The midbrain periaqueductal gray (PAG) plays a crucial role in the integration of an animal's behavioral, somatic, and autonomic responses to threat, stress, and pain. 1,2) In particular, the PAG is a major site for modulation of nociception and a part of descending antinociceptive systems that relay via the rostral ventromedial medulla (RVM) to the spinal cord. 3,4) In addition, stimulation of dorsal PAG in several species produced defense reaction, anxiety, and fear, and lesions of the PAG produced anxiolytic effect. 5,6) Cholecystokinin (CCK) is a bioactive peptide that functions as a gastrointestinal hormone and a neuropeptide in both the peripheral and central nervous systems. As one of the most abundant neuropeptides in the brain, CCK has also been known to influence a variety of behaviors such as satiety, nociception, and anxiety/panic action in the brain. [7][8][9] Immunocytochemical studies have demonstrated that CCK is a major neurotransmitter or modulator in the PAG, and CCK receptors are heterogeneously distributed within the PAG.10,11) Microinjection of CCK or CCK receptor antagonists into the PAG antagonized or potentiated the acute antinociceptive effect of microinjected morphine, respectively. [12][13][14][15] In addition, Netto et al. 16) reported that microinjection of CCK into the PAG produced an anxiogenic effect through CCK 2 receptors using an animal model of anxiety. Based on these behavioral studies, the PAG could be a key site of anti-analgesic and anxiogenic actions of CCK, and it is possible that these effects of CCK are mediated through an alteration of neuronal activities in the PAG.CCK exerts its physiological effects via two subtypes of receptors, CCK 1 and CCK 2 receptors. 8,9) Both CCK receptors belong to a superfamily of G protein-coupled receptors (GPCR). 7,17,18) Direct coupling of CCK 1 and CCK 2 receptors onto Ga q to activate phospholipase C (PLC) and cause intracellular Ca 2ϩ signaling has been well demonstrated in pancreatic acinar cells [19][20][21] and several cell lines. [22][23][24] However, this effect is not clearly demonstrated in the central nervous system (CNS). We recently reported that CCK excited PAG neurons at both pre-and postsynaptic loci via the activation of CCK 2 receptors using slice preparations and whole-cell patch-clamp recordings.25) Therefore, in order to examine whether CCK could modulate intracellular Ca 2ϩ mobilizations in PAG neurons, we examined the effects of a sulfated form of CCK octapeptide (CCK-8S) using fura-2-based intracellular Ca 2ϩ concentration ([Ca 2ϩ ] i ) and whole-cell patch-clamp recordings in acutely isolated PAG neurons of the rat.
MATERIALS AND METHODSAcute Isolation of PAG Neurons PAG neurons with synaptic boutons were acutely isolated using the technique modified from Hahm et al. 26) Briefly, 12 to 21-d-old SpragueDawley rats were anesthetized and decapitated in accordance with the NIH Guide for the Care of Use of Laboratory Animals (revised 1996). The brains were quickly removed and immersed in an ice-cold artifici...