root rhizotomy was conducted in Shriners Hospitals Pediatric Research Center, Temple University. All surgical and postoperative procedures were performed in accordance with Temple's Institutional Animal Care and Use Committee and National Institutes of Health guidelines. Dorsal root transection of L4–L5 was performed with 3 adult C57BL/6 mice (The Jackson Laboratory). Procedures are the same as previously described (Fleming et al., 2012). Two weeks after lesion surgery, animals were killed and semithin sections of the spinal cord were performed.
Heatmap generation.
To visualize the distribution of dorsal column axons of different sizes, we performed the following procedures using a custom program written in MATLAB (MathWorks) (see Fig. 8A–E). (1) A raw image is converted to a binary image using a threshold that appropriately separates the cross-sections of axons and fiber walls. (2) Thresholds for the maximum cross-section area and maximum length of the major axis are operationally determined for each image to exclude most non–axon-spurious areas, such as the extracellular space enclosed by the outer walls of multiple axons. (3) Axon size (in pixels) was automatically measured. (4) The cumulative percentile of all dorsal column axons in different species was plotted against axon sizes (see Fig. 8G), and a value corresponding to a specific percentile was determined as the threshold for large/small categories in a given species (see Fig. 8F). We used 88% as the threshold for mouse and rat and 80% as the threshold for feline, canine, monkey, and human. (5) Densities for all axons, large axons only, and small axons only were computed using a sliding window. An axon is counted if its centroid lies within the sliding window. (6) Axon density data are plotted in a heatmap, with warm/cool colors corresponding to high/low density and mapped to the full range of values for each image and axon type.
Our selection of category boundary for large/small axons was based on axon size distributions of identified mouse RA mechanoreceptors and proprioceptors. Figure 8F plots the probability density functions for the two axon types. With a threshold of 4.8 μm2, 95% of mouse proprioceptive axons (green trace) were included in the “large” category, whereas 90.8% of mouse RA mechanosensory afferents (red trace) were included in the “small” category. With a threshold of 3.08 μm2, 99% of mouse proprioceptors were included in the “large” category, whereas 81.1% of mouse RA mechanosensory afferents were included in the “small” category. Because the axon sizes differ among species (see Fig. 8G,H), we opted to use threshold values based on a common cumulative percentile of all dorsal column axons, instead of a common absolute value, for different species. In mouse, the thresholds of 3.08 and 4.8 μm2 correspond to 80th and 88th cumulative percentile (black trace), respectively. Thus, we chose 88th percentile as the category boundary for mouse and rat, which have sharper early rise in their cumulative functions, and 80th percentile for feline, canine, monkey, and human, which have slower rise in their cumulative functions (see Fig. 8G,H).
Image acquisition and 3D reconstruction.
Fluorescent images were acquired on a Leica SP5II confocal microscope. Medulla sections with triple immunostaining were imaged using the tiling mode and stitched automatically. Large specimens, including whole-mount spinal cord of sparsely labeled animals and semithin sections of different mammalian species, were imaged on Leica DM5000B microscope with a motor stage and power-mosaic mode. Whole-mount spinal cord images were taken using a 10× objective of NA 0.40, and semithin sections were images with a 40× objective of NA 1.25. The ascending and descending information of all labeled cells was summarized and represented in bar graphs using a program written in MATLAB (MathWorks). Cell bodies of single DRG neurons and dorsal view images of spinal cord were acquired with a Leica DFC 295 color camera. For reconstruction, image tiles of central projection of sparsely labeled neurons, including both ascending and descending fibers with collaterals and arbors, were taken using the greyscale format of the camera in a z-stack manner with ∼100–200 steps and step size of 1 μm, using a 20× objective of NA 0.70. A total of 16–25 tiles for each cell were taken because the central projections of RA mechanoreceptors and proprioceptors are ∼1–6 cm long. Image alignment and 3D reconstruction were performed in Neuromantic (Darren Myat, available at http://www.reading.ac.uk/neuromantic), an open-source freeware widely used in neuronal tracing. Reconstructions were exported to the Rotator visualization software using scripts written in MATLAB (Badea and Nathans, 2004; Shi, 2013).
Quantification and statistics.
Cell number counting and measurement of transverse areas of dorsal column axons were performed using ImageJ. Column graphs and scatter plots were generated in GraphPad Prism 5. All error bars are ± SEM. Student's t test or one-way ANOVA was used to compare the significances between different groups.
Results
Modality segregation in the P7 mouse dorsal column and DCNs
To determine whether the DDC pathway is primarily organized by modality, we generated RetCreERT2; Rosa26Tdt mice, in which RA mechanoreceptors are specifically labeled with a red fluorescent protein, Tdtomato (Tdt) (Luo et al., 2009). We stained P7 RetCreERT2; Rosa26Tdt spinal cord sections with an antibody against parvalbumin (Pv), a proprioceptor-specific marker at this developmental stage (Ernfors et al., 1994). Strikingly, in the lumbar and lower thoracic dorsal column, which only contains the gracile fasciculus, Tdt+ fibers are enriched in the medial part of the gracile fasciculus, whereas Pv+ fibers are located more laterally (Fig. 1E,F); in the upper thoracic and cervical dorsal column, which contains both the gracile and cuneate fasciculi, Tdt+ fibers are highly enriched in the gracile fasciculus and a thin medial zone of the cuneate fasciculus, whereas Pv+ fibers are located in the lateral cuneate fasciculus (Fig. 1C,D). These results suggest that RA mechanosensory and proprioceptive afferents form a complementary pattern throughout the entire dorsal column. Because Tdt and Pv label mechanoreceptors and proprioceptors in both caudal and rostral DRGs, this medial–lateral segregation pattern cannot be explained by the “somatotopic map” model. Instead, our results argue that ascending axons of mechanoreceptors and proprioceptors are largely segregated by modality in the dorsal column (Fig. 1K). Consistently, we found a similar segregation pattern when we stained P7 wild-type (WT) mouse spinal cord sections with antibodies against Ret and Pv (Fig. 1G–J). Furthermore, we examined innervation patterns of mechanoreceptors and proprioceptors in DCNs by staining serial sections of P7 RetCreERT2; Rosa26Tdt medulla with antibodies against Pv and VGluT1, which marks the DCN nucleus. We found that RA mechanoreceptors and proprioceptors innervate complementary DCN regions (Fig. 2): mechanoreceptors mainly innervate the gracile nucleus (GN) and a dorsal medial domain of the cuneate nucleus (CN) whereas proprioceptors innervate the external cuneate nucleus (ECN) and the ventral lateral domain of CN. This complementary innervation pattern in the DCNs further supports modality-based organization in the DDC pathway.
Dynamic expression of Pv in mechanoreceptors and proprioceptors during development
Since previous studies on dorsal column organization were conducted using adult animals (Whitsel et al., 1969; Maslany et al., 1991), we asked whether this modality-based functional organization is preserved in adult mice. We turned to genetic tracing for labeling adult proprioceptors as Pv is greatly downregulated after postnatal day 14 (P14). We first crossed PvCre(Arbr) knockin mice with a TaumGFP reporter line (Hippenmeyer et al., 2005) in which the myristoylated green fluorescent protein (mGFP) is expressed in neurons upon Cre activation to permanently label proprioceptors. Surprisingly, we observed a number of limb-level GFP+ DRG neurons are Pv− at P7 (Fig. 3A–C). In addition, GFP+ fibers innervate not only anticipated proprioceptor target regions, such as Clarke's column and the ventral horn motor neurons, but also layers III-V of the dorsal spinal cord (Fig. 3D,E). These results suggest that some mechanoreceptors are also labeled by this PvCre(Arbr) line. Indeed, GFP+ fibers innervate mechanosensory end organs in the periphery, including Messeiner corpuscles, Pacinian corpuscles, and Lanceolate endings (Fig. 3F–H). A similar observation was recently reported by another group (de Nooij et al., 2013). To determine when GFP starts to be expressed in mechanoreceptors, we stained E14.5 PvCre(Arbr); TaumGFP DRG sections with GFP, Pv, and Ret antibodies. Interestingly, we found that some limb-level Pv+/GFP+ DRG neurons are Ret+ (Fig. 3I), suggesting that Pv is normally expressed in some mechanoreceptors during development.
To determine the dynamic expression of Pv in RA mechanoreceptors during development, we examined the overlapping expression of Pv and Ret in all DRGs at E14.5, P0, and P7 (Fig. 4). We found that Pv+/Ret+ neurons are mainly observed at limb levels at E14.5 and P0 (Fig. 4A), whereas the percentage of Pv+/Ret+ neurons over total Pv+ neurons decreases postnatally (Fig. 4B). Very few Ret+ DRG neurons retain expression of Pv by P7, consistent with the notion that Pv is a specific marker for proprioceptors at this stage (Ernfors et al., 1994). Together, our data reveal that Pv is transiently expressed in some limb-level mechanoreceptors during embryonic development but becomes specific for proprioceptors postnatally.
Modality segregation in the adult mouse dorsal column and DCNs
To specifically label proprioceptors in adult mice, we used PvCreERT2 mice in which the inducible Cre was knocked into the Pv locus (Taniguchi et al., 2011). Somehow the recombination efficiency of this PvCreERT2 line is extremely low. Given the low percentage of Pv+ mechanoreceptors and the decreasing expression of Pv in neonatal mechanoreceptors, we reasoned that the probability of labeling Pv+ mechanoreceptors would be almost negligible if we treat the PvCreERT2 mice with tamoxifen at a late embryonic stage. To test this idea, we crossed PvCreERT2 mice to a Rosa26iAP reporter line in which human placental alkaline phosphatase (AP) is expressed upon Cre activation (Badea et al., 2009) and treated pregnant female mice with tamoxifen at E16.5 and E17.5. We found that 97.6% of the AP+ DRG neurons are Pv+ at P7 (Fig. 5A,B). In addition, AP+ somatosensory fibers innervate the Clarke's nucleus and the ventral horn, but not the dorsal spinal cord (Fig. 5C–J), indicating that proprioceptors are indeed specifically labeled using this strategy.
To determine whether “modality segregation” is maintained in adult mice, we examined adult PvCreERT2; Rosa26iAP mice in which proprioceptors are genetically labeled by AP and RetCreERT2; TaumGFP mice in which mechanoreceptors are genetically labeled by myristoylated GFP (Luo et al., 2009). Consistent with the P7 results, we found that AP+ proprioceptive fibers show a complementary pattern to that of GFP+ mechanoreceptors in the adult mouse dorsal column at different spinal cord segments (Fig. 6A–H), indicating that this modality segregation is maintained in adult. In addition, axons of mechanoreceptors and proprioceptors innervate distinct domains in the adult mouse medulla (Fig. 6I–R), a pattern similar to the one observed at P7. Remarkably, the innervation pattern of mechanoreceptors and proprioceptors in mouse DCNs revealed by our genetic tracing is in agreement with what has been suggested by physiological recordings in other mammalian species (Dykes et al., 1982; Hummelsheim et al., 1985; Fyffe et al., 1986). Collectively, our results suggest that ascending axons of mechanoreceptors and proprioceptors preferentially travel in the medial and lateral mouse dorsal column, respectively, and correspondingly innervate distinct DCN domains.
Modality segregation revealed by distribution of small- and large-diameter axons in the mouse dorsal column
To further test whether the modality-based segregation pattern is present in other mammalian species (in which genetic tracing is not feasible), we used the transverse area of dorsal column fibers as a surrogate identifier of modality. We first validated this method in mice. We genetically labeled mechanoreceptors and proprioceptors with AP using RetCreERT2; Rosa26iAP and PvCreERT2; Rosa26iAP mice (Fig. 7A–D), respectively, and quantified transverse areas of 2840 AP+ mechansoensory axons and 150 AP+ proprioceptive axons using semithin sections (1 μm) (Fig. 7E). We found that most AP+ RA mechanosensory axons are small-diameter myelinated axons (90.8% < 4.8 μm2, Figs. 7B, red arrows, E,F,G and 8F, black arrow), whereas very few of them are of large diameter in RetCreERT2; Rosa26iAP dorsal column (Fig. 7B,E, magenta arrows, G, inlet). To address whether these large-diameter AP+ axons are mechanosensory axons as well, we conducted whole-mount AP color reaction of spinal cord sections at different levels. We found that AP+ somatosensory fibers highly innervate layers III-V of the RetCreERT2; Rosa26iAP spinal cord (Fig. 7J) but rarely display the characteristic proprioceptive innervation pattern. Thus, this minor population of large-diameter AP+ axons is likely to be mechanosensory axons, probably axons of Pacinian corpuscle neurons. Nevertheless, we could not rule out the possibility that few proprioceptors were labeled in RetCreERT2; Rosa26iAP mice. Almost all AP+ proprioceptive axons are large-diameter myelinated axons (95% > 4.8 μm2, Figs. 7D, green arrows, E,H,I, and 8F, black arrow).
Interestingly, on semithin sections of adult WT mouse cervical spinal cord, small-diameter axons are enriched in the gracile fasciculus and a medial marginal zone of the cuneate fasciculus, whereas large-diameter axons are enriched in the lateral part of the cuneate fasciculus (Fig. 9A–D). On lumbar semithin sections, small-diameter axons are highly enriched in the middle of the gracile fasciculus, whereas large-diameter axons are mainly found in the lateral part of the gracile fasciculus (Fig. 9E–G). Density heatmaps that reflect the distribution of small- and large-diameter axons (Fig. 8A) show a medial–lateral distinction (Fig. 9H–K) on both cervical and lumbar spinal cord sections, which fits really well with the genetic tracing pattern (Figs. 1 and 6). These results suggest that we could coarsely map the distribution of mechanosensory and proprioceptive axons based on their axon sizes.
Modality segregation in the dorsal column is conserved in mammals
Is this modality-based functional organization of the mouse dorsal column conserved in other mammalian species? To answer this question, we examined semithin sections of cervical spinal cord of rat, feline, canine, rhesus macaque, and human, and lumbar spinal cord of rat, canine, and rhesus macaque (Figs. 10 and 11). We generated heatmaps to characterize the distribution of small- and large-diameter axons in the dorsal column, using the same approach that we developed for mice (Fig. 8G,H). In all mammalian species we examined, the distribution of small- and large-diameter axons forms a complementary pattern: small-diameter axons are mainly in the medial dorsal column, whereas large-diameter axons are enriched more laterally. Collectively, our results suggest that modality-based organization of ascending somatosensory axons in the DDC pathway is likely to be conserved across multiple mammalian species, including human.
Sparse labeling of RA mechanoreceptors and proprioceptors
If the mammalian DDC pathway is primarily organized by modality, why has a “somatotopic map” been robustly observed (Whitsel et al., 1970; Smith and Deacon, 1984)? Furthermore, if modality-based sorting occurs in both gracile and cuneate fasciculi (Fig. 1C–F), why is only one but not two segregation patterns seen in the rostral spinal cord (Fig. 1K), where both fasciculi are present? To answer these questions, we examined the central projections of RA mechanoreceptors and proprioceptors at a single-cell level. By titrating different dosage of the CreERT2 ligand 4HT or tamoxifen, we achieved sparse labeling (0–1 neuron labeled per DRG) of RA mechanoreceptors or proprioceptors using RetCreERT2; Rosa26iAP and PvCreERT2; Rosa26iAP mice, respectively (see Fig. 13A,B).
We observed a low level of Cre-mediated background recombination occurring in RetCreERT2; Rosa26iAP mice in the absence of 4HT treatment, whereas no background recombination was found in the PvCreERT2; Rosa26iAP mice. Intriguingly, the AP+ DRG neurons from background recombination in RetCreERT2; Rosa26iAP mice display different morphologies of central projections: some have long ascending axons projecting through the dorsal column, whereas others project locally (Fig. 12A–C). On average, 25 ± 3 DRG neurons were labeled per RetCreERT2; Rosa26iAP mouse at P21, which is composed of 8 ± 1 long projecting neurons and 17 ± 3 local projecting ones. To distinguish whether this morphological heterogeneity of AP+ DRG neurons reflects different subtypes of RA mechanoreceptors (Luo et al., 2009) or different types of Ret+ DRG neurons (Molliver et al., 1997; Luo et al., 2007), we conducted Fast red-AP color reaction on the spinal cord sections costained with antibodies against CGRP (a marker for peptidergic nociceptors and spinal cord layer I) and VGluT1 (stains the primary afferents of mechanoreceptors, which innervate spinal cord layers III-V). We found that AP+ fibers innervate both superficial and deep layers (Fig. 12D–I), suggesting that the background recombination of RetCreERT2; Rosa26iAP mice occurs in both RA mechanoreceptors and other types of Ret+ DRG neurons (late Ret+ DRG neurons), likely including nociceptors and C-LTMRs. Based on the known morphologies of RA mechanoreceptors, nociceptors, and C-LTMRs (Brown, 1981; Ling et al., 2003; Li et al., 2011), we hypothesized that AP+ DRG neurons with long ascending axons are RA mechanoreceptors, and those with local central projections are late Ret+ DRG neurons. If this hypothesis is true, we predict that the ratio of AP+ long projecting neurons versus local projecting ones in nontreated RetCreERT2; Rosa26iAP mice would decrease from P0 to P21 because more DRG neurons turn on the expression of Ret postnatally and thus CreERT2 activity increases in late Ret+ DRG neurons (Molliver et al., 1997; Luo et al., 2007). In addition, this ratio should be reversed upon 4HT treatment before E13.5, which specifically activates CreERT2 in RA mechanoreceptors (Luo et al., 2009). Indeed, we found that the percentage of long projecting neurons significantly decreases from P0 to P21 (80.1 ± 4.4%, P0; 34.4 ± 3.3%, P21; *p < 0.001, Fig. 12J), whereas the percentage of local projecting ones increases accordingly (19.9 ± 4.4%, P0; 65.6 ± 3.3%, P21; *p < 0.001, Fig. 12J). This trend was reversed upon the 4HT treatment at E12.5 (long, 73.9 ± 2.4%; local, 26.1 ± 2.4%, P21; *p < 0.001, Fig. 12J). Furthermore, we costained AP+ DRG neurons with NFH antibody (Fig. 12K–P), which stain the myelinated RA mechanoreceptors but not late Ret+ DRG neurons. Consistently, we found that the percentage of AP+/NFH+ neurons decreases (70.3 ± 3.6%, P0; 43.2 ± 0.05%, P21; p < 0.05), whereas the percentage of AP+/NFH− neurons increases from P0 to P21 (29.7 ± 3.6%, P0; 56.8 ± 0.05%, P21; p < 0.05, Fig. 12Q), and this change is also reversed upon early 4HT treatment (AP+/NFH+, 64.8 ± 0.5%; AP+/NFH−, 26.1 ± 0.5%, P21; p < 0.001, Fig. 12Q). Together, we conclude that AP+ long projecting neurons in nontreated RetCreERT2; Rosa26iAP mice are RA mechanoreceptors and took advantage of the background recombination to visualize central projections of individual mechanoreceptors.
Key morphological differences between ascending axons of mechanoreceptors and proprioceptors
We dissected out the whole spinal cord with attached DRGs from 3-week-old RetCreERT2; Rosa26iAP or PvCreERT2; Rosa26iAP mice and conducted AP color reaction. Using this whole-mount preparation, we could trace the entire central projections of labeled mechanoreceptors and proprioceptors. Both RA mechanoreceptors and proprioceptors have a typical pseudo-unipolar morphology: a single axon bifurcates near the soma, with one branch projecting centrally toward the spinal cord and the other to the periphery (Fig. 13A,B). The central axons of mechanoreceptors and proprioceptors bifurcate again upon entering the spinal cord, generating the rostrally (ascending) and caudally (descending) projecting branches that grow interstitial third-order collaterals. Interestingly, we observed several key morphological differences between the afferents of mechanoreceptors and proprioceptors in the dorsal column. First, ascending RA mechanosensory axons usually travel 3–4 spinal cord segments rostrally in the dorsal lateral spinal cord and give off collaterals before entering the dorsal column, whereas ascending proprioceptive axons join the dorsal column within one segment and give off collaterals along their entire length (Fig. 13C,D). Second, after joining the dorsal column, ascending RA mechanosensory axons gradually move to the middle of the dorsal column and project rostrally, whereas proprioceptive axons ascend in the lateral dorsal column (Figs. 13E,F and Fig. 14). Thus, ascending RA mechanosensory axons cross proprioceptive axons to enter the middle of the dorsal column, which explains the little bit “mix” of these two modalities at the cross section (Figs. 1 and 6). Third, ascending RA mechanosensory axons terminate in the DCN, whereas proprioceptive axons from caudal DRGs terminate in the dorsal column and grow short processes innervating the intermediate spinal cord (Fig. 13F). Fourth, as a result of axon sorting in the dorsal column, ascending RA mechanosensory and proprioceptive axons innervate distinct domains of the DCN (Fig. 13G,H). In total, we examined 100 RA mechanoreceptors and 135 proprioceptors (Fig. 13I,J) and found that almost all ascending RA mechanosensory afferents, regardless of their soma location, innervate the medulla. In contrast, ascending proprioceptive axons from T6 and above reach the medulla, whereas those below T6 travel 4–15 segments and then terminate.
3D reconstruction of sparsely traced RA mechanoreceptors and proprioceptors
To thoroughly characterize the morphologies of the entire central projections of RA mechanoreceptors and proprioceptors, we also prepared montages from sparsely labeled RetCreERT2; Rosa26iAP and PvCreERT2; Rosa26iAP spinal cords, using multiple focal planes for 3D reconstruction (Fig. 14). Based on the collateral morphologies, we have both Ia (Fig. 14F–J) and Ib (Fig. 14K–N,S–W) proprioceptors traced in PvCreERT2; Rosa26iAP mice. Similar to what was previously reported (Brown, 1981), Ia proprioceptors give off both short and long collaterals, which innervate the Clarke's column and motor neurons, respectively (Fig. 14H). The 3D reconstructions of RA mechanoreceptors and proprioceptors confirm the morphological differences between their ascending axons.
Lesion study confirms that ascending axons of lumbar proprioceptors do not reach rostral dorsal column
To further confirm that ascending proprioceptive axons from caudal DRGs do not reach rostral dorsal column, we performed lumbar dorsal root rhizotomy, which causes the degeneration of ascending axons from the injured segments and examined the degeneration pattern at L2, T6, and C3 levels. One to 2 weeks after dorsal rhizotomy, degenerating axons can be identified in the dorsal column semithin sections by their dark staining and irregular morphologies. These degenerating fibers are found in the gracile fasciculus at all levels examined (Fig. 15A–C). Interestingly, the number of degenerating axons resulting from the lumbar lesion greatly decrease at T6 and C3 levels (Fig. 15D), indicating that some ascending axons from L4–L5 do not reach the rostral dorsal column. Based on morphologies of axons in the matching area of the contralateral side, we deduce that axons from L4–L5 proprioceptors drop out of the gracile fasciculus because most of the remaining degenerating axons at T6 and C3 are small-diameter axons of mechanoreceptors (Fig. 15A–C).
Somatotopic organization within the same modality
To examine the somatotopic relationship among ascending axons of the same modality, we replotted the relative position of AP+ RA mechanosensory afferents in the RetCreERT2; Rosa26iAP dorsal column at C3 level (Fig. 16A), based on their best focal planes within the Z serials of images. We found that ascending axons of caudal to rostral RA mechanoreceptors display a medial to lateral pattern in the dorsal column. This result suggests that a somatotopic organization exists within the same modality (intramodality somatotopic organization).
The new modality-based functional organization model of DDC pathway
Our results enable us to propose a new model to explain how somatotopic and modality-based organizations coexist in the DDC pathway (Fig. 16B): (1) ascending somatosensory axons from DRGs below and above T6 travel in the gracile and cuneate fasciculi, respectively; and (2) upon entering the dorsal column, RA mechanosensory afferents tend to travel in a more medial position than proprioceptive axons, which leads to the modality-based organization within each fasciculus. In addition, almost all proprioceptive afferents from sacral to lower thoracic DRGs terminate in the rostral dorsal column. This leaves RA mechanosensory afferents in the rostral gracile fasciculus where the cuneate fasciculus forms, resulting in the observed single modality-based organization pattern in the rostral dorsal column. (3) Ascending RA mechanosensory and proprioceptive axons from the same DRG enter the dorsal column at different segments. Thus, at a given segment, medial axons are RA mechanosensory axons from more caudal DRGs, whereas lateral axons are proprioceptive axons from more rostral DRGs. In combination with somatotopic organization within each modality, a rough “somatotopic map” is generated in the dorsal column (Fig. 16C); and (4) as a result of axon sorting in the dorsal column, these modality-based and somatotopic organizations of mechanosensory and proprioceptive axons are preserved in the DCNs.
Discussion
Although the current dominant view suggests that the DDC pathway is organized as a “somatotopic map,” we demonstrated that RA mechanosensory and proprioceptive afferents are largely segregated in the mouse dorsal column. This modality-based organization is likely to be conserved in multiple mammalian species, including human. We also identified several key morphological differences between RA mechanosensory and proprioceptive ascending axons, which leads to modality segregation in the DDC pathway and explains the previous findings of a “somatotopic map.” Together, our results establish a new functional organization model for the mammalian DDC pathway.
Modality-based functional organization in the DDC pathway
Spinal cord dorsal column is one of the best known examples of the “somatotopic organization.” It is widely accepted that caudal to rostral ascending somatosensory axons are organized in a medial to lateral pattern in the dorsal column (Smith and Deacon, 1984; Charles Watson, 2009). Because several different types of somatosensory afferents join the dorsal column from each spinal cord segment, this “somatotopic map” model predicts that they would intermingle in the dorsal column. Whitsel et al. carefully compared afferents in the lumbar and cervical gracile fasciculus of squirrel monkey with regard to both modality and receptive field (Whitsel et al., 1969, 1970). They found that afferents of proprioceptors and Aβ-LTMRs were organized as a dermatomal map at lumbar levels, whereas only RA mechanoreceptors were retained in the cervical gracile fasciculus. They proposed that gracile fasciculus somehow “re-sort” while projecting rostrally, presumably because ascending axons of proprioceptors and slowly adapting (SA) LTMRs from caudal DRGs do not reach the cervical dorsal column.
On the other hand, physiological recordings also suggest that somatosensory fibers carrying the same modality of information project together in the dorsal column (Uddenberg, 1968) and innervate distinct domains of DCNs (Dykes et al., 1982; Hummelsheim et al., 1985; Fyffe et al., 1986). However, this modality-based functional organization of the dorsal column has not become a dominant view because no direct supportive anatomical evidence is currently available. Although the spinal cord and DCN innervating collaterals of Aβ mechanoreceptors and proprioceptors were well studied (Brown, 1981; Fyffe et al., 1986), the structures of their ascending axons through the entire dorsal column have not been carefully examined.
Using modality-specific genetic tracing, here we provide the first systematic characterization of mechanosensory and proprioceptive ascending axons in the mammalian dorsal column. With a whole-mount spinal cord preparation and AP color reaction, which enable us to visualize the entire ascending axons of individual mechanoreceptors and proprioceptors, we demonstrate that ascending axons of mouse RA mechanroeceptors and proprioceptors, two major types of ascending fibers in the DDC pathway, are largely segregated from each other throughout the entire dorsal column (Figs. 1, 2, and 6). This finding cannot be explained by the “somatotopic model” or even the “re-sorting” model because this modality-based segregation is observed in the caudal gracile fasciculus. Instead, afferents of most RA mechanoreceptors and proprioceptors must be sorted upon entering the dorsal column, as revealed by our single-cell analysis (Fig. 13). Interestingly, this modality-based organization is also obvious when we analyzed the distribution of small- and large-diameter axons in the dorsal column (Figs. 7 and 9), which coarsely correlate to mechanosensory and proprioceptive axons. Using this approach, we revealed that this modality-based functional organization is likely to be conserved across multiple mammalian species, including human (Figs. 10 and 11). Together, our results provide strong anatomical evidence that somatosensory afferents are organized by modality in the mammalian DDC pathway.
A rough “somatotopic map” in the DDC pathway
If the mammalian DDC pathway is primarily organized by modality, why has a “somatotopic map” been robustly observed? One of our observations using sparse genetic tracing may help to answer this question: ascending axons of RA mechanoreceptors enter the dorsal column 3–4 segments rostral than proprioceptors from the same DRG (Fig. 13C,D), which would generate a caudal/rostral somatotopic relationship between the two modalities (intermodality somatotopic organization) at any given spinal cord segment. Given the somatotopic organization existing within the same modality (Fig. 16A) (Whitsel et al., 1969, 1970), a rough “somatotopic map” is formed from medial to lateral dorsal columns (Fig. 16C). Nevertheless, because the organizing mechanism is predominantly based on modality, this “somatotopic map” would usually break when the modality shifts. Indeed, supporting evidence can be seen from previous physiological recordings (Whitsel et al., 1969, 1970; Dykes, 1983). Thus, although the dorsal column and DCNs exhibit a rough “somatotopic map” at the phenotypic level, DDC somatosensory afferents are not simply organized based on their “receptive fields.”
Pre-target axon sorting in the DDC pathway
Mechanoreceptors and proprioceptors tend to synapse with medulla neurons that receive the same type of inputs (modality-specific convergence) (Dykes et al., 1982; Rasmusson and Northgrave, 1997). However, how this “modality-specific convergence” is established during development is unclear. Here we demonstrated that ascending axons of mechanoreceptors and proprioceptors are largely segregated from each other in the dorsal column before DCN innervation (the pretarget axon sorting), similar to primary olfactory axons (Imai et al., 2009). As a result, ascending axons of mechanoreceptors and proprioceptors innervate distinct domains of DCNs (Figs. 2 and 6), which would greatly facilitate the modality-specific convergence in the medulla. Thus, modality-based axon segregation in the DDC pathway could play an important role in establishing the correct mechanosensory and proprioceptive circuits.
The indirect proprioceptive pathway
Although previous anatomical and physiological studies suggested that some ascending proprioceptive axons from caudal DRGs terminate in the middle of the dorsal column (Burgess and Clark, 1969; Clark, 1972; Giuffrida and Rustioni, 1992), it is unclear whether this is true for all caudal proprioceptors or whether ascending axons of some mechanoreceptors also terminate. Here we examined ascending axons of hundreds of proprioceptors and RA mechanoreceptors using sparse genetic tracing. We found that ascending proprioceptive axons from T6 and above reach the medulla, whereas those below T6 travel a few segments and terminate in the dorsal column (Fig. 13J). In contrast, almost all RA mechanoreceptors project to the medulla, regardless of their soma location (Fig. 13I). Thus, our data provide the direct evidence that ascending axons of all caudal proprioceptors, but not mechanoreceptors, terminate in the middle of the dorsal column. The proprioceptive information from hindlimbs and the lower part of the body is therefore transmitted to brain via an indirect pathway, presumably through the Clarke's column (Matthews, 1982). Although the best known projection of the Clarke's column is the spinocerebellar tract (Mann, 1973), which relays caudal proprioceptive information to the cerebellum to coordinate movement, it also projects to the Z nucleus, X nucleus, and the rostral part of the CN in medulla (Landgren and Silfvenius, 1971, 1977), where relay neurons project to thalamus (Landgren and Silfvenius, 1971) to mediate proprioception.
Coexistence of modality-based and somatotopic organization in the somatosensory system
The somatosensory system displays both somatotopic and modality-based organizations, which encode the “where” and “what” information of a stimulus. However, how somatotopic and modality-based organizations coexist in the somatosensory system remains an intriguing question (Dykes, 1983). Our study suggests that the central somatosensory pathway is mainly organized by modality, with a somatotopic map in the same modality (a modality/somatotopy organization). Our results would predict that more than one somatotopic map is formed along the central pathway. Indeed, multiple homunculi have been identified in the thalamus (Dykes et al., 1981) and primary somatosensory cortex (Kaas et al., 1979). Intriguingly, peripheral somatosensory axons, which carry different modalities of somatosensory information but share similar receptive fields, usually fasciculate and project together. Thus, the peripheral somatosensory pathway seems to be organized in a somatotopy/modality manner. How the central and peripheral axons of somatosensory neurons are organized by the opposite principles remains to be determined.
Implication of the new model
Dorsal column lesion is commonly found in spinal cord injury (Neumann and Woolf, 1999; Hollis and Zou, 2012) and diseases (Boshes and Padberg, 1953; Nathan et al., 1986). Thus, our results would have many implications for the dorsal column-related research and clinical practices. For example, some patients with dorsal column lesion show dissociated loss of vibration and proprioception (Ross, 1991), which could be readily explained by our model. In addition, our model suggests that, to regenerate the correct mechanosensory and proprioceptive circuits in the DCNs after spinal cord injury, it is necessary to promote differential growth of mechanosensory and proprioceptive axons and maintain their modality segregation. Last, dorsal column stimulation is effective for treating patients with brain injury (Oliveira and Fregni, 2011), neurodegenerative diseases (Fuentes et al., 2009), and chronic pain (Saulino and Shaw, 2012). However, pan-dorsal column stimulation has many side effects, such as paralysis, which might be caused by overexcitation of proprioceptors. Our results could potentially enable the development of focal and modality-specific dorsal column stimulation, which may reduce undesirable side effects.
Footnotes
W.L. was supported by National Institutes of Health Grants R00NS069799 and 1R01NS083702, Thomas B. McCabe and Jeanette E. Laws McCabe Pilot Award, Basil O'Connor Starter Scholar Research Award, and the University of Pennsylvania. Y.-J.S. was supported by the National Institutes of Health and Shriners Hospitals for the Children.
The authors declare no competing financial interests.
- Correspondence should be addressed to Dr. Wenqin Luo, Department of Neuroscience, Perelman School of Medicine, University of Pennsylvania, 145 Johnson Pavilion, 3610 Hamilton Walk, Philadelphia, PA 19104. luow{at}mail.med.upenn.edu