Holstege Gert, Georgiadis Janniko R
Department of Anatomy and Embryology, University of Groningen, Groningen 9713 AV, The Netherlands.
Prog Brain Res. 2004;143:39-45. doi: 10.1016/S0079-6123(03)43004-5.
The organization of virtually all basic survival mechanisms in the central nervous system (CNS) is within the most central regions of the mesencephalon and the rostrally adjoining diencephalon; in particular, the mesencephalic periaqueductal gray (PAG) and hypothalamus. The PAG sends specific pathways to the caudal brainstem where neurons are located that, in turn, control nociception, blood pressure, heart rate, and micturition. Via projections to the nucleus retroambiguus (NRA) in the most caudal part of the medulla, the PAG controls the intra-abdominal pressure associated with vocalization, vomiting, and parturition. In cats, the PAG also controls sexual posture via NRA projections to motoneurons in the lumbosacral cord. These NRA-lumbosacral motoneuronal pathways are almost nine times stronger in the estrous vs. non-estrous female cat. While neuronal activity in specific CNS pathways is now known to control sexual behavior in the cat, how is it organized in the human? PET-scan results on human ejaculation have revealed that the meso-diencephalic transition zone is particularly and strongly activated. This region includes the so-called ventral tegmental area that is also known as a "reward area." For example, it is also activated during a heroin rush. Other strongly activated structures during sexual activity include the cerebellum and lateral part of the corpus striatum. At the level of the cerebral cortex, areas in the prefrontal and parietal cortex are also activated, but exclusively on the right side. Further study of these structures should certainly lead to better insight into human sexual behavior and provide the possibility to improve sexual activity in those who suffer from problems in this area.
中枢神经系统(CNS)中几乎所有基本生存机制的组织都位于中脑最中央的区域以及向前毗邻的间脑;特别是中脑导水管周围灰质(PAG)和下丘脑。PAG向脑干尾部发送特定通路,那里存在神经元,这些神经元进而控制痛觉、血压、心率和排尿。通过投射到延髓最尾部的疑核(NRA),PAG控制与发声、呕吐和分娩相关的腹内压。在猫中,PAG还通过NRA投射到腰骶部脊髓的运动神经元来控制性行为姿势。在发情期与非发情期的雌性猫中,这些NRA - 腰骶部运动神经元通路的强度几乎相差九倍。虽然现在已知特定CNS通路中的神经元活动控制着猫的性行为,但在人类中它是如何组织的呢?关于人类射精的PET扫描结果显示,中脑 - 间脑过渡区被特别强烈地激活。这个区域包括所谓的腹侧被盖区,它也被称为“奖赏区”。例如,在海洛因成瘾发作时它也会被激活。性活动期间其他被强烈激活的结构包括小脑和纹状体的外侧部分。在大脑皮层水平,前额叶和顶叶皮层的区域也会被激活,但仅在右侧。对这些结构的进一步研究肯定会有助于更好地理解人类性行为,并为改善在这方面存在问题的人的性活动提供可能性。