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Reticular Actvating System
Susanth
RETICULAR FORMATION
• Extensive fields of intermingled neurones and nerve fibres in
brainstem
• Ascending and descending components that are partly crossed
and uncrossed
• Highly organized and differentiated, consisting of distinct
populations of neurons with specific functions
• Subserve somatic and visceral functions
• Receives a summary of much of the sensory information that
enters the spinal cord and brain stem
↓
important in influencing the arousal level of an organism
• Contains interneurons responsible for generating spinal
reflexes and simple motor patterns
RETICULAR FORMATION
RAS
Several areas traditionally included are
• Midbrain Reticular Formation
• Mesencephalic Nucleus
• Thalamic Intralaminar nucleus (centromedian nucleus)
• Dorsal Hypothalamus
• Tegmentum
• Basal forebrain structures
Anatomical subdivisions of RAS
• Median nuclei
• Medial nuclei
• Lateral nuclei
MEDIAN COLUMN OF RETICULAR
NUCLEI
• extends throughout the medulla, pons and midbrain
• bilateral, vertical sheets, blended in the midline and occupying
the paramedian zones
• Collectively called the nuclei of the raphe, or raphe nuclei
Serotoninergic and are grouped into nine clusters, B1-9
Medulla
• Raphe pallidus nucleus and raphe obscurus nucleus
Pons
• Raphe magnus nucleus (B3 neurones)
• Pontine raphe nucleus (B5 neurons)
• Central superior raphe nucleus (B6 and B8 )
Midbrain
• Dorsal (rostral) raphe nucleus ( B7)
MEDIAN COLUMN OF RETICULAR
NUCLEI
Medial Column Of Reticular Nuclei
Mostly orientated in the transverse plane
Upper medulla
• Nucleus reticularis gigantocellularis of olszewski and baxter
Pons
• Pontine gigantocellular (magnocellular) nucleus
• Caudal and oral pontine tegmental reticular nuclei
Midbrain
• Cuneiform nucleus and subcuneiform nucleus
Lateral Column Of Reticular Nuclei
• Ventrolateral reticular area
• Lateral pontine tegmental area
• Parvocellular reticular area
Ventrolateral reticular area
Rostrally - Lateral Paragigantocellular Nucleus
Caudally - Nucleus Retroambiguus
Contains
• Noradrenergic cell groups A1, A2, A4-A7 (A3 is absent in
primates)
• Adrenergic cell group C1
Lateral Column Of Reticular Nuclei
Lateral pontine tegmental reticular grey matter
• Medial and lateral parabrachial nuclei
• Ventral kölliker-fuse nucleus - pneumotaxic centre.
• Locus coeruleus (noradrenergic cell group A6)
• Area subcoeruleus (Noradrenergic cell group A7)
• Cholinergic group ch5 in the pedunculopontine tegmental
nucleus
• Two micturition centres - dorsomedial and ventrolateral parts
Lateral Column Of Reticular Nuclei
Connections of RF
Afferent connections
Efferent connections
Afferents to RF
Mainly on medullary reticular formation
• Spinal cord
• Collaterals from second order neurons of sensory cranial
nuclei
• Cerebral cortex
• Cerebellar nuclei
Spinal cord
I. Spinoreticular fibres
Caudal half of nucleus reticularis gigantocellularis
II. Collaterals of spinothalamic fibres
Lateral reticular nucleus → cerebellum
Afferents to RF
• Collateral fibres from auditory, vestibular, trigeminal, visceral
(solitarius)
Parvicellular reticular nucleus
• Retinotectal and tectoreticular fibres – visual impulses
• Medial forebrain bundle - olfactory impulses
Primary sensory fibres do not terminate on RF (medial
leminiscus)
Afferents to RF
Cerebral cortex
From sensorimotor areas – crossed and uncrossed
Nucleus reticularis pontis oralis and caudalis, nucleus
reticularis gigantocellularis
Afferents to RF
Cerebellum
Ends on paramedian nuclei
• Fastigeal nucleus via uncinate fasiculus
• Dentate nucleus via crossed descending division of superior
cerebellar peduncle
Afferents to RF
Functional Division
Magnocellular zone:
• Large cells restricted
to medial two-thirds
of reticular formation
Parvocellular zone:
• Small cells found in
lateral regions
Functional Division
Magnocellular zone:
• Long ascending and descending axons
• Modulate the actions of neurons involved in movement and
posture, pain, autonomic functions, and arousal
Parvocellular zone:
• close to the motor nuclei of the cranial nerves
• coordinate reflexes and simple stereotyped behaviors mediated
by the cranial nerves
Parvocellular Reticular Formation
• Extends from the region lateral to the hypoglossal and
ambiguus nuclei through the area surrounding the facial
nucleus up to and adjacent to the trigeminal motor nucleus
• Involved with the coordination of orofacial motor responses
Chewing - neurons adjacent to the trigeminal motor nucleus
Lip movements - neurons near the facial motor nucleus
Movements of the tongue - neurons near the hypoglossal nucleus
RF surrounding the facial motor nucleus
• Organizing emotional facial expressions
• Descending input is bilateral and facial expressions can be
triggered by either hemisphere
Pontine paramedian reticular formation
Controls ipsilateral horizontal eye movements and majority of
fibres to MLF
Lateral to the oculomotor nucleus
• Coordinate vertical eye movements as well as the convergence
Parvocellular Reticular Formation
Magnocellular Zone
Long ascending/descending pathways:
Terminate in:
Hypothalamus.
Midline and intralaminar thalamic nuclei.
Segments of spinal cord.
Long ascending fibers from:
Lower pons and medulla.
Ascending Reticular Activating System - ARAS
 Receives fibers from the
sensory pathways via long
ascending spinal tracts.
 Alertness, maintenance of
attention and wakefulness.
 Emotional reactions,
important in learning
processes.
Ascending arousal system
(ARAS)
Monoaminergic cell groups in the brain stem
Ascending cholinergic inputs from the pedunculopontine and
laterodorsal tegmental nuclei
Junction of the midbrain and
diencephalon
Activates and modulates
thalamic relay nuclei as
well as intralaminar and
related nuclei
Extensive diffuse cortical projections
Lateral hypothalamic
area
hypothalamic and basal
forebrain cell groups
ARAS
Main function is to modify and potentiate thalamic and cortical
function such that EEG desynchronization ensues
During alert wakefulness
Low-voltage, fast (>12 Hz) electrical activity (desynchronized)
During deep sleep
High-voltage, slow (<3 Hz) electrical activity (synchronized )
Specific rhythmic pattern of the
EEG
• Reflects synchronized waves of excitatory synaptic potentials
reaching the cerebral cortex from the thalamus
• Depend on two important states of the thalamic relay neurons
a) Transmission mode
b) Burst mode
During sleep
Burst mode
Thalamic Relay Neurons
Voltage-gated
calcium channel
Hyperpolarized
Calcium current
Calcium-activated
potassium current
Reticular
nucleus
GABA-B
Rhythmic and synchronous firing of thalamic relay neurons
↓
Waves of excitatory postsynaptic potentials in dendrites of
cortical neurons
↓
Rhythmic slow waves in EEG
Pattern indicating that the thalamus is unable to relay sensory
information to the cortex
During sleep
During
wakefulness
Cholinergic input from the pedunculopontine
and laterodorsal tegmental nuclei in the
brain stem and basal forebrain
Desynchronized pattern of the EEG
Sensory stimuli
Transmission mode
Thalamic relay nuclei
Reticular nucleus
Near firing threshold
Wakefulness-promoting Neurons
• Noradrenergic neurons in the locus ceruleus
• Serotonergic neurons in the dorsal raphe of the brainstem
• Histaminergic neurons in the tuberomammillary nucleus of the
hypothalamus
• Dopaminergic neurons in the ventral tegmental area, substantia
nigra, and ventral periaqueductal area
• many additional neurons mostly glutamatergic
• Lateral hypothalamic neurons containing orexin
• Cholinergic and noncholinergic neurons in the magnocellular
basal forebrain nuclei
Regulating Sleep-Wake Transitions
Reduced activity of hypocretin systems may be partly
responsible for inducing sleepiness
Ventrolateral
preoptic neurons
Ascending
arousal system
GABA and galanin
NREM to
REM sleep
REM-off
Ventrolateral
periaqueductal graymatter
Lateral pontine
tegmentum
Rem-on
Sublaterodorsal nucleus
Pre-coeruleus region
Dorsal raphe nucleus
(DRN)
Locus coeruleus (LC)
Cholinergic neurons
Pedunculopontine (PPT)
& Laterodorsal tegmental
nuclei (LDT)
orexin neurons
Ventrolateral preoptic
nucleus
GABA
Glutamate
Brainstem and spinal cord
Motor manifestations of REM
sleep, including atonia
GABA
Basal forebrain
EEG phenomena of REM
sleep
Modulation of Posture, Gait, and
Muscle Tone
Two Reticulospinal Tracts
Medial and Lateral reticulospinal tracts
Medial Reticulospinal tracts
Origin
• Oral and caudal pontine reticular
nuclei
• Gigantocellular reticular nucleus
in the medulla.
Medial Reticulospinal Tract
Pontine fibres
Excite motor neurones of axial and limb muscles
Medullary fibres
Excite, or inhibit motor neurones of cervical muscles and excite
motor neurones of axial muscles.
Concerned with
• Posture
• Steering of head and trunk movements in response to external
stimuli
• Crude, stereotyped movements of the limbs ( stepping )
Medial Reticulospinal Tract
Lateral reticulospinal tract
• Arise from the medullary reticular formation, mostly from the
gigantocellular nucleus
• Inhibiting excitatory axial extensor muscles
• Produces loss of motor tone, or atonia
• Associated with the atonia that occurs in REM sleep(under the
control of cholinergic neurons in the pedunculopontine
nucleus)
Modulation of pain
• Serotoninergic raphe magnus nucleus in the midline of the
rostral medulla
• Noradrenergic cell groups in the pons
Activation of either of these inhibit the transmission of
nociceptive information
Endogenous opiates released from enkephalinergic neurons in the
periaqueductal gray matter activate the descending modulatory
pathway
Modulation of autonomic function
Ventrolateral medullary reticular formation
• Gastrointestinal responses (such as swallowing and vomiting)
• Respiratory activities (including the initiation and modulation
of respiratory rhythm, coughing, hiccupping and sneezing)
• Cardiovascular responses (such as baroreceptor reflexes and
responses to cerebral ischemia and hypoxia)
Pneumotaxic centre
Project to
• Inspiratory centre in the ventrolateral part of the nucleus
solitarius
• Mixed expiratory-inspiratory centre in the superficial
ventrolateral reticular area
↓
Phrenic nucleus and T1-T3 sympathetic preganglionic neurones
bilaterally
Modulation of autonomic function
Hypothalamic, median preoptic and paraventricular nuclei
↓
Lateral parabrachial nucleus and Micturition centres
↓
Bilateral projections in lateral spinal funiculus
↓
• Preganglionic parasympathetic neurones in the sacral cord
(which innervate the detrusor muscle in the urinary bladder)
• Nucleus of onuf (which innervate the musculature of the pelvic
floor and the anal and urethral sphincters)
Modulation of autonomic function
Locus Coeruleus
• Seat of the visceral alerting response
• Subserves cardiovascular, baroreceptor, chemoreceptor and
respiratory reflexes.
• Terminate bilaterally on sympathetic preganglionic neurones
in the thoracic spinal cord
Modulation of autonomic function
Superficial ventrolateral area
• Supraoptic and paraventricular hypothalamic nuclei
• Release of vasopressin from the neurohypophysis.
Medullary Noradrenergic Cell Groups A1 And A2
• Median eminence
• Control the release of growth hormone, luteinizing hormone
and adrenocorticotrophic hormone (ACTH)
Modulation of endocrine function
Reticular
formation and
cerebellum
Augments the dorsal and ventral spinocerebellar, cuneocerebellar,
accessory cuneocerebellar and trigeminocerebellar tracts
Lateral and paramedian
reticular nuclei and the nucleus
of the pontine tegmentum
Ipsilateral vermis,
hemisphere and
flocculonodular lobule
via I/L restiform body
(inferior cerebellar
peduncle)
Contralateral primary motor and
sensory neocortices
Crossed descending
rubrobulbar axons
Spinoreticular pathway
Monoaminergic neurons in RF
Distinct chemoarchitectonic nuclear groups
• Three catecholaminergic groups
a) Noradrenergic (group A)
b) Adrenergic (group C)
c) Dopaminergic (group A) neurons
• Serotoninergic neurones (group B cells)
• Cholinergic neurones (group ch cells)
Noradrenergic Cell Groups
Two columns, one dorsal and one ventral
Medulla
• Ventral column - associated with the nucleus ambiguus (A1
group)
• Dorsal column - component of the nucleus of the solitary tract
and the dorsal motor vagal nucleus (A2 group)
Both groups project to the hypothalamus
Control cardiovascular and endocrine functions
Pons
• Ventral column - A5 and A7
Projections to the spinal cord that modulate autonomic
reflexes and pain sensation
• Dorsal column - Locus ceruleus (A6 cell group)
Maintains vigilance and responsiveness to unexpected
environmental stimuli
Extensive projections to the cerebral cortex and
cerebellum, as well as descending projections to the
brain stem and spinal cord
Noradrenergic Cell Groups
Adrenergic Cell Groups
C1
Rostral extension from the A1 column
Project to
• Spinal cord, particularly to the sympathetic preganglionic
column
Provide tonic excitatory input to vasomotor neurons
• Hypothalamus
Modulate cardiovascular and endocrine responses
C2 adrenergic neurons
• component of the nucleus of the solitary tract
• contribute to the ascending pathway to the parabrachial
nucleus
• transmit gastrointestinal information
C3 adrenergic group
• near the midline at the rostral end of the medulla
Adrenergic Cell Groups
Dopaminergic neurons
Substantia nigra (A9 group)
Adjacent retrorubral field (A8 group)
• Terminates in the striatum
• Involved in initiating motor responses
Ventral tegmental area (A10 group)
• Innervate the frontal and temporal cortices and the limbic
structures of the basal forebrain
• Implicated in emotion, thought, and memory storage
Hypothalamic (A11 and A13 ) in the zona incerta
• Long descending pathways to the autonomic areas of the lower
brain stem and the spinal cord
• Regulate sympathetic preganglionic neurons
A12 and A14 groups
• Located along the wall of the third ventricle
• Involved with endocrine control
Also (A15 cells in the olfactory tubercle and A16 in the olfactory
bulb) and in the retina (A17 cells)
Dopaminergic neurons
Serotonergic Cell Groups
Along the midline of the brain stem in the raphe nuclei
B1-B3 cell groups
• along the midline of the caudal medulla
• descending projections to the motor and autonomic systems in
the spinal cord
• regulating tone in motor systems
B4 (raphe magnus nucleus )
• projects to the spinal dorsal horn
• modulate the perception of pain
B5-B9 ( pons and midbrain )
• pontine, dorsal, and median raphe nuclei
• project to virtually the whole of the forebrain
• regulate wake-sleep cycles, affective behavior, food intake,
thermoregulation, and sexual behavior
Serotonergic Cell Groups
Dorsal raphe spinal projections
• Pain-control pathway
Intermediate raphe spinal projection
• Inhibitory, and, in part, modulates central sympathetic control
of cardiovascular function
Ventral raphe spinal system
• Excites ventral horn cells and enhance motor responses to
nociceptive stimuli
• Promote the flight and fight response
Serotonergic Cell Groups
Cholinergic neurons
Basal forebrain cholinergic groups
• Medial septum (MS) (Ch1 group)
• Nuclei of the vertical and horizontal limbs of the diagonal
band (DBv and DBh) (Ch2 and Ch3 groups)
• Nucleus basalis of Meynert (BM) (Ch4 group)
Pontine cholinergic neurons
A. Laterodorsal (LDT) (ch5 group)
B. Pedunculopontine (PPT) (ch6 group), tegmental nuclei
Provide cholinergic innervation to the brain stem and the
thalamus
Critical for inducing a state of cortical arousal, both during
wakefulness and dreaming
Cholinergic neurons
Histaminergic Cell Groups
• Posterior lateral hypothalamus
• Tuberomammillary nucleus
Help maintain arousal in the forebrain
RAS & pathological correlates
Schizophrenia
Intractable schizophrenic patients have a significant increase
(> 60%) PPN neurons and dysfunction of NO signaling
involved in modulating cholinergic output of the RAS.
Post-traumatic stress disorder, Parkinson’s Disease, REM
behavior disorder
significant (>50%) decrease in the number of locus coeruleus
(LC) neurons, resulting is increased disinhibition of the PPN
RAS & pathological correlates
Narcolepsy
significant down-regulation of PPN output and a loss of orexin
peptides,
Progressive supranuclear palsy (PSP)
Dysfunction of NO signaling
Depression, autism, Alzheimer's disease, attention deficit
disorder
Magnocellular Zone Afferents
Spinoreticular fibers.
Sensory cranial nerves.
Cerebellum.
Hypothalamus.
Basal nuclei.
Cerebral cortex:
Esp. premotor cortex.
Descending Reticular System
 Inhibitory:
- Smoothness and accuracy
of voluntary movements
- Reflex movements
- Regulates muscle tone
- Maintenance of posture
- Control vegetative
functions
 Facilitatory:
- Mantains the muscle tone
- Facilitates autonomic
functions
- Activates ARAS
Other Function
Somatic motor control
Cardiovascular control
Pain modulation - The reticular formation is one means by which
pain signals from the lower body reach the cerebral cortex.
Sleep and consciousness
Habituation
Dream

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Reticular activating system

  • 2. RETICULAR FORMATION • Extensive fields of intermingled neurones and nerve fibres in brainstem • Ascending and descending components that are partly crossed and uncrossed • Highly organized and differentiated, consisting of distinct populations of neurons with specific functions
  • 3. • Subserve somatic and visceral functions • Receives a summary of much of the sensory information that enters the spinal cord and brain stem ↓ important in influencing the arousal level of an organism • Contains interneurons responsible for generating spinal reflexes and simple motor patterns RETICULAR FORMATION
  • 4. RAS Several areas traditionally included are • Midbrain Reticular Formation • Mesencephalic Nucleus • Thalamic Intralaminar nucleus (centromedian nucleus) • Dorsal Hypothalamus • Tegmentum • Basal forebrain structures
  • 5. Anatomical subdivisions of RAS • Median nuclei • Medial nuclei • Lateral nuclei
  • 6. MEDIAN COLUMN OF RETICULAR NUCLEI • extends throughout the medulla, pons and midbrain • bilateral, vertical sheets, blended in the midline and occupying the paramedian zones • Collectively called the nuclei of the raphe, or raphe nuclei
  • 7. Serotoninergic and are grouped into nine clusters, B1-9 Medulla • Raphe pallidus nucleus and raphe obscurus nucleus Pons • Raphe magnus nucleus (B3 neurones) • Pontine raphe nucleus (B5 neurons) • Central superior raphe nucleus (B6 and B8 ) Midbrain • Dorsal (rostral) raphe nucleus ( B7) MEDIAN COLUMN OF RETICULAR NUCLEI
  • 8. Medial Column Of Reticular Nuclei Mostly orientated in the transverse plane Upper medulla • Nucleus reticularis gigantocellularis of olszewski and baxter Pons • Pontine gigantocellular (magnocellular) nucleus • Caudal and oral pontine tegmental reticular nuclei Midbrain • Cuneiform nucleus and subcuneiform nucleus
  • 9. Lateral Column Of Reticular Nuclei • Ventrolateral reticular area • Lateral pontine tegmental area • Parvocellular reticular area
  • 10. Ventrolateral reticular area Rostrally - Lateral Paragigantocellular Nucleus Caudally - Nucleus Retroambiguus Contains • Noradrenergic cell groups A1, A2, A4-A7 (A3 is absent in primates) • Adrenergic cell group C1 Lateral Column Of Reticular Nuclei
  • 11. Lateral pontine tegmental reticular grey matter • Medial and lateral parabrachial nuclei • Ventral kölliker-fuse nucleus - pneumotaxic centre. • Locus coeruleus (noradrenergic cell group A6) • Area subcoeruleus (Noradrenergic cell group A7) • Cholinergic group ch5 in the pedunculopontine tegmental nucleus • Two micturition centres - dorsomedial and ventrolateral parts Lateral Column Of Reticular Nuclei
  • 12. Connections of RF Afferent connections Efferent connections
  • 13. Afferents to RF Mainly on medullary reticular formation • Spinal cord • Collaterals from second order neurons of sensory cranial nuclei • Cerebral cortex • Cerebellar nuclei
  • 14. Spinal cord I. Spinoreticular fibres Caudal half of nucleus reticularis gigantocellularis II. Collaterals of spinothalamic fibres Lateral reticular nucleus → cerebellum Afferents to RF
  • 15. • Collateral fibres from auditory, vestibular, trigeminal, visceral (solitarius) Parvicellular reticular nucleus • Retinotectal and tectoreticular fibres – visual impulses • Medial forebrain bundle - olfactory impulses Primary sensory fibres do not terminate on RF (medial leminiscus) Afferents to RF
  • 16. Cerebral cortex From sensorimotor areas – crossed and uncrossed Nucleus reticularis pontis oralis and caudalis, nucleus reticularis gigantocellularis Afferents to RF
  • 17. Cerebellum Ends on paramedian nuclei • Fastigeal nucleus via uncinate fasiculus • Dentate nucleus via crossed descending division of superior cerebellar peduncle Afferents to RF
  • 18. Functional Division Magnocellular zone: • Large cells restricted to medial two-thirds of reticular formation Parvocellular zone: • Small cells found in lateral regions
  • 19. Functional Division Magnocellular zone: • Long ascending and descending axons • Modulate the actions of neurons involved in movement and posture, pain, autonomic functions, and arousal Parvocellular zone: • close to the motor nuclei of the cranial nerves • coordinate reflexes and simple stereotyped behaviors mediated by the cranial nerves
  • 20. Parvocellular Reticular Formation • Extends from the region lateral to the hypoglossal and ambiguus nuclei through the area surrounding the facial nucleus up to and adjacent to the trigeminal motor nucleus • Involved with the coordination of orofacial motor responses Chewing - neurons adjacent to the trigeminal motor nucleus Lip movements - neurons near the facial motor nucleus Movements of the tongue - neurons near the hypoglossal nucleus
  • 21. RF surrounding the facial motor nucleus • Organizing emotional facial expressions • Descending input is bilateral and facial expressions can be triggered by either hemisphere Pontine paramedian reticular formation Controls ipsilateral horizontal eye movements and majority of fibres to MLF Lateral to the oculomotor nucleus • Coordinate vertical eye movements as well as the convergence Parvocellular Reticular Formation
  • 22. Magnocellular Zone Long ascending/descending pathways: Terminate in: Hypothalamus. Midline and intralaminar thalamic nuclei. Segments of spinal cord. Long ascending fibers from: Lower pons and medulla.
  • 23. Ascending Reticular Activating System - ARAS  Receives fibers from the sensory pathways via long ascending spinal tracts.  Alertness, maintenance of attention and wakefulness.  Emotional reactions, important in learning processes.
  • 24. Ascending arousal system (ARAS) Monoaminergic cell groups in the brain stem Ascending cholinergic inputs from the pedunculopontine and laterodorsal tegmental nuclei Junction of the midbrain and diencephalon Activates and modulates thalamic relay nuclei as well as intralaminar and related nuclei Extensive diffuse cortical projections Lateral hypothalamic area hypothalamic and basal forebrain cell groups
  • 25. ARAS Main function is to modify and potentiate thalamic and cortical function such that EEG desynchronization ensues During alert wakefulness Low-voltage, fast (>12 Hz) electrical activity (desynchronized) During deep sleep High-voltage, slow (<3 Hz) electrical activity (synchronized )
  • 26. Specific rhythmic pattern of the EEG • Reflects synchronized waves of excitatory synaptic potentials reaching the cerebral cortex from the thalamus • Depend on two important states of the thalamic relay neurons a) Transmission mode b) Burst mode
  • 27. During sleep Burst mode Thalamic Relay Neurons Voltage-gated calcium channel Hyperpolarized Calcium current Calcium-activated potassium current Reticular nucleus GABA-B
  • 28. Rhythmic and synchronous firing of thalamic relay neurons ↓ Waves of excitatory postsynaptic potentials in dendrites of cortical neurons ↓ Rhythmic slow waves in EEG Pattern indicating that the thalamus is unable to relay sensory information to the cortex During sleep
  • 29. During wakefulness Cholinergic input from the pedunculopontine and laterodorsal tegmental nuclei in the brain stem and basal forebrain Desynchronized pattern of the EEG Sensory stimuli Transmission mode Thalamic relay nuclei Reticular nucleus Near firing threshold
  • 30. Wakefulness-promoting Neurons • Noradrenergic neurons in the locus ceruleus • Serotonergic neurons in the dorsal raphe of the brainstem • Histaminergic neurons in the tuberomammillary nucleus of the hypothalamus • Dopaminergic neurons in the ventral tegmental area, substantia nigra, and ventral periaqueductal area • many additional neurons mostly glutamatergic • Lateral hypothalamic neurons containing orexin • Cholinergic and noncholinergic neurons in the magnocellular basal forebrain nuclei
  • 31. Regulating Sleep-Wake Transitions Reduced activity of hypocretin systems may be partly responsible for inducing sleepiness Ventrolateral preoptic neurons Ascending arousal system GABA and galanin
  • 32. NREM to REM sleep REM-off Ventrolateral periaqueductal graymatter Lateral pontine tegmentum Rem-on Sublaterodorsal nucleus Pre-coeruleus region Dorsal raphe nucleus (DRN) Locus coeruleus (LC) Cholinergic neurons Pedunculopontine (PPT) & Laterodorsal tegmental nuclei (LDT) orexin neurons Ventrolateral preoptic nucleus GABA Glutamate Brainstem and spinal cord Motor manifestations of REM sleep, including atonia GABA Basal forebrain EEG phenomena of REM sleep
  • 33. Modulation of Posture, Gait, and Muscle Tone Two Reticulospinal Tracts Medial and Lateral reticulospinal tracts
  • 34. Medial Reticulospinal tracts Origin • Oral and caudal pontine reticular nuclei • Gigantocellular reticular nucleus in the medulla.
  • 35. Medial Reticulospinal Tract Pontine fibres Excite motor neurones of axial and limb muscles Medullary fibres Excite, or inhibit motor neurones of cervical muscles and excite motor neurones of axial muscles.
  • 36. Concerned with • Posture • Steering of head and trunk movements in response to external stimuli • Crude, stereotyped movements of the limbs ( stepping ) Medial Reticulospinal Tract
  • 37. Lateral reticulospinal tract • Arise from the medullary reticular formation, mostly from the gigantocellular nucleus • Inhibiting excitatory axial extensor muscles • Produces loss of motor tone, or atonia • Associated with the atonia that occurs in REM sleep(under the control of cholinergic neurons in the pedunculopontine nucleus)
  • 38. Modulation of pain • Serotoninergic raphe magnus nucleus in the midline of the rostral medulla • Noradrenergic cell groups in the pons Activation of either of these inhibit the transmission of nociceptive information Endogenous opiates released from enkephalinergic neurons in the periaqueductal gray matter activate the descending modulatory pathway
  • 39. Modulation of autonomic function Ventrolateral medullary reticular formation • Gastrointestinal responses (such as swallowing and vomiting) • Respiratory activities (including the initiation and modulation of respiratory rhythm, coughing, hiccupping and sneezing) • Cardiovascular responses (such as baroreceptor reflexes and responses to cerebral ischemia and hypoxia)
  • 40. Pneumotaxic centre Project to • Inspiratory centre in the ventrolateral part of the nucleus solitarius • Mixed expiratory-inspiratory centre in the superficial ventrolateral reticular area ↓ Phrenic nucleus and T1-T3 sympathetic preganglionic neurones bilaterally Modulation of autonomic function
  • 41. Hypothalamic, median preoptic and paraventricular nuclei ↓ Lateral parabrachial nucleus and Micturition centres ↓ Bilateral projections in lateral spinal funiculus ↓ • Preganglionic parasympathetic neurones in the sacral cord (which innervate the detrusor muscle in the urinary bladder) • Nucleus of onuf (which innervate the musculature of the pelvic floor and the anal and urethral sphincters) Modulation of autonomic function
  • 42. Locus Coeruleus • Seat of the visceral alerting response • Subserves cardiovascular, baroreceptor, chemoreceptor and respiratory reflexes. • Terminate bilaterally on sympathetic preganglionic neurones in the thoracic spinal cord Modulation of autonomic function
  • 43. Superficial ventrolateral area • Supraoptic and paraventricular hypothalamic nuclei • Release of vasopressin from the neurohypophysis. Medullary Noradrenergic Cell Groups A1 And A2 • Median eminence • Control the release of growth hormone, luteinizing hormone and adrenocorticotrophic hormone (ACTH) Modulation of endocrine function
  • 44. Reticular formation and cerebellum Augments the dorsal and ventral spinocerebellar, cuneocerebellar, accessory cuneocerebellar and trigeminocerebellar tracts Lateral and paramedian reticular nuclei and the nucleus of the pontine tegmentum Ipsilateral vermis, hemisphere and flocculonodular lobule via I/L restiform body (inferior cerebellar peduncle) Contralateral primary motor and sensory neocortices Crossed descending rubrobulbar axons Spinoreticular pathway
  • 45. Monoaminergic neurons in RF Distinct chemoarchitectonic nuclear groups • Three catecholaminergic groups a) Noradrenergic (group A) b) Adrenergic (group C) c) Dopaminergic (group A) neurons • Serotoninergic neurones (group B cells) • Cholinergic neurones (group ch cells)
  • 46. Noradrenergic Cell Groups Two columns, one dorsal and one ventral Medulla • Ventral column - associated with the nucleus ambiguus (A1 group) • Dorsal column - component of the nucleus of the solitary tract and the dorsal motor vagal nucleus (A2 group) Both groups project to the hypothalamus Control cardiovascular and endocrine functions
  • 47. Pons • Ventral column - A5 and A7 Projections to the spinal cord that modulate autonomic reflexes and pain sensation • Dorsal column - Locus ceruleus (A6 cell group) Maintains vigilance and responsiveness to unexpected environmental stimuli Extensive projections to the cerebral cortex and cerebellum, as well as descending projections to the brain stem and spinal cord Noradrenergic Cell Groups
  • 48. Adrenergic Cell Groups C1 Rostral extension from the A1 column Project to • Spinal cord, particularly to the sympathetic preganglionic column Provide tonic excitatory input to vasomotor neurons • Hypothalamus Modulate cardiovascular and endocrine responses
  • 49. C2 adrenergic neurons • component of the nucleus of the solitary tract • contribute to the ascending pathway to the parabrachial nucleus • transmit gastrointestinal information C3 adrenergic group • near the midline at the rostral end of the medulla Adrenergic Cell Groups
  • 50. Dopaminergic neurons Substantia nigra (A9 group) Adjacent retrorubral field (A8 group) • Terminates in the striatum • Involved in initiating motor responses Ventral tegmental area (A10 group) • Innervate the frontal and temporal cortices and the limbic structures of the basal forebrain • Implicated in emotion, thought, and memory storage
  • 51. Hypothalamic (A11 and A13 ) in the zona incerta • Long descending pathways to the autonomic areas of the lower brain stem and the spinal cord • Regulate sympathetic preganglionic neurons A12 and A14 groups • Located along the wall of the third ventricle • Involved with endocrine control Also (A15 cells in the olfactory tubercle and A16 in the olfactory bulb) and in the retina (A17 cells) Dopaminergic neurons
  • 52. Serotonergic Cell Groups Along the midline of the brain stem in the raphe nuclei B1-B3 cell groups • along the midline of the caudal medulla • descending projections to the motor and autonomic systems in the spinal cord • regulating tone in motor systems
  • 53. B4 (raphe magnus nucleus ) • projects to the spinal dorsal horn • modulate the perception of pain B5-B9 ( pons and midbrain ) • pontine, dorsal, and median raphe nuclei • project to virtually the whole of the forebrain • regulate wake-sleep cycles, affective behavior, food intake, thermoregulation, and sexual behavior Serotonergic Cell Groups
  • 54. Dorsal raphe spinal projections • Pain-control pathway Intermediate raphe spinal projection • Inhibitory, and, in part, modulates central sympathetic control of cardiovascular function Ventral raphe spinal system • Excites ventral horn cells and enhance motor responses to nociceptive stimuli • Promote the flight and fight response Serotonergic Cell Groups
  • 55. Cholinergic neurons Basal forebrain cholinergic groups • Medial septum (MS) (Ch1 group) • Nuclei of the vertical and horizontal limbs of the diagonal band (DBv and DBh) (Ch2 and Ch3 groups) • Nucleus basalis of Meynert (BM) (Ch4 group)
  • 56. Pontine cholinergic neurons A. Laterodorsal (LDT) (ch5 group) B. Pedunculopontine (PPT) (ch6 group), tegmental nuclei Provide cholinergic innervation to the brain stem and the thalamus Critical for inducing a state of cortical arousal, both during wakefulness and dreaming Cholinergic neurons
  • 57. Histaminergic Cell Groups • Posterior lateral hypothalamus • Tuberomammillary nucleus Help maintain arousal in the forebrain
  • 58. RAS & pathological correlates Schizophrenia Intractable schizophrenic patients have a significant increase (> 60%) PPN neurons and dysfunction of NO signaling involved in modulating cholinergic output of the RAS. Post-traumatic stress disorder, Parkinson’s Disease, REM behavior disorder significant (>50%) decrease in the number of locus coeruleus (LC) neurons, resulting is increased disinhibition of the PPN
  • 59. RAS & pathological correlates Narcolepsy significant down-regulation of PPN output and a loss of orexin peptides, Progressive supranuclear palsy (PSP) Dysfunction of NO signaling Depression, autism, Alzheimer's disease, attention deficit disorder
  • 60.
  • 61. Magnocellular Zone Afferents Spinoreticular fibers. Sensory cranial nerves. Cerebellum. Hypothalamus. Basal nuclei. Cerebral cortex: Esp. premotor cortex.
  • 62. Descending Reticular System  Inhibitory: - Smoothness and accuracy of voluntary movements - Reflex movements - Regulates muscle tone - Maintenance of posture - Control vegetative functions  Facilitatory: - Mantains the muscle tone - Facilitates autonomic functions - Activates ARAS
  • 63. Other Function Somatic motor control Cardiovascular control Pain modulation - The reticular formation is one means by which pain signals from the lower body reach the cerebral cortex. Sleep and consciousness Habituation Dream

Editor's Notes

  1. reticular formation還包含相當多的功能,大致上可分為以下幾類, 第一、許多運動神經傳送訊息進入reticular formation,然後reticular formation再依靠從眼睛和耳所傳來之訊息(刺激),經過綜合後調節運動。 第二、reticular formation包含血管舒縮的中心—延髓,控制一部分的血管舒縮。 第三、reticular formation是下行身體痛覺傳入的必經路徑,所以是下行鎮痛的重要因素,可阻擋一些痛覺訊息傳入大腦皮質。 第四、1reticular formation可以投影在丘腦和脊髓,幫助發揮控制能力,幫助維持清醒狀態,引起覺醒警戒和注意辦眼中心,是重要的角色。 第五、reticular formation與平常的習慣有相當大的關聯,例如 : 長期處在吵雜中,依然能夠睡著。 第六、腦幹經由 reticular formation發射至大腦皮質的電位訊號符合某一種頻率範圍時,大腦皮質的活動狀態,稱為夢。 種種的功能對於人行使能力都是不可或缺的,假如缺失,都是極大的傷害,損失。