Localization of cholecystokininlike immunoreactivity in the rat spinal cord, with particular reference to the autonomic innervation of the pelvic organs.

The distribution of cholecystokinin in the spinal cord was investigated by immunohistochemistry. Throughout the length of the spinal cord cholecystokinin immunoreactivity was found in laminae I and II, in the spinal reticular nucleus, and in the surroundings of the central canal. On the basis of the cholecystokinin pattern lamina II could be divided into a dorsal and ventral part. In the lumbar and sacral spinal cord additional terminal fields of cholecystokinin immunoreactive boutons unique to these levels were found. They corresponded to the intermediolateral nucleus and to the medial lumbar sympathetic nucleus dorsal to the central canal in the first and second lumbar segment. Also the intermediolateral nucleus in L6-S1 received a dense cholecystokinin positive input. Moreover, the area surrounding the central canal in L6-S1 contained many cholecystokinin immunoreactive structures. Combined retrograde tracing and immunocytochemistry revealed that the two cholecystokinin terminal fields characteristic for L1-L2 and that surrounding the intermediolateral nucleus in L6-S1 were situated corresponding to preganglionic neurons innervating pelvic organs through the hypogastric nerve or the pelvic nerves. It thus appears that the unique lumbosacral cholecystokinin is related to nuclei influencing pelvic structures, pointing to a special need for regulation of the organs involved in evacuation and sexual functions. Moreover, it is demonstrated that the caudal part of the spinal sympathetic system differs from the more cranial part with respect to type of afferent connections. The origin of the spinal cholecystokinin was investigated and it was found that neither complete transection of the spinal cord nor ipsilateral sectioning of three or four dorsal roots induced visible changes in the cholecystokinin staining pattern. Treatment of the caudal spinal cord with colchicine revealed the presence of cholecystokinin immunoreactive neurons in the intermediate gray, at the lateral border of the dorsal horn, in the dorsal horn proper, and in the substantia gelatinosa. These findings indicate that the majority of spinal cholecystokinin has a spinal origin.