Table 2.
Primary Interoceptive Cortex | Visceromotor Regions | Subcortical and Brainstem Visceromotor Structures | |||||
---|---|---|---|---|---|---|---|
To dpIns/dmIns | To vaIns | To sgACC (BA 25) | To pACC (BA 24, 32) | To aMCC (BA 24) | To Amygdala | To other subcortical and brainstem regionsa | |
From dpIns/dmIns | - | Case A, Fig 1155 | Not evidentb | Case 1, Fig 5157 | Case B, Fig 3158 | Case 2, Fig 3154 Case BB-B, Fig 160 |
Hypothalamus (rat)159 PAG: not observed160 PBN (rat)161,162 V. Striatum 163 NTS (rat)162 |
From vaInsc | Case C, Fig 4155 Case A, Fig 1158 |
- | Case OM20, Fig 8164 | Case 1, Fig 5157 | Case 2, Fig 6157 Case A, Fig 1158 |
Case A, Fig 1158 Case 103, Fig 3165 Fig 2, Table 2166 |
Hypothalamus43 PAG160 PBN (rat)161 V. striatum167 NTS (rat)162 |
From sgACC (BA 25) | Not evidentd | Case M707168 | - | Case 1, Fig 5157 Fig 2A169 |
Case 3, Fig 7157 Fig 3A169 |
Case 103, Fig 3165 Fig 5156 |
Hypothalamus154,170,171 PAG160,171 PBN 171 Striatum 171 NTS (rat)172,173 |
From pACC (BA 24, 32) | Not evidentd | Case M776168 | Fig 1169 | - | Case 3, Fig 7157 Fig 3A169 |
Case 103, Fig 3165 Fig 5156 |
Hypothalamus43, PAG160 PBN (cat)174 V. striatum (cat)174 NTS (rat)173 |
From aMCC (BA 24) | Case C, Fig 4155 | Case A, Fig 1155 | Case 3, Fig 4175 | Case 1, Fig 5157 Fig 2A169 |
- | Case 103, Fig 3165 Fig 5156 |
Hypothalamus43 PAG160 PBN: not present176 V. striatum177 NTS (rat)172 |
From Amygdala | Case C, Fig 4155 Lateral basal nucleus; Case 5, Fig 6154 |
Case A, Fig 1155 Case 4, Fig 5154 |
Fig 6156 | Fig 13169 | Fig 6156 | - | Hypothalamus43, PAG160 PBN178 V. striatum179 NTS178 |
Note. Connectivity evidence is in monkeys unless otherwise indicated (e.g., rats, cats). Some connections from dpIns/dmIns to the NTS are unclear due to ambiguity in how Saper (1982)162 reported subregions of the insula.
We did not assess for projections from subcortical and brainstem regions to cortical regions because we only wanted to determine if the cortical regions support visceromotor control.
Connection from dpIns/dmIns to sgACC not evident in several monkey studies that have the potential to show them (e.g., 158,169,180–182).
The medial portion of the vaIns exhibits connectivity with subcortical and brainstem regions, but not the lateral portion of the vaIns43,183.
Connection from sgACC to dpIns/dmIns and from pACC to dpIns/dmIns not evident in several monkey studies that have the potential to show them (e.g., 155,168,180,181), although weak, direct connectivity is evident in a recent tractography study in humans (Ghaziri, et al., 2015184, Figure 5). Moreover, connections between sgACC, pACC, and dpIns have been observed in intrinsic functional connectivity analyses in humans (e.g., Fig. 6 of 185). The discrepancy between human findings and the tract tracing studies in monkeys failing to show connectivity might reflect an expansion of Brodmann area (BA) 24 anterior and ventral to the corpus callosum in humans relative to monkeys and/or the presence of connections between BAs 25/32 and the posterior insula in humans that do not exist in monkeys (Evrard, H. personal communication, December 27, 2015).
BA = Brodmann area; aMCC = anterior midcingulate cortex; dmIns = dorsal mid insula; dpIns = dorsal posterior insula; NTS = nucleus of the solitary tract; PAG = periaqueductal gray; PBN = parabrachial nucleus; pACC = pregenual anterior cingulate cortex; sgACC = subgenual anterior cingulate cortex; V. striatum = ventral striatum.