Substantia gelatinosa of Rolando | |
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Details | |
Identifiers | |
Latin | substantia gelatinosa cornu posterioris medullae spinalis |
MeSH | D013376 |
TA98 | A14.1.02.119 |
TA2 | 6067 |
FMA | 74019 |
Anatomical terminology |
The apex of the posterior grey column, one of the three grey columns of the spinal cord, is capped by a V-shaped or crescentic mass of translucent, gelatinous neuroglia, termed the substantia gelatinosa of Rolando (or SGR) (or gelatinous substance of posterior horn of spinal cord), which contains both neuroglia cells, and small neurons. The gelatinous appearance is due to an abundance of neuropil with a very low concentration of myelinated fibers. [1] [2] It extends the entire length of the spinal cord and into the medulla oblongata where it becomes the spinal trigeminal nucleus.
It is named after Luigi Rolando.
It corresponds to Rexed lamina II. [3] [4]
The SGR, or lamina II, is composed of an outer lamina II and an inner lamina II. [2] In rodents, the inner lamina II is divided into a dorsal and ventral inner lamina II. The distinction between these laminae lies in the areas of the spinal cord that send information to and from the laminae (input and output projections). [2]
The cell types within the SGR include islet cells, central cells, stalked or large vertical cells, small vertical cells, and radial cells. The islet cells and small vertical cells are primarily GABAergic, while the large vertical cells and radial cells are primarily glutamatergic. The descriptors GABAergic and glutamatergic refer to the neurotransmitter (GABA and glutamate, respectively) that the cell releases. Typically, the release of GABA from one cell causes the next cell to stop firing. The release of glutamate typically causes the next cell to depolarize and fire. Central cells can be either glutamatergic or GABAergic. These cells synapse on each other to modulate pain signaling through the release of these different neurotransmitters and various neuropeptides. [2]
The cells in the SGR receive input from each other and primary afferent neurons and project outwards to other cells within the lamina. Complex circuits of excitation and inhibition lead to transmission and inhibition of pain signals through the spinal cord to the thalamus. [2]
The substantia gelatinosa is one point (the nucleus proprius being the other) where first order neurons of the spinothalamic tract synapse.
Many μ and κ-opioid receptors, presynaptic and postsynaptic, are found on these nerve cells; they can be targeted to manage pain of distal origin. For instance, neuraxial administration of opioids results in analgesia primarily by action in the dorsal horn of the spinal cord in the substantia gelatinosa where they inhibit release of excitatory neurotransmitters such as substance P and glutamate and inhibit afferent neural transmission to the brain from incoming peripheral pain neurons via hyperpolarization of postsynaptic neurons.
C fibers terminate at this layer. Thus, the cell bodies located here are part of the neural pathway conveying slowly conducting, poorly localized pain sensation. However, some A delta fibers (carrying fast, localized pain sensation) also terminate in the substantia gelatinosa, mostly via axons passing through this area to the nucleus proprius. Thus, there is cross talk between the two pain pathways.
C fibers carrying information about pain and temperature synapse in outer lamina II and dorsal inner lamina II and release glutamate to excite neurons in these regions. Some C fibers also release BDNF, which can be either excitatory or inhibitory, sometimes depending on the characteristics of the post-synaptic neuron. These fibers are part of a pathway which may be implicated in central sensitization in chronic pain conditions. Fibers synapsing on these laminae that release peptides SST and GDNF may be part of a pathway that inhibits pain signaling. [2]
Some of the SGR projects to the marginal nucleus of the spinal cord, or lamina I, and laminae III-V. Most of these projections are excitatory. [2]
In physiology, nociception, also nocioception; from Latin nocere 'to harm/hurt') is the sensory nervous system's process of encoding noxious stimuli. It deals with a series of events and processes required for an organism to receive a painful stimulus, convert it to a molecular signal, and recognize and characterize the signal to trigger an appropriate defensive response.
A neurotransmitter is a signaling molecule secreted by a neuron to affect another cell across a synapse. The cell receiving the signal, or target cell, may be another neuron, but could also be a gland or muscle cell.
An inhibitory postsynaptic potential (IPSP) is a kind of synaptic potential that makes a postsynaptic neuron less likely to generate an action potential. The opposite of an inhibitory postsynaptic potential is an excitatory postsynaptic potential (EPSP), which is a synaptic potential that makes a postsynaptic neuron more likely to generate an action potential. IPSPs can take place at all chemical synapses, which use the secretion of neurotransmitters to create cell-to-cell signalling. EPSPs and IPSPs compete with each other at numerous synapses of a neuron. This determines whether an action potential occurring at the presynaptic terminal produces an action potential at the postsynaptic membrane. Some common neurotransmitters involved in IPSPs are GABA and glycine.
An excitatory synapse is a synapse in which an action potential in a presynaptic neuron increases the probability of an action potential occurring in a postsynaptic cell. Neurons form networks through which nerve impulses travels, each neuron often making numerous connections with other cells of neurons. These electrical signals may be excitatory or inhibitory, and, if the total of excitatory influences exceeds that of the inhibitory influences, the neuron will generate a new action potential at its axon hillock, thus transmitting the information to yet another cell.
The grey columns are three regions of the somewhat ridge-shaped mass of grey matter in the spinal cord. These regions present as three columns: the anterior grey column, the posterior grey column, and the lateral grey column, all of which are visible in cross-section of the spinal cord.
A nociceptor is a sensory neuron that responds to damaging or potentially damaging stimuli by sending "possible threat" signals to the spinal cord and the brain. The brain creates the sensation of pain to direct attention to the body part, so the threat can be mitigated; this process is called nociception.
The spinothalamic tract is a nerve tract in the anterolateral system in the spinal cord. This tract is an ascending sensory pathway to the thalamus. From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cortex of the postcentral gyrus.
The posterior grey column is one of the three grey columns of the spinal cord. It is a pronounced, dorsolaterally-oriented ridge of gray matter in either lateral half of the spinal cord. When viewed in transverse section, it is termed the posterior horn or dorsal horn.
Neurotransmission is the process by which signaling molecules called neurotransmitters are released by the axon terminal of a neuron, and bind to and react with the receptors on the dendrites of another neuron a short distance away. A similar process occurs in retrograde neurotransmission, where the dendrites of the postsynaptic neuron release retrograde neurotransmitters that signal through receptors that are located on the axon terminal of the presynaptic neuron, mainly at GABAergic and glutamatergic synapses.
The Rexed laminae comprise a system of ten layers of grey matter (I–X), identified in the early 1950s by Bror Rexed to label portions of the grey columns of the spinal cord.
The posterolateral tract is a small strand situated in relation to the tip of the posterior column close to the entrance of the posterior nerve roots. It is present throughout the spinal cord, and is most developed in the upper cervical regions.
Alpha (α) motor neurons (also called alpha motoneurons), are large, multipolar lower motor neurons of the brainstem and spinal cord. They innervate extrafusal muscle fibers of skeletal muscle and are directly responsible for initiating their contraction. Alpha motor neurons are distinct from gamma motor neurons, which innervate intrafusal muscle fibers of muscle spindles.
The nucleus proprius of spinal cord is a layer of the spinal cord adjacent to the substantia gelatinosa. The nucleus proprius can be found in the gray matter in all levels of the spinal cord. It constitutes the first synapse of the posterior gray column carrying proprioception, two-point discrimination, and vibration sensations from peripheral nerves. Cells in this nucleus project to deeper laminae of the spinal cord, to the posterior column nuclei, and to other supraspinal relay centers including the midbrain, thalamus, and hypothalamus. Rexed laminae III and IV make up the nucleus proprius.
In the hippocampus, the mossy fiber pathway consists of unmyelinated axons projecting from granule cells in the dentate gyrus that terminate on modulatory hilar mossy cells and in Cornu Ammonis area 3 (CA3), a region involved in encoding short-term memory. These axons were first described as mossy fibers by Santiago Ramón y Cajal as they displayed varicosities along their lengths that gave them a mossy appearance.
The spinoreticular tract is a partially decussating (crossed-over) four-neuron sensory pathway of the central nervous system. The tract transmits slow nociceptive/pain information from the spinal cord to reticular formation which in turn relays the information to the thalamus via reticulothalamic fibers as well as to other parts of the brain. Most (85%) second-order axons arising from sensory C first-order fibers ascend in the spinoreticular tract - it is consequently responsible for transmiting "slow", dull, poorly-localised pain. By projecting to the reticular activating system (RAS), the tract also mediates arousal/alertness in response to noxious stimuli. The tract is phylogenetically older than the spinothalamic ("neospinothalamic") tract.
The ventrobasal complex (VB) is a relay nucleus of the thalamus for nociceptive stimuli received from nociceptive nerves. The VB consists of the ventral posteromedial nucleus (VPM) and the ventral posterolateral nucleus (VPL). In some species, the ventral posterolateral nucleus, pars caudalis is also a part of the VB. The VB gets inputs from the spinothalamic tract, medial lemniscus, and corticothalamic tract. The main output of the VB is the primary somatosensory cortex.
In biochemistry, the glutamate–glutamine cycle is a cyclic metabolic pathway which maintains an adequate supply of the neurotransmitter glutamate in the central nervous system. Neurons are unable to synthesize either the excitatory neurotransmitter glutamate, or the inhibitory GABA from glucose. Discoveries of glutamate and glutamine pools within intercellular compartments led to suggestions of the glutamate–glutamine cycle working between neurons and astrocytes. The glutamate/GABA–glutamine cycle is a metabolic pathway that describes the release of either glutamate or GABA from neurons which is then taken up into astrocytes. In return, astrocytes release glutamine to be taken up into neurons for use as a precursor to the synthesis of either glutamate or GABA.
A spinal interneuron, found in the spinal cord, relays signals between (afferent) sensory neurons, and (efferent) motor neurons. Different classes of spinal interneurons are involved in the process of sensory-motor integration. Most interneurons are found in the grey column, a region of grey matter in the spinal cord.
The raphespinal tract is an unmyelinated descending serotonergic tract involved in pain modulation. It is a descending pain-inhibiting pathway; it is a component of the reticulospinal tract.
An axo-axonic synapse is a type of synapse, formed by one neuron projecting its axon terminals onto another neuron's axon.
This article incorporates text in the public domain from page 753 of the 20th edition of Gray's Anatomy (1918)