Glutamic acid decar☐ylase and enkephalin immunoreactive axon terminals in the rat neostriatum synapse with striatonigral neurons

Synaptic interactions between striatal projection neurons and axon terminals containing immunoreactive glutamic acid decar☐ylase (GAD) or Leu-enkephalin were examined in the rat neostriatum using a combined method of horseradish peroxidase retrograde transport from the substantia nigra and immunohistochemistry at the electron microscopic level. Results showed that numerous immunoreactive GAD and enkephalin boutons formed synapses with the cell bodies and dendrites of medium-sized striatonigral neurons. These findings demonstrate that within the neostriatum GABA and enkephalin directly influence caudate output pathways.     

Electron microscopic analysis of the synaptic organization of the globus pallidus in the cat

The synaptic organization of the feline globus pallidus (GP) was studied electron microscopically. The axon terminals were classified into five types on the basis of the size and shape of synaptic vesicles and the type of postsynaptic differentiations. Type I and II axon terminals were characterized by large, pleomorphic vesicles and by a symmetric and an asymmetric synaptic contact, respectively. Type III and IV axon terminals were characterized by small, pleomorphic vesicles and by a symmetric and an asymmetric synaptic contact, respectively. Type V axon terminals were characterized by elongated and large round vesicles and by a symmetric synaptic contact. The origins of these terminals were determined by a combined degeneration and HRP tracing technique. Following injections of HRP into the caudate nucleus or electrolytic lesions in this nucleus, type I terminals were anterogradely labeled with HRP or degenerated, respectively. Although type III, IV, and V terminals were labeled with HRP after HRP injections into the subthalamic nuclear region, only type IV and V terminals degenerated after lesions in that area. Type II terminals did not show any alterations following such treatment. These results suggest that type I terminals originate from the caudate nucleus, that type IV and V terminals come from the subthalamic nucleus or caudal to it, and that type III terminals are the terminals of intrinsic axon collaterals of GP neurons which send axons to the subthalamic nucleus. Occasionally convergence of different kinds of axon terminals on the same GP neuron was also observed. These terminals originated from the caudate nucleus and the subthalamic nucleus or caudal to it.(ABSTRACT TRUNCATED AT 250 WORDS)     

Neurotensin in projection neurons of the striatum and nucleus accumbens, with reference to coexistence with enkephalin and GABA: an immunohistochemical study in the cat

Neurotensin-like immunoreactivity (NT-LI) was demonstrated in projection neurons of the striatum and nucleus accumbens in the cat by combining immunohistochemistry and the fluorescent retrograde neuronal labeling method. In colchicine-treated cats, many neurons with NT-LI were found in the caudate nucleus, nucleus accumbens, and putamen. Most of these neurons were medium-sized neurons with spiny dendrites. NT-LI of neuronal elements in the caudate nucleus and nucleus accumbens formed dense aggregates with irregular figures, which appeared to correspond to the striosomes of Graybiel et al. (Proc. Natl. Acad. Sci. USA 75:5723-5726, '78; Exp. Brain Res. 34:189-195, '79; Neuroscience 6:377-397, '81). Fibers with NT-LI were distributed massively to the globus pallidus and ventral midbrain regions, but not to the entopeduncular nucleus. In the ventral midbrain regions, many fine varicose fibers with NT-LI were distributed to the pars compacta and pars lateralis of the substantia nigra, ventral tegmental area, and retrorubral area. In the pars reticulata of the substantia nigra, however, fibers with NT-LI were rather sparse. Examination of consecutive sections immunostained for NT, enkephalin (Enk), GABA, and substance P (SP) revealed that 50% of neurons with NT-LI in the caudate nucleus and nucleus accumbens exhibited Enk-LI, 15% showed GABA-LI, and 5% manifested both Enk-LI and GABA-LI; no NT-positive neurons in the striatum and nucleus accumbens showed SP-LI. No morphological differences were found between NT-positive neurons with Enk-LI and/or GABA-LI and those without Enk-LI and GABA-LI. Most neurons with NT-LI in the striatum and nucleus accumbens were retrogradely labeled with True Blue injected into the globus pallidus, pars compacta and pars lateralis of the substantia nigra, and ventral tegmental area. After hemitransection severing neuronal connections between the ventral midbrain regions and the forebrain structures, fibers with NT-LI and those with Enk-LI in the ventral midbrain regions were markedly reduced in number.(ABSTRACT TRUNCATED AT 400 WORDS)     

Representation of the body by single neurons in the dorsolateral striatum of the awake, unrestrained rat

Single cell recordings in awake monkeys and cats have demonstrated that individual body parts are represented within striatal subregions receiving projections from somatic sensorimotor cortex. Literature indicating that the lateral striatum of the rat receives similar cortical inputs and subserves sensorimotor functions prompted a study of whether this subregion contains similar representations of the body. Single cell recordings were obtained from 923 neurons of 24 awake, unrestrained rats. Of 788 neurons categorized according to body part, 264 (34%) discharged in relation to active movement, passive manipulation, and/or cutaneous stimulation of a particular part of the body; the remainder were related to global, whole body movement (38%) or were unresponsive (28%). Neurons related to individual body parts were recorded throughout the entire anterior-posterior extent of the dorsolateral striatum (+1.60 to -2.12 mm A-P, from bregma), intermingled among each other in all 3 dimensions. Two topographic arrangements were observed. First, neurons that fired rhythmically, in phase with low frequency (5-6 Hz) whisking of the vibrissae were segregated in the caudal striatum (-0.2 to -2.12 mm A-P) from neurons related to other body parts, which were distributed from +1.6 to -0.8 mm A-P. Second, representations of the head and face were located ventral to those of the limbs, despite substantial overlap in their overall distributions. A prominent feature of individual electrode tracks was the clustering together of cells related to the same body part. Neurons related to body parts exhibited substantial diversity, which took several distinct forms. Some neurons fired during movement or sensory stimulation in any direction, whereas others showed selectivity for a particular direction. Certain neurons responded to sensory stimulation of a large unilateral region of the body (e.g., all vibrissae or the entire forelimb), whereas others responded to stimulation of highly restricted regions (e.g., a single vibrissa or a single forepaw digit). Finally, neurons differed in the extent to which they exhibited active and passive properties. Among vibrissae-related neurons, one group fired rhythmically during whisking but did not respond to sensory stimulation of the vibrissae; a second group responded to sensory stimulation of the vibrissae but did not fire rhythmically during whisking; a third group showed both properties. Among limb-related neurons, firing during active movement was a property of every cell; none showed sensory responsiveness without showing a relation to active movement of one limb. Of the limb-related neurons, 89% tested responded to passive manipulation of the limb to which the neuron was actively related, and 71% also responded to cutaneous stimulation.(ABSTRACT TRUNCATED AT 400 WORDS)     

Synaptic organization of cholinergic neurons in the monkey neostriatum

Cholinergic neurons in the monkey neostriatum were examined at the light and electron microscopic level by immunohistochemical methods in order to localize choline acetyltransferase (ChAT), the synthesizing enzyme for acetylcholine. At the light microscopic level a sparse distribution of cholinergic neurons was identified throughout the caudate nucleus. Neurons had large (25-30 microns) somata, eccentric invaginated nuclei, primary dendrites of unequal diameters, and varicosities on distal dendritic branches. Ultrastructural study showed that the cholinergic cells had a cytoplasm abundant in organelles. Within dendritic branches, mitochondria and cisternae were localized primarily to varicosities. Synaptic inputs were distributed mostly to the dendrites and at least four types that formed symmetric or asymmetric synapses were observed. Immunoreactive fibers were relatively numerous within the neuropil and exhibited small diameters (0.1-0.15) micron) and swellings at frequent intervals. Cholinergic boutons that formed synapses were compared to unlabeled terminals making asymmetric synapses with dendritic spines. Results showed that ChAT-positive axons had significantly smaller cross-sectional areas, shorter synaptic junctions, and a higher density and surface area of mitochondria than the unlabeled boutons. Cholinergic axons formed symmetric synapses mostly with dendritic spines (53%) and the shafts of unlabeled primary and distal dendrites (37%). A relatively small proportion of the boutons contacted axon initial segments (1%) and cell bodies (9%) that included medium-sized neurons with unindented (spiny) and indented (aspiny) nuclei. The majority of dendritic spines contacted by cholinergic axons were also postsynaptic to unlabeled boutons forming asymmetric synapses. The results suggest that cholinergic neurons in the primary neostriatum belong to a single morphological class corresponding to the large aspiny (type II) interneuron identified in previous Golgi studies. Present results along with earlier Golgi-electron microscopic observations from this laboratory suggest that neostriatal cholinergic cells integrate many sources of intrinsic and extrinsic inputs. The observed convergence of ChAT-immunoreactive boutons and unlabeled axons onto the same dendritic spines suggests that intrinsic cholinergic axons modulate extrinsic inputs onto neostriatal spiny neurons at postsynaptic sites close to the site of afferent input.     

尾状核出血20例分析

目的　探讨尾状核出血的临床特征与CT的关系。方法　回顾分析 2 0例尾状核出血患者的临床资料。结果　尾状核头部型以头痛、呕吐伴颈项强直为主要表现 ,如不行头部CT检查极易误诊为蛛网膜下腔出血。尾状核体部局限型以头痛和轻、中度精神症状为主 ,呕吐和颈项强直少见。进展型以头痛呕吐 ,颈项强直和轻度偏瘫、意识障碍 ,并出现眼部体征。脑室穿破型以突发中、重度意识障碍起病 ,表现与原发脑室出血相似。两种局限型预后良好 ,进展型无一例死亡 ,但多留有轻度后遗症 ,脑室穿破型预后差 ,病死率高。结论　尾状核出血依据血肿局限于尾状核头部、体部或波及邻近组织的不同 ,而出现不同的临床特征。     

The technical advance and impact of caudate lobe venous reconstruction in left liver: additional safety for living‐related donor liver transplantation

The key to obtaining good overall outcomes in small‐for‐size liver‐graft transplantation is ensuring sufficient blood flow to the graft during the initial period after surgery. In left lobe liver grafting, various reconstruction techniques have been devised to maximize the limited graft volume. The reconstructions of the caudate lobe (CL) vessels were one of the main streams. In this article, we focus on the clinical significance of CL vessel reconstructions after small‐for‐size liver‐graft transplantation and discuss the roles of various techniques. These techniques contribute to the enlargement of the margin of safety with respect to small‐for‐size liver‐graft transplantation.