Acupuncture activates a direct pathway from the nucleus tractus solitarii to the rostral ventrolateral medulla

Brain Res. 2019 Apr 1:1708:69-77. doi: 10.1016/j.brainres.2018.12.009. Epub 2018 Dec 6.

Abstract

Our previous studies have shown that electroacupuncture (EA) at the Jianshi-Neiguan acupoints (P5-6, overlying the median nerve) attenuates sympathoexcitatory responses through its influence on neuronal activity in the rostral ventrolateral medulla (rVLM). The nucleus tractus solitarii (NTS) receives input from somatic nerve stimulation. Connections between the NTS and the rVLM during EA stimulation have not been investigated and thus were the focus of the present study. Seven to ten days after unilateral microinjection of a rhodamine-conjugated microsphere retrograde tracer (100 nl) into the rVLM, rats were subjected to EA or sham-EA without electrical stimulation. EA was performed for 30 min at the P5-6 acupoints bilaterally. Perikarya containing the microsphere tracer were found in the NTS of both groups. Compared to controls (needle placement without electrical stimulation, n = 7), c-Fos immunoreactivity and neurons double-labeled with c-Fos, an immediate early gene, and the tracer were significantly increased in the NTS of EA-treated rats (all P < 0.05; n = 8), particularly, in the medial and lateral subdivisions of NTS at subpostremal and obex levels. These results suggest that EA at the P5-6 acupoints activates NTS neurons. Furthermore, EA-activated NTS neurons directly project to the rVLM and likely influence the rVLM activity.

Keywords: Acupuncture; Brain stem; Neural pathways; Somatic nerve; c-Fos.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy / methods
  • Animals
  • Blood Pressure / physiology
  • Electric Stimulation
  • Electroacupuncture / methods*
  • Male
  • Median Nerve / metabolism
  • Medulla Oblongata / physiology*
  • Neural Pathways / physiology
  • Neurons / metabolism
  • Periaqueductal Gray / physiology
  • Proto-Oncogene Proteins c-fos / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Solitary Nucleus / physiology*
  • Sympathetic Nervous System / metabolism

Substances

  • Proto-Oncogene Proteins c-fos