Grey column

The anterior grey column, also known as the anterior horn of spinal cord, comprises three different types of neurons: large alpha motor neurons, medium gamma motor neurons, and small neurons thought to be interneurons.[2] These neurons differ in both their morphology and in their patterns of connectivity.[3] They are organized in the same manner as the muscles they innervate.[4]

Alpha motor neurons innervate extrafusal muscle fibers that generate force at neuromuscular junctions at the start of muscle contraction. They have large cell bodies and receive proprioceptive input.[3] They have been shown to reduce in population, but not in size with age.[2] Damage to these cell bodies can lead to severe muscle weakness and loss of reflexes.[5]

Gamma motor neurons innervate intrafusal muscle fibers that control the sensitivity of muscle spindles to stretch. They have smaller cell bodies than alpha motor neurons and do not receive proprioceptive input.[3] They have been shown to reduce in numbers but not size with age.[2]

The physiology of the small neurons in the anterior column is not well understood. Their effects can be both excitatory and inhibitory. They are suspected to be interneurons and have been shown to reduce in size but not numbers with age.[2]

The posterior grey column, also known as the posterior (or dorsal) horn of spinal cord, is divided into several laminae, based on the type of sensory information sent to each section.[6] Laminae I and II are sent information from afferent neurons that sense nociception, temperature, and itching, laminae III and IV are sent information from neurons that sense mechanical pressure, and laminae V and VI are sent information from proprioceptors.[7] It is known to be the primary relay point for haptic and nociceptive messages.[8] The posterior horn is also known as a partially layered structure because only laminae I and II are well defined.

The column can also be separated by nociceptive and non-nociceptive senses. Laminae I and II are important in nociception, laminae III and IV are not involved nociception, and lamina V is involved in both nociception and non-nociception.[9]

Laminae

Lamina I is also known as the marginal nucleus of spinal cord. The majority of posterior column projection neurons are located in lamina I, however most neurons in this layer are interneurons.[10] The main areas these neurons innervate are the caudal ventrolateral medulla (CVLM), the nucleus of the solitary tract (NTS), the lateral parabrachial area (LPb), the periaqueductal grey matter (PAG), and certain regions in the thalamus.[8] The CVLM receives nociceptive and cardiovascular responses.[11] The NTS receives cardio-respiratory inputs and affects reflex tachycardia from noxious stimulation.[12] The LPb projects to the amygdala and hypothalamus and is involved in the emotional response to pain.[13] The PAG develops ways to deal with pain and is a main target of analgesics. It projects to other parts of the brainstem.[14] The nuclei of the thalamus affect sensory and motivational aspects of pain.[15] The neurons of this lamina can be distinguished by their morphology as pyramidal, spindle, or multipolar.[16]

This layer is also known as the substantia gelatinosa of Rolando and has the highest density of neurons.[17] These neurons mediate the activity of nociceptive and temperature afferent fibers.[4] It is almost entirely made up of interneurons which can be further divided by their morphology. The four main morphological classes, based on the shape of their dendritic structure, are islet, central, vertical, and radial cells. The interneurons can also be divided by their function: excitatory or inhibitory. The excitatory interneurons release glutamate as their main neurotransmitter and the inhibitory interneurons use GABA and/or glycine as their main neurotransmitter. The neurons of this layer are only C fibers and contain almost no myelin.[18]

These laminae are also known as the nucleus proprius and contain a much smaller density of neurons than lamina II.[17] There are projection neurons scattered throughout these layers.[10] Mechanosensitive A beta fibers terminate in these layers.[9] The layers receive input from lamina II and also control pain, temperature, and crude touch.[4] C fibers that control nociception and temperature and sensory information from mechanoreceptors are relayed here.[19]

This lamina is also known as the neck of the posterior column and receives information from mechanoreceptors and danger information from nociceptors.[19] It has different neurons in different regions. In the medial region it contains medium-sized triangular neurons and the lateral region contains medium-sized multipolar neurons.[17]

This lamina is only found in the cervical and lumbar regions of the spinal cord. It receives afferent input from muscle fibers and joints.[4]

The lateral grey column, or the lateral horn of spinal cord, is part of the sympathetic nervous system and receives input from brain stem, organs, and hypothalamus. The lateral column is only present in the thoracic region and upper lumbar segments. The lateral grey column contains neurons supplying nerves to the muscles of the limbs, preganglionic cell bodies of the autonomic nervous system and sensory relay neurons.

Sensory nociceptive signals provide information about what kind of stimulus (heat, mechanical, etc.) is affecting the body and also indicates where on the body the stimulus is. Sensory nociceptive neurons have a small receptive field to help pinpoint the exact location of a stimulus.[23]

Affective nociceptive signals affect emotions. These signals go to the limbic system and tell the body to react to the danger stimulus (i.e. removing a hand from a hot stove). These neurons have larger receptive fields because the emotional reaction to most pain stimuli is similar.[23]