“…The raphe magnus (RMg) is involved in pain modulation and regulation of reflexive emotional responses (Hornung, 2012 ). It showed expected structural connectivity to the sMRt (magnocellular reticular nucleus; Leanza, Perez, Pellitteri, Russo, & Stanzani, 1995 ), hypothalamus, PAG, LC, parabrachial nucleus and solitary tract (included in VSM in our human connectome; Sim & Joseph, 1992 ), bed nucleus of stria terminalis (amygdala), and preoptic area (hypothalamus; G. Holstege, 1991 ; G. G. Holstege, Mouton, & Gerrits, 2004 ; Figure 7b ).…”
Autonomic, pain, limbic, and sensory processes are mainly governed by the central nervous system, with brainstem nuclei as relay centers for these crucial functions.Yet, the structural connectivity of brainstem nuclei in living humans remains understudied. These tiny structures are difficult to locate using conventional in vivo MRI, and ex vivo brainstem nuclei atlases lack precise and automatic transformability to in vivo images. To fill this gap, we mapped our recently developed probabilistic brainstem nuclei atlas developed in living humans to high-spatial resolution (1.7 mm isotropic) and diffusion weighted imaging (DWI) at 7 Tesla in 20 healthy participants.To demonstrate clinical translatability, we also acquired 3 Tesla DWI with conventional resolution (2.5 mm isotropic) in the same participants. Results showed the structural connectome of 15 autonomic, pain, limbic, and sensory (including vestibular) brainstem nuclei/nuclei complex (superior/inferior colliculi, ventral tegmental area-parabrachial pigmented, microcellular tegmental-parabigeminal, lateral/medial parabrachial, vestibular, superior olivary, superior/inferior medullary reticular formation, viscerosensory motor, raphe magnus/pallidus/obscurus, parvicellular reticular nucleus-alpha part), derived from probabilistic tractography computation. Through Kavita Singh and María Guadalupe García-Gomar equally contributed to this work and share first authorship.
“…The raphe magnus (RMg) is involved in pain modulation and regulation of reflexive emotional responses (Hornung, 2012 ). It showed expected structural connectivity to the sMRt (magnocellular reticular nucleus; Leanza, Perez, Pellitteri, Russo, & Stanzani, 1995 ), hypothalamus, PAG, LC, parabrachial nucleus and solitary tract (included in VSM in our human connectome; Sim & Joseph, 1992 ), bed nucleus of stria terminalis (amygdala), and preoptic area (hypothalamus; G. Holstege, 1991 ; G. G. Holstege, Mouton, & Gerrits, 2004 ; Figure 7b ).…”
Autonomic, pain, limbic, and sensory processes are mainly governed by the central nervous system, with brainstem nuclei as relay centers for these crucial functions.Yet, the structural connectivity of brainstem nuclei in living humans remains understudied. These tiny structures are difficult to locate using conventional in vivo MRI, and ex vivo brainstem nuclei atlases lack precise and automatic transformability to in vivo images. To fill this gap, we mapped our recently developed probabilistic brainstem nuclei atlas developed in living humans to high-spatial resolution (1.7 mm isotropic) and diffusion weighted imaging (DWI) at 7 Tesla in 20 healthy participants.To demonstrate clinical translatability, we also acquired 3 Tesla DWI with conventional resolution (2.5 mm isotropic) in the same participants. Results showed the structural connectome of 15 autonomic, pain, limbic, and sensory (including vestibular) brainstem nuclei/nuclei complex (superior/inferior colliculi, ventral tegmental area-parabrachial pigmented, microcellular tegmental-parabigeminal, lateral/medial parabrachial, vestibular, superior olivary, superior/inferior medullary reticular formation, viscerosensory motor, raphe magnus/pallidus/obscurus, parvicellular reticular nucleus-alpha part), derived from probabilistic tractography computation. Through Kavita Singh and María Guadalupe García-Gomar equally contributed to this work and share first authorship.
“…Die serotonergen Neuronen finden sich im Gehirn hauptsächlich im Hirnstamm in den dorsalen und medianen Raphe-Kernen 14 . Von dort projizieren die Neuronen in die meisten Regionen des Gehirns, einschließlich des präfrontalen Kortex (PFC) 14 15 . Zusätzlich ist das serotonerge System an einer Vielzahl neuronaler Prozesse beteiligt, die unter anderem Wahrnehmung, Kognition, Stimmung und Bewusstsein regulieren 16 .…”
ZusammenfassungEine erfolgreiche Therapie psychischer Störungen ist angesichts des
häufig vorhandenen Leidensdrucks der Betroffenen sehr wichtig. Da
anerkannte pharmazeutische und psychotherapeutische Ansätze leider nicht
für alle Patient:innen zur erwünschten Besserung ihres Leidens
führen, findet intensive Forschung zu ergänzenden oder
alternativen Behandlungsmethoden statt. Besonders vielversprechend zeigte sich
zuletzt die Psilocybin-gestützte Psychotherapie, die in den USA deshalb
für klinische Studien mit größeren Stichproben als
bisher zugelassen wurde. Psilocybin gehört zu den Psychedelika und
beeinflusst in seiner Wirkung das psychische Erleben. Bei der gestützten
Therapie wird Psilocybin in kontrollierten Dosen unter medizinischer Aufsicht
verabreicht. In den bisher durchgeführten Studien konnten bereits nach
einer, bis wenigen Einnahmen längerfristige positive Effekte in Hinblick
auf die jeweiligen Störungsbilder gezeigt werden. Um ein besseres
Verständnis der potenziellen therapeutischen Mechanismen zu
ermöglichen, sollen in diesem Artikel zunächst Erkenntnisse zur
Wirkweise von Psilocybin auf neurobiologischer und psychologischer Ebene
vorgestellt werden. Anschließend soll die Analyse der bisher
durchgeführten klinischen Studien mit einer Anwendung von Psilocybin bei
Patient:innen helfen, das Potential der Psilocybin-gestützten
Psychotherapie für verschiedene Störungsbilder besser
einschätzen zu können.
“…The serotonergic innervation of the hippocampus originating from the DRN has small varicosities and diffuses across the laminae. In contrast, the innervation into the hippocampus from the medial raphe nucleus (MRN) has large varicosities (Hornung, 2012). Serotonergic projections modulate excitatory transmission in the hippocampus by fine-tuning the timing and strength of synaptic signals (Lesch & Waider, 2012).…”
Background and Purpose: Intermittent explosive disorder is characterized
by outbursts of rage and violence. While the 5HT
receptor is linked to aggression reduction, its neural circuit mechanism
remains unclear. Here, we explored the impact of the raphe nucleus
projecting to the ventral hippocampus (vHip) on impulsive aggression.
Experimental Approach: We used post-weaning social isolation (SI) mice
as an animal model and employed the chemogenetic technique to
specifically manipulate the activity of neural pathways projecting from
either the dorsal raphe nucleus (DRN) or the median raphe nucleus (MRN)
to the vHip. Combining with 5HT receptor
(5HTR) agents, we investigated the impact of
serotonergic inputs in the vHip on impulsive aggression. Key Results: By
local infusion of Clozapine N-Oxide, activating either DRN soma or DRN
nerve terminals in the vHip reduced impulsive aggression.
5-HTR antagonist SB-224289 nullified this aggression
reduction. Activating the MRN→vHip pathway ameliorated depression-like
behavior but not impulsive aggression. DRN→vHip activation decreased
c-Fos levels in the vHip and the aggression-control area, the
ventromedial hypothalamus (VMH). Intra-vHip infusion of
5-HTR agonists (anpirtoline, CP-93129) suppressed
impulsive aggression and decreased c-Fos levels within the vHip neurons
projecting to the VMH, suggesting an inhibition mechanism. Conclusion
and Implications: Our findings indicate that activating the DRN, rather
than MRN, projecting to the vHip is sufficient to inhibit impulsive
aggression in a 5-HTR-dependent manner. Thus,
targeting 5-HTR could serve as a promising therapeutic
approach to ameliorate symptoms of impulsive aggression.
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