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The Journal of Neurophysiology Vol. 87 No. 4 April 2002, pp. 1686-1693
Copyright ©2002 by the American Physiological Society
Department of Biomedical Engineering, State University of New York, Stony Brook, New York 11794-8181
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ABSTRACT |
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Ge, Weiqing and Partap S. Khalsa. Encoding of Compressive Stress During Indentation by Slowly Adapting Type I Mechanoreceptors in Rat Hairy Skin. J. Neurophysiol. 87: 1686-1693, 2002. The mechanical state encoded by slowly adapting type 1 mechanoreceptors (SAI) during indentation was examined using an isolated preparation in a rat model. Skin and its intact innervation were harvested from the medial thigh of the rat hindlimb and placed in a dish, with the corium side down, containing synthetic interstitial fluid. The margins of the skin were coupled to an apparatus that could stretch and apply compression to the skin. Using a standard teased nerve preparation, the neural responses of single SAIs were identified. SAIs were stimulated, using controlled compressive stress while simultaneously measuring displacement, by compressing the skin between indenters (flat cylinders) of different diameters and a hard platform. SAIs were subcategorized according to whether their neural response saturated above or below 10 kPa compressive stress (SAI-H or SAI-L, respectively). Linear regression was used to evaluate the relationships between neuron response and stress and force and displacement. For all SAIs, the mean neural response was significantly and substantially more highly correlated with compressive stress than force or displacement. For the SAI-L subcategory, the mean correlation coefficient was significantly and substantially greater for stress than for force but not significantly different for displacement. The data from this study support the hypothesis that SAI mechanoreceptors stimulated by indentation encode compressive stress rather than force, displacement, or strain.
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INTRODUCTION |
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Slowly adapting type I
mechanoreceptors (SAIs) play an essential role in the sensation of
touch. While characterized by a sustained neural response during
constant compression (i.e., slow adaptation) (Adrian and
Zotterman 1926
; Iggo and Muir 1969
), SAIs are
also responsive to compressive vibration with a minimal threshold at
approximately 20 Hz (Bolanowski et al. 1988
) as well as
to the velocity of indentation (Pubols 1982a
). However,
they also respond proportionally (power function) to the velocity of a
stimulus stroked tangentially through their receptive fields
(Greenspan 1992
). SAI population studies have
demonstrated their ability to reliably encode implicit object
parameters such as shape (LaMotte and Srinivasan 1993
;
LaMotte et al. 1994
) and texture (Blake et al. 1997
; Johnson and Hsiao 1992
) and external
stimulus parameters of location and intensity (Friedman et al.
1998
; Khalsa et al. 1998
). However, there is
controversy regarding the mechanical state, or "adequate stimulus,"
encoded by SAIs. The mechanical state is characterized by the
internally developed local stress (related to force) and/or strain
(related to displacement), rather than the externally applied force or displacement.
Early functional studies of SAI response to indentation were performed
using displacement or force control but did not determine stress or
strain. Using displacement control and measuring force, Werner
and Mountcastle (1965)
indented SAIs in rat and monkey hairy
skin and found that the neural response was more linearly correlated to
force than to displacement. In raccoon skin, Pubols (1982a)
controlled for both static force and displacement but was unable to conclude which was the "critical variable." SAIs in
raccoon and monkey glabrous skin were found to be more sensitive to
variations in dynamic displacement than to variations in dynamic force
(Pubols 1990
). A key confounding variable is that skin
is viscoelastic, exhibiting creep (increasing displacement during constant force) or relaxation (decreasing force during constant displacement). Skin viscoelasticity can profoundly influence the time
necessary for repeated trials to be independent (Pubols
1982b
). A further complication is created while indenting
mechanoreceptors in vivo if the skin overlies soft tissues instead of
bone. In this common, if not typical, case, indentation produces
tension as well as compression and hence combined (and confounded)
tensile and compressive stresses and strains (Khalsa et al.
1997
).
The first published study to explicitly examine SAI response to stress
and strain used a linear, elastic continuum model of skin in primate
fingerpad (Phillips and Johnson 1981
). The neural response of SAIs to indentations was correlated to strain (calculated from plane stress, which was derived from applied forces) and found to
be proportional to the maximum compressive strain. However, the
validity of this model is questionable because fingerpad skin is
nonlinear, viscoelastic, and anisotropic in contrast to the model.
Using a finite-element analysis of the primate fingertip to compare SAI
response and mechanical states, Srinivasan and Dandekar
(1996)
found that maximum compressive strain and strain energy
density best fit the neurophysiological data from Philips and
Johnson (1981)
. Using a three-dimensional model of primate fingerpad, Dandekar and Srinivasan (1995)
estimated
mechanical states at a hypothetical SAI location. They found that the
mean stress had an even higher correlation with SAI response, although the maximum compressive strain and strain energy density (a scalar quantity representing the energy stored in a material during loading) were also well correlated.
Plane or three-dimensional strain compared with other mechanical states
(e.g., stress or strain energy) does not appear to be well encoded by
afferents particularly sensitive to tensile loading. In isolated cat
knee-joint capsule, the neural response of Ruffini afferents (arguably
the same as cutaneous SAIIs) to stretch was most highly correlated with
stress (Fuller et al. 1991b
; Grigg and Hoffman
1982
; Khalsa et al. 1996
) or strain energy density (Grigg and Hoffman 1984
). In isolated rat skin,
the neural responses of slowly adapting type II afferents (SAIIs) to
stretch were strongly directionally selective, most highly correlated with the tensile stress along the unit's preferred direction, and
poorly related to strain variables (Grigg 1996
). In rat
hairy skin, the neural responses of A
and C mechanoreceptors
(putative mechano-nociceptors) to tension, compression, and combined
tension and compression were more highly correlated to stress than
strain (Khalsa et al. 1997
). There are no reported
studies of the relationship between pressure and the neural
response of mechanoreceptors. While pressure and stress share the same
units (pascals in the SI system), they are in general not the same
thing. Specifically, pressure is the trivial case of where the stress
magnitudes are the same along all axes. Arguably, cutaneous
mechanoreceptors never experience pressure during any type of real
world loadings, including indentations as performed in the current experiments.
The aim of the current study was to examine what mechanical state was
encoded by SAIs during static indentation. The working hypothesis was
that the neural response would be more highly correlated with
compressive stress than other relevant variables (i.e., compressive force, displacement, or strain). To eliminate confounding variables due
to nonlinear geometry and tension developing during indentation, we
used a well-established isolated rat skin-nerve preparation that
enabled us to apply compression without developing tension (Khalsa et al. 2000
) and had a flat (i.e., linear) geometry.
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METHODS |
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Isolated skin-nerve preparation
Nineteen Sprague-Dawley rats (approximately 250 g), of
either sex, were used for the skin-nerve preparation similar to that previously reported in detail (Khalsa et al. 1997
,
2000
). Briefly, hair was removed from the medial thigh of a
pentobarbital-sodium-anesthetized rat, and small markers (0.5-mm diam)
were glued to the skin and their locations measured relative to one
another (Fig. 1A). The patch
of skin and its intact innervation were then harvested and placed in a
dish containing circulated and gassed (100% O2)
rodent, synthetic interstitial fluid (Koltzenburg et al.
1997
). Tabs (7 × 14 mm, three tabs per side, four sides,
total of 12 tabs) were cut into the margins of the skin and coupled to
force transducers mounted respectively on the ends of 12 linear
actuators (Fig. 1B). The skin was then stretched until the
markers closely approximated their in vivo (reference) configuration.
All compressive loads were subsequently applied with the skin in this
reference state.
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Mechanical system and measurements
Pure compressive loads were applied similarly as previously
reported (Khalsa et al. 2000
). Briefly, compressive
loads were applied by compressing the skin between an indenter and a
hard platform. The hard platform was a 15-mm-diam flat cylinder
positioned just underneath the skin. Indenters were flat cylinders with
radii of 1.000, 1.290, 1.580, 2.236, or 3.162 mm. The smallest diameter indenter was designed such that it would have an area much greater than
the area occupied by the receptive ending of the mechanoreceptors. This
ensured that shear stress (and strain) that developed around the edge
of the indenter, and that was immeasurable, would not confound the
"pure" compressive stress created toward the center of the indenter
(Khalsa et al. 1997
, 2000
). The largest diameter indenter was designed so that, for a given compressive force, the
compressive stress would be an order of magnitude (10 times) smaller
than that developed for the smallest diameter indenter, and the other
three indenters were equally spaced between the smallest and largest
indenters. Indenters were actuated with a force-controlled DC motor
(model 305B, Aurora Scientific, Aurora, Canada) mounted on a three-axis
positioning stage (resolution, 0.1 mm, and range, 40 mm, on each axis).
Actuator control and data acquisition (12 tensile loads, 1 compressive
load, and 1 compressive displacement) was accomplished via a laboratory
computer, A/D and D/A converter, and custom software. Compressive force and displacement were sampled at 500 Hz. Compressive stress was calculated from the applied force divided by the area of the indenter. The same compressive stresses could be applied for indenters of different diameter by varying the force; and applying the same compressive forces but varying the indenter diameters would achieve different compressive stresses. We did not attempt to directly measure
the compressive strain because we were only comparing the correlation
between neuronal response and displacement. However, for a given
neuron, the correlation between the neuronal response and compressive
displacement would be directly proportional to compressive strain. Skin
compliance at the location of the receptive ending was determined using
the midrange indenter tip (1.158-mm radius) and measured forces and
displacements during the trials.
Neuron recording and classification
Neuron recording and classification have been reported
previously in detail (Khalsa et al. 2000
). Briefly, the
nerve innervating the skin was threaded from the saline compartment
through a hole into an adjacent oil-filled chamber. Bundles of nerve
filaments were teased apart until the neural response of single neurons could be discriminated. Neural responses were monitored on a digital oscilloscope, over an audio speaker and by a template matching system
(Spike2, Cambridge Electronic Design, UK). Only neurons responsive to
mechanical stimuli (Fig. 2) and with
conduction velocities (corrected for the room temperature of the saline
bath) in the A
fiber range (i.e., 20-60 m/s) were included in this study. The most sensitive spot (MSS) of a neuron's receptive field was
determined by use of calibrated monofilaments (Stoelting). Neurons
whose MSSs were outside the makers (e.g., on the edge of the skin or in
a tab) were excluded because we could not reliably control the
mechanical state. While not anticipated a priori, we observed that SAIs
could be empirically subcategorized into two groups on the basis of
where their response saturated. The saturation level was defined as the
magnitude of load above which there was no significant increase in
neural response or at which the neural response actually decreased for
increasing load (Khalsa et al. 1996
; Rossi and
Grigg 1982
). In the current experiments, it was determined
empirically by observing when the neural response no longer increased
for increasing compressive loads. For the SAIs in these experiments, a
clear division in saturation levels was found to occur at 10 kPa of
compressive stress (Fig. 3). Hence, we
categorized SAIs as either having high or low saturation levels by
whether their neuronal response saturated above or below 10 kPa (i.e.,
SAI-H or -L, respectively).
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Experimental protocol
Once a suitable afferent was identified, compressive loads were
applied at its MSS by first lowering the indenter to the surface of the
skin until a minimal contact force (5 mN) was detected. For some SAIs,
this minimal force exceeded threshold [cf. Cain et al.
(2001)
that reported for mouse A
mechanoreceptors, both SAs
and RAs, a mean threshold of 2.1 mN with a range of 0.4-56.6 mN].
However, this was the smallest force that we could reliably deliver
with our apparatus given the range of forces needed to fully explore
their sensitivities and saturation levels. The contact force was
maintained for 0.5 s, and then the load was step indented to a
predetermined compressive stress, maintained for 5 s, and then
unloaded (Fig. 2A). Inter-trial intervals were 3 min to
allow the skin to recover its prestimulus state and to allow the
neurons to have similar responses for repeated simulations
(Baumann et al. 1986
) (Fig.
4). Ranges of loads were applied to
encompass the estimated threshold to estimated saturation level for
compression for each neuron (e.g., 0.25-2 kPa). Generally, trials were
repeated three times at each compressive stress magnitude. After all
the trials were completed for an indenter of a given diameter, then the
same loading sequence (i.e., range of compressive stresses) would be
repeated for an indenter of a different diameter.
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Data analysis
The neuronal response was characterized using the following methods: 1) the overall mean frequency, by dividing the total number of action potentials by the duration of the constant stimulus (i.e., 5 s; Fig. 2B), 2) the early phase, by dividing the total number of action potentials during the first 2 s of the constant stimulus by 2 s, 3) the late phase, by dividing the total number of action potentials during the last 3 s of the constant stimulus by 3 s, 4) the peak instantaneous frequency, designated as P1, and three sequential later instantaneous frequencies occurring 3.0, 3.5, and 4.0 s after the peak frequency (P1) and designated P2-P4, respectively. The response at a given load was reported as the mean of all repeated trials (typically 3). The relationships between the mean frequency and stress, force and displacement were evaluated by linear regression and Pearson correlation for each variable. In an attempt to discern the maximum difference between the "early" and "late" responses of the afferents to the stimulus, multiple Pearson correlations were performed for each afferent to examine the relationships between all of the different methods of characterizing the neuronal response. The means and standard errors were reported, and the least correlated relationships (i.e., with the greatest differences) were then used to further examine the differences between SAI-L and -H afferents. The slope of the linear regression was used to determine the sensitivity of a neuron to the stimulus (with the metric expressed as [Hz/kPa]). ANOVA and Student's t-test were used to assess significant differences between the Pearson correlation coefficients for each relationship. All means are reported with their standard error of the means (in parentheses).
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RESULTS |
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Forty SAIs were isolated during 19 successful experiments. Among them, 8 neurons had their MSS outside the markers and 11 neurons stopped responding prematurely to the stimulation before the minimal data recording protocol was completed. Hence the results are based on recordings from 21 SAI afferents. Of these, nine were categorized as low saturation level SAIs (i.e., SAI-L) and 12 as high saturation level SAIs (i.e., SAI-H; Fig. 3).
The mean conduction velocity (CV) for all SAIs was 26.7 ± 1.8 (SE) m/s, while the mean CVs for the subcategories (SAI-L and SAI-H) were not significantly different (P = 0.8; Fig. 5). Mean skin compliance at the
sites of indentation for neurons classified as SAI-L was greater than
for neurons classified as SAI-H, but that difference was not
significant (10.3 ± 4.1 and 1.5 ± 0.7 µm/mN,
respectively, P = 0.08). The neural responses of seven SAIs adapted to zero before the end of the 5-s stimulus, regardless of
the stimulus magnitude (Fig. 6), similar
to the moderately slowly adapting (MSA) afferents reported by
Pubols (1982a)
. Among the seven MSA, two were
categorized as SAI-L and five as SAI-H. There was no significant
difference (P = 0.87) between the mean conduction
velocity of the MSAs, 27.13 ± 3.16 m/s, and that of the other SAI
neurons, 26.5 ± 2.25 m/s.
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The mean sensitivity for all SAIs was 6.4 ± 1.5 Hz/kPa (Fig. 7A). However, the SAI-L were almost five times more sensitive than the SAI-H (10.9 ± 2.2 vs. 2.2 ± 0.7 Hz/kPa, respectively, P < 0.01). At their respective saturation loads, there was no significant difference (P = 0.90) between the mean neural responses of SAI-L and -H (Fig. 7B).
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For each neuron, the neural response to all loads (same stresses with different indenter areas) was correlated to compressive stress, force, and displacement (Fig. 8). On average, for all SAIs the neural response was significantly (P = 0.013, ANOVA) and substantially more highly correlated with compressive stress than force or displacement (Pearson correlation coefficients: 0.64 ± 0.05, 0.43 ± 0.07, 0.52 ± 0.07 for stress, force, and displacement, respectively; Fig. 9). For all SAI-Ls, the mean correlation coefficient was significantly (P = 0.013) and substantially greater for stress (0.63 ± 0.08) than that for force (0.39 ± 0.1) but not significantly different (P = 0.27) for displacement (0.61 ± 0.07; Fig. 9). For all SAI-Hs, the mean correlation coefficient was significantly (P = 0.04) and substantially greater for stress (0.65 ± 0.05) than that for force (0.42 ± 0.09) or for displacement (0.43 ± 0.11; Fig. 9).
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There were significant differences between the early and late phases of the neuronal responses (Fig. 10). Of the different metrics we used to evaluate the neuronal responses, the least correlated (i.e., with the greatest differences) were the peak instantaneous frequency (designated as P1) and the instantaneous frequency that followed P1 by 4.0 s (designated as P4). We sought to determine if these metrics would further elaborate on the mechanical state encoded by SAIs and potential differences in the subcategories, SAI-L and SAI-H. In general, neither of these specific "snap-shot" characterizations of neuronal response were as well correlated with the stimulus as was the overall mean frequency (compare Fig. 9 with Fig. 11A). For all SAIs, compressive stress was more highly correlated with neuronal responses P1 and P4 than were force or displacement, though the differences were not significant (P > 0.05; Fig. 11A). For SAI-Ls, displacement was more highly correlated with P1 and P4, though the differences were not significant (Fig. 11B). For SAI-Hs, P1 and P4 were more highly correlated with stress than force, although only with P1 was the difference significant (P < 0.05). Thus these findings using early and late phase metrics of the neuronal response concur with the analysis using the overall mean frequency.
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DISCUSSION |
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The data from this study support the hypothesis that SAI
mechanoreceptors stimulated by indentation encode compressive stress rather than force, displacement, or strain. These experiments were
designed to eliminate confounding factors typically encountered during
in vivo experiments such as nonlinear skin geometry and simultaneous
tension with compression, and experimental design issues such as shear
loading, and viscoelastic effects due to insufficient inter-trial
intervals (i.e., the skin and mechanoreceptor not fully recovering).
Hence, the fundamental mechanical state encoded by SAIs appears to be
the same as that encoded by SAIIs (Grigg 1996
), Ruffini
afferents (Fuller et al. 1991a
; Grigg and Hoffman
1982
, 1984
; Khalsa et al. 1996
), rapidly
adapting type II (A
) afferents (Prete and Grigg
1998
), and A
and C mechanonociceptors (Khalsa et al.
1997
).
The geometry of the indenters was an important design consideration in
these experiments. The cross-sectional area of the smallest indenter
was much larger than a single "touch-dome" of the rat hairy skin
(Leon and McComas 1984
) and hence greater still for a
single mechanoreceptive ending within a single touch-dome. This ensured
that uncontrollable (and un-measureable) shear stresses were minimized
during the compression. Further, for the same applied force, the
compressive stress developed with the largest diameter indenter was an
order magnitude smaller than that developed with the smallest diameter
indenter. This allowed us to examine whether stress or force was being
encoded by these afferents. It could be argued that the question could
also be examined by using indenters whose cross-sectional areas would
be smaller than that of a single SAI receptive ending. There are two
related problems with this later argument. First, unless it were
possible to isolate a receptive ending from its encompassing
extracellular matrix (cf. Bolanowski and Zwislocki
1984
), then there would be no effective way to conduct such a
test. In situ compression by such a small indenter would result in a
nonuniform (and nonlinear) stress distribution over the membrane of the
receptive ending. These stresses would not only vary spatially
(Khalsa et al. 2000
), but temporally due to the
intrinsic viscoelasticity of the skin. Second, even if it were possible
to isolate the ending, the experimental conditions would be so
artificial as to make the extrapolation of the results to the in-vivo
condition as nonsensical. Indeed, it could be argued a priori that
receptive endings of any type of mechanically sensitive neuron,
including SAIs, could not experience force at any scale except perhaps
at the single membrane-channel level, and even that is conjectural.
Rather, above the single channel scale, force is always distributed as
a continuum over an area of interest (e.g., the membrane or a portion
thereof), and, hence, must be described as stress tensor quantity. Thus
the use of indenters with relatively small cross-sectional areas would
have been problematic for these experiments and, hence, were not used.
We empirically observed that we could subcategorize SAIs by whether
their neural response saturated above or below 10 kPa (SAI-H or -L,
respectively). For both SAI-L and -H, their overall neuronal responses
were significantly and substantially more correlated with compressive
stress than force. For SAI-H, their overall neuronal responses were
also significantly and substantially more correlated to compressive
stress than displacement, which for these experiments was directly
proportional to compressive strain. However for SAI-L, there was no
significant difference between the correlation of overall neuronal
response and compressive stress or displacement (and hence in these
experiments, strain). Characterizing the early and late phases of the
neural responses and correlating those phases with the stimulus
accentuated this similarity in response to stress and displacement.
This again revealed no significant differences between stress and
displacement for SAI-L afferents. An explanation for this difference
between SAI-L and -H is due to the viscoelasticity of skin. The maximum
compressive loads applied to the SAI-L were much smaller than those
applied to the SAI-H. For small compressive loads, skin would tend to
respond as if it was linearly elastic, and, hence, compressive stress would be linearly proportional to compressive strain (or displacement). For this case, there should be no difference in the correlation between
mechanoreceptor's neural response and stress or strain, as was
observed for the SAI-L. However, for large loads, skin would behave in
a nonlinear viscoelastic manner (Daly 1982
; Lanir 1979
; Pubols 1982b
) resulting in more complex
relationships between stress and strain. For this case, it would be
expected that the neural response should be more highly correlated to
either stress or to strain but not both as was observed in the current experiments.
Our data using a rat model support the hypothesis that SAIs encode
compressive stress rather than strain. This contrasts with work by
Phillips and Johnson (1981)
, who concluded that primate SAIs encode maximal compressive strain. It is possible that there exist
significant differences between SAIs in rat hairy skin and primate
glabrous skin. Both types are associated with Merkel cells at their
terminal endings, but the terminal endings of rat SAIs occur in touch
domes in hairy skin, whereas the primate Merkel cells occur at the
interface between the epidermis and dermis and not in touch domes.
Primate glabrous fingerpad skin also has ridges, which rat hairy skin
does not, that undoubtedly influence the mechanics of load
distribution. However, there are many similarities between the neural
responses of these SAI types including conduction velocity, threshold,
sensitivity, and saturation levels. Our experimental paradigm
eliminated some of the potentially confounding variables present in
Phillips and Johnson (1981)
including nonlinear skin geometry, combined compression and tension, and a priori modeling assumptions.
Our results are in disagreement with the conclusions of
Srinivasan and Dandekar (1996)
using a two-dimensional
(2D) finite-element model (FEM) of primate fingerpad, but support their
subsequent findings (Dandekar and Srinivasan 1995
) using
a three-dimensional (3D) FEM. Their 2D FEM reasonably predicted the
neural responses of primate mechanoreceptors reported by
Phillips and Johnson (1981)
, but failed to accurately
represent the actual deformations of the fingerpad. Their 3D FEM
accurately predicted both the mechanoreceptors responses and fingerpad
deformations reported by Srinivasan and LaMotte (1991)
.
Whereas, their 2D FEM found the best correlation between neural
response and maximum compressive strain, their 3D FEM found
the best correlation between neural response and mean compressive
stress. A limitation of both of these models was that they
were based on linear elasticity, whereas skin is intrinsically
nonlinear viscoelastic (as well as being anisotropic). Our results
suggest that the modeling assumption of linear elasticity is
appropriate only for small loads and hence may only accurately represent neural responses of very low-threshold and low-saturation mechanoreceptors.
Slowly adapting cutaneous mechanoreceptors (SA) have been categorized
based on different criteria. Iggo and colleagues distinguished SAIIs
from SAIs based on SAIIs' more regular response to static indentation
and greater sensitivity to stretch (Chambers et al. 1972
; Iggo and Muir 1969
). Recently, Edin
(2001)
has introduced another category, the SAIII, which is
characterized in humans by some features of SAIIs (i.e., regular
response to indentation and high sensitivity to skin stretch) and some
features of SAIs (i.e., no directional sensitivity to stretch and
small, clearly demarcated receptive fields). In the current study, we
did not observe any SAs that exhibited significant sensitivity to
stretch, and hence categorized them all as SAIs rather than SAIIs or
SAIIIs. We did observe some SAIs that responded similarly to the MSA as reported by Pubols (1982a)
in raccoon hairy skin, but
most were similar to the very slowly adapting neurons (VSA). However,
the SAI-L was more sensitive to indentation than was the SAI-H, and this was analogous to the lower thresholds of VSAs compared with MSAs
(Pubols 1982a
). To our knowledge, this is the first
report of differences in saturation levels for subcategories of SAIs. It is not clear if these differences are due to neuron phenotypic expression, skin mechanics, or combination of the two.
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ACKNOWLEDGMENTS |
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We thank C. Zhang for technical assistance and P. Grigg for the generous donation of equipment used in the experiments.
This study was partially funded by The Whitaker Foundation (RG-97-0175).
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FOOTNOTES |
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Address for reprint requests: P. S. Khalsa, Dept. of Biomedical Engineering, SUNY at Stony Brook, HSC T18-031, Stony Brook, NY 11794-8181 (E-mail: partap.khalsa{at}stonybrook.edu).
Received 21 May 2001; accepted in final form 20 November 2001.
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REFERENCES |
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