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. 2023 Feb 8;12:e78689. doi: 10.7554/eLife.78689

Targeted anatomical and functional identification of antinociceptive and pronociceptive serotonergic neurons that project to the spinal dorsal horn

Robert Philip Ganley 1,, Marilia Magalhaes de Sousa 1, Kira Werder 1, Tugce Öztürk 1, Raquel Mendes 1, Matteo Ranucci 1, Hendrik Wildner 1, Hanns Ulrich Zeilhofer 1,2
Editors: David D Ginty3, Timothy E Behrens4
PMCID: PMC9943064  PMID: 36752606

Abstract

Spinally projecting serotonergic neurons play a key role in controlling pain sensitivity and can either increase or decrease nociception depending on physiological context. It is currently unknown how serotonergic neurons mediate these opposing effects. Utilizing virus-based strategies and Tph2-Cre transgenic mice, we identified two anatomically separated populations of serotonergic hindbrain neurons located in the lateral paragigantocellularis (LPGi) and the medial hindbrain, which respectively innervate the superficial and deep spinal dorsal horn and have contrasting effects on sensory perception. Our tracing experiments revealed that serotonergic neurons of the LPGi were much more susceptible to transduction with spinally injected AAV2retro vectors than medial hindbrain serotonergic neurons. Taking advantage of this difference, we employed intersectional chemogenetic approaches to demonstrate that activation of the LPGi serotonergic projections decreases thermal sensitivity, whereas activation of medial serotonergic neurons increases sensitivity to mechanical von Frey stimulation. Together these results suggest that there are functionally distinct classes of serotonergic hindbrain neurons that differ in their anatomical location in the hindbrain, their postsynaptic targets in the spinal cord, and their impact on nociceptive sensitivity. The LPGi neurons that give rise to rather global and bilateral projections throughout the rostrocaudal extent of the spinal cord appear to be ideally poised to contribute to widespread systemic pain control.

Research organism: Mouse

Introduction

Descending pain control is a critical endogenous mechanism of pain modulation that is required for survival (Millan, 2002), and allows an organism to respond in an appropriate context-dependent manner to external threats. Key brain structures involved in this system were discovered through stimulation-produced analgesia experiments and include the periaqueductal grey matter (PAG) and the rostroventromedial medulla (RVM) of the hindbrain (Basbaum and Fields, 1984). This descending system acts to inhibit the flow of nociceptive information through the spinal dorsal horn and requires descending tracts within the dorsolateral funiculus to mediate its effects (Basbaum et al., 1976; Basbaum et al., 1977). The RVM is also required for maintaining some chronic pain states through a process of descending facilitation (Porreca et al., 2001; Zhang et al., 2009), indicating that this area has a bidirectional control over pain sensitivity. Both descending inhibition and facilitation will ultimately require the activation of descending tracts to modulate the neuronal activity within the dorsal horn. To understand the precise neuronal circuitry and transmitter systems underlying descending pain inhibition and facilitation, an understanding of the different projection neurons from the RVM to the spinal cord is needed.

Monoamines are important neurotransmitters involved in descending pain control, with serotonin (5-HT) being able to inhibit nociception when injected intrathecally (Wang, 1977). Spinal 5-HT is also known to contribute to certain forms of endogenous pain suppression, such as stress-induced analgesia (Yesilyurt et al., 2015) but is also required to maintain chronic pain in rodent models of nerve injury (Wei et al., 2010). This pain facilitation in pre-clinical neuropathy models is thought to be a result of reduced tonic diffuse noxious inhibitory controls, due to increased spinal 5-HT3 receptor activation (Bannister and Dickenson, 2016; Bannister et al., 2015). The variety and abundance of 5-HT receptors within the spinal dorsal horn likely explains, at least in part, why these multiple effects are observed (Bardoni, 2019). Clearly, spinal 5-HT and the serotonergic projections to this region have a complex and bidirectional control over pain perception that require further study.

Functional studies of specific descending projections have been facilitated by the development of viral retrograde tracers, such as AAV2retro and canine adenoviruses (François et al., 2017; Hirschberg et al., 2017; Tervo et al., 2016). However, it has been reported that the AAV2retro serotype, may not infect serotonergic hindbrain neurons as efficiently as other descending projections (Tervo et al., 2016; Wang et al., 2018). Further, despite the dense serotonergic innervation of the spinal dorsal horn, studies employing transsynaptic neuronal circuit tracing from dorsal horn neurons with modified rabies viruses rarely found labeled hindbrain serotonergic neurons (François et al., 2017; Liu et al., 2019). This is surprising since both descending serotonergic neurons and dorsal horn interneurons are known to strongly influence nociception, and it is possible that these rabies-virus-based tracers fail to detect functional connections between serotonergic neurons and starter populations within the spinal cord. Together these reports would suggest that descending serotonergic projections of the hindbrain are particularly challenging to study using the currently available tools.

In an attempt to address this discrepancy, we compared the labeling efficiency of viral and non-viral tracers. Specifically, we examined the susceptibility of serotonergic hindbrain neurons to retrograde spinal transduction by AAV2retro serotype vectors (Tervo et al., 2016). Additionally, we traced serotonergic neurons of the hindbrain with modified rabies viruses and tested whether they could be labeled from dorsal horn neuron starter populations with transsynaptic rabies tracing. To allow functional interrogation of descending serotonergic neurons, we assessed the specificity of the Tph2-Cre mouse line and used this together with the preferential transduction efficiency of AAV2retro to develop an intersectional system that allowed selective labeling and manipulation of serotonergic neurons in the lateral paragigantocellularis (LPGi), or the medial serotonergic neurons including the nucleus raphe magnus (NRM). We find that the lateral and medial serotonergic neurons of the RVM are distinct in terms of their anatomical organization, susceptibility to AAV2retro transduction, and influence on acute nociception.

Results

Spinal injection of AAV2retro serotype vectors preferentially transduce TPH2-containing projection neurons in the lateral hindbrain

AAV vectors have been developed to permit the efficient retrograde labeling of projection neurons via their axon terminals (Tervo et al., 2016). However, it is debatable whether these vectors are capable of transducing serotonergic neurons that project to the spinal cord (Wang et al., 2018). To test this, we used AAV2retro serotype vectors to retrogradely label hindbrain neurons that project to the spinal cord to assess their ability to transduce serotonergic projection neurons (Figure 1A). Following intraspinal injection of AAV2retro.GFP, many transduced neurons were labeled within the RVM (Figure 1B). When we inspected the location of neurons that expressed both TPH2 and eGFP (according to scheme depicted in Figure 1—figure supplement 1), we found that the majority of these cells were located within the lateral paragigantocellularis (LPGi) (Figure 1B). Quantification of the location of the eGFP-labeled TPH2-expressing neurons indicated that 74% were in the LPGi both ipsilateral and contralateral to the spinal cord injection site (left hand side). In agreement with (Wang et al., 2018), far fewer eGFP + TPH2+neurons were found within the midline serotonergic nuclei 23/100 neurons in NRM, (n=3 animals; Figure 1C). However, most non-serotonergic projection neurons (eGFP + TPH2-) were found close to the midline of the ventral hindbrain 412/439 neurons in midline, (n=3 animals; see Figure 1B and Figure 1E).

Figure 1. Retrograde labeling of spinally projecting serotonergic neurons with AAV2retro vectors and Cholera toxin b subunit.

(A). Injection scheme for retrograde labeling of spinally projecting neurons with AAV2retro.eGFP. (B) Image of the ventral hindbrain containing eGFP-labeled neurons (scale bar = 200 μm). Inset shows enlargement of the LPGi to reveal eGFP neurons that also express TPH2 (scale bar = 200 μm). (C). Quantification of cell location for eGFP-labeled neurons that express TPH2, each datapoint is a count per animal (n=3) (D). Injection scheme for retrograde tracing from the spinal dorsal horn with AAV2retro.eGFP and CTb. (E). Representative image of the ventral hindbrain containing CTb-labeled and AAV2retro-transduced projection neurons (scale bar = 200 μm). (F). Anatomical locations of retrogradely labeled TPH2 +hindbrain neurons labeled with CTb or AAV2retro (n=3 animals).

Figure 1.

Figure 1—figure supplement 1. Defined areas in the RVM used for quantifying the location of retrogradely labeled neurons.

Figure 1—figure supplement 1.

The NRM was identified as a dense cluster of TPH2-expressing neurons around the midline in a triangular shape, whereas the LPGi were distinguished by their lateral location and separation from the midline structures. All other regions were defined as ‘other’. Examples of retrogradely labeled TPH2 +neurons in the NRM are indicated with arrows, the LPGi with filled arrowheads, and other with empty arrowheads, NRM = nucleus raphe magnus, LPGi = lateral paragigantocellularis, Pyr = Pyramids, (scale bar = 200 μm).
Figure 1—figure supplement 2. Retrograde labeling of serotonergic hindbrain neurons with CTb.

Figure 1—figure supplement 2.

(A). injection scheme for CTb tracing from the lumbar dorsal horn and an example of the injection site in the lumbar spinal cord (scale bar = 200 μm). (B). Example of a hindbrain section from the injection site shown in A (scale bar = 200 μm). The inset shows that many CTb-labeled neurons that express TPH2 are found in the nucleus raphe magnus (indicated by arrows). (C). Location of CTb-labeled cells in the RVM that express TPH2, each datapoint is a count per animal (n=2).
Figure 1—figure supplement 3. Proportion of neurons retrogradely labeled with CTb and AAV2retro in different RVM areas.

Figure 1—figure supplement 3.

(A). Injection scheme for labeling descending projection neurons with AAV2retro and CTb. (B). Quantification of coexpression of CTb and eGFP in all retrogradely labeled RVM neurons, and (C). Quantification of coexpression of CTb and eGFP in retrogradely traced RVM neurons that contain TPH2. The proportion of retrogradely cells in each area expressing CTb, eGFP, or both eGFP and CTb are illustrated. The cell counts used to generate these charts are given in Table 1 (n=3 animals).
Figure 1—figure supplement 4. labeling of spinally projecting serotonergic neurons with direct rabies infection and transsynaptic rabies tracing.

Figure 1—figure supplement 4.

(A). Injection strategy for the direct labeling of spinally projecting hindbrain neurons with a SAD pseudotyped and G-protein deficient rabies virus. (B). Example of a cell body of a labeled hindbrain neuron that is immunoreactive for TPH2 (scale bar = 50 μm), the ventral border of the hindbrain is indicated by the dotted line. (C). Quantification of the GFP-labeled hindbrain neurons that express detectable levels of TPH2. Note that 7 days after rabies virus injection there are fewer labeled neurons that express TPH2. N=3 animals. (D). Injection strategy for the transsynaptic tracing of neurons from spinal dorsal horn neurons. Hoxb8-Cre is transiently expressed in all lumbar dorsal horn neurons and is crossed with ROSA26TVA to induce TVA expression in all spinal neurons. E. Example of an RVM neuron traced transsynaptically from the spinal dorsal horn (scale bar = 50 μm) (F). Quantification of GFP-labeled neurons in the hindbrain that express detectable TPH2. Data from C. ‘5 days post injection’ is included to allow comparison between directly labeled and transsynaptically traced neurons. N=4 animals for transsynaptic tracing experiment.

There is increasing evidence to suggest that some projections are resistant to retrograde transduction with AAV2retro vectors, and comparisons with independent tracing methods are required to demonstrate this resistance (Ganley et al., 2021; Tervo et al., 2016). To study the anatomical organization of serotonergic pathways using a non-viral method, we used Cholera toxin b subunit (CTb) retrograde tracing and compared the hindbrain labeling with our AAV2retro tracing experiments (Figure 1—figure supplement 2A).

Strikingly, many CTb-labeled TPH2-expressing hindbrain neurons were found in the midline NRM, although CTb-containing TPH2-expressing neurons were also found in the LPGi (Figure 1—figure supplement 2B). The location of these CTb + TPH2 + cells was more evenly divided between the NRM and LPGi that the eGFP + TPH2 + cells from the AAV2retro labeling (Figure 1—figure supplement 2C compared to Figure 1C). To directly test whether there were differences in labeling efficiency between AAV2retro and CTb, AAV2retro.GFP and CTb were co-injected into the spinal dorsal horn (Figure 1D). In total, more neurons in the ventral hindbrain were retrogradely labeled with CTb than AAV2retro.eGFP (Figure 1—figure supplement 3A and Table 1). When only TPH2-expressing retrogradely labeled neurons were examined, far fewer were labelled with AAV2retro.GFP relative to the overall population of traced neurons (Figure 1—figure supplement 3 and Table 1). However, when the retrogradely labeled TPH2 + neurons were divided into separate areas, it was apparent that a lower percentage of neurons in the medial serotonergic nuclei including the NRM were labeled with eGFP compared to the LPGi, whereas the proportion of serotonergic neurons in the LPGi labeled with AAV2retro, CTb, and both AAV2retro and CTb were similar to the general population of retrogradely labeled hindbrain neurons (Figure 1—figure supplement 3A, B). Therefore, we conclude that the reduced labeling of hindbrain serotonergic neurons with AAV2retro was due to a resistance of midline serotonergic neurons to AAV2retro-mediated transduction. In contrast, laterally located serotonergic neurons were more amenable to retrograde transduction with AAV2retro. A summary of these data can be found in Table 1.

Table 1. Quantification of hindbrain neurons traced from the spinal dorsal horn with AAV2retro.eGFP and CTb.

The number in each column is the total number of cells counted for each group, with the range of cells counted for each animal in parentheses. For percentages, the average value is presented with the range for each animal given in parentheses.

Brain region Subset GFP only Ctb only GFP +Ctb + %GFP only %Ctb only %GFP +Ctb +
RVM (all neurons) - 99 (11–57) 679 (149–319) 279 (65–134) 9.1 (4.0–12.1) 65.6 (59.7–73.3) 25.3 (22.7–28.1)
RVM (TPH2 +neurons) All 5 (0–4) 269 (63–123) 62 (12–25) 1.5 (0–5.1) 80.1 (76.1–83.1) 18.5 (15.2–22.9)
LPGi 5 (0–4) 79 (16–44) 35 (7–15) 4.2 (0–14.8) 66.4 (54.3–77.2) 29.4 (22.8–42.9)
NRM 0 (0–0) 143 (37–63) 15 (4–6) 0 (0–0) 90.5 (87.8–94.0) 9.5 (6.0–12.2)
Other 0 (0–0) 47 (10–21) 12 (0–8) 0 (0–0) 79.7 (66.7–100) 20.3 (0–33.3)

Serotonergic hindbrain neurons are rarely infected using transsynaptic rabies tracing from the dorsal horn

Since many serotonergic neurons were largely resistant to AAV2retro transduction, we considered that these may be resistant to other viruses used for retrograde and neuronal circuit tracing. Transsynaptic rabies tracing is a commonly used technique for tracing neuronal circuits from genetically defined populations of neurons and provides useful information regarding the presynaptic inputs to a neuronal population. (Wickersham et al., 2007b). However, in the case of serotonergic neurons, the results of previous studies have demonstrated that very few neurons of the hindbrain are traced from dorsal horn starter populations, despite the dense serotonergic innervation of the superficial dorsal horn and the important role of serotonin in pain modulation (François et al., 2017; Liu et al., 2019). This suggests that serotonergic neurons are either traced with only limited efficacy, or that there is highly specific serotonergic innervation of some spinal neuron populations but not others.

To test whether serotonergic hindbrain neurons are susceptible to rabies virus infection, we injected a rabies virus, whose genome lacked the glycoprotein-encoding sequence but was pseudotyped with the SAD glycoprotein (SAD.RabiesΔG-eGFP (SAD-G)), into the spinal dorsal horn (Figure 1—figure supplement 4A). This virus can directly infect most neurons but cannot be propagated beyond the initially infected neurons due to the lack of the rabies glycoprotein required for transsynaptic spread (Albisetti et al., 2017; Wickersham et al., 2007a). Five days after injection of SAD.rabΔG-eGFP (SAD-G), 44% of the labeled hindbrain neurons contained detectable TPH2 immunoreactivity (Figure 1—figure supplement 4B, C). Notably, the percentage of labeled neurons dropped to only 12% of labeled hindbrain neurons at day 7 post injection (Figure 1—figure supplement 4C). This reduction may be a result of rabies virus toxicity, which could lead to a downregulation of cytoplasmic enzymes such as TPH2 to undetectable levels, and hence an underestimation of labeled serotonergic neurons. For this reason, we used a 5-day survival time for all subsequent experiments involving rabies viruses.

To determine whether serotonergic hindbrain neurons could be traced transsynaptically from the spinal dorsal horn, we used Hoxb8-Cre mice to define a broad starter population of spinal cord neurons. During development, Hoxb8-Cre is expressed transiently in almost all spinal neurons and astrocytes caudal to C4. It can be used to define a starter population that includes virtually all dorsal horn neurons (Witschi et al., 2010). We used Hoxb8-Cre; ROSATVA mice to induce stable expression of TVA in most dorsal horn neurons during development, enabling their infection in the adult with EnvA pseudotyped rabies viruses (SAD.RabiesΔG-GFP (EnvA)). To allow transsynaptic spread from the starter population, a helper virus containing mCherry and rabies glycoprotein was injected two weeks prior to injection of SAD.RabiesΔG-GFP (EnvA) (Figure 1—figure supplement 4D).

Five days after rabies virus injection, neurons in the ventral hindbrain labeled with eGFP were assessed for TPH2 expression by immunostaining. On average, the number of eGFP-labeled hindbrain neurons counted per animal was similar between direct and transsynaptic tracing from the spinal cord (8.3 and 8.25, respectively), both of which had far lower labeling efficiency when compared to labeling with either CTb or AAV2retro labeling. We only observed coexpression of eGFP and TPH2 once in a total of 33 inspected neurons, corresponding to 3% of our total sample (Figure 1—figure supplement 4E, F). A summary of all rabies virus tracing experiments can be found in Table 2. In the hindbrain, we never observed colocalization of mCherry and eGFP, suggesting that all eGFP-expressing neurons in the hindbrain were transsynaptically traced from the dorsal horn. Together these data demonstrate that although TPH2-expressing hindbrain neurons can be directly infected with modified rabies viruses, they are largely underrepresented with transsynaptic tracing from the dorsal horn. This may partly explain their absence from many of the circuit tracing studies that have used this approach.

Table 2. Neurons in the ventral hindbrain traced from the spinal cord with modified rabies viruses.

Number represents the total number of cells counted with the range of cells counted for each animal in parentheses. Percentages of labeled neurons expressing TPH2 are the average for all cells counted per group, with the range for each animal given in parentheses.

Labeling strategy Rabies virus Animals Total GFP + cells counted in RVM GFP neurons expressing TPH2 GFP neurons not expressing TPH2 % GFP +neurons that are TPH2+
Direct infection (5d) SAD.RabiesΔG-eGFP (SAD-G) 3 25 (5–11) 11 (2–5) 14 (3–6) 44 (40–45)
Direct infection (7d) SAD.RabiesΔG-eGFP (SAD-G) 3 36 (7–17) 4 (1-2) 32 (6–16) 11 (6–16)
Monosynaptic tracing SAD.RabiesΔG-eGFP (EnvA) 4 33 (3–20) 1 (0–1) 32 (3–19) 3 (0–5)

Descending serotonergic projection neurons of the LPGi can be preferentially labeled using AAV2retro vectors and Tph2-Cre mouse line

In order to study descending serotonergic neurons functionally, we must first identify a suitable method to specifically influence those neurons. TPH2-containing neurons of the LPGi were susceptible to retrograde transduction by AAV2retro in contrast to other serotonergic nuclei of the hindbrain (Figure 2), which would permit selective transduction of these neurons using AAV2retro. Further, mouse lines expressing Cre recombinase within defined neuronal populations have been widely and successfully used to functionally study a variety of spinal neuron subtypes (Foster et al., 2015; Gatto et al., 2021; Huang et al., 2018; Peirs et al., 2021). We therefore assessed the reliability of the Tph2-Cre mouse line as a marker of serotonergic neurons and a potential tool to gain genetic access to these cells. To determine whether the Cre expression in this mouse line was specific to serotonergic neurons that project to the spinal cord, we injected the lumbar dorsal horn of Tph2-Cre mice with an AAV2retro serotype vector containing a Cre-dependent eGFP construct (Figure 2A). This resulted in TPH2-expressing neurons of the hindbrain being labeled with eGFP, particularly in the LPGi (Figure 2B). In addition, many neurons were labeled in the ipsilateral DRG (Figure 2C). We observed a similar pattern in cell location as in the AAV2retro.eGFP labeling experiments (Figure 1C), with 72% of eGFP neurons being present bilaterally in the LPGi (Figure 2D and Table 3). Furthermore, 77.5% of all neurons labeled with AAV2retro.flex.eGFP contained detectable levels of TPH2 (Figure 2E and Table 3). Therefore, among the hindbrain neurons that project to the spinal dorsal horn Tph2-Cre is expressed specifically in serotonergic neurons, but may also be expressed in other neurons of the nervous system, including a subset of DRG neurons.

Figure 2. Labeling of spinally projecting neurons in the Tph2-Cre mouse with AAV2retro vectors.

Figure 2.

(A). Injection scheme for labeling spinally projecting Tph2-Cre neurons. (B). An example of a hindbrain section containing neurons labeled with eGFP (scale bar = 200 μm). Inset is an enlargement of the area indicated in the dashed box, with many eGFP-labeled cells found to express detectable TPH2 that are indicated with arrows. Cells that were labelled with eGFP not containing detectable TPH2 are indicated with arrowheads (scale bar = 200 μm). (C). Image of an ipsilateral DRG from a Tph2-Cre mouse that received a spinal injection of AAV2retro.flex.eGFP, showing many eGFP-expressing neurons (scale bar = 100 μm). (D). Quantification of the location of eGFP-labeled cells in the hindbrain. (E). Quantification of the hindbrain neurons labeled with eGFP that also contain TPH2. For D. and E. each datapoint is a count per animal (n=3 animals). (F). Injection scheme for the intersectional labeling of spinally projecting Tph2-Cre neurons. Brain injection coordinates (−6,+/-0.5, 5.9) from bregma, for the labeling of spinally projecting Tph2-Cre neurons in the LPGi, according to the mouse brain atlas. Target injection sites are indicated in red crosshairs. (G). Example of a hindbrain section from a Tph2-Cre mouse that received the injections illustrated in F (scale bar = 500 μm). Inset is an enlargement of the boxed area and highlights neurons that were captured with the brain injection and express eGFP (arrowheads) as well as neurons that were directly labeled from the spinal cord injection (mCherry+) that were not transduced from the hindbrain injection (arrows),(scale bar = 200 μm). H. Quantification of the mCherry-expressing cells that are labeled with eGFP, which indicated that they were captured with the hindbrain injection. The percentages of mCherry-only and eGFP-only cells are also quantified for each hindbrain area that contains serotonergic neurons, and areas that could not be assigned as either medial or LPGi were classified as ‘other’ (n=4 animals).

Table 3. Cell counts for eGFP-labeled cells in the hindbrain from injection of AAV2retro.flex.eGFP into the spinal cord of Tph2-Cre animals (n=3) the total number of cells counted is indicated and the range of cells counted per animal is indicated in parentheses.

GFP (all) GFP (NRM) GFP (LPGi) GFP +TPH2+ (all) GFP +TPH2+ (NRM) GFP +TPH2+ (LPGi)
127 (24–63) 25 (7–12) 102 (17–57) 96 (22–43) 25 (7–12) 71 (15–37)

To specifically manipulate spinally projecting serotonergic neurons without influencing other neuronal populations, such as those in the DRG, we used an intersectional strategy to induce reporter expression in spinally projecting Tph2-Cre neurons of the hindbrain (Figure 2F). This strategy utilized AAV2retro serotype vectors containing a Cre-dependent optimized flippase (FLPo), which, when injected intraspinally, results in FLPo expression in Cre-expressing neurons that project to the dorsal horn. The AAV2retro serotype would also enable expression restricted to laterally located serotonin-expressing neurons. This construct also contained the coding sequence for mCherry, allowing these transduced cells to be visualized (AAV2retro.flex.FLPo.mCherry). The hindbrain was injected one week later with an AAV containing a flippase-dependent eGFP viral vector (AAV9.FRT.eGFP), to capture the neurons that were transduced from the spinal cord with AAV2retro (Figure 2F and G). This approach enables the quantification of intersectionally labeled serotonergic neurons (mCherry- and eGFP-expressing), relative to the population of neurons directly labeled from the spinal dorsal horn (mCherry-expressing). Therefore, the accuracy of the hindbrain injections and the proportion of the descending projection neurons captured within the injection site could be determined.

Different brain injection coordinates were tested to optimize the proportion of spinally projecting Tph2-Cre neurons that were captured with the stereotaxic brain injection. Bilateral injections of AAV9.FRT.eGFP (−6, ±0.5, –5.9 relative to Bregma) was the most efficient in terms of mCherry +eGFP + neurons labeled in the hindbrain (Figure 2F, G and H). With this approach, we labeled 80.6% of all retrogradely transduced neurons with eGFP with the remaining 19.4% containing mCherry only, indicating that most retrogradely transduced neurons are labeled using this strategy (Figure 2H and Table 4). Additionally, this proportion was similar between the different areas containing retrogradely labeled serotonergic neurons (LPGi = 80.6%, Medial = 78.3%, other = 82.4%, labeled neurons containing eGFP), suggesting these injection sites encompass most regions that contain AAV2retro-labeled serotonergic projection neurons. Some cells only expressed eGFP without detectable mCherry staining, either due to non-specific recombination of the FRT sites or low to undetectable levels of mCherry present in these neurons. We found that a smaller proportion of eGFP-only neurons were present in the LPGi compared to the medial serotonergic nuclei (4.6% vs 16.9% respectively, Figure 2H and Table 4). We concluded that this intersectional strategy is suitable for the specific manipulation of serotonergic hindbrain neurons that project to the spinal dorsal horn, and that the majority of these traced cells are located in the LPGi.

Table 4. Cell counts for neurons labeled in the hindbrain from intersectional labeling experiments, from spinal cord injection of AAV2retro.flex.FLPo.mCherry and hindbrain injection of AAV9.FRT.eGFP (n=4 animals).

Total number of cells counted is given with the range of cells counted in parentheses.

Fluorophore Total LPGi medial Other
eGFP only 94 (19–29) 18 (1–8) 38 (6–16) 38 (5–20)
eGFP +mCherry + 558 (72–224) 298 (50–96) 156 (13–69) 104 (6–59)
mCherry only 153 (22–65) 71 (11–23) 55 (4–29) 27 (3–13)

Lateral and midline serotonergic hindbrain neurons display anatomical differences in their spinal cord innervation

Previous anterograde tracing studies have suggested that within the RVM, the innervation of the superficial dorsal horn originates from the lateral hindbrain, whereas the deeper dorsal horn is innervated by the medial hindbrain (Gautier et al., 2017). The preferential labeling of lateral serotonergic neurons using our intersectional strategy provided us an opportunity to compare the projection patterns of different serotonergic neurons of the hindbrain.

To assess the serotonergic innervation of the spinal cord that originates from the medial RVM we injected AAVs containing Cre-dependent reporters into the NRM of Tph2-Cre mice (Coordinates from Bregma = –6, 0, 5.9; Figure 3A) and were able to label midline serotonergic neurons with eGFP without transduction of the LPGi neurons (Figure 3B). In addition to the NRM, neighboring midline regions were also labeled, such as the raphe obscuris (ROb) and raphe pallidus (RPa) (Dahlström and Fuxe, 1964). Most eGFP-labeled neurons in the injection site contained a detectable level of TPH2 (80.5%), indicating this strategy can be used to label the serotonergic midline neurons of the hindbrain (Figure 3C).

Figure 3. Spinal cord regions innervated by serotonergic hindbrain neurons.

(A). Injection scheme for labeling medially located serotonergic neurons of the hindbrain with AAVs. Stereotaxic injection coordinates for the hindbrain injection of AAVs to label midline neurons without transducing LPGi serotonergic neurons (–6, 0, 5.9). (B). Representative brain injection site from the hindbrain of a Tph2-Cre mouse that received a single 300 nl injection of AAV8.hSyn.flex.eGFP (Scale bar = 500 μm). A higher magnification image of the injection site is also shown (scale bar = 100 μm). (C). Quantification of the proportion of eGFP-labeled neurons in the injection site that were immunoreactive for TPH2. (D). Intersectional strategy to preferentially label the spinal axon terminals of descending serotonergic neurons that originate in the LPGi. (E). Representative images of the hindbrain injection site and the axon termination pattern in the spinal cord of a Tph2-Cre animal that received the injections depicted in D (scale bars = 500 μm and 100 μm for hindbrain and spinal cord sections respectively). (F). Injection scheme for labeling medially located serotonergic neurons with tdTOM. (G). Representative images of the hindbrain injection site and spinal cord axon termination pattern of a Tph2-Cre animal that received a single 300 nl injection of AAV8.hSyn.flex.tdTOM depicted in F (scale bars = 500 μm and 100 μm for hindbrain and spinal cord sections respectively). (H). Higher magnification images of the cervical and lumbar dorsal horns of a Tph2-Cre animal that received the injections depicted in D (scale bar = 100 μm). (I). Representative images from cervical and lumbar spinal cord segments of animals that received an injection with AAV8.hSyn.flex.tdTOM into the NRM (scale bar = 100 μm).

Figure 3.

Figure 3—figure supplement 1. Laminar location of axons originating from descending LPGi and midline serotonergic neurons of the hindbrain.

Figure 3—figure supplement 1.

(A). Intersectional labeling of Tph2-Cre hindbrain neurons in the LPGi, axons and terminals are found within laminae I-IIo, highlighted by CGRP immunostaining. (B). Direct labeling of medial serotonergic hindbrain neurons with AAV vectors, most labeled axons are found ventral to the lamina II-III border delineated by PKCγ immunoreactivity. Scale bars = 100 μm, laminae I-IIo and IIi are indicated by the dotted lines.

We used tdTomato-expressing vectors to visualize the axon termination pattern of descending serotonergic projections in the spinal cord (Figure 3D and F). For preferential labeling of the LPGi descending neurons, the lumbar spinal cord was injected with AAV2retro vectors containing a Cre-dependent optimized Flippase (AAV2retro.flex.FLPo.BFP), and 1 week later the hindbrain was injected with AAVs containing flippase-dependent tdTomato (AAV9.FRT.tdTOM). The stronger fluorescence of tdTomato enabled more sensitive labeling of the distal axons of descending projection neurons. The intersectional approach revealed that the densest labelling of axon terminals was present in the superficial laminae of the dorsal horn (Figure 3D, E and H). When the spinal cords were immunostained for CGRP and PKCγ (to delineate laminae I-IIo and IIi boundaries, respectively), most of the labeled axons were seen within the dorsal CGRP plexus, indicating that these neurons innervate laminae I-IIo of the spinal cord (Figure 3—figure supplement 1A). Surprisingly, projections retrogradely labeled from the left lumbar spinal cord contained axon collaterals that projected to both ipsilateral and contralateral dorsal horns, as well as to spinal segments caudal to the spinal injection site in the lumbar segment (Figure 3E and H). This indicates that these descending neurons have a wide-ranging axon termination pattern that extends over most of the spinal cord.

In contrast, axons from midline serotonergic neurons (including NRM, ROb, and RPa) directly labeled with tdTomato (from injection of AAVs containing a Cre-dependent tdTOM [AAV8.flex.tdTOM] into the NRM [–6, 0, 5.9]) were rarely present in the superficial laminae of the dorsal horn, but they densely innervated the ventral horn and were present in the deep dorsal horn (Figure 3G, I). This was confirmed by revealing the laminar boundaries with CGRP and PKCγ staining, which indicated that the axons of these neurons was mostly present ventral to the lamina IIi-III border (Figure 3—figure supplement 1B) In both labeling experiments, most of the axon terminals in the spinal cord contained 5-HT, although much of the spinal 5-HT was not colocalized with tdTomato by either labeling approach (Figure 3H, I). Together this indicates that the lateral and midline serotonergic neurons in the RVM project to distinct regions of the spinal cord, in agreement with Gautier et al., 2017.

Midline and lateral serotonergic hindbrain neurons have similar active and passive membrane properties

Although much is known about the electrophysiological properties of serotonergic hindbrain neurons, to date there has not been a direct comparison of the membrane properties of those located in the NRM or LPGi. To test whether these distinct populations have similar biophysical membrane properties, Tph2-Cre neurons were labeled with tdTomato by hindbrain injection of AAV9.flex.tdTom and targeted for whole-cell recording.

In contrast to their anatomical differences (such as cell soma location and spinal axon termination pattern), Tph2-Cre neurons in the LPGi and NRM had similar active membrane properties and neuronal excitability (Figure 4A and B). In response to depolarizing current steps, these two groups of neurons discharged action potentials that were similar in terms of their thresholds, kinetics, and firing rates (Figure 4A, B and D–G). Cells were labeled with Biocytin during recording, and these groups were distinguished based on the location of biocytin-labeled cell bodies in the hindbrain slice after recording and tissue processing (Figure 4C). Similar to previous reports on the electrophysiological properties of serotonergic RVM neurons, both groups generally had broad action potentials (measured as width at half maximal) and frequently exhibited a slow afterhyperpolarization (9/10 NRM neurons, 5/8 LPGi neurons), which was similar in amplitude between groups (Figure 4A, E and H; Zhang et al., 2006). A summary of these electrophysiological measurements can be found in Table 5.

Figure 4. Electrophysiological characterization of serotonergic neurons of the NRM and the LPGi.

Figure 4.

(A). Current step protocol (red) and resulting AP firing (black) from representative serotonergic NRM and LPGi neurons recorded in current clamp. (B). Current/frequency plot for the AP firing frequency of NRM and LPGi neurons resulting from increasing 1 s depolarizing current injections. (C). Representative images of biocytin filled neurons within the NRM and LPGi of hindbrain slices revealed following recording (scale bar = 200 μm). (D – H) comparison of active and passive membrane properties between NRM and LPGi serotonergic neurons. (D – G). n=10 NRM (from 4 animals) n=8 LPGi (from 3 animals). (H). n=9 NRM n=5 LPGi.

Table 5. Comparison of active and passive membrane properties between serotonergic neurons in the NRM and the LPGi.

Data are shown as mean ± SEM (n=10 cells from 4 animals NRM, n=8 cells from 3 animals LPGi).

Parameter NRM LPGi
Membrane resistance (MΩ) 1643±240.1 1857±316.9
Resting membrane potential (mV) –64.69±4.145 –70.32±3.592
Rheobase current (pA) 18.75±2.236 15.00±2.266
Action potential threshold (mV) –32.45±2.597 –34.18±0.8890
Action potential amplitude (mV) 85.26±3.230 79.14±4.194
Action potential half width (ms) 1.730±0.1960 1.875±0.2198
Slow Afterhyperpolarisation (with AHP / total) 9/10 5/8
Slow Afterhyperpolarisation Amplitude (mV) 27.09±0.7983 27.58±1.304

Acute activation of descending serotonergic neurons in the LPGi decreases thermal sensitivity

Descending serotonergic projection neurons can both decrease or increase pain sensitivity, and optogenetic activation of serotonergic neurons of the NRM produces long-term hypersensitivity to both mechanical and thermal sensitivity (Cai et al., 2014; Wei et al., 2010). However, intrathecal injection of serotonin can produce acute antinociception (Wang, 1977), and currently little is known of the effect of preferentially activating descending serotonergic neurons in the LPGi.

To clarify whether the acute activation of these serotonergic neurons is pro- or antinociceptive, we used the intersectional strategy to express the excitatory DREADD hM3D(q) in descending serotonergic neurons of the LPGi (Figure 5A). Although many neurons of the hindbrain were labeled with hM3Dq-mCherry and virtually all mCherry-expressing axon terminals in the lumbar spinal cord contained detectable 5-HT, this only corresponded to a minority of the serotonergic innervation in this area (Figure 5B and C). After injecting CNO hM3Dq-mCherry-expressing neurons increased their activity, as evidenced by an increased expression of c-Fos in their nuclei relative to vehicle injected controls (Figure 5—figure supplement 1).

Figure 5. Chemogenetic activation of descending serotonergic LPGi neurons.

(A). Injection scheme for expressing the excitatory DREADD hM3Dq in spinally projecting Tph2-Cre neurons. Brain injection coordinates according to the mouse brain atlas (−6,+/-0.5, 5.9 from bregma). (B). Example of the injection site from the hindbrain of a mouse that received a spinal dorsal horn injection of AAV2retro.flex.FLPo.BFP followed by a bilateral hindbrain injection of AAV1.FRT.hM3Dq.mCherry 1 week later (scale bar = 200 μm). (C). Example of the ipsilateral spinal dorsal horn form an animal that had received the injections indicated in A. Note that most 5-HT-containing terminals are not labeled, but the majority of labeled terminals contain a detectable level of 5-HT (scale bar = 200 μm). (D). Sensory tests of the ipsilateral hindpaw: Hargreaves plantar assay; repeated measures one-way ANOVA, (F(3, 42)=16.93, p<0.0001), post hoc tests with Bonferroni’s correction detected differences between post-vehicle and post CNO, as well as pre-CNO and post-CNO (adjusted p values are p=0.007 and p<0.0001 respectively). Cold plantar assay; repeated measures one-way ANOVA, (F(3, 39)=12.41, p<0.0001) post hoc tests with Bonferroni’s correction detected differences between post-vehicle and post CNO, as well as pre-CNO and post-CNO (adjusted p values are p=0.0122 and p=0.0103, respectively). von Frey test; repeated measures one-way ANOVA, (F(3, 39)=0.5013 p=0.6836). Rotarod test for sensorimotor coordination/sedation; repeated measures one-way ANOVA, (F(3, 30)=0.8684, p=0.4683). Significance: *p<0.05, **p<0.01, ***p<0.001.

Figure 5.

Figure 5—figure supplement 1. Chemogenetic activation of hM3Dq-labeled neurons.

Figure 5—figure supplement 1.

(A). Hindbrain containing hM3Dq-mCherry-labeled neurons that upregulated c-Fos following intraperitoneal injection of CNO (scale bar = 200 μm). (B). Quantification of the proportion of hM3Dq-mCherry neurons that upregulated c-Fos after CNO or vehicle injection (CNO n=2, vehicle n=3).
Figure 5—figure supplement 2. Altered sensitivity of the contralateral paw following LPGi activation.

Figure 5—figure supplement 2.

Sensory tests of the contralateral hindpaw: Hargreaves plantar assay; repeated measures one-way ANOVA, (F(3, 9)=4.833, p=0.0081). Post-hoc tests with Bonferroni correction detect differences between pre and post CNO injection, and between post-vehicle and post-CNO injection in the Hargreaves plantar assay. Significance: **p<0.01, ***p<0.001. (n=15 animals).
Figure 5—figure supplement 3. Both male and female mice show alterations in thermal thresholds following chemogenetic activation of LPGi serotonergic neurons.

Figure 5—figure supplement 3.

Sensory and motor tests with groups divided into male and female animals. Increases in withdrawal latencies are seen in the Hargreaves and cold plantar assay in both male and female animals (paired t-tests post vehicle vs post CNO with Holm-Sidak correction). N=6 male and 9 female animals Hargreaves, 6 male and 8 female for Cold plantar assay and von Frey, and 6 male and 5 female for Rotarod. Significance: *p<0.05, **p<0.01, **p<0.001.
Figure 5—figure supplement 4. CNO does not alter response latencies, thresholds or sensorimotor coordination in the absence of hM3Dq.

Figure 5—figure supplement 4.

Sensory tests before and after the injection of either CNO or vehicle (n=5 animals). post-vehicle vs post-CNO paired t-test, Hargreaves p=0.239, Cold plantar p=0.461, von Frey p=0.424, Rotarod p=0.732.
Figure 5—figure supplement 5. Proportion of AAV2retro-traced neurons labeled with hM3Dq-mCherry for behavioral experiments.

Figure 5—figure supplement 5.

Quantification of the hindbrain neurons labeled from the injection scheme depicted in Figure 5A. n=4 animals.

Despite sparse terminal labeling in the spinal cord, withdrawal latencies to thermal stimuli were increased following CNO injection (Figure 5D). Animals that had received CNO injections exhibited significantly longer withdrawal thresholds to infrared heat stimulation than vehicle injected controls (Repeated measures one-way ANOVA, F(3, 9)=10.55, p<0.0001). Similarly, response latencies to the cold plantar assay were also prolonged following CNO injection (Repeated measures one-way ANOVA, F(3, 9)=7.309, p=0.0012). In contrast, tactile sensitivity to punctate mechanical stimulation with von Frey filaments was unaltered (Repeated measures one-way ANOVA, F(3, 9)=1.402, p=0.2666) (Figure 6E). To exclude the possibility that any observed alteration in sensory stimulus-induced behavior was due to impaired motor control or sedation, we measured the latency to fall from an accelerating rotarod before and after injection of CNO or vehicle. Latency to fall was comparable between animals before and after injection indicating no deficits in sensorimotor function or the absence of sedative effects (repeated measures one-way ANOVA, F(3, 5)=0.354, p=0.787; Figure 5D) Together, these data indicate that acute activation of descending serotonergic neurons reduces sensitivity to thermal stimuli, but does not strongly influence mechanical sensitivity.

Figure 6. Chemogenetic activation of medial serotonergic hindbrain neurons.

(A). Injection scheme for chemogenetic activation of medial serotonergic hindbrain neurons. Stereotaxic coordinates used for activating midline serotonergic neurons of Tph2-Cre animals with hM3D(q)-containing AAVs (–6, 0, 5.9). (B). Example of an injection site from an experiment to activate midline serotonergic neurons with hM3D(q) (scale bar = 500 μm). (C). Lumbar spinal cord from the injection site shown in B. showing mCherry-expressing terminals located ventral to the dense 5-HT innervation of the superficial dorsal horn (scale bar = 200 μm). (D). Sensory and sensorimotor coordination assays of animals following CNO or vehicle injections. Repeated one-way ANOVA, followed by Bonferroni’s post-hoc tests for von Frey (F(3, 6)=13.84, p<0.0001) show significant decreases between post-vehicle and post-CNO injections (P=0.0005) as well as pre-CNO and post-CNO (p<0.0001). Significance: *p<0.05, **p<0.01, **p<0.001.

Figure 6.

Figure 6—figure supplement 1. Injection sites for chemogenetic activation of medial serotonergic neurons of the hindbrain.

Figure 6—figure supplement 1.

In all cases, spread is restricted to the medial neurons with limited spread to the LPGi serotonergic neurons. The targeted region of the hindbrain was the NRM at (–6, 0, 5.9) relative to Bregma according to the mouse brain atlas. In many cases, hM3Dq-mCherry-expressing neurons are also seen in the Raphe Obscuris (ROb), and the Raphe Pallidus (RPa) (scale bar = 500 μm).
Figure 6—figure supplement 2. Both male and female animals show increase in mechanical hypersensivity during chemogenetic activation of medial serotonergic hindbrain neurons.

Figure 6—figure supplement 2.

Sensory and motor tests of male and female animals 1–3 hr after CNO or vehicle injection. A decrease in withdrawal threshold is seen in both male and female animals for the von Frey test (paired t-tests post vehicle vs post CNO with Holm-Sidak correction). N=5 male and 6 female animals for all tests. Significance: *p<0.05, **p<0.01, **p<0.001.
Figure 6—figure supplement 3. Proportion of neurons labeled in chemogenetic experiments that express TPH2.

Figure 6—figure supplement 3.

Summary of the proportion of hM3Dq-mCherry neurons labeled in the medial hindbrain that also express detectable TPH2 (n=3 animals).

The presence of axon collaterals on the contralateral side of the spinal cord raises the possibility that these could also mediate a similar effect to those on the ipsilateral side. Therefore, we also tested the contralateral paw using the same sensory tests (Figure 5—figure supplement 2). We saw a significant increase in withdrawal latencies to heat stimulation in the Hargreaves assay (Repeated measures one-way ANOVA, F(3, 14)=7.757, p=0.0003; Figure 5—figure supplement 3), suggesting that the activation of these neurons has some influence on the sensitivity of the contralateral paw, presumably via axon collaterals present in the contralateral dorsal horn.

Sex differences are often reported in the context of sensory neurobiology, and serotonin specifically has been implicated in mediating such differences (Butkevich et al., 2007; Kaur et al., 2018; Mogil, 2012). To see if similar differences are observed in our experiment, we divided the group into male and female animals to determine whether both sexes responded in a similar manner. We find that both male and female mice show reduced sensitivity to thermal stimuli, and both show unaltered mechanical sensitivity (Figure 5—figure supplement 3).

In addition, CNO has been reported to mediate effects independently of hM3Dq expression (Gomez et al., 2017). To exclude that the effects seen in our assays were caused by such off-target effects, we performed the same sensory and motor tests on animals that did not express hM3Dq. In our hands, the injection of CNO did not produce any noticeable change in any of the behavioral tests in the absence of hM3Dq expression (Figure 5—figure supplement 4).

When we examined the hindbrain tissues from animals used in the LPGi activation experiments, we quantified the proportion of retrogradely labeled and intersectionally labeled neurons. On average, 67% of BFP-labeled neurons were also labeled with hM3Dq-mCherry, and very few (1.85%) only expressed mCherry (Figure 5—figure supplement 5). This shows that the intersectional strategy employed for chemogenetic activation of descending serotonergic neurons is similarly specific as our previous labeling experiments (Figure 2F, G and H).

Acute activation of serotonergic neurons in the medial RVM increases mechanical sensitivity

Activation of serotonergic neurons has also been associated with increased sensitivity to tactile and thermal stimuli and is thought to underly certain forms of neuropathic pain (Cai et al., 2014; Suzuki et al., 2002). The differences between our findings and those of Cai et al., 2014 could be due to either of the mode/strength of neuronal activation (chemogenetic vs optogenetic) or the anatomical location of the activated neurons (medial hindbrain vs lateral hindbrain). To test this directly, we used the same chemogenetic receptor as our previous experiments to activate midline serotonergic neurons (Figure 6A). Using the same strategy as the anatomical tracing experiment (Figure 3A), we injected AAVs containing Cre-dependent hM3Dq.mCherry into the NRM. Similarly, we were able to limit transgene expression to the medial serotonergic neurons including the NRM, the ROb and RPa, but without spread to the LPGi (Figure 6B and Figure 6—figure supplement 1). This resulted in the presence of mCherry-labeled terminals in the deep dorsal horn of the spinal cord, with limited expression in the dense plexus of 5-HT terminals in the superficial spinal laminae (Figure 6C).

In contrast to the activation of serotonergic neurons within the LPGi, the activation of medial RVM neurons had no effect on thermal withdrawal latencies (Repeated measures one-way ANOVA, F(3, 6)=0.531, p=0.667) or responses to cooling (Repeated measures one-way ANOVA, F(3, 6)=3.071, p=0.054; Figure 6D). However, we observed a significant decrease in the withdrawal thresholds to punctate mechanical stimuli in the hindpaw (Repeated measures one-way ANOVA, F(3, 6)=13.84, p=0.787; Figure 6D). Again, neither CNO nor vehicle injection impaired sensorimotor coordination or induced sedation, using latency to fall from an accelerating rotarod as a readout measure (Repeated measures one-way ANOVA, F(3, 6)=1.791, p=0.185; Figure 6D).These data indicate that, in contrast to serotonergic neurons of the LPGi, activating medial serotonergic hindbrain neurons increases mechanical sensitivity without influencing responses to thermal stimuli.

To test for potential sex differences in mechanical hypersensitivity, we again divided our group into males and females and compared the withdrawal thresholds/latencies post-vehicle injection to post-CNO injection. We see that both male and female animals exhibit similar increases in mechanical sensitivity after CNO injection (Figure 6—figure supplement 2), suggesting that this effect is not sex specific. The withdrawal latencies to heat and cold were unchanged and the latency to fall from the accelerating rotarod were similarly unchanged in both male and female animals.

Additionally, when we inspected the injection sites in the brain stem from animals used in these behavioral experiments, we found that a similar proportion of neurons expressed TPH2 (85.1%, Figure 6—figure supplement 3) as compared to our previous labeling experiments (Figure 3C). Therefore, we concluded that the chemogenetic activation is largely restricted to serotonergic neurons of the medial hindbrain in these experiments.

Discussion

Anatomical organization of descending serotonergic innervation of the lumbar spinal cord

The anatomical locations of serotonergic nuclei in the brainstem have been known since the early studies of Dahlstrom and Fuxe (Dahlström and Fuxe, 1964). These areas have later been shown to contain spinally-projecting neurons and together provide the spinal cord with serotonin (Kwiat and Basbaum, 1992). Similarly, we were also able to label the same regions from the spinal cord with CTb tracing (Figure 1—figure supplement 2). However, we found that most of the descending serotonergic neurons transducible with AAV2retro serotype vectors from the mouse spinal cord are located in the LPGi, similar to what has been previously demonstrated (Wang et al., 2018). We used this selectivity to devise a strategy to preferentially label midline or lateral serotonergic neurons and demonstrate that, in agreement with anterograde tracing studies, the innervation of the superficial laminae of the dorsal horn mainly originates from the LPGi and not the NRM (Gautier et al., 2017). Unlike (Gautier et al., 2017), we found many axon terminals present within the ventral horn as well as the deep dorsal horn. Potentially this reflects a species difference (rat versus mouse), or the labeling of other midline serotonergic regions beyond the NRM, such as the ROb or the RPa in the present study (Hennessy et al., 2017; Okaty et al., 2019). However, inclusion of these midline serotonergic neurons within the injection site demonstrates that they do not project to the superficial dorsal laminae. Therefore, it is likely that these pathways influence anatomically distinct neuron populations of the spinal cord, and likely play different functional roles.

The spinal dorsal horn is organized in a laminar structure that is closely linked to its function, such that thermal and nociceptive information is generally received and processed in the superficial laminae, whereas non-nociceptive mechanical and proprioceptive information is processed in deeper spinal laminae (Todd, 2010). This laminar organization can be seen in terms of gene expression (Häring et al., 2018), the termination zones of different primary sensory neurons (Cavanaugh et al., 2009; Li et al., 2011), and the restricted laminar location of neuron populations (Das Gupta et al., 2021). Therefore, the laminar location of serotonin release will mostly influence different populations of neurons within these regions, which play diverse functional roles (Albisetti et al., 2019; Duan et al., 2014; Foster et al., 2015; Gatto et al., 2021).

Antinociceptive function of descending LPGi serotonergic neurons in spinal circuits

Acute activation of spinally projecting serotonergic neurons using excitatory DREADDs was able to reduce sensitivity to thermal tests (Figure 5D). In support of this idea, the axons of these projections are densest in the superficial laminae of the spinal cord (Figure 3E and H), where temperature-related information is conveyed by TRPV1- and TRPM8-expressing sensory neurons (Cavanaugh et al., 2011; Cavanaugh et al., 2009; Dhaka et al., 2008). The presence of axons from lateral serotonergic neurons within the region that receives, and processes thermal information is consistent with the observation that activating these neurons affects thermal sensitivity. Furthermore, 5-HT can inhibit C fiber-mediated input to the rat superficial dorsal horn and hyperpolarize many types of excitatory neurons in this area, in agreement with a reduction in neuronal activity that would inhibit the relay of temperature-related information (Lu and Perl, 2007).

Pronociceptive function of medial serotonergic neurons in spinal circuits

Preclinical models of chronic pain can increase the activity of serotonergic hindbrain neurons, and TPH2 knockdown experiments can transiently reduce spinal 5-HT and hypersensitivity in neuropathic animals (Suzuki et al., 2002; Wei et al., 2010). In these neuropathic models, several changes in the physiology of the dorsal horn are widely reported (Coull et al., 2003; Todd, 2015; West et al., 2015). Together, these pathological changes may alter the way that 5-HT influences the processing of sensory information within the dorsal horn. In agreement, the spinal serotonin receptors engaged by endogenous pain control systems such as diffuse noxious inhibitory controls are altered during the development of chronic pain (Bannister and Dickenson, 2016; Bannister et al., 2017; Bannister et al., 2015). Additionally, alterations could also occur within the serotonergic projection neurons, such as their activity and neurotransmitter content/concentration (Tudeau et al., 2020).

However, there are also data that point to a pro-nociceptive role for 5-HT at the spinal level in naïve animals. For example, it was shown that optogenetic stimulation of the NRM of TPH2-ChR2 animals could induce hypersensitivity that lasted several weeks (Cai et al., 2014). In our chemogenetic experiments, the activation of NRM neurons with CNO did produce an increase in mechanical sensitivity, but unlike (Cai et al., 2014) we did not see an alteration in thermal sensitivity or an effect that outlasted the neuron stimulation. These differences could be explained in part by the intensity and location of the stimulation used in experiments. In support of this idea, activation of the same neuron population with optogenetic or chemogenetic tools can produce distinct behaviors, likely due to differences in the strength or pattern of the neuronal activation (Sharif et al., 2020).

The activation of the midline serotonergic neurons influences multiple functionally different groups of neurons within the injection site, including the NRM, ROb, and RPa (Okaty et al., 2019). These more caudal nuclei are known to affect the motor system and respiratory functions (Brust et al., 2014; Hennessy et al., 2017; Iceman et al., 2013). Within the sensory assays tested, there was a rather selective change in mechanical responses and unaltered thermal responses, indicating that the effect was modality selective and unlikely due to motor effects alone. However, it cannot be excluded that serotonergic neurons in these distinct midline regions contribute to the reduced mechanical thresholds, either indirectly or by direct altering motor neuron activity in the ventral horn (Depuy et al., 2011; Hennessy et al., 2017; Kawashima, 2018). Further studies of sensory function utilizing intersectional strategies to precisely capture and manipulate the midline populations will help to validate the present findings (Okaty et al., 2019).

Together the results of the chemogenetic experiments indicate that the same transmitter released into different spinal laminae can produce opposing effects on spinal nociception. Potential explanations for these findings include the 5-HTR subtypes that are engaged, the spinal neuron populations that are modulated, or a combination of both. Some 5-HTRs are known to have an excitatory influence when activated, whereas others have an inhibitory effect upon ligand binding (Abe et al., 2009; Bardoni, 2019; Lu and Perl, 2007). The activation of excitatory neurons and the inhibition of inhibitory neurons in the deep dorsal horn, corresponding to the termination zone of the medial serotonergic neurons, are known increase mechanical sensitivity (Duan et al., 2014; Foster et al., 2015; Peirs et al., 2021; Peirs et al., 2015). Conversely, the activation of inhibitory neurons in the superficial dorsal horn, the region innervated by the lateral serotonergic neurons, and the inhibition of nociceptors through presynaptic inhibition of their central terminals could promote thermal hyposensitivity (Jeong et al., 2012; Lu and Perl, 2007; Xie et al., 2012). Further studies are required to elucidate precisely which spinal 5-HT receptors and neuronal elements are mediating these opposing sensory phenomena.

Given the previously reported heterogeneity in biophysical properties of serotonergic neurons (Okaty et al., 2019), we found surprisingly little difference in the passive and active membrane properties between NRM and LPGi serotonergic neurons (Table 5 and Figure 4). Additionally, none of the recorded neurons displayed spontaneous activity, which has been reported previously for serotonergic projection neurons of the hindbrain (Zhang et al., 2006). This may be attributable to differences in recording conditions, such as recording temperature, animal species, and recording solution composition. Additionally, these groups of neurons may exhibit differences in electophysiological properties, such as chemosensitivity, spontaneous activity, and responses to nociceptive stimuli, that are only detected in in vivo preparations or under recording conditions that differ from the present study (Gao and Mason, 2000; Gao and Mason, 2001; Hennessy et al., 2017; Mason et al., 2007; Potrebic et al., 1994; Richerson et al., 2001).

Limitations of transsynaptic rabies tracing of serotonergic RVM neurons

Transsynaptic rabies tracing has been widely used in recent years to identify presynaptic inputs to genetically defined neuronal populations and has become a frequently used tool for the study of neuronal circuits. Functional studies are limited due to the toxicity of first generation ΔG rabies viruses. However, other limitations of this technique are known, such as the resistance of some neuron types to infection by modified rabies viruses (Albisetti et al., 2017). It is possible that some types of hindbrain neurons are completely resistant to infection with modified rabies viruses, although this is not the case for serotonergic neurons, as they can be infected via their axon terminals (Figure 1—figure supplement 4A–C). We show that although descending TPH2-expressing neurons are not resistant to infection from G-protein-deficient rabies viruses, they are rarely traced transsynaptically from dorsal horn neurons (Figure 1—figure supplement 4). The lack of transsynaptic labeling from the dorsal horn is possibly due to the synaptic organization of serotonergic axons at this site, since serotonin is known to mainly act via volume transmission (Ridet et al., 1993). Since similar numbers of hindbrain neurons were labeled using direct rabies infection and transsynaptic rabies labeling, this could indicate an increased labeling efficiency of other neurons with the latter approach. Potentially this could be related to the synaptic density from these neurons to the starter population. However, both direct and transsynaptic rabies labeling were far less sensitive than the CTb or AAV2retro tracing, making interpretation of these findings complicated due to the comparatively small sample sizes.

Most serotonergic axons in the rat dorsal horn do not form synaptic contacts (Maxwell et al., 1983; Ridet et al., 1993). However, some 5-HT-containing axonal boutons do form synapses within the dorsal horn, and these are observed as symmetrical synapses (Polgár et al., 2002). Since projection neurons are approximately 5% of all lamina I neurons (Cameron et al., 2015), the transsynaptic tracing from these neurons may not be detected in our experiments. Additionally, transsynaptic tracing from a primary afferent starter population was used to label serotonergic hindbrain neurons, suggesting axo-axonic synapses between descending serotonergic neurons and their central terminals (Zhang et al., 2015). In the present study, the number of primary afferent neurons transduced from intraspinal injection of helper virus is likely small, since the AAV8 serotype and the inclusion of the hSyn promoter were used to reduce the transduction of sensory neurons (Haenraets et al., 2018). This is consistent with the low number of mCherry-expressing cells found in the DRG taken from these animals. Taken together, these may explain why so few serotonergic hindbrain neurons were traced transsynaptically from the spinal dorsal horn (François et al., 2017; Liu et al., 2019).

Preferential transduction of LPGi serotonergic neurons with AAV2retro serotype vectors

The AAV2retro serotype has been developed for the retrograde delivery of genetic material to projection neurons via their axon terminals in a target region (Tervo et al., 2016). Many projection neurons are found to display some resistance to transduction with these tools, for example dopaminergic neurons that project from the substantia nigra to the striatum and descending noradrenergic neurons of the locus coeruleus to the spinal cord (Ganley et al., 2021; Tervo et al., 2016). Like others, we also find that midline neurons including the NRM serotonergic neurons are less sensitive to AAV2retro-mediated transduction (Wang et al., 2018). Surprisingly, we observed that the serotonergic neurons of the lateral hindbrain do not display such resistance (Figure 1). This would suggest that these neurons are different in some property that allows the AAV2retro to enter their terminals or enhances the retrograde transport of the viral payload. The increased retrograde labeling efficiency of AAV2retro is not fully understood, although enhanced entry into axon terminals by increased spread of the vector in the injection site, entry into neurons via novel cell surface receptor interactions, and vesicular trafficking have been suggested (Tervo et al., 2016). AAV2retro-resistant neurons commonly use monoamines as neurotransmitters, suggesting that they likely share common features protecting them from transduction by these vectors.

Primarily, our data demonstrate that serotonergic neurons of the lateral hindbrain are antinociceptive when activated. These neurons project their axons to the superficial laminae of the dorsal horn and can be targeted using AAV2retro vectors. In contrast, the medial serotonergic neurons are largely resistant to AAV2retro-mediated transduction, produce mechanical hypersensitivity upon acute activation, and project their axons to the deeper dorsal horn. Secondly, we highlight some of the limitations and challenges associated with AAV2retro-mediated and rabies-virus-based transsynaptic tracing from the spinal dorsal horn. These limitations are likely to have broader implications for transsynaptic rabies-based circuit tracing and the targeting of other projections that use biogenic amines, and possibly other transmitter systems.

Materials and methods

Animals

Mice of either sex aged between 6 and 12 weeks were used for experiments. Permission to perform these experiments was obtained from the Veterinäramt des Kantons Zürich (154/2018 and 063/2016). The various transgenic mouse lines used in this study are listed in Table 6. Tph2-Cre and Hoxb8-Cre mice are both BAC transgenic lines, and the ROSATVA is a knockin reporter line.

Table 6. Transgenic mouse lines used in this study.

Mouse line Supplier/source Reference
Tg(Tph2-Cre)RH35Gsat (Tph2-Cre) The Jackson Laboratory MGI: 5435520
Tg(Hoxb8-cre)1403Uze (Hoxb8-Cre) Pawel Pelczar (Witschi et al., 2010)
MGI:4881836
Gt(ROSA)26Sortm1(Tva)Das (ROSA26TVA) Dieter Sauer (Seidler et al., 2008)
MGI:3814188

Surgeries

The dorsal horn of the lumbar spinal cord was injected in a similar manner to previous studies (Ganley et al., 2021; Haenraets et al., 2018). Briefly, anesthesia of mice was induced with 5% Isoflurane in an induction chamber. Mice were then transferred to a stereotaxic injection setup and anesthesia was maintained with 1–3% Isoflurane delivered through a face mask. Body temperature was maintained using a heated mat placed beneath the animal. Vitamin A cream was applied to the eyes to prevent corneal drying during the operation and buprenorphine (0.1–0.2 mg/kg) was injected subcutaneously prior to the operation. The back of the animal was shaved, and the skin was scrubbed with Betadine solution. Once dried, a midline incision was made above the vertebral column to expose the T13 vertebra, which was clamped using a pair of spinal adaptors to isolate movements from the animal’s breathing. This vertebra was selected since it is directly above the lumbar L3 spinal cord, which corresponds to the spinal cord segment receiving innervation from the hindlimbs (Haenraets et al., 2018). A borehole was made in the center of the left-hand side of the clamped vertebra and viruses, and/or 1% cholera toxin b (CTb) were injected into the dorsal horn at a depth of 300 μm below the spinal surface approximately 500 μm left of the central artery. For most injections, 3x300 nl virus solution was injected along the rostrocaudal extent of the spinal cord at an infusion rate of 50 nl/min. For transsynaptic tracing experiments, the rabies virus was injected 2x500 nl at either side of the T13 vertebra in the same region as the injection of helper virus, which was injected two weeks previously. For a list of the retrograde tracers and viruses used in this study, please refer to Table 7.

Table 7. AAVs, rabies viruses, and retrograde tracers used in the study.

Virus/tracer name Full name Supplier/Source Cat#
AAV2retro.eGFP ssAAV-retro/2-CAG-EGFP-WPRE-SV40p(A) Viral Vector facility UZH/ETHZ V24-retro
AAV2retro.flex.eGFP ssAAV-retro/2-shortCAG-dlox-EGFP(rev)-dlox-WPRE-SV40p(A) Viral Vector facility UZH/ETHZ V158-retro
AAV2retro.flex.tdTomato ssAAV-retro/2-shortCAG-dlox-tdTomato(rev)-dlox-WPRE- hGHp(A) Viral Vector facility UZH/ETHZ V167-retro
AAV2retro.flex.FLPo.BFP ssAAV-retro/2-hSyn1-chI-dlox-EBFP2_2 A_FLPo(rev)-dlox-WPRE-SV40p(A) Viral Vector facility UZH/ETHZ V175-retro
AAV2retro.flex.FLPo.mCherry ssAAV-retro/2-hSyn1-chI-mCherry_2 A_FLPo-WPRE-SV40p(A) Viral Vector facility UZH/ETHZ V173-retro
AAV9.flex.ChR2-YFP ssAAV-9/2-hEF1a-dlox-hChR2(H134R)_EYFP(rev)-dlox-WPRE-hGHp(A) Viral Vector facility UZH/ETHZ v214-9
AAV8.FRT.tdTomato ssAAV-8/2-hSyn1-dlox-tdTomato(rev)-dlox-WPRE-bGHp(A) Viral Vector facility UZH/ETHZ v284-8
AAV9.FRT.eGFP ssAAV-9/2-hSyn1-chI-dFRT-EGFP(rev)-dFRT-WPRE-hGHp(A) Viral Vector facility UZH/ETHZ V335-9
AAV9.FRT.hM3D(q).mCherry ssAAV-9-hSyn1-dFRT-hM3D(Gq)-mCherry Viral Vector facility UZH/ETHZ V189-9
AAV9.FRT.hM4D(i).mCherry ssAAV-9/2-hSyn1-dFRT-hM4D(Gi)_mCherry(rev)-dFRT-WPRE-hGHp(A) Viral Vector facility UZH/ETHZ V190-9
AAV9.FRT.ChR2-YFP ssAAV-9/2-hSyn1-dFRT-hM4D(Gi)_mCherry(rev)-dFRT-WPRE-hGHp(A) Viral Vector facility UZH/ETHZ V190-9
AAV9/2.FRT.eGFP.TeTxLC ssAAV-9/2-hSyn1.chl-dFRT-EGFP-2A-FLAG:TeTxLC(rev)-dFRT-WPRE-hGHp(A) Viral Vector facility UZH/ETHZ v450-9
SAD pseudotyped rabies SAD.RabiesDG-eGFP (SAD-G) Karl-Klaus Conzelmann N/A
EnvA pseudotyped rabies SAD.RabiesDG-GFP (EnvA) Karen Haenraets N/A
CTb Cholera Toxin b subunit Sigma Aldrich C9903-.5MG/

For injections into the hindbrain, animals were prepared for surgery in a similar manner to the spinal cord injections. The head was fixed in position using ear bars mounted on the stereotaxic frame (Kopf instruments). Coordinates were chosen based on the hindbrain location of the Tph2-Cre neurons retrogradely labeled from the spinal cord with reference to a mouse brain atlas (−6,+/-0.5, 5.9, 1 μl per injection site, infusion rate 50 nl/min). All coordinates are given as rostrocaudal, mediolateral, and dorsoventral (x, y, z) relative to Bregma. Injections into the midline NRM were made at coordinates –6, 0, 5.9 and a volume of 300 nl was chosen to limit the transgene expression to the medial serotonergic neurons. The movement of the frame was achieved using motorized axes controlled by a computer interface, which was also used to select the injection target (Neurostar). This same software was used to adjust the injection target for tilt and scaling, by adjusting the mouse brain atlas relative to four points on the surface of the skull (Bregma, Lambda, 2 mm to the right of the midline, and 2 mm to the left of the midline).

General features of tissue preparation and immunohistochemistry

Animals were perfusion fixed with freshly depolymerized 4% paraformaldehyde (room temperature, dissolved in 0.1 M PB, adjusted to pH 7.4) following a brief rinse of the mouse circulatory system with 0.1 M PB. Nervous tissues were quickly dissected and post-fixed in the same fixative for two hours at 4 °C. After post-fixation, tissues were rinsed 3 times with 0.1 M PB and placed in 30% sucrose solution (w/v dissolved in 0.1 M PB) for 24–72 hr for cryoprotection. Tissues were rinsed with 0.1 M PB before being embedded in NEG-50 mounting medium and were either cut at 60 μm on a sliding blade microtome (Hyrax KS 34, histocam AG) and stored as free-floating sections, or were cut at 30 μm using a cryostat (Hyrax 60, histocam AG) and were mounted directly onto microscope slides (Superfrost Plus, Thermoscientific).

Free floating sections were processed immediately for tissue staining or were stored in antifreeze medium 50 mM sodium phosphate buffer, 30% ethylene glycol, 15% glucose, and sodium azide (200 mg/L) at –20 °C until required. Antifreeze medium was removed by rinsing sections three times in 0.1 M PB before further processing. Sections were rinsed in 50% ethanol for 30 min at room temperature, followed by three rinses in PBS +8 g/L NaCl Alternatively, slides were prepared by mounting frozen sections directly onto superfrost slides. These were either used immediately for immunostaining or stored at –80 °C until further use. Before immunostaining, excess NEG50 freezing medium was removed by rinsing in 0.1 M PB for 1 hr at room temperature. A hydrophobic barrier was drawn around the sections using a fat pen, and immunoreactions were performed on the slides.

All primary antibodies and dilutions used in this study are included in Table 8. Primary antibodies were diluted in a PBS +8 g/L NaCl, 0.3% v/v Triton-X, and 10% v/v normal donkey serum. Secondary antibodies were diluted in a similar solution, but without the 10% normal donkey serum (Table 8). Sections or slides were incubated in primary antibodies for 24–72 hr at 4 °C, and these were revealed by incubation in secondary antibodies overnight at 4 °C. Following immunostaining, sections or slides were rinsed three times for 10 min each in PBS +8 g/L NaCl before being mounted in Dako anti-fade medium.

Table 8. Antibodies used in the study.

Antibody Host Supplier/Source Cat#/RRID Dilution
GFP Chicken LifeTech A10262/
AB_2619988
1:1000
TPH2 Rabbit Novus Biologicals NB100-74555/AB_572263 1:1000
Ctb Goat LIST biological laboratories inc. #703/AB_2314252 1:1000
mCherry Goat Sicgen AB0081-200/AB_2333094 1:500
tdTomato Goat Sicgen AB8181−200/AB_2722750 1:500
5-HT Rabbit ImmunoStar 20080/AB_572263 1:1000
NeuN Guinea pig Synaptic systems 266004/AB_2619988 1:1000
Chicken-Alexa 488 Donkey Jackson ImmunoResearch 703-546-155/AB_2340376 1:500
Goat-Cy3 Donkey Jackson ImmunoResearch 705-166-147/AB_2340413 1:500
Goat-Alexa 488 Donkey Jackson ImmunoResearch 795-546-147/ - 1:500
Guinea pig-Alexa 647 Donkey Jackson ImmunoResearch 706-496-148/ - 1:500
Rabbit-Alexa 647 Donkey Jackson ImmunoResearch 711-607-003/AB_2340626 1:500
Rabbit-Cy3 Donkey Jackson ImmunoResearch 711-165-152/AB_2307443 1:500

Rabies virus tracing experiments

Rabies virus tracing experiments used either the SAD-G pseudotyped or EnvA pseudotyped RabΔG-GFP viruses, which are deficient in the SAD-glycoprotein required for transsynaptic spread and contain eGFP for identification of infected cells (Wickersham et al., 2007a; Wickersham et al., 2007b). Rabies viruses pseudotyped with the SAD-G glycoprotein can directly infect most, but not all, types of neurons (Albisetti et al., 2017; Wickersham et al., 2007a). The rabies viruses that are pseudotyped with the EnvA glycoprotein are only able to infect cells through binding to the TVA receptor. Therefore, the restricted expression of the TVA receptor to certain cell types allows the selective infection of those neurons with EnvA pseudotyped rabies viruses (Wickersham et al., 2007b). For transsynaptic tracing experiments, the helper virus containing the rabies glycoprotein was injected two weeks prior to rabies virus injection to enable transsynaptic spread.

Animals were perfused 5 or 7 days after dorsal horn injection of rabies viruses. Hindbrain sections from rabies virus injected tissue were cut at 30 μm and mounted directly onto microscope slides. Tissues were immunostained for eGFP and TPH2 to determine the proportion of labeled hindbrain neurons that contained detectable TPH2.

Image acquisition and analysis

For quantification of retrogradely labeled cells in the hindbrain, image stacks were acquired at 5 μm z-spacing using a Zeiss lsm 800 confocal microscope with Zen blue software. Confocal scans were made using 488, 561, and 640 nm lasers and the pinhole was set to 1 Airy Unit for reliable optical sectioning. Care was taken to acquire image stacks up to a depth where there was clear immunoreactivity of all antigens to avoid false negatives during quantification due to antibody penetration. Within each experiment, all acquisition settings were kept constant, and images were analyzed with FIJI using the cell counter plugin.

Alternatively, an automated cell quantification pipeline was designed in CellProfiler to count retrogradely labeled neurons in the RVM. We noticed that many large neurons within the RVM contained NeuN immunoreactivity that was present in more than one image in the image stacks (5 μm z-spacing). Automated counting of all images within each z-stack would lead to double counting a large proportion of cells present on multiple images within the image stack. However, if only one image was analyzed per image stack, numerous cells would be excluded from the analysis. Therefore, the acquired z-stacks were processed into either one to two orthogonal projections from two images to reduce the double counting of cells whilst ensuring the counting of most visible cells within each stack. One sample projection was then counted manually using the cell counter plugin of ImageJ, to serve as a guide in the development of the CellProfiler pipeline. All orthogonal projections were processed using the same CellProfiler pipeline with set parameters to ensure consistent data collection.

The images were loaded into this CellProfiler pipeline and the three channels (CTb, eGFP and NeuN) were separated from each other. NeuN- and CTb-stained neurons were identified as primary objects using the two-class Otsu method as a global thresholding strategy, whilst eGFP-containing objects were identified using the adaptive thresholding strategy (with an adaptive window of 50 pixels). NeuN stained cells were distinguished from the background based on their intensity, whereas the method used for detecting CTb and eGFP-positive cells was based on their shape. The NeuN objects were converted into a binary (black and white) image and the coexpression of eGFP or CTb was assessed. The object counts of eGFP/NeuN, CTb/NeuN, eGFP/CTb/NeuN, and NeuN-positive objects were then extracted and exported to a spreadsheet.

To determine whether serotonergic neurons were labeled using modified rabies virus tracing, eGFP-labeled neurons in the hindbrain were identified and immunostained against TPH2. These were scanned on a Zeiss 710 LSM confocal microscope, either as a short stack through the cell body, or as a single optical section through the center of the neuron. Scan settings were determined by the fluorescent intensity of the surrounding TPH2 immunoreactive regions in the NRM and lateral paragigantocellularis (LPGi) and were kept consistent for all experiments. Cell identities were catalogued and TPH2 immunoreactivity was determined for all sampled cells.

Slice preparation and electrophysiology

Hindbrain slices were prepared from Tph2-Cre animals that had received a bilateral injection of AAV9.flex.tdTomato into the ventral hindbrain. Animals were aged 3–6 weeks at the time of injection and were prepared for electrophysiological recordings 1–2 weeks later. Slices were prepared in a similar manner to previous studies (Pedersen et al., 2011; Zhang et al., 2006). Animals were decapitated and the brain was rapidly dissected and placed in ice cold oxygenated dissection solution (containing in mM (65 NaCl, 105 sucrose, 2.5 KCl, 1.25 NaH2PO4, 25 NaHCO3, 25 glucose, 0.5 CaCl2, 7 MgCl2). The hindbrain was isolated, glued to a block of 2% agarose and installed in a slicing chamber. Transverse slices of hindbrain were cut at 250 μm on a vibrating blade microtome (D.S.K microslicer DTK1000), which were allowed to recover for at least 30 min in oxygenated aCSF at 34 °C prior to recording, containing (in mM) 120 NaCl, 26 NaHCO3, 1.25 NaH2PO4, 2.5 KCl, 5 HEPES, 14.6 glucose, 2 CaCl2, 1 MgCl2), pH 7.35–7.40, osmolarity 305–315 mOsm.

During recording, slices were perfused with aCSF at a flow rate of 2–3 ml/min. Targeted recordings were taken from tdTomato-expressing neurons using glass microelectrodes filled with a K-gluconate internal solution (containing 130 K-Gluconate, 5 NaCl, 1 EGTA, 10 HEPES, 5 Mg-ATP, 0.5 Na-GTP, 2 biocytin). Whole-cell recordings were acquired using a HEKA EPC10 amplifier with Patchmaster software at a sampling frequency of 20 kHz (HEKA Elektronik). A biophysical characterization of passive and active membrane properties was performed in current and voltage clamp modes, and the access resistance was monitored between recordings using a 10 mV voltage step protocol. Data were excluded if the access resistance changed >30% during recording.

The relative position of the recorded/labeled neurons in each slice was noted, and slices were fixed overnight in 4% PFA at 4 °C at the end of each experiment. Slices were immunoreacted with primary antibodies against tdTOM and TPH2, which were revealed the next day with secondary antibodies conjugated to Cy3 or Alexa 647. Biocytin was revealed with Avidin-Alexa A488 and the position of the filled neurons was assigned to the NRM or the LPGi, which could be determined based on the pattern of TPH2 immunoreactivity in the slice. Cells located outside of these two regions were not analyzed further.

Behavioral assays

For specific DREADD-mediated activation of descending serotonergic pathways, an intersectional approach was used for labeling the lateral hindbrain neurons whereas direct labelling was used to label the medial neurons. Tph2-Cre mice received an intraspinal injection of AAV2retro.flex.FLPo.BFP, and 1 week later received bilateral injections into the ventral hindbrain with AAV1.FRT.hM3Dq.mCherry. Behavioral tests were performed after 10 days incubation time to allow the expression of the viral transgene. Before experiments mice were acclimatized to the behavioral setup for 1 hr in a room maintained at 20–22°C. For the Hargreaves plantar, cold plantar, electronic von Frey, and Rotarod assays, six measurements were taken for each time point and an average of these was reported. All measurements were taken from both hindlimbs of all animals. Alternatively, serotonergic neurons in the medial hindbrain were labelled by injection of AAV8.hsyn.flex.hM3Dq into the NRM (injection coordinates –6, 0, 5.9) and the same behavioral tests were performed with the same experimental design.

Hargreaves

Sensitivity to heat stimuli was assessed with the Hargreaves plantar assay (IITC). Mice were placed on a pre-heated transparent platform set to a temperature of 30 °C, and the withdrawal latencies were recorded using a timed infrared heat source. A resting intensity of 5% and an active intensity of 20% was used for stimulations, and a maximum cutoff time of 32 s was set to avoid tissue damage. On average, naïve animals will withdraw to this stimulation at temperatures between 34 and 36°C (Brenner et al., 2012).

Cold plantar assay

Mice were placed on a 5 mm borosilicate glass platform and were stimulated from beneath with dry ice pellets. The time taken to withdraw the paw was measured using a stopclock and a maximum stimulation time of 20 s was used to avoid tissue damage. The cold plantar assay generally produces a withdrawal when the temperature of the glass decreases 2 °C for naive animals (Brenner et al., 2012).

von Frey

Von Frey thresholds were measured using an electronic von Frey algesiometer (IITC). Animals were adapted on a mesh surface, and the plantar surface of each paw was stimulated with a bendable plastic filament attached to a pressure sensitive probe. Pressure was applied to the plantar surface in a linear manner until the animal withdrew its paw, and the maximum pressure (the pressure at which the animal withdrew) was displayed on the device.

Rotarod

Sensorimotor coordination was evaluated using an accelerating rotarod, and the time taken for animals to fall from the rotating barrel was recorded. The barrel rotated from 4 to 40 rpm over a period of 300 s, and increased speed constantly throughout each experiment. Values were discarded if the animal jumped from the barrel, and if the animal jumped in >50% of trials for a given time point these data were discarded from the experiment. Two training sessions were given for all animals prior to the experiment being started to ensure a stable performance in the absence of treatment.

Drug application

For DREADD activation experiments, clozapine-N-oxide (CNO, 2 mg/kg, Enzo life sciences, product number BML-NS105-0025) or vehicle controls were injected intraperitoneally, with the experimenter being blinded to the injected substance. Animals were tested directly before and 1–3 hr following i.p. injection. Stock CNO was dissolved in DMSO at 100 mg/ml and kept at room temperature, which was diluted 1:500 in sterile filtered saline immediately prior to injection with the volume of injected substance being 10 μl/g.

Experimental design and statistical tests

All behavioral assays were performed twice on each animal so that they received an intraperitoneal injection of CNO on 1 day and vehicle injection on the other, with the experimenter being blinded to the treatment. Response latencies and thresholds before and following CNO and vehicle were compared using a repeated measures one-way ANOVA, a normal distribution was assumed for response latencies and thresholds and a Bonferroni post-hoc test was used to compare the mean withdrawal latencies and thresholds between CNO and vehicle-treated groups before and 1–3 hr after injection. To test whether any differences observed in the behavioral assays were sex-specific, groups were divided into male and female cohorts and the male and female post-vehicle and post-CNO latencies and thresholds were compared using multiple t-tests with Holm-Sidak correction. In control experiments in which CNO or vehicle were injected in the absence of hM3Dq, a two tailed paired t-test was performed to detect differences between withdrawal latencies and thresholds post-vehicle and post-CNO injection. Statistical significance was taken as p<0.05.

To compare membrane properties between medial and lateral serotonergic neurons, a normal distribution in values was assumed and an unpaired two-tailed t-test was used to test for differences.

Data collection, storage, and presentation

Data obtained from the quantification of images were collected and processed in Microsoft Excel and were presented using GraphPad Prism 5. All datapoints on graphs represent either a number or percentage of cells counted per animal, or as a response for each animal in behavioral assays. Representative images were produced in Affinity Photo and were annotated and arranged into figures in Affinity Designer. Raw data acquired in these experiments are uploaded to https://datadryad.org/stash and are available for download.

Acknowledgements

We are grateful for funding provided by grants from the Swiss National Science Foundation (grant number 310030_197888) and by the clinical research priority programme (CRPP) “Pain – from phenotypes to mechanisms” of the Faculty of Medicine, University of Zurich, to HUZ, and a grant from the Olga Mayenfisch Stiftung to HW. We thank Louis Scheurer, Katharina Struckmeyer-Fichtel, and Isabelle Kellenberger for technical support.

Funding Statement

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Contributor Information

Robert Philip Ganley, Email: robert.ganley@pharma.uzh.ch.

David D Ginty, Harvard Medical School, United States.

Timothy E Behrens, University of Oxford, United Kingdom.

Funding Information

This paper was supported by the following grants:

  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 310030_197888 to Hanns Ulrich Zeilhofer.

  • Olga Mayenfisch Stiftung to Hendrik Wildner.

Additional information

Competing interests

No competing interests declared.

Author contributions

Conceptualization, Formal analysis, Investigation, Methodology, Writing - original draft, Project administration, Writing - review and editing.

Formal analysis, Investigation.

Formal analysis, Investigation, Writing - review and editing.

Formal analysis, Investigation.

Investigation.

Investigation.

Supervision, Funding acquisition, Project administration, Writing - review and editing.

Resources, Supervision, Funding acquisition, Writing - original draft, Writing - review and editing.

Ethics

Permission to perform these experiments was obtained from the Veterinäramt des Kantons Zürich (154/2018 and 063/2016).

Additional files

MDAR checklist

Data availability

All data generated or analysed during this study are included in the manuscript. Raw data acquired in these experiments are uploaded to https://datadryad.org/stash and are available for download.

The following dataset was generated:

Ganley RP. 2023. Targeted Anatomical and Functional Identification of Antinociceptive and Pronociceptive Serotonergic Neurons that Project to the Spinal Dorsal Horn. Dryad Digital Repository.

References

  1. Abe K, Kato G, Katafuchi T, Tamae A, Furue H, Yoshimura M. Responses to 5-HT in morphologically identified neurons in the rat substantia gelatinosa in vitro. Neuroscience. 2009;159:316–324. doi: 10.1016/j.neuroscience.2008.12.021. [DOI] [PubMed] [Google Scholar]
  2. Albisetti GW, Ghanem A, Foster E, Conzelmann KK, Zeilhofer HU, Wildner H. Identification of two classes of somatosensory neurons that display resistance to retrograde infection by rabies virus. The Journal of Neuroscience. 2017;37:10358–10371. doi: 10.1523/JNEUROSCI.1277-17.2017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Albisetti GW, Pagani M, Platonova E, Hösli L, Johannssen HC, Fritschy JM, Wildner H, Zeilhofer HU. Dorsal horn gastrin-releasing peptide expressing neurons transmit spinal itch but not pain signals. The Journal of Neuroscience. 2019;39:2238–2250. doi: 10.1523/JNEUROSCI.2559-18.2019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bannister K, Patel R, Goncalves L, Townson L, Dickenson AH. Diffuse noxious inhibitory controls and nerve injury: restoring an imbalance between descending monoamine inhibitions and facilitations. Pain. 2015;156:1803–1811. doi: 10.1097/j.pain.0000000000000240. [DOI] [PubMed] [Google Scholar]
  5. Bannister K, Dickenson AH. What do monoamines do in pain modulation? Current Opinion in Supportive and Palliative Care. 2016;10:143–148. doi: 10.1097/SPC.0000000000000207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Bannister K, Lockwood S, Goncalves L, Patel R, Dickenson AH. An investigation into the inhibitory function of serotonin in diffuse noxious inhibitory controls in the neuropathic rat. European Journal of Pain. 2017;21:750–760. doi: 10.1002/ejp.979. [DOI] [PubMed] [Google Scholar]
  7. Bardoni R. Serotonergic modulation of nociceptive circuits in spinal cord dorsal horn. Current Neuropharmacology. 2019;17:1133–1145. doi: 10.2174/1570159X17666191001123900. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Basbaum AI, Clanton CH, Fields HL. Opiate and stimulus-produced analgesia: functional anatomy of a medullospinal pathway. PNAS. 1976;73:4685–4688. doi: 10.1073/pnas.73.12.4685. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Basbaum AI, Marley NJE, O’Keefe J, Clanton CH. Reversal of morphine and stimulus-produced analgesia by subtotal spinal cord lesions. Pain. 1977;3:43–56. doi: 10.1016/0304-3959(77)90034-3. [DOI] [PubMed] [Google Scholar]
  10. Basbaum A.I, Fields HL. Endogenous pain control systems: brainstem spinal pathways and endorphin circuitry. Annual Review of Neuroscience. 1984;7:309–338. doi: 10.1146/annurev.ne.07.030184.001521. [DOI] [PubMed] [Google Scholar]
  11. Brenner DS, Golden JP, Gereau RW. A novel behavioral assay for measuring cold sensation in mice. PLOS ONE. 2012;7:e39765. doi: 10.1371/journal.pone.0039765. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Brust RD, Corcoran AE, Richerson GB, Nattie E, Dymecki SM. Functional and developmental identification of a molecular subtype of brain serotonergic neuron specialized to regulate breathing dynamics. Cell Reports. 2014;9:2152–2165. doi: 10.1016/j.celrep.2014.11.027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Butkevich IP, Barr GA, Vershinina EA. Sex differences in formalin-induced pain in prenatally stressed infant rats. European Journal of Pain. 2007;11:888–894. doi: 10.1016/j.ejpain.2007.02.001. [DOI] [PubMed] [Google Scholar]
  14. Cai YQ, Wang W, Hou YY, Pan ZZ. Optogenetic activation of brainstem serotonergic neurons induces persistent pain sensitization. Molecular Pain. 2014;10:70. doi: 10.1186/1744-8069-10-70. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Cameron D, Polgár E, Gutierrez-Mecinas M, Gomez-Lima M, Watanabe M, Todd AJ. The organisation of spinoparabrachial neurons in the mouse. Pain. 2015;156:2061–2071. doi: 10.1097/j.pain.0000000000000270. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Cavanaugh DJ, Lee H, Lo L, Shields SD, Zylka MJ, Basbaum AI, Anderson DJ. Distinct subsets of unmyelinated primary sensory fibers mediate behavioral responses to noxious thermal and mechanical stimuli. PNAS. 2009;106:9075–9080. doi: 10.1073/pnas.0901507106. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Cavanaugh DJ, Chesler AT, Jackson AC, Sigal YM, Yamanaka H, Grant R, O’Donnell D, Nicoll RA, Shah NM, Julius D, Basbaum AI. Trpv1 reporter mice reveal highly restricted brain distribution and functional expression in arteriolar smooth muscle cells. The Journal of Neuroscience. 2011;31:5067–5077. doi: 10.1523/JNEUROSCI.6451-10.2011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Coull JAM, Boudreau D, Bachand K, Prescott SA, Nault F, Sík A, De Koninck P, De Koninck Y. Trans-Synaptic shift in anion gradient in spinal lamina I neurons as a mechanism of neuropathic pain. Nature. 2003;424:938–942. doi: 10.1038/nature01868. [DOI] [PubMed] [Google Scholar]
  19. Dahlström A, Fuxe K. Localization of monoamines in the lower brain stem. Experientia. 1964;20:398–399. doi: 10.1007/BF02147990. [DOI] [PubMed] [Google Scholar]
  20. Das Gupta RR, Scheurer L, Pelczar P, Wildner H, Zeilhofer HU. Neuron-Specific spinal cord translatomes reveal a neuropeptide code for mouse dorsal horn excitatory neurons. Scientific Reports. 2021;11:5232. doi: 10.1038/s41598-021-84667-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Depuy SD, Kanbar R, Coates MB, Stornetta RL, Guyenet PG. Control of breathing by raphe obscurus serotonergic neurons in mice. The Journal of Neuroscience. 2011;31:1981–1990. doi: 10.1523/JNEUROSCI.4639-10.2011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Dhaka A, Earley TJ, Watson J, Patapoutian A. Visualizing cold spots: TRPM8-expressing sensory neurons and their projections. The Journal of Neuroscience. 2008;28:566–575. doi: 10.1523/JNEUROSCI.3976-07.2008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Duan B, Cheng L, Bourane S, Britz O, Padilla C, Garcia-Campmany L, Krashes M, Knowlton W, Velasquez T, Ren X, Ross S, Lowell BB, Wang Y, Goulding M, Ma Q. Identification of spinal circuits transmitting and gating mechanical pain. Cell. 2014;159:1417–1432. doi: 10.1016/j.cell.2014.11.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Foster E, Wildner H, Tudeau L, Haueter S, Ralvenius WT, Jegen M, Johannssen H, Hösli L, Haenraets K, Ghanem A, Conzelmann KK, Bösl M, Zeilhofer HU. Targeted ablation, silencing, and activation establish glycinergic dorsal horn neurons as key components of a spinal gate for pain and itch. Neuron. 2015;85:1289–1304. doi: 10.1016/j.neuron.2015.02.028. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. François A, Low SA, Sypek EI, Christensen AJ, Sotoudeh C, Beier KT, Ramakrishnan C, Ritola KD, Sharif-Naeini R, Deisseroth K, Delp SL, Malenka RC, Luo L, Hantman AW, Scherrer G. A brainstem-spinal cord inhibitory circuit for mechanical pain modulation by GABA and enkephalins. Neuron. 2017;93:822–839. doi: 10.1016/j.neuron.2017.01.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Ganley RP, Werder K, Wildner H, Zeilhofer HU. Spinally projecting noradrenergic neurons of the locus coeruleus display resistance to aav2retro-mediated transduction. Molecular Pain. 2021;17:17448069211037888. doi: 10.1177/17448069211037887. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Gao K, Mason P. Serotonergic raphe magnus cells that respond to noxious tail heat are not on or off cells. Journal of Neurophysiology. 2000;84:1719–1725. doi: 10.1152/jn.2000.84.4.1719. [DOI] [PubMed] [Google Scholar]
  28. Gao K, Mason P. The discharge of a subset of serotonergic raphe magnus cells is influenced by baroreceptor input. Brain Research. 2001;900:306–313. doi: 10.1016/s0006-8993(01)02294-6. [DOI] [PubMed] [Google Scholar]
  29. Gatto G, Bourane S, Ren X, Di Costanzo S, Fenton PK, Halder P, Seal RP, Goulding MD. A functional topographic map for spinal sensorimotor reflexes. Neuron. 2021;109:91–104. doi: 10.1016/j.neuron.2020.10.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Gautier A, Geny D, Bourgoin S, Bernard JF, Hamon M. Differential innervation of superficial versus deep laminae of the dorsal horn by bulbo-spinal serotonergic pathways in the rat. IBRO Reports. 2017;2:72–80. doi: 10.1016/j.ibror.2017.04.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Gomez JL, Bonaventura J, Lesniak W, Mathews WB, Sysa-Shah P, Rodriguez LA, Ellis RJ, Richie CT, Harvey BK, Dannals RF, Pomper MG, Bonci A, Michaelides M. Chemogenetics revealed: DREADD occupancy and activation via converted clozapine. Science. 2017;357:503–507. doi: 10.1126/science.aan2475. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Haenraets K, Albisetti GW, Foster E, Wildner H. Adeno-associated virus-mediated transgene expression in genetically defined neurons of the spinal cord. Journal of Visualized Experiments. 2018;1:135. doi: 10.3791/57382-v. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Häring M, Zeisel A, Hochgerner H, Rinwa P, Jakobsson JET, Lönnerberg P, La Manno G, Sharma N, Borgius L, Kiehn O, Lagerström MC, Linnarsson S, Ernfors P. Neuronal atlas of the dorsal horn defines its architecture and links sensory input to transcriptional cell types. Nature Neuroscience. 2018;21:869–880. doi: 10.1038/s41593-018-0141-1. [DOI] [PubMed] [Google Scholar]
  34. Hennessy ML, Corcoran AE, Brust RD, Chang Y, Nattie EE, Dymecki SM. Activity of tachykinin1-expressing pet1 raphe neurons modulates the respiratory chemoreflex. The Journal of the Society for Neuroscience. 2017;37:1807–1819. doi: 10.1523/JNEUROSCI.2316-16.2016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Hirschberg S, Li Y, Randall A, Kremer EJ, Pickering AE. Functional dichotomy in spinal- vs prefrontal-projecting locus coeruleus modules splits descending noradrenergic analgesia from ascending aversion and anxiety in rats. eLife. 2017;6:e29808. doi: 10.7554/eLife.29808. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Huang J, Polgár E, Solinski HJ, Mishra SK, Tseng P-Y, Iwagaki N, Boyle KA, Dickie AC, Kriegbaum MC, Wildner H, Zeilhofer HU, Watanabe M, Riddell JS, Todd AJ, Hoon MA. Circuit dissection of the role of somatostatin in itch and pain. Nature Neuroscience. 2018;21:707–716. doi: 10.1038/s41593-018-0119-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Iceman KE, Richerson GB, Harris MB. Medullary serotonin neurons are CO2 sensitive in situ. Journal of Neurophysiology. 2013;110:2536–2544. doi: 10.1152/jn.00288.2013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Jeong HJ, Mitchell VA, Vaughan CW. Role of 5-HT (1) receptor subtypes in the modulation of pain and synaptic transmission in rat spinal superficial dorsal horn. British Journal of Pharmacology. 2012;165:1956–1965. doi: 10.1111/j.1476-5381.2011.01685.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Kaur S, Benton WL, Tongkhuya SA, Lopez CMC, Uphouse L, Averitt DL. Sex differences and estrous cycle effects of peripheral serotonin-evoked rodent pain behaviors. Neuroscience. 2018;384:87–100. doi: 10.1016/j.neuroscience.2018.05.017. [DOI] [PubMed] [Google Scholar]
  40. Kawashima T. The role of the serotonergic system in motor control. Neuroscience Research. 2018;129:32–39. doi: 10.1016/j.neures.2017.07.005. [DOI] [PubMed] [Google Scholar]
  41. Kwiat GC, Basbaum AI. The origin of brainstem noradrenergic and serotonergic projections to the spinal cord dorsal horn in the rat. Somatosensory & Motor Research. 1992;9:157–173. doi: 10.3109/08990229209144768. [DOI] [PubMed] [Google Scholar]
  42. Li L, Rutlin M, Abraira VE, Cassidy C, Kus L, Gong S, Jankowski MP, Luo W, Heintz N, Koerber HR, Woodbury CJ, Ginty DD. The functional organization of cutaneous low-threshold mechanosensory neurons. Cell. 2011;147:1615–1627. doi: 10.1016/j.cell.2011.11.027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Liu MZ, Chen XJ, Liang TY, Li Q, Wang M, Zhang XY, Li YZ, Sun Q, Sun YG. Synaptic control of spinal GRPR+ neurons by local and long-range inhibitory inputs. PNAS. 2019;116:27011–27017. doi: 10.1073/pnas.1905658116. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Lu Y, Perl ER. Selective action of noradrenaline and serotonin on neurones of the spinal superficial dorsal horn in the rat. The Journal of Physiology. 2007;582:127–136. doi: 10.1113/jphysiol.2007.131565. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Mason P, Gao K, Genzen JR. Serotonergic raphe magnus cell discharge reflects ongoing autonomic and respiratory activities. Journal of Neurophysiology. 2007;98:1919–1927. doi: 10.1152/jn.00813.2007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  46. Maxwell DJ, Leranth C, Verhofstad AA. Fine structure of serotonin-containing axons in the marginal zone of the rat spinal cord. Brain Research. 1983;266:253–259. doi: 10.1016/0006-8993(83)90656-x. [DOI] [PubMed] [Google Scholar]
  47. Millan MJ. Descending control of pain. Progress in Neurobiology. 2002;66:355–474. doi: 10.1016/s0301-0082(02)00009-6. [DOI] [PubMed] [Google Scholar]
  48. Mogil JS. Sex differences in pain and pain inhibition: multiple explanations of a controversial phenomenon. Nature Reviews. Neuroscience. 2012;13:859–866. doi: 10.1038/nrn3360. [DOI] [PubMed] [Google Scholar]
  49. Okaty BW, Commons KG, Dymecki SM. Embracing diversity in the 5-HT neuronal system. Nature Reviews. Neuroscience. 2019;20:397–424. doi: 10.1038/s41583-019-0151-3. [DOI] [PubMed] [Google Scholar]
  50. Pedersen NP, Vaughan CW, Christie MJ. Opioid receptor modulation of GABAergic and serotonergic spinally projecting neurons of the rostral ventromedial medulla in mice. Journal of Neurophysiology. 2011;106:731–740. doi: 10.1152/jn.01062.2010. [DOI] [PubMed] [Google Scholar]
  51. Peirs C, Williams S-PG, Zhao X, Walsh CE, Gedeon JY, Cagle NE, Goldring AC, Hioki H, Liu Z, Marell PS, Seal RP. Dorsal horn circuits for persistent mechanical pain. Neuron. 2015;87:797–812. doi: 10.1016/j.neuron.2015.07.029. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Peirs C, Williams S-PG, Zhao X, Arokiaraj CM, Ferreira DW, Noh M-C, Smith KM, Halder P, Corrigan KA, Gedeon JY, Lee SJ, Gatto G, Chi D, Ross SE, Goulding M, Seal RP. Mechanical allodynia circuitry in the dorsal horn is defined by the nature of the injury. Neuron. 2021;109:73–90. doi: 10.1016/j.neuron.2020.10.027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  53. Polgár E, Puskár Z, Watt C, Matesz C, Todd AJ. Selective innervation of lamina I projection neurones that possess the neurokinin 1 receptor by serotonin-containing axons in the rat spinal cord. Neuroscience. 2002;109:799–809. doi: 10.1016/s0306-4522(01)00304-9. [DOI] [PubMed] [Google Scholar]
  54. Porreca F, Burgess SE, Gardell LR, Vanderah TW, Malan TP, Ossipov MH, Lappi DA, Lai J. Inhibition of neuropathic pain by selective ablation of brainstem medullary cells expressing the mu-opioid receptor. The Journal of Neuroscience. 2001;21:5281–5288. doi: 10.1523/JNEUROSCI.21-14-05281.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Potrebic SB, Fields HL, Mason P. Serotonin immunoreactivity is contained in one physiological cell class in the rat rostral ventromedial medulla. The Journal of Neuroscience. 1994;14:1655–1665. doi: 10.1523/JNEUROSCI.14-03-01655.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  56. Richerson GB, Wang W, Tiwari J, Bradley SR. Chemosensitivity of serotonergic neurons in the rostral ventral medulla. Respiration Physiology. 2001;129:175–189. doi: 10.1016/s0034-5687(01)00289-4. [DOI] [PubMed] [Google Scholar]
  57. Ridet JL, Rajaofetra N, Teilhac JR, Geffard M, Privat A. Evidence for nonsynaptic serotonergic and noradrenergic innervation of the rat dorsal horn and possible involvement of neuron-glia interactions. Neuroscience. 1993;52:143–157. doi: 10.1016/0306-4522(93)90189-M. [DOI] [PubMed] [Google Scholar]
  58. Seidler B, Schmidt A, Mayr U, Nakhai H, Schmid RM, Schneider G, Saur D. A cre-loxp-based mouse model for conditional somatic gene expression and knockdown in vivo by using avian retroviral vectors. PNAS. 2008;105:10137–10142. doi: 10.1073/pnas.0800487105. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Sharif B, Ase AR, Ribeiro-da-Silva A, Séguéla P. Differential coding of itch and pain by a subpopulation of primary afferent neurons. Neuron. 2020;106:940–951. doi: 10.1016/j.neuron.2020.03.021. [DOI] [PubMed] [Google Scholar]
  60. Suzuki R, Morcuende S, Webber M, Hunt SP, Dickenson AH. Superficial NK1-expressing neurons control spinal excitability through activation of descending pathways. Nature Neuroscience. 2002;5:1319–1326. doi: 10.1038/nn966. [DOI] [PubMed] [Google Scholar]
  61. Tervo DGR, Hwang B-Y, Viswanathan S, Gaj T, Lavzin M, Ritola KD, Lindo S, Michael S, Kuleshova E, Ojala D, Huang C-C, Gerfen CR, Schiller J, Dudman JT, Hantman AW, Looger LL, Schaffer DV, Karpova AY. A designer AAV variant permits efficient retrograde access to projection neurons. Neuron. 2016;92:372–382. doi: 10.1016/j.neuron.2016.09.021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  62. Todd AJ. Neuronal circuitry for pain processing in the dorsal horn. Nature Reviews. Neuroscience. 2010;11:823–836. doi: 10.1038/nrn2947. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Todd AJ. Plasticity of inhibition in the spinal cord. Experimental Pharmacology. 2015;227:171–190. doi: 10.1007/978-3-662-46450-2_9. [DOI] [PubMed] [Google Scholar]
  64. Tudeau L, Acuña MA, Albisetti GW, Neumann E, Ralvenius WT, Scheurer L, Poe M, Cook JM, Johannssen HC, Zeilhofer HU. Mice lacking spinal α2GABAA receptors: altered gabaergic neurotransmission, diminished gabaergic antihyperalgesia, and potential compensatory mechanisms preventing a hyperalgesic phenotype. Brain Research. 2020;1741:146889. doi: 10.1016/j.brainres.2020.146889. [DOI] [PubMed] [Google Scholar]
  65. Wang JK. Antinociceptive effect of intrathecally administered serotonin. Anesthesiology. 1977;47:269–271. doi: 10.1097/00000542-197709000-00007. [DOI] [PubMed] [Google Scholar]
  66. Wang Z, Maunze B, Wang Y, Tsoulfas P, Blackmore MG. Global connectivity and function of descending spinal input revealed by 3D. Microscopy and Retrograde Transduction. J Neurosci. 2018;38:10566–10581. doi: 10.1523/JNEUROSCI.1196-18.2018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  67. Wei F, Dubner R, Zou S, Ren K, Bai G, Wei D, Guo W. Molecular depletion of descending serotonin unmasks its novel facilitatory role in the development of persistent pain. The Journal of Neuroscience. 2010;30:8624–8636. doi: 10.1523/JNEUROSCI.5389-09.2010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  68. West SJ, Bannister K, Dickenson AH, Bennett DL. Circuitry and plasticity of the dorsal horn -- toward a better understanding of neuropathic pain. Neuroscience. 2015;300:254–275. doi: 10.1016/j.neuroscience.2015.05.020. [DOI] [PubMed] [Google Scholar]
  69. Wickersham IR, Finke S, Conzelmann KK, Callaway EM. Retrograde neuronal tracing with a deletion-mutant rabies virus. Nature Methods. 2007a;4:47–49. doi: 10.1038/nmeth999. [DOI] [PMC free article] [PubMed] [Google Scholar]
  70. Wickersham IR, Lyon DC, Barnard RJO, Mori T, Finke S, Conzelmann KK, Young JAT, Callaway EM. Monosynaptic restriction of transsynaptic tracing from single, genetically targeted neurons. Neuron. 2007b;53:639–647. doi: 10.1016/j.neuron.2007.01.033. [DOI] [PMC free article] [PubMed] [Google Scholar]
  71. Witschi R, Johansson T, Morscher G, Scheurer L, Deschamps J, Zeilhofer HU. Hoxb8-cre mice: a tool for brain-sparing conditional gene deletion. Genesis. 2010;48:596–602. doi: 10.1002/dvg.20656. [DOI] [PMC free article] [PubMed] [Google Scholar]
  72. Xie DJ, Uta D, Feng PY, Wakita M, Shin MC, Furue H, Yoshimura M. Identification of 5-HT receptor subtypes enhancing inhibitory transmission in the rat spinal dorsal horn in vitro. Molecular Pain. 2012;8:58. doi: 10.1186/1744-8069-8-58. [DOI] [PMC free article] [PubMed] [Google Scholar]
  73. Yesilyurt O, Seyrek M, Tasdemir S, Kahraman S, Deveci MS, Karakus E, Halici Z, Dogrul A. The critical role of spinal 5-HT7 receptors in opioid and non-opioid type stress-induced analgesia. European Journal of Pharmacology. 2015;762:402–410. doi: 10.1016/j.ejphar.2015.04.020. [DOI] [PubMed] [Google Scholar]
  74. Zhang L, Sykes KT, Buhler AV, Hammond DL. Electrophysiological heterogeneity of spinally projecting serotonergic and nonserotonergic neurons in the rostral ventromedial medulla. Journal of Neurophysiology. 2006;95:1853–1863. doi: 10.1152/jn.00883.2005. [DOI] [PubMed] [Google Scholar]
  75. Zhang W, Gardell S, Zhang D, Xie JY, Agnes RS, Badghisi H, Hruby VJ, Rance N, Ossipov MH, Vanderah TW, Porreca F, Lai J. Neuropathic pain is maintained by brainstem neurons co-expressing opioid and cholecystokinin receptors. Brain. 2009;132:778–787. doi: 10.1093/brain/awn330. [DOI] [PMC free article] [PubMed] [Google Scholar]
  76. Zhang Y, Zhao S, Rodriguez E, Takatoh J, Han BX, Zhou X, Wang F. Identifying local and descending inputs for primary sensory neurons. The Journal of Clinical Investigation. 2015;125:3782–3794. doi: 10.1172/JCI81156. [DOI] [PMC free article] [PubMed] [Google Scholar]

Editor's evaluation

David D Ginty 1

The study reveals anatomically and functionally distinct classes of serotonergic hindbrain neurons that are distinguished by their postsynaptic targets in the spinal cord as well as their contributions to behavioral responses to painful stimuli. These findings advance our understanding of the descending modulation of sensory processing in the spinal cord dorsal horn.

Decision letter

Editor: David D Ginty1
Reviewed by: Susan M Dymecki2, Andrew J Todd3

Our editorial process produces two outputs: (i) public reviews designed to be posted alongside the preprint for the benefit of readers; (ii) feedback on the manuscript for the authors, including requests for revisions, shown below. We also include an acceptance summary that explains what the editors found interesting or important about the work.

Decision letter after peer review:

Thank you for submitting your article "Targeted Anatomical and Functional Identification of Antinociceptive and Pronociceptive Serotonergic Neurons that Project to the Spinal Dorsal Horn" for consideration by eLife. Your article has been reviewed by 3 peer reviewers, and the evaluation has been overseen by a Reviewing Editor and Ronald Calabrese as the Senior Editor. The following individuals involved in the review of your submission have agreed to reveal their identity: Susan M Dymecki (Reviewer #2); Andrew Todd (Reviewer #3).

The reviewers have discussed their reviews with one another, and the Reviewing Editor has drafted this to help you prepare a revised submission.

Essential revisions:

1. General concerns that should be addressed:

What the authors consider nucleus raphe magnus (NRM) should be clarified (e.g. Bregma levels). The presented tissue sections appear fairly caudal and will include multiple subtypes of serotonergic neurons, one of which may innervate the dorsal spinal cord and another that innervates the ventral spinal cord motor centers and likely influences motor gain. The more caudal, the greater enrichment for the latter subtype. It is likely that multiple functionally distinct subtypes of serotonergic neurons are being manipulated in the hM3Dq experiments targeting the presumed NRM. This should be considered, and published work in this area should be referenced. This is particularly relevant because if the presumed NRM injections are too caudal, most of the midline serotonergic cells would be those projecting to the ventral (not dorsal) horn and indeed this is what is seen in Figure 4.

The authors did not study sex differences although such differences are well-documented in serotonin signaling and pain perception. Sex differences should be addressed.

Additional control experiments that document the extent of the spread of the virus from the site of injection should be done.

It is not clear whether the projections are different between lamina I and lamina II, or whether these vary along the rostrocaudal axis. Since distinct spinal cord lamina is innervated differentially by specific subtypes of peripheral neurons – the authors should consider co-labeling descending neuronal projections with known laminar and DRG subtype markers or comment on this.

2. Detailed concerns as they relate to the figures and text that should be addressed:

Figure 1 and Table 5:

This figure and table, while interesting, are tangential to the narrative and overall claims of the paper and thus might better serve the manuscript as a supplemental figure rather than the lead figure.

As well, the conclusions drawn from this figure and table might be recast for stronger alignment with the data. It is concluded that "these data demonstrate that although TPH2-expressing hindbrain neurons can be directly infected with modified rabies viruses, they are largely underrepresented with monosynaptic tracing from the dorsal horn." While the latter is well supported by the data, the sentence construction suggests that the former direct labeling using SAD.RabiesΔG-eGFP (SAD-G) is effective, however, only a few cells were labeled (15 TPH2+ ventral hindbrain cells across 3 animals were marked using SAD.RabiesΔG-eGFP). Insertion of some caution might be helpful to the reader, perhaps stating that infectivity and/or labeling using SAD.RabiesΔG-eGFP occurs but is low, certainly as compared to CTb.

Given the differential efficacy of spinally injected AAV2retro.GFP to access LPGI versus NRM, it would be interesting to see if there is a bias for SAD.RabiesΔG-eGFP, yet no information is given as to the location of the few labeled cells summarized in panel C and Table 5. Further, panel B could be helped by including some anatomical landmarks or at least marking the ventral surface and midline.

– Panel C, y-axis labeling could be clearer, explicitly stating that plotted is the percentage of GFP+ cells that are also TPH2+.

– D: For the monosynaptic tracing experiment, it is stated that a similar total number of GFP+ cells are labeled in the hindbrain yet lacking are TPH2+ cells. This suggests that another population is captured that is not well represented in the direct labeling. Please clarify.

Table 5: columns 5 and 6 have the same headings. Presumably, column 6 is to reflect GFP neurons that fail to stain for TPH2. This needs correction.

Cre activity and presumed functional TVA levels in the desired dorsal horn cells should be demonstrated, as the conclusions around D-F depend on it. Further, the authors could consider performing monosynaptic tracing with AAV-Syn-TVA/G instead of R26-TVA, as this would have broader applicability to the work of many (few seem to use R26-TVA).

Figure 2:

D-E: An important comparison to the AAV2retro.eGFP data would be the quantification and presentation of CTb+ TPH2+ double-positive cells (like that in panel C but for CTb); as well as the co-injection of AAV2retro.eGFP with CTb, as co-injection can produce unpredicted confounding effects. Very few eGFP+ cells are discernible in the LPGi in the representative image. There are clear eGFP+ cells in the NRM. Can you please explain this discrepancy?

CTb could have some biases itself. Consider using another non-viral retrograde tracer.

AAV2retr.eGFP shows preferential infectivity of LPGi->spinal cord cells versus NRM->spinal cord cells; the claim of "highly susceptible" versus "resistant" to infection should be modified to better align with the data. 20% of labeled cells are in the NRM (thus not negligible, not really "resistant"), 80% in the LPGi.

A description of the areas denoted as "Other" is warranted, especially given their inclusion in the cell counts.

This figure could be supplemental.

Figure 3:

The main narrative of the manuscript seems to start with Figure 3. This figure should have an associated table with actual cell numbers.

This analysis should be repeated for the specific viruses used in Figures 6 and 7, where it is even more relevant to establish the differential infectivity and efficacy of cell-type-specific expression.

Some of the references in the Results text don't match up. Specifically on p. 8 "This resulted in TPH2-expressing neurons of the hindbrain being labelled with eGFP, particularly in the LPGi (Figure 2B)". This should presumably be referring to Figure 3B. And a bit later "…many neurons were labeled in the ipsilateral DRG (Figure 2C)". This should presumably be referring to Figure 3C.

Figure 3E. Why are only 77.5% TPH2+ when using a TPH2::Cre? This finding suggests that the Cre used is not as effective as one might like.

Figure 4:

G: For the extensive ventral spinal cord labeling, the authors should consider the midline serotonergic neurons likely responsible and what that might mean for the location of their injections (fairly caudal) and the multiple serotonergic neuron subtypes and functions likely perturbed in their DREADD experiments.

H-I: Quantification of tdTom-5-HT double positive boutons (puncta) would be helpful.

The use of markers in the spinal cord to identify the lamina would be helpful.

Figure 5:

This figure could be supplemental data. The present electrophysiological data is less informative considering the ultimate goal of the manuscript (identify functional subsets based on projection/transduction with AAVretro). The authors should consider performing ephys experiments w/ AAVretro injection in the spinal cord and patch from LPGi→spinal cord cells vs LPGi cells, and from NRM→spinal cord cells vs NRM cells. NRM cells labeled with AAVretro might be more similar to LPGi cells also labeled with AAVretro than other NRM cells. In essence, exploit the infectivity differences as classification and potentially reflective of functional differences rather than anatomy.

Please include the number of animals from which the recordings were derived.

The discussion here should include other biophysical properties that have been found to distinguish among caudal medullary serotonergic neuron subtypes (chemosensitivity, resting membrane potential, spontaneous spike frequency, response to thermal noxious stimuli, etc.).

Figures 6 and 7:

Characterization of virus efficacy, as in figure 3, needs to be performed here. Indeed, it is more important than that of Figure 3.

Needed is some demonstration of CNO-Dq triggered neuronal activation: FOS induction, or ephys measurements of the increase in excitability.

There is no control for CNO alone (in the absence of hM3Dq): Another cohort of mice needs to be injected with control AAVs and receive CNO. As it stands, the observed differences could be due to CNO off-target effects.

Of note, the von Frey withdrawal threshold of Figure 7 is much higher than in Figure 6, with CNO seemingly bringing the threshold level back to the level observed in Figure 6. Is this a calibration difference, observer difference, or other?

More detail is needed in the description of all three behavioral tests, e.g. temperature of effect.

Given that the midline serotonergic neuron subtype referred to as Tac1-Pet1 (Hennessy et al., 2017 J. Neurosci) projects to the ventral spinal cord as well as respiratory motor centers and likely is involved in shaping motor gain, its Dq manipulation could result in motor and respiratory phenotypes not revealed by the rotarod assay. For example, it could affect paw withdrawal speed which in turn might lower an apparent withdrawal latency, thus having little to do with mechanical sensitivity and nociception per se but rather motor effects.

P4 line 7: "lateral to the midline" – strictly, all cells would be covered by this definition, so I suggest altering the wording here.

P8 line 10: I think that they mean "retrograde transduction".

P9 last line: probably best to state that all coordinates are given in the order RC, ML, DV.

P11 line 13: "projected to both ipsilateral and contralateral dorsal horn" might be better.

P11: The last line cut off before reference [26]; Figure 5D. This panel is not mentioned in the results.

P12 para 2: Figure 5D is not mentioned in the text.

P15 para 1 of the Discussion: one difference between the anatomical results in this study and those of Gautier et al. (reference 26) is that Gautier et al. did not report any labelling in the ventral horn from injections into the NRM, whereas this was seen in the present study (Figure 4G). A brief discussion of this point would be helpful.

P18 para 2: This section of the discussion was confusing. It seems that a link is being made between the presence of 5-HT3 receptors and the occurrence of transsynaptic tracing with the rabies virus. However, this seems rather speculative, and it is suggested that this paragraph is either shortened or omitted.

P19 line 8: "the located serotonergic neurons" – presumably something is missing here.

P19 final para; the wording of the first sentence is rather awkward.

P20: last sentence: I suggest removing the sentence concerning intraspinal Fluorogold injections, as the data from these were not included in the study.

P22: "PBS with added salt". This is rather confusing since 8 g NaCl per litre is actually less than physiological saline (9 g per litre). Maybe this means that 8 g NaCl was added to this?

P24 para 3: "that were" in the first 2 lines of this para is in the wrong place. The experiments were not serotoninergic and the hindbrain wasn't labelled with eGFP.

Figure 2 legend: explain the arrows in E.

Figure 6 legend: spell out the differences indicated by asterisks (also in Figure 7)

Figure 7 legend: reference to the various parts is incorrect.

Reviewer #1 (Recommendations for authors):

1. Much of the data in the initial figures seems somewhat extraneous to the main points of the paper:

Figure 1A-C. Does rabies virus also label distinct hindbrain neuron populations? To test infection efficiency, why not also inject SAD-G directly into the hindbrain? Furthermore, this data could go in the supplement as rabies virus tracing strategies are not used in the paper.

Figure 2F-H. These data can go in the supplement. CTb tracing strategy is not utilized in this paper.

2. For the quantification, the authors indicate the number of animals examined, but I did not see the number of cells that were assessed. This would be useful to know. For example, Figure 3H. 78.3% of NRM cells were mCherry+ ; eGFP+. Out of how many cells total?

3. Figure 2G. Very few eGFP+ cells are discernible in the LPGi in the representative image. There are clear eGFP+ cells in the NRM. Can you explain this discrepancy?

4. Figure 3E. Why are only 77.5% TPH2+ when using a TPH2::Cre? This finding suggests that the Cre used is not as effective as one might like.

5. Figure 7D. NRM neurons project to lamina VII-IX, which are innervated by motor neurons. Authors should briefly discuss whether NRM activation had any effects on motor responses and whether this might contribute to the withdrawal response to von Frey filaments.

6. Page 11: The last line cut off before reference [26]; Figure 5D. This panel is not mentioned in the results.

Reviewer #2 (Recommendations for authors):

General recommendations that span multiple experiments/figures:

– Injection sites should be documented for each experiment, using a second virus or marker to document viral spread and actual targeting.

– Explanation is needed as to why all spinal cord injections seem to be at thoracic level 13 (T13), yet L2-L4 may make more sense given the hind limb behavioral phenotypes being assessed.

– What the authors consider nucleus raphe magnus (NRM) should be clarified (e.g. Bregma levels). The presented tissue sections appear fairly caudal and will include multiple subtypes of serotonergic neurons, one of which may innervate the dorsal spinal cord and another that innervates the ventral spinal cord motor centers and likely influences motor gain. The more caudal, the greater enrichment for the latter subtype. It is likely that multiple functionally distinct subtypes of serotonergic neurons are being manipulated in the hM3Dq experiments targeting the presumed NRM. This should be considered, as well as published work in this area should be referenced. It is particularly relevant because if the presumed NRM injections are too caudal, most of the midline serotonergic cells would be those projecting to the ventral (not dorsal) horn and indeed this is what they see in Figure 4.

– References that should be included as relates to medullary serotonergic neuron subtypes, functions, and hodology: Iceman, K.E. et al., 2013 J. Neurophysiol; Richerson, G.B. 2001 Respir. Physiol.; work of Gordon Mitchell; Brust et al., 2014 Cell Reports; Hennessy et al., 2017, J. Neuroscience; Depuy, S.D., et al., 2011 J. Neurosci; work of Peggy Mason.

– Suggest greater caution around the use of terms "antinociceptive" and "pronociceptive" (e.g. in the title). Are the behavioral tests performed at pain thresholds? More information for the reader is needed here.

– More details should be supplied around mouse lines: are the Cre driver lines BAC transgenics, IRES-cre knock-ins, or knock-in/knock-out lines? References are provided, but a direct provision of details would be helpful to the reader.

Specific recommendations related to each figure:

Figure 1 and Table 5:

– This figure and table, while interesting, are tangential to the narrative and overall claims of the paper and thus might better serve the manuscript as a supplemental figure rather than the lead figure.

– As well, the conclusions drawn from this figure and table might be recast for stronger alignment with the data. It is concluded that "these data demonstrate that although TPH2-expressing hindbrain neurons can be directly infected with modified rabies viruses, they are largely underrepresented with monosynaptic tracing from the dorsal horn." While the latter is well supported by the data, the sentence construction suggests that the former direct labeling using SAD.RabiesΔG-eGFP (SAD-G) is effective, however, only a few cells were labeled (15 TPH2+ ventral hindbrain cells across 3 animals were marked using SAD.RabiesΔG-eGFP). Insertion of some caution might be helpful to the reader, perhaps stating that infectivity and/or labeling using SAD.RabiesΔG-eGFP occurs but is low, certainly as compared to CTb.

– Given the differential efficacy of spinally injected AAV2retro.GFP to access LPGI versus NRM, it would be interesting to see if there is a bias for SAD.RabiesΔG-eGFP, yet no information is given as to the location of the few labeled cells summarized in panel C and Table 5. Further, panel B could be helped by including some anatomical landmarks or at least marking the ventral surface and midline.

– Panel C, y-axis labeling could be clearer, explicitly stating that plotted is the percentage of GFP+ cells that are also TPH2+.

– D: For the monosynaptic tracing experiment, it is stated that a similar total number of GFP+ cells are labeled in the hindbrain yet lacking are TPH2+ cells. This suggests that another population is captured that is not well represented in the direct labeling. Please clarify.

– Table 5: columns 5 and 6 have the same headings. Presumably, column 6 is to reflect GFP neurons that fail to stain for TPH2. This needs correction.

– Cre activity and presumed functional TVA levels in the desired dorsal horn cells should be demonstrated, as the conclusions around D-F depend on it. Further, the authors could consider performing monosynaptic tracing with AAV-Syn-TVA/G instead of R26-TVA, as this would have broader applicability to the work of many (few seem to use R26-TVA).

Figure 2:

– D-E: An important comparison to the AAV2retro.eGFP data would be the quantification and presentation of CTb+ TPH2+ double-positive cells (like that in panel C but for CTb); as well as the co-injection of AAV2retro.eGFP with CTb, as co-injection can produce unpredicted confounding effects.

– CTb could have some biases itself. Consider using another non-viral retrograde tracer.

– AAV2retr.eGFP shows preferential infectivity of LPGi-->spinal cord cells versus NRM-->spinal cord cells; the claim of "highly susceptible" versus "resistant" to infection should be modified to better align with the data. 20% of labeled cells are in the NRM (thus not negligible, not really "resistant"), 80% in the LPGi.

– A description of the areas denoted as "Other" is warranted, especially given their inclusion in the cell counts.

– This figure could be supplemental.

Figure 3:

– The main narrative of the manuscript seems to start with Figure 3.

– Should have an associated table of actual cell numbers.

– This analysis should be repeated for the specific viruses used in Figures 6 and 7, where it is even more relevant to establish the differential infectivity and efficacy of cell-type-specific expression.

– Some of the references in the Results text don't match up. Specifically on p. 8 "This resulted in TPH2-expressing neurons of the hindbrain being labelled with eGFP, particularly in the LPGi (Figure 2B)". This should presumably be referring to Figure 3B. And a bit later "…many neurons were labeled in the ipsilateral DRG (Figure 2C)". This should presumably be referring to Figure 3C.

Figure 4:

– G: For the extensive ventral spinal cord labeling, the authors should consider the midline serotonergic neurons likely responsible and what that might mean for the location of their injections (fairly caudal) and the multiple serotonergic neuron subtypes and functions likely perturbed in their DREADD experiments.

– H-I: Quantification of tdTom-5-HT double positive boutons (puncta) would be helpful.

– Use of markers in the spinal cord to identify the lamina would be helpful.

Figure 5:

– Could be supplemental data. The present electrophysiological data is less informative

considering the ultimate goal of the manuscript (identify functional subsets based on projection/transduction with AAVretro). Consider performing ephys experiments w/ AAVretro injection in the spinal cord and patch from LPGi→spinal cord cells vs LPGi cells, and from NRM→spinal cord cells vs NRM cells. NRM cells labeled with AAVretro might be more similar to LPGi cells also labeled with AAVretro than other NRM cells. In essence, exploit the infectivity differences as classification and potentially reflective of functional differences rather than anatomy.

– Include the number of animals from which the recordings were derived.

– Discussion here should include other biophysical properties that have been found to distinguish among caudal medullary serotonergic neuron subtypes (chemosensitivity, resting membrane potential, spontaneous spike frequency, response to thermal noxious stimuli, etc.)

Figures 6 and 7:

– Characterization of virus efficacy, as in figure 3, needs to be performed here. Indeed, it is more important than that of Figure 3.

– Needed is some demonstration of CNO-Dq triggered neuronal activation: FOS induction, or ephys measurements of the increase in excitability.

– There is no control for CNO alone (in the absence of hM3Dq): Another cohort of mice needs to be injected with control AAVs and receive CNO. As it stands, the observed differences could be due to CNO off-target effects.

– Of note, the von Frey withdrawal threshold of Figure 7 is much higher than in Figure 6, with CNO seemingly bringing the threshold level back to the level observed in Figure 6. Is this a calibration difference, observer difference, or other?

– More detail is needed in the description of all three behavioral tests, e.g. temperature of effect.

– Given that the midline serotonergic neuron subtype referred to as Tac1-Pet1 (Hennessy et al., 2017 J. Neurosci) projects to the ventral spinal cord as well as respiratory motor centers and likely is involved in shaping motor gain, its Dq manipulation could result in motor and respiratory phenotypes not revealed by the rotarod assay. For example, it could affect paw withdrawal speed which in turn might lower an apparent withdrawal latency, thus having little to do with mechanical sensitivity and nociception per se but rather motor effects.

Reviewer #3 (Recommendations for authors):

I have a few specific suggestions for improving the article:

P4 line 7: "lateral to the midline" – strictly, all cells would be covered by this definition, so I suggest altering the wording here.

P8 line 10: I think that they mean "retrograde transduction".

P9 last line: probably best to state that all coordinates are given in the order RC, ML, DV.

P11 line 13: "projected to both ipsilateral and contralateral dorsal horn" might be better.

P12 para 2: Figure 5D is not mentioned in the text.

P15 para 1 of the Discussion: one difference between the anatomical results in this study and those of Gautier et al. (reference 26) is that Gautier et al. did not report any labelling in the ventral horn from injections into the NRM, whereas this was seen in the present study (Figure 4G). A brief discussion of this point would be helpful.

P18 para 2: I found this section of the discussion rather confusing. It seems that a link is being made between the presence of 5-HT3 receptors and the occurrence of transsynaptic tracing with the rabies virus. However, this seems rather speculative, and I suggest that this paragraph is either shortened or omitted.

P19 line 8: "the located serotonergic neurons" – presumably something is missing here.

P19 final para; the wording of the first sentence is rather awkward.

P20: last sentence: I suggest removing the sentence concerning intraspinal Fluorogold injections, as the data from these were not included in the study.

P22: "PBS with added salt". This is rather confusing since 8 g NaCl per litre is actually less than physiological saline (9 g per litre). Maybe this means that 8 g NaCl was added to this?

P24 para 3: "that were" in the first 2 lines of this para is in the wrong place. The experiments were not serotoninergic and the hindbrain wasn't labelled with eGFP.

Figure 2 legend: explain the arrows in E.

Figure 6 legend: spell out the differences indicated by asterisks (also in Figure 7)

Figure 7 legend: reference to the various parts is incorrect.

eLife. 2023 Feb 8;12:e78689. doi: 10.7554/eLife.78689.sa2

Author response


Essential revisions:

1. General concerns that should be addressed:

What the authors consider nucleus raphe magnus (NRM) should be clarified (e.g. Bregma levels). The presented tissue sections appear fairly caudal and will include multiple subtypes of serotonergic neurons, one of which may innervate the dorsal spinal cord and another that innervates the ventral spinal cord motor centers and likely influences motor gain. The more caudal, the greater enrichment for the latter subtype. It is likely that multiple functionally distinct subtypes of serotonergic neurons are being manipulated in the hM3Dq experiments targeting the presumed NRM. This should be considered, and published work in this area should be referenced. This is particularly relevant because if the presumed NRM injections are too caudal, most of the midline serotonergic cells would be those projecting to the ventral (not dorsal) horn and indeed this is what is seen in Figure 4.

The midline injections certainly include the serotonergic regions beyond the NRM, and some of these are seen to project to the ventral horn (Figure 4G, now figure 3G). We have included this as an alternative explanation for the data presented in figure 7, which is also now a part of the discussion (page 19 line 11). We have also altered the wording in the Results section to make it clear that these injections include the NRM, but may extend to medial serotonergic neurons rostral and caudal to the injection site (page 11 line 9, and page 16 line 1). Despite these limitations, the selectivity of the effect on mechanical sensitivity indicates that this is likely a sensory effect rather than solely an effect on motor reflexes.

The authors did not study sex differences although such differences are well-documented in serotonin signaling and pain perception. Sex differences should be addressed.

This is an important point, and we thank the reviewers for drawing our attention to this. For the behavioral experiments we have included figure supplements to see whether the behavioral effects seen are also present in both males and females (figure 5 figure supplement 3, and figure 6 figure supplement 2). These results are discussed in the Results section (page 14 line 23, and page 16 line 16). We have also added more animals to the behavioral experiments to balance the number of female and male animals. We find that the behavioral phenotypes observed in the chemogenetic experiments are present in both male and female mice.

Additional control experiments that document the extent of the spread of the virus from the site of injection should be done.

For all experiments in which the midline serotonergic neurons were labelled by direct injection, we confirm that there is no spread to the lateral serotonergic neurons. In these experiments we did observe spread to other medial serotonergic hindbrain nuclei, such as the raphe pallidus and raphe obscurus, we have included all injection sites used in the chemogenetic activation experiments as a figure supplement (figure 6 figure supplement 1). We accept that there are other populations captured in the injections that likely influence the behavior, and have included this limitation as part of the discussion (page 19 line 11).

It is not clear whether the projections are different between lamina I and lamina II, or whether these vary along the rostrocaudal axis. Since distinct spinal cord lamina is innervated differentially by specific subtypes of peripheral neurons – the authors should consider co-labeling descending neuronal projections with known laminar and DRG subtype markers or comment on this.

We have performed immunostaining experiments to assess which laminae are innervated by the axon terminals. We used PKCg staining to mark lamina IIi and CGRP staining to delineate laminae I-IIo, both of which are commonly used in spinal cord anatomical studies. We were able to determine the precise laminae innervated by the medial versus the lateral serotonergic neurons. Lateral serotonergic neurons of the LPGi are the only serotonergic neurons that densely innervate the superficial laminae (I-IIo), whereas the medial serotonergic neurons project to ventral laminae (ventral to the lamina IIi-III border). Text discussing these results has been added to the Results section (page 11 line 22, and page 12 line 9).

2. Detailed concerns as they relate to the figures and text that should be addressed:

Figure 1 and Table 5:

This figure and table, while interesting, are tangential to the narrative and overall claims of the paper and thus might better serve the manuscript as a supplemental figure rather than the lead figure.

We agree that this does not fit together with the rest of the manuscript and would be more suitable as a supplemental figure (now figure 1 figure supplement 4). Since we are discussing retrograde tracing strategies in this section it seems appropriate to include it here. The text has also been moved to a later part of the results (page 6 line 21).

As well, the conclusions drawn from this figure and table might be recast for stronger alignment with the data. It is concluded that "these data demonstrate that although TPH2-expressing hindbrain neurons can be directly infected with modified rabies viruses, they are largely underrepresented with monosynaptic tracing from the dorsal horn." While the latter is well supported by the data, the sentence construction suggests that the former direct labeling using SAD.RabiesΔG-eGFP (SAD-G) is effective, however, only a few cells were labeled (15 TPH2+ ventral hindbrain cells across 3 animals were marked using SAD.RabiesΔG-eGFP). Insertion of some caution might be helpful to the reader, perhaps stating that infectivity and/or labeling using SAD.RabiesΔG-eGFP occurs but is low, certainly as compared to CTb.

We appreciate that the total number of cells labelled in the hindbrain in the rabies tracing experiments is relatively low when compared to the other tracing experiments in the manuscript and have included the total cell counts in table 2. In our hands, the rabies virus tracing labels far fewer cells in supraspinal regions when compared to AAV2retro or Ctb, possibly because rabies viruses are more sensitive to inactivation than AAVs or CTb. Additionally, the viral titre typically achieved with rabies virus production is far lower than those that can be obtained with AAV production (1E9 vg/ml vs 1E13 vg/ml respectively) We have added text to the discussion to highlight that this is a small sample, the interpretation of which should be approached with caution.

“However, both direct and transsynaptic rabies labelling were far less sensitive than the CTb or AAV2retro tracing, making interpretation of these findings complicated due to the comparatively small sample sizes” (page 21 line 9).

However, we conclude that the overall interpretation that serotonergic neurons are not reliably labelled with transsynaptic tracing is correct, since almost half of the labelled RVM neurons contained TPH2 in the direct labelling experiments whereas virtually none were labelled with the transsynaptic tracing.

Given the differential efficacy of spinally injected AAV2retro.GFP to access LPGI versus NRM, it would be interesting to see if there is a bias for SAD.RabiesΔG-eGFP, yet no information is given as to the location of the few labeled cells summarized in panel C and Table 5. Further, panel B could be helped by including some anatomical landmarks or at least marking the ventral surface and midline.

The figure (now figure 1 figure supplement 1) has been modified to include the ventral surface of the hindbrain, the midline, and the different regions of the hindbrain are labelled with text. We did not notice any particular enrichment/absence of GFP-labelled cells from any of these areas, although with the small sample size this is difficult to determine.

– Panel C, y-axis labeling could be clearer, explicitly stating that plotted is the percentage of GFP+ cells that are also TPH2+.

This axis has been changed to %GFP+ cells expressing TPH2.

– D: For the monosynaptic tracing experiment, it is stated that a similar total number of GFP+ cells are labeled in the hindbrain yet lacking are TPH2+ cells. This suggests that another population is captured that is not well represented in the direct labeling. Please clarify.

Thank you for bringing this to our attention. There is presumably an increased efficiency in labelling other non-serotonergic neurons in the transsynaptic tracing, although besides the fact that they do not express TPH2 we cannot say much more about the identity of these neurons. Possibly this increased tracing is from descending neurons that innervate spinal neurons with a high synaptic density. We have added text to our discussion to highlight this.

“Since similar numbers of hindbrain neurons were labelled using both approaches in addition to the deficiency in labelling serotonergic neurons with monosynaptic tracing, this could indicate an increased labelling efficiency of other neurons. Potentially this could be related to the synaptic density from these neurons to the starter population” (page 21 line 5)

Table 5: columns 5 and 6 have the same headings. Presumably, column 6 is to reflect GFP neurons that fail to stain for TPH2. This needs correction.

The heading for column 6 should read GFP neurons not expressing TPH2. This has been corrected (now table 2).

Cre activity and presumed functional TVA levels in the desired dorsal horn cells should be demonstrated, as the conclusions around D-F depend on it. Further, the authors could consider performing monosynaptic tracing with AAV-Syn-TVA/G instead of R26-TVA, as this would have broader applicability to the work of many (few seem to use R26-TVA).

The Cre expression in the HoxB8cre mouse is transient in all spinal neurons caudal to spinal segment C7, but the expression of TVA is stable after the recombination of the loxP sites in the R26-TVA allele (similar to Witschi et al., 2010, Figures 2 and 3). We agree that the injection of AAV-Syn-TVA/G would be an interesting experiment more similar to those performed by others. However, in these experiments we wanted a way to visualise the starter cells with a fluorophore (mCherry), to be certain that all GFP+ neurons in the hindbrain were transsynaptically traced from the spinal cord. This meant that we would have had to inject two different helper viruses (owing to the genome capacity of AAVs, it is not possible for TVA, rabies G and a fluorophore to be contained in a single vector) and in our experience, injecting two AAVs can lead to greatly reduced efficiency of one of the viruses. Since we needed all components to be expressed in the same neurons for the tracing, we chose to use the transgenic mice to provide one of these components, so the other two could be provided by a single type of AAV.

Figure 2:

D-E: An important comparison to the AAV2retro.eGFP data would be the quantification and presentation of CTb+ TPH2+ double-positive cells (like that in panel C but for CTb); as well as the co-injection of AAV2retro.eGFP with CTb, as co-injection can produce unpredicted confounding effects. Very few eGFP+ cells are discernible in the LPGi in the representative image. There are clear eGFP+ cells in the NRM. Can you please explain this discrepancy?

Thank you for this suggestion, this will allow a more informative comparison between CTb and AAV2retro.eGFP retrograde labelling. We have included a figure supplement to show the proportion of TPH2 -labelled neurons with the CTb labelling (figure 1 figure supplement 2). As part of the main figure (now figure 1F) we have included a graph directly comparing the CTb and eGFP labelling of TPH2+ hindbrain neurons.

We accept that issues with co-injecting tracers are important concerns. In our experience these confounding effects are seen with the labelling with AAVs when more than one type of vector is injected, but this eGFP labelling appears similar between Figure 1C and in the new graph Figure 1F. This suggests that the inclusion of CTb hasn’t affected the labelling with AAV2retro.

The graphs that illustrate the proportions of neurons labelled with CTb and eGFP for all neurons and the different TPH2+ groups have been moved to a figure supplement (figure 1 supplement 3).

The green cells labelled in figure 2E (now figure 1 —figure supplement 2B) are the CTb-labelled neurons, which are found in both the NRM and the LPGi. The eGFP neurons in Figure 2B and G (now figure 1B and E) are also found throughout the RVM including the NRM, however those that contain TPH2 are mainly found in the LPGi.

CTb could have some biases itself. Consider using another non-viral retrograde tracer.

The CTb labelling likely has some biases in retrograde labelling and we agree that it would be interesting to compare all of the commonly used retrograde tracers. However, we feel this goes beyond the scope of this study, as the main finding from these experiments was the selectivity of the AAV2retro serotype, which was revealed when compared to the CTb labelling. The rest of the study utilizes this AAV2retro selectivity rather than further investigating the differences in labelling efficiency between various retrograde tracers.

AAV2retr.eGFP shows preferential infectivity of LPGi->spinal cord cells versus NRM->spinal cord cells; the claim of "highly susceptible" versus "resistant" to infection should be modified to better align with the data. 20% of labeled cells are in the NRM (thus not negligible, not really "resistant"), 80% in the LPGi.

We agree that the NRM neurons are not completely resistant to transduction with the AAV2r, and have changed all parts of the text describing these neurons as highly susceptible and resistant to “less sensitive” or “largely resistant”.

A description of the areas denoted as "Other" is warranted, especially given their inclusion in the cell counts.

Areas denoted as “Other” refer to all areas outside of the NRM and LPGi, which were readily identifiable with dense TPH2 immunostaining. We have provided a supplement to the figure 1 (figure 1 supplement 1) denoting the areas we classified as NRM, LPGi, and other. We also highlight some examples of retrogradely-labelled serotonergic neurons serotonergic that would be classified as other with markers.

This figure could be supplemental.

We have considered making this a supplemental figure, but we believe that the selectivity of the AAV2retro for the lateral neurons is a key part of the manuscript, and provides the basis for much of what is shown in later figures.

Figure 3:

The main narrative of the manuscript seems to start with Figure 3. This figure should have an associated table with actual cell numbers.

We have provided 2 additional tables to accompany the results in figure 3 D E and H (now figure 2 D, E, and H) with the cell counts that were used to produce the graphs These are Tables 3 and 4 in the resubmitted manuscript.

This analysis should be repeated for the specific viruses used in Figures 6 and 7, where it is even more relevant to establish the differential infectivity and efficacy of cell-type-specific expression.

Most of the elements of the vectors are identical (such as serotype, promoter and recombinase dependency) besides the expressed transgene, and therefore it is expected that the labelling specificity should be the same. We have performed quantifications of the labelled cells on the tissues from animals used in additional behavioral experiments, which demonstrate that this labelling is similar. These graphs are included as figure supplements (figure 5 figure supplement 5 and figure 6 figure supplement 3) and are discussed in the text of the Results section (page 15 line 8, and page 16 line 23).

Some of the references in the Results text don't match up. Specifically on p. 8 "This resulted in TPH2-expressing neurons of the hindbrain being labelled with eGFP, particularly in the LPGi (Figure 2B)". This should presumably be referring to Figure 3B. And a bit later "…many neurons were labeled in the ipsilateral DRG (Figure 2C)". This should presumably be referring to Figure 3C.

Thank you for noticing these oversights. These have been changed in the text to accurately refer to the appropriate figure.

Figure 3E. Why are only 77.5% TPH2+ when using a TPH2::Cre? This finding suggests that the Cre used is not as effective as one might like.

This is likely due to the levels of TPH2 in these cells being too low to be detected with our immunostaining protocols, or the expression of cre is present in some non-serotonergic neurons within the hindbrain. However, when we look at the spinal cords, most of the labelled boutons are positive for serotonin, so we are confident that the majority of the findings from our behavioral and anatomical experiments are due to activation/labelling of serotonergic neurons, rather than non-serotonergic neurons.

Figure 4:

G: For the extensive ventral spinal cord labeling, the authors should consider the midline serotonergic neurons likely responsible and what that might mean for the location of their injections (fairly caudal) and the multiple serotonergic neuron subtypes and functions likely perturbed in their DREADD experiments.

The labelling experiments do indeed show axon labelling in the ventral horn, and we agree that this is probably due to neurons projecting to the ventral spinal cord, or the spread of the virus to other caudal serotonergic nuclei around the midline. While it was not possible to completely limit the spread of the virus to the NRM with our approach, it was possible to only label neurons in the medial hindbrain without capturing those in the lateral hindbrain. This is mentioned in the Results section for the labelling and activation experiments (page 11 line 9, and page 16 line 1).

The behavioral data for figure 7 could also be interpreted as an alteration in the sensitivity of motor circuits in the ventral horn that mediate reflexes and movement. We have included this interpretation as part of the discussion in the revised manuscript

“The activation of the midline serotonergic neurons influences multiple functionally different groups within the injection site, including the NRM, ROb, and RPa. These more caudal nuclei are known to affect the motor system and respiratory functions. Within the sensory assays tested, there was a rather selective change in mechanical responses and unaltered thermal responses, indicating that the effect was modality selective and unlikely to be due to motor effects alone. However, it cannot be excluded that serotonergic neurons in these distinct midline regions contribute to the reduced mechanical thresholds. Further studies of sensory function utilizing intersectional strategies to precisely capture and manipulate the midline populations will help to validate the present findings.” (page 19 line 11)

However, as this altered behavior was only observed in the von Frey assay, rather than all assays, we are convinced that this is not solely caused by an effect on the motor system and is likely due to a sensory phenotype.

H-I: Quantification of tdTom-5-HT double positive boutons (puncta) would be helpful.

The formal quantification of 5-HT in the boutons would be interesting, however this is challenging due to the difficulty in objectively distinguishing the axon boutons from the rest of the axon. This is essential as the boutons would be expected to contain 5-HT whereas the intervaricose portions would not. Without a specific marker for these, it can be difficult to give an unbiased count required for the quantification. However, we feel the quantification of TPH2 at the cell soma (which can be objectively defined by NeuN staining), demonstrates that the majority of the cells labelled are serotonergic (TPH2+), and the images in figure 4 (now figure 3) show that there is an overlap in 5-HT and tdTOM staining.

The use of markers in the spinal cord to identify the lamina would be helpful.

We have included additional images from tissues containing labelled axons from the NRM and LPGi labelling experiments, which are immunostained for PKCg and CGRP to label laminae IIi and I-IIo respectively (figure 3 figure supplement 1). These images highlight that the projections from the LPGi terminate mostly in laminae I-IIo, whereas the majority of the axons from the midline neurons terminate ventral to the IIi/III border (defined by the PKCg plexus).

Figure 5:

This figure could be supplemental data. The present electrophysiological data is less informative considering the ultimate goal of the manuscript (identify functional subsets based on projection/transduction with AAVretro). The authors should consider performing ephys experiments w/ AAVretro injection in the spinal cord and patch from LPGi→spinal cord cells vs LPGi cells, and from NRM→spinal cord cells vs NRM cells. NRM cells labeled with AAVretro might be more similar to LPGi cells also labeled with AAVretro than other NRM cells. In essence, exploit the infectivity differences as classification and potentially reflective of functional differences rather than anatomy.

These suggested electrophysiology experiments are intriguing and would be of great interest to many researchers in this field. We would be interested in following these up in a separate study. However, we feel that these experiments would be beyond the scope of this manuscript. The main purpose of this study primarily was to compare the anatomical properties and functional roles of lateral vs medial serotonergic hindbrain neurons, and the use of the AAV2retro was the most convenient tool to enable this. As we observed, many of the intrinsic electrophysiological properties of neurons in these areas are very similar, and are less likely to be responsible for the apparent behavioral differences seen between figures 6 and 7 (now figures 5 and 6). We assume that this is more likely a result of the anatomical features, such as soma location and axon termination pattern, which we document in more detail. Additionally, we attempted the suggested retrograde labelling of LPGi neurons for targeted recordings in preliminary experiments, and we generally found very few suitable cells for recording using this approach. We used the anatomical location of the cells in order to get a suitable number of recordings from fewer animals.

Please include the number of animals from which the recordings were derived.

LPGi recordings from 3 animals

NRM recordings from 4 animals

This information has been added to the text in the figure legend for figure 4 and to table 5.

The discussion here should include other biophysical properties that have been found to distinguish among caudal medullary serotonergic neuron subtypes (chemosensitivity, resting membrane potential, spontaneous spike frequency, response to thermal noxious stimuli, etc.).

We thank the reviewers for the suggestions, these are features that should be included in the discussion. We have included a short paragraph to describe these features and compare them with our results and mention the different approaches (in vivo vs in vitro) as a likely difference between our findings and those of others (page 20 line 8).

Figures 6 and 7:

Characterization of virus efficacy, as in figure 3, needs to be performed here. Indeed, it is more important than that of Figure 3.

We have performed quantifications of these injections similarly to the analyses performed in figure 3 and 4. We obtain very similar results to those obtained in the hM3Dq experiments and these are included in a figure supplement to both figure 6 and 7 (now figures 5 and 6). These are figure 5 figure supplement 5 and figure 6 figure supplement 3.

Needed is some demonstration of CNO-Dq triggered neuronal activation: FOS induction, or ephys measurements of the increase in excitability.

We have used the tissues from the additional experiments to assess the proportion of hM3Dq-expressing neurons activated by i.p. CNO injection that upregulate c-fos. This is included as a figure supplement to figure 6 (now figure 5 figure 5 figure supplement 1).

There is no control for CNO alone (in the absence of hM3Dq): Another cohort of mice needs to be injected with control AAVs and receive CNO. As it stands, the observed differences could be due to CNO off-target effects.

We have performed experiments to assess the effects of CNO on the assays that were reported (Hargreaves, cold plantar, von Frey and Rotarod) and find that the CNO alone does not appear to have an influence. These are included as a supplement to figure 6 (now figure 5) (figure 5 —figure supplement 4) and are discussed in the text (page 15 line 3).

Of note, the von Frey withdrawal threshold of Figure 7 is much higher than in Figure 6, with CNO seemingly bringing the threshold level back to the level observed in Figure 6. Is this a calibration difference, observer difference, or other?

This could be due to the animals being different ages between these experiments, with the animals that received two injections (figure 6, now figure 5) being older than the animals that only received one (figure 7, now figure 6). This could in part explain some of the differences seen in the von Frey thresholds.

More detail is needed in the description of all three behavioral tests, e.g. temperature of effect.

Additional information has been added to the Methods section, and reference is made to Brenner et al. 2012, which is the original paper where the temperature tests are described in detail, and which we base most of our tests on (page 29 line 20 and line 25).

Given that the midline serotonergic neuron subtype referred to as Tac1-Pet1 (Hennessy et al., 2017 J. Neurosci) projects to the ventral spinal cord as well as respiratory motor centers and likely is involved in shaping motor gain, its Dq manipulation could result in motor and respiratory phenotypes not revealed by the rotarod assay. For example, it could affect paw withdrawal speed which in turn might lower an apparent withdrawal latency, thus having little to do with mechanical sensitivity and nociception per se but rather motor effects.

We agree that these phenotypes are likely to be influenced in the experiments of figure 7, similar to those observed in Hennessy et al. 2017. We have included this as an alternative explanation to our findings in the Discussion section of the paper (page 19 line 11). Despite these technical limitations related to specificity, we are convinced that our observed reduction in mechanical sensitivity are, in part, the result of a sensory phenotype since other withdrawal behaviors were unchanged in the same experiments.

P4 line 7: "lateral to the midline" – strictly, all cells would be covered by this definition, so I suggest altering the wording here.

The wording here has been changed to within the lateral paragigantocellularis, to make it clear that this is where the lateral labelled cells are located (page 5 line 12).

P8 line 10: I think that they mean "retrograde transduction".

Transsynaptic transduction has been changed to retrograde transduction (page 6 line 20).

P9 last line: probably best to state that all coordinates are given in the order RC, ML, DV.

This detail has been added to the methods section where stereotaxic brain injections are described (page 24 line 8).

P11 line 13: "projected to both ipsilateral and contralateral dorsal horn" might be better.

This has been changed (page 12 line 1).

P11: The last line cut off before reference [26]; Figure 5D. This panel is not mentioned in the results.

This has been corrected.

P12 para 2: Figure 5D is not mentioned in the text.

This is now referred to in the text.

P15 para 1 of the Discussion: one difference between the anatomical results in this study and those of Gautier et al. (reference 26) is that Gautier et al. did not report any labelling in the ventral horn from injections into the NRM, whereas this was seen in the present study (Figure 4G). A brief discussion of this point would be helpful.

This is a notable difference from our results, and we thank the reviewers for this observation. We have included this in the Discussion section of the paper (page 17 line 15), explaining that the experiments of Gautier et al. were performed in the rat, and presumably the larger brain size makes it possible to target the NRM with greater specificity. Alternatively, since this paper focused solely on the dorsal horn, there observations from the ventral horn may not have been reported.

P18 para 2: This section of the discussion was confusing. It seems that a link is being made between the presence of 5-HT3 receptors and the occurrence of transsynaptic tracing with the rabies virus. However, this seems rather speculative, and it is suggested that this paragraph is either shortened or omitted.

This section is rather speculative, as the assumption is that monosynaptic tracing does not capture serotonergic neurons because they do not commonly form many fast synaptic contacts in the dorsal horn. However, the 5-HT3 receptor may not be the sole receptor expressed in fast synapses, but this was assumed since it is the only receptor that would allow ionotropic signaling. This section has been removed. (page 21 line 19)

P19 line 8: "the located serotonergic neurons" – presumably something is missing here.

This has been changed to “the serotonergic neurons of the lateral hindbrain” (page 22 line 7).

P19 final para; the wording of the first sentence is rather awkward.

“Primarily, this data establishes descending serotonergic neurons originating in the LPGi as antinociceptive during acute activation” has been changed to “Primarily, our data demonstrate that serotonergic neurons of the lateral hindbrain are antinociceptive when activated”(page 22 line 16).

P20: last sentence: I suggest removing the sentence concerning intraspinal Fluorogold injections, as the data from these were not included in the study.

All mention of Fluorogold has been removed from the manuscript as no data is shown from these experiments.

P22: "PBS with added salt". This is rather confusing since 8 g NaCl per litre is actually less than physiological saline (9 g per litre). Maybe this means that 8 g NaCl was added to this?

«PBS added salt» is now changed to PBS + 8g/L NaCl throughout the text.

P24 para 3: "that were" in the first 2 lines of this para is in the wrong place. The experiments were not serotoninergic and the hindbrain wasn't labelled with eGFP.

This sentence has been rewritten and now reads “To determine whether serotonergic neurons were labelled using modified rabies virus tracing, eGFP labelled neurons in the hindbrain were identified and immunostained with TPH2” (page 27 line 15).

Figure 2 legend: explain the arrows in E.

The arrows in Figure 2 E (now figure 1 figure supplement 2B) highlight the many TPH2+ neurons in the NRM that are labelled with CTb. This has been added to the figure legend.

Figure 6 legend: spell out the differences indicated by asterisks (also in Figure 7)

The comparisons that are significantly different are now described in detail in both figure 6 and 7 (now figures 5 and 6).

Figure 7 legend: reference to the various parts is incorrect.

Apologies for this oversight, parts of this figure were rearranged, and the references were not updated. This has now been corrected.

Reviewer #1 (Recommendations for authors):

1. Much of the data in the initial figures seems somewhat extraneous to the main points of the paper:

Figure 1A-C. Does rabies virus also label distinct hindbrain neuron populations? To test infection efficiency, why not also inject SAD-G directly into the hindbrain? Furthermore, this data could go in the supplement as rabies virus tracing strategies are not used in the paper.

Figure 2F-H. These data can go in the supplement. CTb tracing strategy is not utilized in this paper.

This would be an interesting experiment to address whether certain hindbrain neurons are resistant to infection with rabies viruses. Since the rabies tracing is not the main focus of the manuscript, and the experiments that were done assess how effectively this tracing approach captures serotonergic neurons via their axon terminals in the spinal cord, we feel that this would be beyond the scope of the study. However, we have added text in the discussion to explore this possibility (page 20 line 22).

The Figure 1 has now been moved to a supplemental figure (Figure 1 figure supplement 4).

Although the CTb tracing was not utilized in the rest of the manuscript, we believe that these data are important for the main narrative of the study, as we use the selectivity of the AAV2retro to influence particular serotonergic neurons. The comparison with the CTb highlights this selectivity and therefore we feel it belongs in one of the main figures. The CTb tracing alone has been moved to a supplementary figure (figure 1 figure supplement 2).

2. For the quantification, the authors indicate the number of animals examined, but I did not see the number of cells that were assessed. This would be useful to know. For example, Figure 3H. 78.3% of NRM cells were mCherry+ ; eGFP+. Out of how many cells total?

Thank you for the suggestion. We have included these data in tables (table 3 and table 4).

3. Figure 2G. Very few eGFP+ cells are discernible in the LPGi in the representative image. There are clear eGFP+ cells in the NRM. Can you explain this discrepancy?

In this figure there are eGFP neurons labelled in the LPGi, but there are also many eGFP neurons in the NRM. However, most of these do not express TPH2 (unlike the CTB labelled neurons, which frequently co-express TPH2). Many of the differences we see are when considering the TPH2+ neurons alone (as in Figure 1F, and figure 1, figure supplement 3), which may not be so apparent in Figure 2H (now figure 1E) where many TPH2-ve cells are also labelled.

4. Figure 3E. Why are only 77.5% TPH2+ when using a TPH2::Cre? This finding suggests that the Cre used is not as effective as one might like.

This is either due to the labelled neurons containing a low level of TPH2 that is undetectable with our immunostaining protocol, or alternatively due to expression of TPH2::cre in non-serotonergic neurons. However, as the majority of these neurons contain detectable TPH2, have broad action potentials and slow afterhyperpolarizations typical for serotonergic neurons, and the majority of labelled axon terminals in the spinal cord contain serotonin, this indicates that the behavioral effects seen later in this study are likely due to the activation of serotonergic projection neurons rather than off target effects.

5. Figure 7D. NRM neurons project to lamina VII-IX, which are innervated by motor neurons. Authors should briefly discuss whether NRM activation had any effects on motor responses and whether this might contribute to the withdrawal response to von Frey filaments.

Thank you for drawing our attention to these alternative interpretations of the data. We have added this alternative explanation to the discussion (page 19 line 11). We are convinced that in these experiments the reduced thresholds to von Frey stimulation are at least in part due to a sensory phenotype as it specifically affects mechanical sensitivity, rather than a global effect on all withdrawal responses, which would be expected if the effects were solely the result of a motor phenotype.

6. Page 11: The last line cut off before reference [26]; Figure 5D. This panel is not mentioned in the results.

Apologies for this oversight, have included Figure 5D (now figure 4D) in the text of the Results section.

Reviewer #2 (Recommendations for authors):

General recommendations that span multiple experiments/figures:

– Injection sites should be documented for each experiment, using a second virus or marker to document viral spread and actual targeting.

This is an important consideration for all experiments, particularly the behavioral assays. Although we cannot include a second virus/marker retrospectively to our experiments, we have included supplementary figures illustrating all of the brain injection sites that were used in the behavioral experiments. This is included as a figure supplement to figure 7 (now figure 6) (Figure 6 figure supplement 1).

– Explanation is needed as to why all spinal cord injections seem to be at thoracic level 13 (T13), yet L2-L4 may make more sense given the hind limb behavioral phenotypes being assessed.

The spinal cord injections were made below the T13 vertebra, which corresponds to the L3 segment of the spinal cord. In the caudal spinal cord the alignment of vertebrae to spinal cord segments do not correspond exactly, we have added this explanation to the methods section of the manuscript (page 23 line 18).

– What the authors consider nucleus raphe magnus (NRM) should be clarified (e.g. Bregma levels). The presented tissue sections appear fairly caudal and will include multiple subtypes of serotonergic neurons, one of which may innervate the dorsal spinal cord and another that innervates the ventral spinal cord motor centers and likely influences motor gain. The more caudal, the greater enrichment for the latter subtype. It is likely that multiple functionally distinct subtypes of serotonergic neurons are being manipulated in the hM3Dq experiments targeting the presumed NRM. This should be considered, as well as published work in this area should be referenced. It is particularly relevant because if the presumed NRM injections are too caudal, most of the midline serotonergic cells would be those projecting to the ventral (not dorsal) horn and indeed this is what they see in Figure 4.

See above

– References that should be included as relates to medullary serotonergic neuron subtypes, functions, and hodology: Iceman, K.E. et al., 2013 J. Neurophysiol; Richerson, G.B. 2001 Respir. Physiol.; work of Gordon Mitchell; Brust et al., 2014 Cell Reports; Hennessy et al., 2017, J. Neuroscience; Depuy, S.D., et al., 2011 J. Neurosci; work of Peggy Mason.

Thank you for drawing out attention to these studies. The experiments in which midline neurons were labelled/activated will likely also influence the neurons described in these studies. We have expanded our discussion to include medullary serotonergic neurons that regulate respiration and breathing and have included the suggested references (page 19 line 11). We have also included these papers when discussing the results of our electrophysiological experiments (page 20 line 8).

– Suggest greater caution around the use of terms "antinociceptive" and "pronociceptive" (e.g. in the title). Are the behavioral tests performed at pain thresholds? More information for the reader is needed here.

The read-outs of our sensory tests were withdrawal responses which are in general accepted to indicate nociceptive (“pain”) thresholds. Although we cannot, in all cases, be absolutely certain that a withdrawal response indicates a painful sensation, we feel the terms anti- and pro-nociceptive are justified. We would therefore like to maintain the wording in the title.

– More details should be supplied around mouse lines: are the Cre driver lines BAC transgenics, IRES-cre knock-ins, or knock-in/knock-out lines? References are provided, but a direct provision of details would be helpful to the reader.

The TPH2::cre is a BAC transgenic from the Jackson laboratory and the HoxB8-cre is a BAC transgenic mouse line generated in house. We have included a description of this in the methods section to make the generation of these animals clearer (page 23 line 6).

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Data Citations

    1. Ganley RP. 2023. Targeted Anatomical and Functional Identification of Antinociceptive and Pronociceptive Serotonergic Neurons that Project to the Spinal Dorsal Horn. Dryad Digital Repository. [DOI] [PMC free article] [PubMed]

    Supplementary Materials

    MDAR checklist

    Data Availability Statement

    All data generated or analysed during this study are included in the manuscript. Raw data acquired in these experiments are uploaded to https://datadryad.org/stash and are available for download.

    The following dataset was generated:

    Ganley RP. 2023. Targeted Anatomical and Functional Identification of Antinociceptive and Pronociceptive Serotonergic Neurons that Project to the Spinal Dorsal Horn. Dryad Digital Repository.


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