Chemoanatomic compartments in the human bed nucleus of the stria terminalis

Recent studies have indicated that peptidergic inputs to the bed nucleus of the stria terminalis are more developed in man than in rodents. To facilitate interspecies comparisons, the definition of the chemoanatomical subdivisions of the human bed nucleus of the stria terminalis was attempted. The immunocytochemistry of synenkephalin, [Met]enkephalin, somatostatin, and tyrosine hydroxylase was analysed on four verticofrontal levels in five control subjects. Four principal sectors were identified in the bed nucleus of the stria terminalis: (1) lateral, displaying an irregular patchy terminal innervation overlapping for the four markers studied; (2) central, characterized by a high density of somatostatin neurons, by pericellular basket-like formations for all markers, and by a shell of dense somatostatin innervation; (3) medial, characterized by a less dense aminergic and peptidergic innervation; and (4) lateroventral, where peptidergic (somatostatin and enkephalin) peridendritic plexuses were prominent. Double-labeling analyses showed that the somatostatin, enkephalin and tyrosine hydroxylase-like immunoreactive terminals rarely converged on the same soma or dendrite even in areas where they appeared closely interdigitated. The differences and similarities of these sectors with those defined in the rat are discussed; a marked development of the lateral and ventral bed nucleus of the stria terminalis is emphasized in man. Islands with dense peptidergic innervation, similar to the ventral bed nucleus of the stria terminalis, extended into the sublenticular substantia innominata (intercalated between the ventral pallidum and the basal magnocellular nucleus). This supports the existence of an extended amygdaloid complex from the amygdala to the bed nucleus of the stria terminalis in the human brain, as has been proposed in the rat. In relation to the literature, the present findings suggest the increasing importance of the central and lateral amygdaloid-bed nucleus of the stria terminals components and of their cortical connections in man while the medial amygdala-bed nucleus of the stria terminalis nuclei, which are preferentially connected to the olfactory system, appear less developed.