Rostral cuneiform nucleus and the defense reaction: Direct and indirect
midbrain-medullary serotonin mechanisms in baroreflex inhibition
Abstract
Background and Purpose: The activation of the defense reaction inhibits
the baroreflex response through the B3 and nucleus tractus solitarius
(NTS) regions. Our aim was to determine whether and how baroreflex
inhibition induced by the disinhibition of the rostral cuneiform
nucleus, part of the defense pathway, involves serotonin cells in B3 and
5-HT3 receptors in the NTS. Experimental Approach: We performed
immunohistochemistry and anatomical experiments to determine whether
raphe serotonin cells expressing Fos were directly targeted by the
rostral cuneiform nucleus. The effect of blocking raphe serotonin
transmission and NTS 5-HT3 receptors, on cuneiform-induced inhibition of
the baroreflex cardiac response, were also analyzed. Key Results:
Bicuculline microinjected into the rostral cuneiform nucleus induced an
increase of double labeled Fos-5-HT IR cells in both the LPGi and Raphe
Magnus. The anterograde tracer Phaseolus vulgaris leucoaggutinin into
the rostral cuneiform nucleus revealed a dense projection to the LPGi
but not Raphe Magnus. Cuneiform-induced baroreflex inhibition was
prevented by B3 injection of 8-OH-DPAT, a specific agonist for 5-HT1A
receptors. Cuneiform disinhibition also failed to inhibit the baroreflex
bradycardia after microinjection of a 5-HT3 receptor antagonist
(granisetron) into the NTS or in 5-HT3 receptor knock-out mice.
Conclusion and Implications: In conclusion, the rostral cuneiform
nucleus participates in the defense inhibition of the baroreflex
bradycardia via direct activation of the LPGi and a relay to the Raphe
Magnus, to activate NTS 5-HT3 receptors and inhibit second-order
baroreflex neurons. These data bring new insights in primary and
secondary mechanisms involved in vital baroreflex prevention during
stress.