Visceral pain: responses of the reticular formation neurons to gallbladder distension

Visceral projection (gallbladder distension) to the gigantocellular nucleus of the reticular formation of the cat was tested in neurons classified as pain (P), nonpain-pain (NP-P) and nonpain (NP) units, according to their responses to noxious and/or innocuous natural stimuli from the somatic areas. 96% of P neurons (23 out of 24) responded to gallbladder distension. Quantitative criteria showed comparable effectiveness of the somatic and visceral inputs. NP-P neurons reacted to the gallbladder stimulation in 71% of cases (22 out of 31); NP neurons were activated less effectively. Stimulation of either the central tegmental field or "nonspecific" thalamic nuclei evoked direct responses in 38% of P and 26% of NP-P units, which, in most of the P neurons were followed by excitatory and inhibitory phases. The duration of the latter was approximately one second and it greatly affected the responses of the units to somatic as well as to visceral inputs. A large proportion of P neurons responding to a visceral input documents the important role of the reticular formation in the mechanisms of visceral pain. Findings concerning comparable modifying influences upon reactions of P units both in the case of visceral and painful somatic afferentation indicated that similar control mechanisms could be involved.