Neural pathways involved in the hypothalamic integration of autonomic responses

Recent mapping studies of hypothalamic and autonomic mechanisms have considerably extended our understanding of the anatomy of this system. The pattern of connections emerging from physiological, anatomical, and histochemical experiments suggests several conclusions about the functional organization of the system as well. Recent evidence supports the idea that the hypothalamic (and other limbic) areas involved in the control of ingestion and metabolism form the rostral pole of a longitudinally and hierarchically organized system that elaborates autonomic responses that influence the energy economy of the animal. Substantially the same pathways are apparently responsible for the modulation of ingestive behavior as well. This circuitry, the "visceromotor system" in Nauta's terminology, seems to weld afferent inputs, particularly those of the gustatory and visceral receptors, into a coordinated integrative control strategy influencing autonomic responses. In addition, the system seems to have unique tissue properties, at least at its two periventricularly located sites of integration with special access to both humorally and ventricularly circulated substrates. These nodes, the basomedial hypothalamus and the vagal complex of the medulla, seem to share similar biochemical specializations reflected in susceptibility to goldthioglucose toxicity, specific insulin binding, and susceptibility to alloxan diabetes.