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J. Phyaiol. (1973), 230,pp. 273-293 273 With 1plateand 7 text-figurew Printed in GreatBritain DIFFERENTIAL RELEASE OF ACETYLCHOLINE FROM THE HYPOTHALAMUS AND MESENCEPHALON OF THE MONKEY DURING THERMOREGULATION BY R. D. MYERS AD M. B. WALLER From the Laboratory ofNeuropsychology, Purdue University, Lafayette, Indiana 47907, U.S.A. (Received 13 June 1972) SUMMARY 1. In unanaesthetized monkeys acclimated to primate chairs, 101 iso- lated sites in the hypothalamus and mesencephalon were perfused at a rate of 30-50,sl./min by means of push-pull cannulae. The perfusate, which contained an anticholinesterase, was assayed for acetylcholine (ACh) activity on the guinea-pig ileum in the presence of neostig- mine. 2. The body temperature of each animal was monitored continuously during an experiment by colonic and brain thermistors. To alter the ambient temperature by 15-20' C, either a stream ofwarm air was passed over the monkey's trunk or containers of ice were placed in its chair chamber to cool the same region. 3. Assays ofthe effluentrevealedthattherelease ofAChvaried accord- ingto the ambient temperature as follows: elevated only during cooling; elevated only during warming; elevated by both thermal stimuli; sup- pressedonly by cooling; suppressed onlybywarming; suppressed byboth thermal stimuli; elevated during cooling but suppressed bywarming; and elevated by warming and suppressed by cooling. 4. A composite anatomical 'mapping' of all perfusion sites revealed that in response to either peripheral cooling or warming, the output of ACh varied at only 36% of all sites anterior to the mid-hypothalamic plane, but at 65% ofthose loci caudal to this coronal plane. 5. In the anterior, preoptic area, cooling enhanced the output ofACh at 88% ofthe active releasing sites, whereas warming reduced the release ofAChat 80% oftheseperfusionloci. Posteriortothisregion, AChrelease was elevated by cooling at about half of the active releasing sites, but lowered by warming at nearly every active perfusion locus. Within the mesencephalon, the ratio of the temperature-induced change in ACh release was similar but in an opposite direction, since the level ofACh in 274 B. D. MYERS AND M. B. WALLER theeffluentcollectedfromtwooutofthreesiteswasaugmentedby cooling, but diminished by warming. 6. These results provide additional evidence for the neurochemical model of Myers & Yaksh (1969), which suggests that a cholinergic path- way originating in the anterior, preoptic region transmits efferent signals for heat production. Further, within the posterior hypothalamic area as well as in the mesencephalon of the monkey, the characteristics of the ACh releasing sites reflect a function delegated primarily to heat gain, although evidenceofa cholinergic pathwayfortheheatlosssystem is also presented. INTRODUCTION Withinthe context ofan amine theory ofthermoregulation, it has been hypothesized that separate cholinergic pathways originate in the hypo- thalamusoftheprimateforheatproductionandheatloss (Myers& Yaksh, 1969). The evidence for this hypothesis is twofold. First, 5-hydroxytrypt- amine (5-HT)andnoradrenalineexerttheirhyper-orhypothermicactions, respectively, only when they are applied locally to the anterior, preoptic region. Since neither of these monoamines exerts a thermal effect when micro-injected into the posterior hypothalamus, the classical 'heat main- tenance centre' (Hardy, 1961; Bligh, 1966; Benzinger, 1969), a third neurohumoral factor is presumed to transmit the efferent signals arising from the more rostral 'thermostat' (Myers, 1969b). Second, when ACh or a cholinomimetic substance is micro-infused into sites caudal to the preoptic area, a sharp rise in temperature ensues. However, within the mammillary region at the junction between the posterior hypothalamus and mesencephalon, there are two cholinoceptive zones-one ostensibly delegated to heat production whilst the other would subserve heat dis- sipation (Myers & Yaksh, 1969). It has been shown that ACh or carbamylcholine injected in the rostral hypothalamus of the rat may evoke a transient hyper- or hypothermia (Avery, 1970; Beckman & Carlisle, 1969; Lomax & Jenden, 1966). Avery (1971) has extended these findings by demonstrating that carbamyl- choline produced arise inthe temperature ofthis species also whenmicro- infused in the lateral and medial preoptic area. On the basis of other micro-injection experiments, Hall and Myers recently proposed that nicotinic receptors which mediate hypothermia are located in the anterior hypothalamus of the monkey, whereas, in the posterior area, nicotinic synapses serve ahyperthermic pathway (Hall & Myers, 1972). From these findings, it now would appear essential that the hypothalamic release of ACh must be demonstrated in order to elucidate its possible role as a HYPOTHALAMIC ACh AND TEMPERATURE 275 transmitter inthe centralthermoregulatory mechanism (Bligh & Maskrey, 1969; Bligh, Cottle & Maskrey, 1971). In previous studies, theresting release ofACh in subcortical structures of the cat has been altered by electrical stimulation (McLennan, 1964; Phillis, Tebecis & York, 1968), and in the unanaesthetized monkey, the spontaneousreleaseofAChinsitesscatteredthroughoutthehypothalamus and mesencephalon has been detected (Beleslin & Myers, 1970; Myers & Beleslin, 1970). If cholinergic synapses should in fact transmit impulses for the simultaneous activation and reciprocal inhibition ofeither hyper- or hypothermia, then ACh should be released differentially at sites in the longitudinal plane extending from the anterior hypothalamus through the mesencephalon. Inthepresentexperimentswe attempted to determine whetherchanges in the resting release ofACh would occur when an animal was regulating either against a warm or cold stimulus applied peripherally. So thateach animalcouldbeusedasitsowncontrol,isolatedsitesinthebrainstemofthe unanaesthetized monkeywere perfused repeatedly bymeans ofpush-pull cannulae before and after the animal was warmed or cooled. METHODS Malerhesusmonkeys(Macacamulatta)weighingfrom4-5to8-5kgwereacclimated to primate restraining chairs for 7-14 days before surgery. Throughout this period, and during the experiments, each animal was maintained on Purina monkey chow andwater,whichwerealwaysfreelyavailable. Theambienttemperaturewasmain- tainedat 24-260C. SurgicaZprocedures Each of twenty-four animals was anaesthetized with pentobarbitone sodium (25-35mg/kg) injected into the external saphenous vein or one of its superficial branches. Under aseptic conditions and following the general surgical procedures described earlier (Myers, 1967), four 17-gauge stainless-steel tubes were implanted stereotaxically to serve as the guides for push-pull cannulae (Myers, 1970a). The array oftubes was positioned above the anterior or posterior portions ofthe hypo- thalamus or above structures in the mesencephalon. After each tube was affixed to the calvarium by Cranioplast cement, apolystyrene pedestal whichsurrounded the array was screwed to the skull and capped so that a sterile preparation was main- tainedthroughouttheexperiments. Torecordbraintemperature, athermistorbead wasalsoinsertedthrough aburhole drilled inthe calvarium andpositioned against the posterior portion ofthe sagittal sinus. Perfusionprocedures Beforeanexperimentbegan,thebase-linetemperatureoftheanimalwasobtained for at least 1 hr by means ofthe intracranial thermistor. As a cross-check, colonic temperature was often monitored simultaneously with a YSI 401 thermistor probe (Yellow Springs Instrument Co., Yellow Springs, Ohio, U.S.A.) inserted into the colon to a depth of7-10cm as described elsewhere (Myers & Yaksh, 1969). 276 R. D. MYERS AND M. B. WALLER The methods for altering the ambient temperature of the monkey before a per- fusion was begun were the same as those described previously (Myers & Sharpe, 1968; Myers & Beleslin, 1971). A Plexiglass cover was fitted over the front ofthe primate chair so as to enclose the region just between the neck and pelvic girdle. Tocoolthe airinthis enclosedspacetwo sealedwire-meshboxescontainingdryice were placed against the inside walls of the chamber. The top ofthe chamber was thensealedsothatthemonkeycouldnotinhaleexcessC02.Toraisetheairtempera- ture surrounding the trunk ofthe animal, a stream ofhot air was blown into the chairchamber,whichhadbeensealedinanidenticalmanner.Thus,thetemperature oftheairinthechambercouldberaisedorloweredby 15-200Caboveorbelowthe ambienttemperature, within 6-8min. Althoughtheairbreathedbytheanimalwas at ambient temperature, these thermal stimuli were sufficient to evoke normal thermoregulatory responses. During cooling these included shivering, vasoconstric- tion, huddling behaviour or lever-pressing for heat-lamp reinforcement. During warming ofthe trunk, the respiratory rate increased,theearvesselsbecamedilated and the monkey sometimes drank water. No signs ofdistress such as vocalization, hyperactivity, biting or struggling occurred. In fact, the animal responded to a gesture by the experimenterwiththe typical threat behaviour in a normal fashion. To perfuse an isolated region ofthe brain stem, the concentric cannulae ofeach push-pull assembly (Myers, 1970a) were lowered through the guide tubes. The outer or pull cannula consisted of20-gauge stainless-steel thin-wall tubing and the inner or push cannula was cut from 27-gauge tubing. The tip ofthe push cannula waspassedthrough asiliconerubberdiaphragmplacedinthecannulacapto alevel 1-0mmbeyondthetipofthepullcannula. Thedepthtowhichthecannulaassembly couldbeloweredintothebraintissuewascontrolledsimplybythelengthofastain- less-steel spacer which fitted snugly over the pull cannula. Each cannula assembly wasconnectedwithpolyethylenetubing (PE-50) toacalibratedpushorpullsyringe mounted on a multi-channel Harvard infusion-withdrawal pump. In most experi- ments the perfusions were done bilaterally although not necessarily at homologous sites. The perfusate wasamodifiedLocke solution, withthe bicarbonate omitted, con- taining the following salts in m-mole: Na, 154-9; K, 5-6; Ca, 1-7; C1, 162-9; and glucose, 11-1 m-mole/l. Inaddition, neostigmine methylsulphate 0-3-1-0,g/ml. was added, but in a few experiments the anticholinesterase 0 1 or 5-0flg/ml. was used. Each perfusion solution was prepared just before an experiment began in ion- exchange, glass-distilled water andpassed through a sterile 0-45#u Millipore filter. The PE tubing and push-pull cannula assembly were stored in 70% ethanol and flushed repeatedly with pyrogen-free saline just before use. The rate ofperfusion was 50#sl./min, the duration usually 30min, and the temperature ofthe perfusate at the tips ofthe cannulaewas always equilibrated with braintemperature (Myers & Veale, 1970). A control perfusion was always carried out at room temperature 3-4hr either before or after the warmingor coolingsequence was begun. A88ayfor acetylchotine Each sample ofperfusate was assayed immediatelyforACh or in a few instances stored overnight at pH 7-0 at -100C. The guinea-pig ileum was isolated and sus- pendedaccordingtothemethodofPaton (1957) inTyrodesolutionwhichcontained neostigminemethylsulphate(lOesg/l.),morphinesulphate(lOmg/l.) andmethysergide (20,ug/l.) and was bubbled constantly with 5% C02 in 02. To obtain maximum sensitivitytoACh, themusclestripwaskeptintheTyrodesolutionforatleast 2hr. Then, the organ bath was washed repeatedly every 10min. The contractions were HYPOTHALAMIC ACh AND TEMPERATURE 277 registered on a single-channel recorder, and the value for each contraction was determined interms ofthe chloride salt ofACh. The amount ofACh contained in a sample ofeffluent was expressed in terms ofng/30min perfusion period only ifthe criteria for ACh activity were met as described previously (Myers &Beleslin, 1970) including the blockade ofthe contractile response by atropine, ortheelimination of ACh activity by boiling the effluent in an alkaline medium (Feldberg, 1945). Histological analysis ofperfusion sites After a series ofexperiments had been completed, either 10#I. of05% bromo- phenol blue or 25% Indian ink in 0.9% saline was microinjected at each perfusion site to verify its locus. Then, the monkey was killed by an overdose ofpentobarbi- tone sodium given i.P., and 10% buffered neutral formalin was perfused through the thoracic aorta after the heart had been clamped. The brain was washed and blocked, and sections taken on a freezing microtome at 30,t were stained for cells and fibres following a method modified after Klhver & Barerra (1953). RESULTS In order to analyse the results, a series of anatomical maps was con- structedofthe 101 discreteperfusionsitesdistributedinthehypothalamus and mesencephalon of the group of twenty-four monkeys during normal aswellasaltered ambienttemperatures. Eachmapwasbasedonadetailed morphological analysis under light microscopy of a series of histological sections prepared for every monkey. The criterion that was selected to designate a change in the output ofACh was either a 20% increase above or a 20% decrease below the resting level ofACh release which was de- tected in the effluent during a control perfusion. Thus, a shift in ACh output could be identified independent of the magnitude of ACh in the sample. A site at which such a change in ACh output was observed is referred to hereafter as an active releasing site. Of all the loci examined, it was found that the release of ACh varied within seventy-three of these sites in response to a change in ambient temperature. That there seemed to be a functional overlapping of the morphological systems which were sampled by individual perfusions is illustrated by the fact that the alteration in the resting output of ACh could be classified in one of eight ways: (1) elevated during cooling; (2) elevated during warming; (3) elevated during cooling and warming; (4) elevatedduringwarmingbutsuppressedbycooling; (5)elevatedduring cooling but suppressed during warming; (6) suppressed during cooling; (7) suppressed during warming; (8) suppressed during either cooling or warming. Anatomical mapping ofACh release during cooling Acompositeanalysis ofthehistologicalsectionsobtainedforallmonkeys showedthata changeintherelease ofAChoccurredatsixtysitesfollowing 278 R. D. MYERS AND M. B. WALLER 0 AP18-0 AP17-0 AP19-0 AP140 AP16-0 API50 API4-0 Va R AP13-0 AP12-0 AP11-0 AP10-0 AP90 AP8-0 AP7-0 AP6-0 Cooling ACh - Text-fig. Anatomical mappingatfourteencoronal levelsextendingfrom 1. AP 6-0 to AP 19-0 ofsites distributed throughout the hypothalamus and mesencephalon of the unanaesthetized rhesus monkey at which isolated push-pull perfusions were carried out. As aresult ofcooling, therelease of ACh either increased (A), decreased (V), or remained unchanged (0). Anatomicalabbreviationsare: a, anteriorhypothalamus; ac,anteriorcom- missure; b, branchiumpontis; c, caudatenucleus; d, dorsomedial nucleus; f,fornix;ff,fieldsofForel; g,globuspallidus; i, internalcapsule;Is,lateral septum;m,mammillarybody;ms,medialseptum;mt,mammillo-thalamic tract; na, nucleus accumbens; nc, nucleus centralis; nr, nucleus reuniens; nv,ventrolateralnucleusofthethalamus; oc,opticchiasm; ot,optictract; p,paraventricularnucleus;pn,nucleuspontis;po,preopticarea;pp,cerebral peduncle;r,reticularnucleus;rn,nucleusruber; nucleussubthalamicus; a, sn,substantianigra;v,ventromedialnucleus;va,anteroventralnucleusof the thalamus. HYPOTHALAMIC ACh AND TEMPERATURE 279 the lowering of ambient temperature. The anatomical distribution is presented in Text-fig. 1 of those perfusion sites at which ACh release increased (A), decreased (v) or remained unchanged (0). Peripheral cooling enhanced the release of ACh at thirty-five of the sites but sup- pressed it at twenty-five other loci. Within the morphological boundaries of the anterior, preoptic area from coronal planes AP 16-0 through 18-0 and excluding a site adjacent to the globus pallidus and one in the optic chiasm, cooling increased the output ofACh at seven sites and decreased it at one. Within the mid-hypothalamic area from AP 13-0 to 15-0, the ACh level was elevated at four of the ten active releasing sites. In the posterior hypothalamic, mammillary region that included coronal planes AP 10.0 to AP 12*0 the pattern of output was nearly identical, since cooling of the monkey stimulated the ACh output at seven of thirteen sites. A similar enhancement or suppression of ACh release was again found within mesencephalic structures extending caudally from coronal planes AP 10.0 to AP 6-0. Ofspecial importance was the finding that the direction in the change ofthe ACh release was in some instances opposite at sites 0 5 mm ofone another. In other experiments the output ofACh failed to vary at certain perfusion loci virtually adjacent to those sites at which ACh release was altered when the monkey was cooled. Examples of these were found at diencephalic and mesencephalic sites within a single animal or at homo- logous loci in different monkeys. Anatomical mapping ofACh release during unarming The morphological distribution of the fifty-one sites at which ACh release changed as a result of raising the ambient temperature of the monkeyispresentedinText-fig. 2.Anincrease (A) inAChoutputoccurred at only thirteen perfusion sites, whereas a decrease (7) was evoked at thirty-eight loci. Within the region rostral to AP 15-0, anelevationinthe ambient temperature suppressed the output of ACh at four out of five active sites. In the mid-hypothalamic region, extending from AP 13-0 to 15.0 as well as in the more caudal plane ofAP 12-0, the level ofACh in the effluent failed to increase and in fact was reduced at every active releasing site. However, in the coronal planes ranging from AP 6-0 to AP 11 0, the pattern ofACh outputwas quite different. Inthese posterior and mesencephalic regions, peripheral warming evoked a release which was higher at twelve sites and lower at twenty-five loci. As in the experi- ments in which the ambient temperature of the monkey was lowered, some sites located less than 0 5 mm from one another released ACh in an opposing fashion in response to warming. This again reflects the close 280 B. D. MYERS AND M. B. WALLER AP19X0 AP18.0 AP17-0 AP16-0 AP1S-0 AP,14-0 AP6130 AP120 AP1140 V. Va~~3 AP100*' AP90 AP8-0 APA7A0 APA6-0 WarmingP0 ACh Text-fig. 2. Anatomical mappingatfourteen coronal levelsfromAP 6-0to AP 19-0 of sites distributed throughout the hypothalamus and mesen- cephalonoftheunanaesthetizedrhesusmonkeyatwhichisolatedpush-pull perfusions were carried out. As a result of warming, the release of ACh either increased (A), decreased (V), or remained unchanged (0). Ana- tomical abbreviations are the same as in Text-fig. 1. HYPOTHALAMIC ACh AND TEMPERATURE 281 anatomical proximity of the ACh mechanism underlying the heat-loss pathway. ACh release according to the region ofperfusion Because ofthediffusenature oftheanatomicalsitesatwhichthe output ofACh was observed to change following cooling or warming, the results were also analysed in such a way as to relate the temperature-evoked release ofACh to a given region ofthe brain stem. When active releasing sitesinthe sevenrostral planes including AP 13-0 to 19-0 were compared withthosecontainedwithinthesevencaudalplanesextendingfromAP 6X0 to 12X0, distinct patterns ofcholinergic activity emerged. TABLE 1. The composite frequency of active ACh releasing sites for all monkeys designated on the basis of the ambient temperature as well as two anatomical regions. One site in AP 19*0 was not included because ofthe location of the per- fusion locus Number ofsites at whichACh r ~~~A Ambient temperature Increased Decreased Total Cold Rostral (AP 13.0-19.0) 11 9 20 Caudal (AP 6.0-12.0) 24 15 39 Warm Rostral (AP 13.0-19.0) 1 11 12 Caudal (AP 6.0-12-0) 12 27 39 Table 1 gives the number of active ACh releasing loci separated according to the composite anatomical region and the subsequent enhancement or suppression of ACh output in terms of the ambient temperature ofthe animal. It can be seen that the frequency ofthe ACh responses to a change in temperature in either direction was over twice as great at all caudal sites (seventy-eight) in contrast to all rostral loci (thirty-two). Takinginto account all oftherostral perfusion sites,itis also clear that cooling enhanced the release ofACh at eleven oftwenty loci. In contrast, warminghadthis effectinonlyone oftwelve active sites, and suppressed the release in the other eleven. Considering all of the caudal perfusionloci,approximatelytwothirdsoftheactivereleasingsitesshowed anincreasedAChoutputinresponsetocooling (twenty-fourofthirty-nine) and a reduced release to warming (twenty-seven ofthirty-nine). As shown in Text-figs. 1 and 2, the output ofACh failed to change at a very large number of sites, although many released ACh at a steady resting level. While thiswould be expected because ofthe large number of functions served by these distinct areas ofthe brain stem (Myers, 1969a), 282 R. D. MYERS AND M. B. WALLER the regional distribution of inactive sites showed a relatively constant pattern when the animal was cooled but not when warmed. Table 2 presents a frequency analysis of sites at which ACh release increased, decreased orremained unchanged. Onthe basis ofthefourmajormorpho- logical subdivisions, the frequency of inactive sites recorded during warming is higher in the anterior, preoptic area (eighteen sites) and much lowerwithinthe mesencephalon (eight sites) with a corresponding change infrequencyinthetwointermediateregions(thirteenandten,respectively). TARTi 2. The composite frequency ofsites in the diencephalon and mesencephalon ofall monkeys at which the level ofACh detected in a given perfusate was altered orremainedunchangedinresponsetoperipheralcoolingorwarmingofthemonkey. One siteinAP 19-0wasnot included because ofthe location ofthe perfusionlocus Number ofACh releasing sites 5~~~ t A- Anatomical region Increased Decreased Unchanged Aambient temperature cold Anteriorpreoptic area 7 3 12 (AP 16-0-19-0) Mid-hypothalamus 4 6 10 (AP 13.0-15.0) Mammillary region 7 6 9 (AP 10-0-12-0) Mesencephalon 17 9 9 (AP 6.0-9.0) Totals 35 24 40 AInbient temperature warm Anterior preoptic area 1 4 18 (AP 16-0-19-0) Mid-hypothalamus 0 7 13 (AP 13-0-15-0) Mammillary region 3 9 10 (AP 10-0-12-0) Mesencephalon 9 18 8 (AP 6-0-9-0) Totals 13 38 49 In terms ofthe over-all effects ofchanging the monkey's temperature, the cooling stimulus caused a greater ACh release at the majority of active releasing sites (thirty-five of fifty-nine) whereas raising the temperature enhanced the release of ACh at only thirteen of fifty-one sites and sup- pressed the output at the other thirty-eight loci. Ofthose active sites at which a change in the output ofACh occurred, cooling the animal evoked a more frequent release ofACh in all regions exceptthemid-hypothalamic area. Onthe otherhand, Table 2 showsthat

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model of Myers & Yaksh (1969), which suggests that a cholinergic path- for the simultaneous activation and reciprocal inhibition of either hyper- . phenol blue or 25 % Indian ink in 0.9 % saline was microinjected at each .. many of the assays, and P. Curzon for his valuable technical assistance.
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