Neurons in ventromedial medulla, including the nucleus raphe magnus, project to trigeminal nucleus caudalis and, via the dorsolateral funiculus, to spinal dorsal horn. The terminals of this descending system are in loci containing cells responsive to noxious stimuli. Electrical stimulation of nucleus raphe magnus selectively inhibits spinal dorsal horn neurons that respond to noxious stimuli. These neurons are located near the anatomically demonstrated terminals of this descending system. Dorsolateral funiculus lesions block this descending inhibition of spinal neurons as well as the analgesic action of morphine. This evidence supports the hypothesis that this neuron population mediates the analgesia produced by opiates and electrical stimulation of certain diencephalic and brainstem sites.Electrical stimulation of discrete medial diencephalic and brainstem sites gives rise to profound analgesia in awake, freely moving animals, including man (1-4). Analgesia can also be produced by microinjection of opiate drugs into many of these same regions (5, 6). Recently, an endogenous pentapeptide, enkephalin, with opiate-like pharmacological actions has been identified (7). The regional distribution of enkephalin (8), as well as that of opiate-binding sites (9), overlaps with the effective regions for stimulus-produced analgesia. Furthermore, naloxone, a specific opiate antagonist, counteracts stimulusproduced analgesia (4, 10). Taken together, these studies support the view that opiate and stimulus-produced analgesia are mediated by a common neural mechanism (2, 3).Both opiate and stimulus-produced analgesia appear to depend on descending connections to spinal cord (3, 11). Periaqueductal gray stimulation produces analgesia, inhibition of withdrawal reflexes (2), and preferential inhibition of dorsal horn neurons sensitive to noxious stimulation (12). At present, there is no evidence for a direct periaqueductal gray-spinal cord projection, but the periaqueductal gray does project to the nucleus raphe magnus (NRM), a large celled, serotonin-containing component of the midline raphe nuclear groups located in the medulla just dorsal to the pyramids (13,14). Since NRM stimulation also gives rise to powerful analgesia (15) and since NRM appears to contain neurons projecting to the spinal cord (16,17), the possibility arises that the analgesia and the inhibition of spinal pain transmission cells by opiates and by periaqueductal gray stimulation are mediated via NRM. Our report describes anatomical, physiological, and behavioral evidence for a descending inhibitory action of NRM on spinal and trigeminal neurons that respond to noxious stimulation.
METHODSFor anatomical studies, small quantities (0.1-0.5 ,il) of tritiated amino acid (L-[4,53H] Physiological experiments were carried out to examine the effects of NRM stimulation on the response of spinal cord dorsal horn neurons to natural stimulation. Extracellular recordings of lumbosacral dorsal horn neurons were made in cats that were electrolytically decerebrated at ...