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Pelvic visceromotor functions such as micturition are regulated by coordinated autonomic and somatic motor pathways from the central nervous system. The parasympathetic system induces detrusor muscle contraction while the somatic system facilitates relaxation of the external urethral sphincter, ensuring synchronized and efficient bladder emptying during the voiding process. This study explores the relationship between Barrington's nucleus corticotropin-releasing hormone (CRH)-ergic projections and the formation of perineural nets (PNNs) among spinal motoneurons, particularly parasympathetic preganglionic neurons in the intermediolateral nucleus (IML) and Onuf's nucleus during the maturation of the neural circuitry controlling pelvic visceromotor functions. Immunohistochemical analysis revealed CRH expression commenced at postnatal Day 5 (P5) in both the IML and Onuf's nucleus, progressively increasing with age. By P60, CRH expression in Onuf's nucleus showed significant sexual dimorphism, higher in males than in females. In contrast, PNN formation exhibited distinct sex-dependent temporal patterns: Males showed earlier formation in the IML at P25, while females exhibited earlier PNN appearance in Onuf's nucleus at P25. Notably, delayed and reduced formation of PNN compared to somatic motoneurons in previous studies suggests an extended period of synaptic plasticity. This finding suggests a potentially longer and more effective recovery period for pelvic visceromotor system compared to the locomotor system. Furthermore, the observed sex difference in CRH expression and PNN formation in Onuf's nucleus may indicate the involvement of sex hormones. These results contribute to understanding the mechanism and treatment approaches tailored to age, sex, and the recovery of specific function such as micturition following spinal cord injury.
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http://dx.doi.org/10.1111/ejn.70240 | DOI Listing |
Eur J Neurosci
September 2025
Department of Neuroanatomy, Yokohama City University School of Medicine, Yokohama, Japan.
Pelvic visceromotor functions such as micturition are regulated by coordinated autonomic and somatic motor pathways from the central nervous system. The parasympathetic system induces detrusor muscle contraction while the somatic system facilitates relaxation of the external urethral sphincter, ensuring synchronized and efficient bladder emptying during the voiding process. This study explores the relationship between Barrington's nucleus corticotropin-releasing hormone (CRH)-ergic projections and the formation of perineural nets (PNNs) among spinal motoneurons, particularly parasympathetic preganglionic neurons in the intermediolateral nucleus (IML) and Onuf's nucleus during the maturation of the neural circuitry controlling pelvic visceromotor functions.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Institute of Neurology, Molecular Neuroscience, Queen Square, London, WC1N 3BG, UK.
Urinary frequency, urgency and nocturia are common complaints in Parkinson's disease (PD). The hypothesis most widely proposed to explain neurogenic bladder symptoms in PD is that cell loss in the substantia nigra may cause detrusor hyperactivity due to a loss in the D1 receptor-mediated tonic inhibition of the micturition reflex, although other causes including anti-parkinsonian medication cortical effects have been considered.1 We present the clinical and pathological findings of a patient with parkinsonism who presented with prominent dysautonomia and a poor response to dopaminergic medications and was considered to have possible multiple system atrophy parkinsonism (MSA-P).
View Article and Find Full Text PDFAnn Med
December 2025
Department of Neurology, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
Introduction: Multiple system atrophy (MSA) is a sporadic, fatal, and rapidly progressive neurodegenerative disease of unknown etiology, pathologically characterized by the presence of α-synuclein (α-syn) immunoreactive cytoplasmic inclusions in oligodendrocytes. The deposition of α-synuclein in highly interconnected neuronal networks with different neurochemistry properties in different regions of the cortex, diencephalon, brain stem and spinal cord leads to early onset and extensive autonomic dysfunction in MSA. Mainly affected areas include the hypothalamus, pons, raphe nucleus, locus coeruleus, arcuate nucleus, dorsal vagus nucleus, fuzzy nucleus, the thoracolumbar middle lateral column and Onuf's nucleus of the spinal cord.
View Article and Find Full Text PDFRinsho Shinkeigaku
August 2025
Institute for Medical Science of Aging, Aichi Medical University.
We describe an autopsy case of spinal bulbar muscular atrophy (SBMA) concomitant with multiple system atrophy (MSA). A Japanese male patient developed gait disturbance in his twenties. His brother and niece also presented with similar clinical symptoms.
View Article and Find Full Text PDFCureus
April 2025
Section of Adult Neurology, Institute for Neurosciences, St. Luke's Medical Center, Quezon City, PHL.
Multiple system atrophy (MSA) is a progressive disease with Parkinsonism, dysautonomia, and cerebellar symptoms wherein patients can present with a broad range of confusing and overlapping findings attributable to various neuroanatomical substrates. Although possible, weakness is an unusual primary complaint, warranting further work-up for another neurodegenerative disease. The involvement of the more central structures, such as the locus coeruleus, pontine micturition center, and the cerebellum, can explain the wide range of symptoms.
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