The large synaptic complexes of the substantia gelatinosa

Abstract

A Golgi and electron microscope study, using also secondary degeneration after dorsal root transection and chronically isolated dorsal horn preparations, were undertaken with the objective to clarify the large (glomerulus-like) synaptic complexes in lamina II of the dorsal horn. The large sinusoid axon terminals forming the centers of these synaptic complexes are of intraspinal origin and are thought to arise from the hitherto unknown type of pyramid-shape nerve cells, situated at the border between laminae III and IV. The sinusoid axon terminals establish axo-dendritic synapses with substantia gelatinosa neurons and abundant axo-axonic synapses with smaller terminals that could be identified (at least partly) as endings of primary sensory afferents. The central sinuous axon terminals of the synaptic complexes are always presynaptic to the smaller axons and thus might be considered as a device for 1. presynaptic inhibition of impulse transmission from primary afferents to substantia gelatinosa neurons, and 2. as the anatomical basis for primary afferent depolarization.