University of Kent et al_JPhysiol... · 2017. 10. 24. · 1 Title Top down control of spinal...
Transcript of University of Kent et al_JPhysiol... · 2017. 10. 24. · 1 Title Top down control of spinal...
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Title
Topdowncontrolofspinalsensorimotorcircuitsessentialforsurvival
Authors
StellaKoutsikou1,2,RichardApps2&BridgetM.Lumb2
Affiliations1SchoolofBiologicalSciences,LifeSciencesBuilding,UniversityofBristol,U.K.2SensoryandMotorSystemsGroup,SchoolofPhysiology,Pharmacology&
Neuroscience,BiomedicalSciencesBuilding,UniversityofBristol,U.K.
RunningTitle
Midbraincontrolofsensoryandmotorsystems
Keywords
Periaqueductalgrey,Survival,Nociception,Spinalcord,Cerebellum,Freezing
behaviour,Descendingcontrol
Totalnumberofwords(excludingreferencesandfigurelegends)
1,962
CorrespondingAuthor
DrStellaKoutsikou
SchoolofBiologicalSciences,LifeSciencesBuilding(Office1.09),
24TyndallAvenue,UniversityofBristol,BristolBS81TQ
Tel:(+44)1173941344or3941329
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AbstractTheabilitytointeractwithchallengingenvironmentsrequirescoordinationofsensoryandmotorsystemsthatunderpinappropriatesurvivalbehaviours.Allanimals,includinghumans,useactiveandpassivecopingstrategiestoreacttoescapableorinescapablethreatsrespectively.Acrossspeciestheneuralpathwaysinvolvedinsurvivalbehavioursarehighlyconservedandthereisaconsensusthatknowledgeofsuchpathwaysisafundamentalsteptowardsunderstandingtheneuralcircuitsunderpinningemotioninhumansandtreatinganxietyorotherprevalentemotionaldisorders.Themidbrainperiaqueductalgrey(PAG)liesattheheartofthedefence-arousalsystemanditsintegrityisparamounttotheexpressionofsurvivalbehaviours.Todate,studiesof‘topdowncontrol’componentsofdefencebehaviourshavefocusedlargelyonthesensoryandautonomicconsequencesofPAGactivation.Inthiscontext,effectsonmotoractivityhavereceivedcomparativelylittleattention,despiteoverwhelmingevidenceofapivotalroleforthePAGincoordinatingmotorresponsesessentialtosurvival(e.g.suchasfreezinginresponsetofear).InthisarticleweprovideanoverviewoftopdowncontrolofsensoryfunctionsfromthePAG,includingselectivecontrolofdifferentmodalitiesofsensory,includingproprioceptive,informationforwardedtoamajorsupsraspinalmotorcontrolcentre;thecerebellum.Next,evidencefromourownandotherlaboratoriesofPAGcontrolofmotoroutflow,isalsodiscussed.Finally,theintegrationofsensorimotorfunctionsbythePAGisconsidered,aspartofcoordinateddefencebehavioursthatprepareananimaltobereadyandabletoreacttodanger.Abbreviationsdl/lPAG,dorsolateral/lateralperiaqueductalgrey;dm,dorsomedial;l,lateral;PAG,periaqueductalgrey;vlPAG,ventrolateralperiaqueductalgreyIntroduction:RoleofperiaqueductalgreyinsurvivalDefencebehavioursessentialtosurvivalcanbeinnate,buttheycanalsobelearnt,andduringevolutionareconservedacrossspecies,includinghumans(Takahashi,1992b,a;Blanchardetal.,2001a;Blanchardetal.,2001b;Gross&Canteras,2012;LeDoux,2012).Themidbrainperiaqueductalgrey(PAG)sitsattheheartofthebraincircuitrythatcoordinatessurvivalbehavioursandhaslongbeenidentifiedasapivotalcomponentoftheso-called‘emotionalmotorsystem’(Holstegeetal.,1996).ThePAGsurroundsthecentralaqueductand,basedonpatternsofinternalandexternalconnectivityandonitscyto-andchemo-architecture,canbedividedintofourlongitudinalcolumns(dorsomedial(dm),dorsolateral(dl),lateral(l)andventrolateral(vl),seeFig.1),eachwithdistinctfunctionsinsurvivalbehaviour(Carrive,1993;Bandler&Shipley,1994;Behbehani,1995;Bandleretal.,2000;Keay&Bandler,2002;Tovoteetal.,2016;Watsonetal.,2016).
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Asafunctionalinterfacebetweenthelimbicstructuresessentialtosurvivaldefencebehaviours,suchasthecentralnucleusoftheamygdala,thehypothalamusandmedialprefrontalcortex(Anetal.,1998;Petrovichetal.,2001;Canteras,2002;Gross&Canteras,2012;LeDoux,2012;Linnmanetal.,2012),andthelowerbrainstemandspinalcord(Fig.2),thePAGplaysamajorroleinintegratingresponsestointernalandexternalthreats(Blanchardetal.,1981;Bandleretal.,2000;Sokolowski&Corbin,2012)thatmaximiseananimal’ssurvivalbygeneratingarepertoireofconditionedandunconditionedfearbehaviours(Bandleretal.,1985;Bandler&Depaulis,1991;Bandler&Shipley,1994;Depaulisetal.,1994;Chenetal.,2015;Dengetal.,2016;Tovoteetal.,2016).SurvivalbehavioursorchestratedbythePAGcanbecategorisedintoactiveandpassivecopingstrategies(Fig.1).Activecopingisevokedbyactivationofthedl/l-PAG,whereaspassivecopingistriggeredbyactivationoftheventrolateralcolumn.Activecopingstrategies(e.g.confrontation,fightorflight)areevokedifthestressorisescapable(e.g.briefacutepain,closeencounterwithapredator).Bycontrast,passivecopingstrategies(e.g.quiescence,recuperation,freezing)areelicitedifthestressorisinescapable(e.g.visceralpain,proximitytoorcapturebyapredator),thusfacilitatingrecoveryandhealingbutalsoviaidentifieddl/lPAG–vlPAGfunctionalexcitatoryconnections(Tovoteetal.,2016),preparingtheanimaltoreact/escapewhenopportunityarises.AkeycomponentofCNSstrategiesforeffectivedefencebehaviouristhetopdownmodulationofsensorytransmissioninthespinaldorsalhornand,sincetheoriginaldescriptionof‘stimulation-producedanalgesia’fromthePAG(Reynolds,1969)attentionhasfocusedondescendingpainmodulatorysystemsthatoriginateinthebrainstemandoperateatthelevelofthespinalcord.PeriaqueductalGrey:roleinsurvival-topdowncontrolofspinalsensoryprocessingThespinaldorsalhornisthelocationofthefirstsynapseinpainpathwaysandthecapacityforthePAGtofilteroutnociceptivetransmissionatthisearlystagehaslongbeenrecognisedasessentialfortheexecutionofsurvivalbehaviours,asitminimisesnociceptor-drivensensorydistractionandmotordisturbancesthatwouldotherwiseperturbeffectiveactions(Waters&Lumb,1997,2008).Inthiscontext,wenowknowthatthedescendingpainmodulatorysystem(DPMS)thatoriginatesfromd/dl-andvl-PAGdiscriminatesnotonlybetweenspinalprocessingoflowintensitymechanosensitiveinputsversushighintensity(nociceptive)inputsbut,importantly,betweennociceptiveinputsofdifferentbehaviouralsignificancei.e.thoseconveyedinA-versusC-nociceptors(Waters&Lumb,2008).Intheir2008paper,WatersandLumbprovidedmechanisticevidencethatdifferentialcontrolofA-versusC-fibre-evokedresponsesofdorsalhornneuronesfromboththeventrolateralanddorsolateral/lateralcolumnsofthePAGresultsfromthemodulationofspinalsegmentalinhibition.Fromabehaviouralperspective,A-andC-fibrenociceptorsconveydifferentqualitiesofthenociceptivemessage;well-localised,rapidlyconducted,‘prickingpain’thatistolerableversus
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poorlylocalised‘aching/burningpain’thatisslowlyconductedandcanbeintolerable.IthasbeenproposedthatsuppressionofC-fibremediatedpainandsimultaneousenhancementofA-fibremediatedpainhasimportantconsequencesinrelationtobothactiveandpassivecopingstrategiesasitwouldfilteroutunwanteddistractinginformationandleaveintact,orevenaugment,the‘useful’componentofthepainsignalthatcanprovidemotivationandguidance(Leithetal.,2007;Waters&Lumb,2008;Drakeetal.,2016).Thehypothesisthatdescendingcontrolofspinalsensoryprocessingactstofilteroutdistractinginformationenroutetosupraspinalmotorcontrolcentreshas,untilnow,beenbasedonindirectevidence.Recentlyhowever,CerminaraandcolleaguesprovidedevidencethatthePAGcanmodulatecerebellarresponsestosensoryinputs(Cerminaraetal.,2009)andthisfindingwassubsequentlyadvancedandrefinedinstudiesofPAGinfluencesonspinalprocessingofsensoryinputtopre-cerebellarpathways.MotorbehavioursessentialforsurvivalareguidednotonlybyinformationabouttheexternalenvironmentthatisprovidedbycutaneousmechanosensitiveandA-fibrenociceptiveinputs,butalsobyinformationfromtheinternalenvironment;inparticularproprioceptiveinformationthatsignalsbodypositionandmovement.Inthiscontext,ourrecentstudieshavemadetheimportantfindingthatthePAGenhancesproprioceptivetransmissioninspino-olivarypathways(Fig.3D),whichinturnforwardinformationtothecerebellum(Fig.3).Thecerebellumisthelargestsensorimotorstructureinthebrainand,assuch,behaviourallyrelevantselectivityindescendingcontrol,includingenhancementofresponsestoproprioceptiveinputs,demonstratethecapacityofthePAGtoregulatesensoryinputtosupraspinalmotorcontrolcentresand,asaconsequence,toensurethecoordinationofappropriatedefensivebehavioursinaversivesituationswhenthePAGbecomesactive.ItisclearthatthePAGcanselectivelycontrolsensoryinputtothebrainthatensurestheexecutionofappropriatebehaviours,butuntilrecently,thequestionofwhetherthePAGhasdirecteffectsonthemotorapparatusthatdrivesbehaviourremainedunanswered.PeriaqueductalGrey:roleinsurvival-topdowncontrolofmotorcircuitsDescendingcontrolfromthePAGisessential(Keay&Bandler,2001)toelicitmotorresponsescharacteristicofsurvivalbehaviours.However,littleisknownoftheneuralcircuitsthatmediatethediversityofbehaviouralresponsesassociatedwithPAGactivation(Fig.1).Thisisasignificantgapinourunderstandinggiventhesurvivalimportanceofinitiating,adaptingandmaintainingcoordinatedmotorresponsesinaversiveandthreateningsituations.Toelicitactiveorpassivemotorresponses,thePAGmustengageultimatelywithspinalmotorcircuitsand,importantlywehaverecentlyreportedfacilitationofα-motoneuroneexcitabilityfromthevlPAG(Koutsikouetal.,2014).TheseeffectscouldbemediatedbydirectprojectionsfromthePAGtothespinalventralhorn
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(Mouton&Holstege,1994)and/orindirectly(Mantyh,1983;Tovoteetal.,2016),includingviathecerebellum(Dietrichs,1983;Silleryetal.,2005).AcerebellarlinkissupportedbytheidentificationofanatomicalconnectionsbetweenthePAGandpre-motorstructuressuchasthelateralreticularnucleus(Rosteetal.,1985)andtheinferiorolive;thesolesourceofclimbingfibrestothecerebellum(Swenson&Castro,1983a,b;Rutherfordetal.,1984;Watsonetal.,2013;Koutsikouetal.,2014).Importantly,apowerfulphysiologicallinkbetweenthePAGandthecerebellumhasbeenidentifiedelectrophysiologically(Koutsikouetal.,2014).UnequivocalevidenceforatopdownPAG-cerebellarlinkinthecontrolofspinalmotoroutflowanddefencebehaviourisprovidedbyreportsthat:(i)powerfuldescendingfacilitatoryinfluencesfromthevlPAGonspinalα-motoneuroneexcitabilityisabolishedbycerebellectomyand(ii),targetedlesionsofcerebellarinput-outputpathwaysabolishesthevlPAG-inducedincreaseinα-motoneuroneexcitabilityanddisruptsinnateandfear-conditionedfreezingbehaviour(Koutsikouetal.,2014).However,itisnotknownhowpathwaysfromthePAGtothespinalcordthataredirectandindirect(suchasthosethatinvolvethecerebellum)mightinteracttoco-ordinatemotoroutflow.InadditiontoidentifyingnovelPAGcircuitswithsupraspinalmotorstructures,ourfindingsontopdowncontrolofmotorfunctionatthelevelofthespinalcordmayalsogeneratediscussion.Thisisbecause,atfirstsight,vlPAG-evokedincreasesinmuscletoneappearatoddswiththeclassicviewthatthevlPAGcoordinatespassivecopingstrategies,whichareassociatedwithquiescenceandwithdrawalfromtheenvironment.However,fearevokedfreezingfromthevlPAGiswelldocumentedand,tomaintainatenseposture,requiresincreasedmuscletoneasreportedhere(Misslin,2003).Furthermore,aneffectofvlPAGonα-motoneuroneexcitabilityisatoddswiththehypothesisthatincreasesinmuscletoneseeninfear-inducedfreezingbehavioursismediatedbyintra-PAGinhibitorymechanismsregulatedbytheventrolateralsector(Walker&Carrive,2003);ratherthanbyeffectsoftheventrolateralsectoronmotoroutflowassuggestedbyourrecentstudies(Koutsikouetal.,2014;Koutsikouetal.,2015)andthoseofTovoteandcolleagues(Tovoteetal.,2016).PeriaqueductalGrey:roleinsurvival-topdownintegrationofsensoryandmotorsystemsTodate,datageneratedinseparatestudiesprovideclearevidencethatthevlPAGisthesourceoftopdowncontrolofeithersensoryprocessingormotoroutflow.Importantly,inorderforthevlPAGtoexecuteitssurvivalroleeffectivelyrequiresthatneuronesinthisregionareabletointegratesensoryandmotorfunctionsinacoordinatedway,asevidencedbyourrecentfindings(Koutsikouetal.,2015).Inthesestudies,neuronalstimulationatindividualsitesinthevlPAGresultedinsuppressionofcerebellarsensorytransmission(inhibitionofperipheralnerve-evokedcerebellarcorticalfieldpotentials),accompaniedsimultaneouslybyfacilitationofspinalmotoroutflow(increasedα-motoneuroneexcitability,Fig.4);
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providingevidencethatthePAGactsonbothsensoryandmotorsystemssimultaneously.ConcludingremarksAsthegatekeeperofspinalsensorytransmissionduringaversivebehaviour,theabilityofthePAGtoexertselectivecontroloversensoryinformationofdifferentmodalities,andofdifferentbehaviouralsignificance,includingthattransmittedtomotorcontrolcentres,ispivotaltotheroleofthePAGinthecoordinationofbehavioursessentialforsurvival.Importantly,itisnowevidentthatselectivecontrolofsensoryprocessingmaybepartofanintegratedsystemwherebythePAGcanorchestratesensoryandmotorfunctionsthusenablingbehaviourstobeexecutedwiththeappropriatedegreeofprecisionandstrength,therebyassistingsurvival.ReferencesAnX,BandlerR,OngurD&PriceJL.(1998).Prefrontalcorticalprojectionsto
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AdditionalInformationSectionCompetingInterestsWeconfirmthattheauthorshavenoconflictsofinterest.AuthorContributionsExperimentalworkwascarriedoutinthelaboratoriesofBMLandRA,SchoolofPhysiology,Pharmacology&NeuroscienceatUniversityofBristol.
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1.conceptionordesignofthework–SK,BML,RA2.acquisition,analysis,orinterpretationofdataforthework-SK3.draftingtheworkorrevisingitcriticallyforimportantintellectualcontent–SK,BML,RA4.approvedthefinalversionofthemanuscript–SK,BML,RA5.agreetobeaccountableforallaspectsoftheworkinensuringthatquestionsrelatedtotheaccuracyorintegrityofanypartoftheworkareappropriatelyinvestigatedandresolved–SK,BML,RA6.allpersonsdesignatedasauthorsqualifyforauthorship,andallthosewhoqualifyforauthorshiparelisted–SK,BML,RA.FundingBiotechnology and Biological Sciences Research Council(BBSRC)BB/G012717/1FigureLegendsAuthorbiographyStellaKoutsikoucompletedherPhDinneurophysiologyin2004withSallyLawson,beforejoiningtheBristolSensoryandMotorSystemsResearchGroup.CurrentlysheisworkingwithSteveSoffeandAlanRobertsintheSchoolofBiologicalSciencesatBristol.BridgetLumbstartedherresearchcareerinBirminghamandmovedtoBristolinthe1980stopursueherinterestsinCNSmechanismsofacuteandchronicpain.BridgetbecameaProfessorofNeurosciencein2008.RichardAppsreceivedhisPhDinneurophysiologyfromBristolin1988,andbecameaProfessorofNeurosciencein2007.Hisresearchinterestsfocusonolivocerebellarcontributionstosensorimotorcontrol.Weshareacommoninterestinthepathwaysandmechanismsthatmodulatesensoryandmotorcircuitsthatcontributetosurvivalbehaviours.Ourcombinedresearchmethodologyincludesinsituwhole-cellpatchrecordingandinvivoelectrophysiological,behaviouralandneuroanatomicaltechniques.AbstractFigurePeriaqueductalgreytopdowncontrolofsensoryandmotorcircuitsSchematicillustrationofthedorsomedial(dm),dorsolateral(dl),lateral(l)andventrolateral(vl)neuronalcolumnsofthecaudalperiaqueductalgrey(PAG)exertingtheirdescendinginfluencesonspinalandsupraspinalsensoryandmotorcircuits.Key:effectsoftopdowncontrolonspinalneurones;red,inhibited;green,facilitatedandblue,noeffect.Figure1.MidbrainperiaqueductalgreycoordinatesemotionaldefensivebehavioursSchematicillustrationofthedorsomedial(dm),dorsolateral(dl),lateral(l)andventrolateral(vl)neuronalcolumnswithintherostral(topoffigure)tothecaudal(bottomoffigure)periaqueductalgrey(PAG).OverviewoftheemotionalcopingstrategiesassociatedwithactivationofdistinctcolumnsofthePAG.Thedorsal/lateralcolumnsandtheventrolateralcolumnofthePAGorchestrateactivevspassivecopingbehavioursrespectively.Activecopingincludesbehavioursthatare
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associatedwithwholebodymovements,hypertension,tachycardiaandageneralhyperexcitability.Bycontrast,passivecopingdescribesasetofbehavioursthataregenerallycharacterisedbylackofmovement(butnotnecessarilyflaccidbodypostures)anddecreasedresponsivenesstotheenvironment(e.g.fear-evokedfreezingmediatedbyvlPAGactivationassociatedwithtensebodypostures).Informationpresentedinthisfigurehasbeencollatedfromexperimentalworkonbothcatsandratsinthefollowingpublications:Bandler&Depaulis,1991,Bandler&Shipley,1994,Bandleretal.,2000,Gross&Canteras,2012andDengetal.,2016.Figure2.Midbrainperiaqueductalgreyinteractionswiththedescendinglimbicsystem.Schematicillustrationofthedorsomedial(dm),dorsolateral/lateral(dl/l)andventrolateral(vl)neuronalcolumnsoftheperiaqueductalgrey(PAG)connectionswiththelimbicsystem.Efferentsfromtheamydala,hypothalamusandprefrontalcortextargetthePAGand,inturn,efferentsfromthePAGcontributetothedescendinglimbicsystemthattargets,medulla,pons,cerebellumandspinalcord.LA,lateralamygdala;BMA,basomedialamygdala;MeA,medialamygdala;BLA,basolateralamygdala;CeA,centralamygdala.Informationpresentedinthisfigurehasbeencollatedfromthefollowingpublications:An,etal.,1998,Gross&Canteras,2012,Linnmanetal.,2012,Koutsikouetal.,2014andTovoteetal.,2016.Figure3.Periaqueductalgreyselectivelyaltersspino-olivaryneuronalresponsestodifferentqualitiesofsensoryinput.A,Typicalexampleoftheresponseofaclass2neurontonoxiouspinch(3.6N):peristimulustimehistogram(PSTH,spikesper1sbin)areshownbefore(pre-PAG)andduring(PAG)vlPAGchemicalexcitationwithDL-Homocysteicacidintheanaesthetisedrat.DottedhorizontallineineachofthePSTHsindicatestheonsetanddurationoftheperipheralstimulus.B,SameasAexceptexampleclass2neuronresponsetoinnocuouspressure(0.5N).C,SameasAexceptexampleofclass3neuronresponsetonoxiouspinch(3.6N).D,SameasAexceptexampleofclass4neuronresponsetoinnocuousanklejointmanipulation.E,StandardtransversemapsoftheleftPAGatthreerostrocaudallevelstoshowhistologicalreconstructionofinjectionsites.Coordinatesarerelativetobregma.DM,Dorsomedial;DL,dorsolateral;L,lateral;VL,ventrolateral.Greenindicatesclass2(noxiouspinch);greenwithblackoutline,class2(noxiouspinchandinnocuouspressure);red,class3;blue,class4.AdaptedwithpermissionfromKoutsikouetal.2015.Figure4.Periaqueductalgreyactivationresultsinsimultaneousmodulationof(A)ascendingtransmissiontothecerebellumand(B)spinalmotorcircuits.A,Exampleofaveragedclimbingfibrefieldpotentials(CFPs)recordedfromthesurfaceofthecerebellarcortexintheanaesthetizedrat(C1zoneofleftcopulapyramidis).B,ExamplesofaveragedM-wave(M)andH-reflex(H)responses,thelatterindicativeofα-motoneuroneexcitability,recordedfromtheleftplantarismuscleatthesametimeasA.Allresponseswereevokedbyelectricalstimulationoftheipsilateraltibialnerve(<1mA).Eachaveragedexampleconsistsoffiveconsecutiveresponsesbefore(prePAG)andduring(PAG)vlPAGchemicalexcitationwithDL-Homocysteicacid(DLH).Arrowsindicateonsetoftheelectricalstimulus.C,
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StandardtransversemapsoftheleftPAGtoshowinjectionsitesofDLHinthevlPAG(filledcircles),fromwhichtheeffectsofvlPAGactivationonpeak-to-peakamplitudeofM-waveandH-reflexandCFPweretested.Thecoordinatesarerelativetobregma(DM,dorsomedial;DL,dorsolateral;L,lateral;VL,ventrolateral).AdaptedwithpermissionfromKoutsikouetal.2015.