Organization of the sacral parasympathetic reflex pathways to the urinary bladder and large intestine
- 30 April 1981
- journal article
- Published by Elsevier BV in Journal of the Autonomic Nervous System
- Vol. 3 (2-4), 135-160
- https://doi.org/10.1016/0165-1838(81)90059-x
Abstract
Electrophysiological and horseradish peroxidase (HRP) techniques have provided new insights into the organization of the sacral parasympathetic reflex pathways to the large intestine and urinary bladder. The innervation of the two organs arises from separate groups of sacral preganglionic cells: (1) a dorsal band of cells in laminae V and VI providing an input to the intestine; and (2) a lateral band of cells in lamina VII providing an input to the bladder. These two groups of cells were separated by an interband region containing tract cells and interneurons. Neurons in the interband region received a visceral afferent input and exhibited firing correlated with the activity of intestine and urinary bladder. It seems reasonable therefore to consider the interband region as a third component of the sacral parasympathetic nucleus. Anterograde transport of HRP revealed that visceral afferents from the intestine and bladder projected into the parasympathetic nucleus. Most of the projections were collaterals from afferent axons in Lissauer's tract that passed in lamina I laterally and medially around the dorsal horn. These afferent collaterals were located in close proximity to preganglionic perikarya and dendrites in laminae I, V and VI. The proximity of visceral afferents and efferents in the sacral cord probably reflects the existence of polysynaptic rather than monosynaptic connections since electrophysiological studies revealed that both the defecation and micturition reflexes occurred with very long central delays (45–70 msec). The reflex pathways mediating defecation and micturition in cats with an intact neuraxis were markedly different. Defecation was dependent upon a spinal reflex with unmyelinated (C-fiber) peripheral afferent and efferent limbs. On the other hand, micturition was mediated by a spinobulbospinal pathway with myelinated peripheral afferent (A-fiber) and efferent axons (B-fiber). Transection of the spinal cord at T12—L2 blocked the micturition reflex but only transiently depressed the defecation reflex. In chronic spinal cats the micturition reflex recovered 1–2 weeks after spinalization; however, in these animals bladder-to-bladder micturition reflexes were elicited by C-fiber rather than A-fiber afferents. The C-fiber afferent-evoked reflex was weak or undetectable in animals with an intact neuraxis. Transection of the spinal cord also changed the micturition reflex in neonatal kittens (age 5–28 days). In neonates with an intact neuraxis bladder-to-bladder reflexes occurred via a long latency spinobulbospinal pathway (325–430 msec). The long latency is attributable to the slow conduction velocity in immature unmyelinated peripheral and central axons. In chronic spinal kittens (3–7 days after spinalization) the long latency reflex was abolished and a shorter latency (90–150 msec) bladder reflex was unmasked. The emergence of this spinal pathway may reflect axonal sprouting and the formation of new reflex connections within the sacral parasympathetic nucleus.Keywords
This publication has 36 references indexed in Scilit:
- Location and morphology of parasympathetic preganglionic neurons in the sacral spinal cord of the cat revealed by retrograde axonal transport of horseradish peroxidaseJournal of Comparative Neurology, 1980
- Spinal termination of functionally identified primary afferent neurons with slowly conducting myelinated fibersJournal of Comparative Neurology, 1979
- Distribution of primary afferent fibers within the sacrococcygeal dorsal horn: An autoradiographic studyJournal of Comparative Neurology, 1979
- Ultrastructure and quantitative synaptology of the sacral parasympathetic nucleusJournal of Neurocytology, 1979
- Horseradish peroxidase tracing of visceral efferent and primary afferent pathways in the cat's sacral spinal cord using benzidine processingNeuroscience Letters, 1978
- Reconstruction of trajectory of primary afferent collaterals in the dorsal horn of the cat spinal cord, using golgi-stained serial sectionsJournal of Comparative Neurology, 1978
- A quantitative ultrastructural analysis of the synaptic population in the sacral visceral grayExperimental Neurology, 1978
- The location of longitudinally running dendrites in the ventral horn of the cat spinal cordBrain Research, 1973
- Convergence in the lumbar spinal cord of pathways activated by splanchnic nerve and hind limb cutaneous nerve stimulationExperimental Neurology, 1973
- Convergence of visceral and somatic input onto spinal neuronsExperimental Neurology, 1970