Immunohistochemistry of tyrosine hydroxylase and phenylethanolamine N-methyltransferase in the human brain stem: description of adrenergic perikarya and characterization of longitudinal catecholaminergic pathways.

Using immunocytochemical method in conjunction with antibodies to tyrosine hydroxylase and phenylethanolamine N-methyltransferase, catecholaminergic cell groups and axon pathways are mapped in the human hind brain. Adrenergic perikarya are located mainly in the rostral medulla, as in lower animals, and contribute a subset of axons to the main longitudinal catecholaminergic bundle which runs through the medulla oblongata, pons and midbrain such as the dorsal part of the central nucleus of the medulla oblongata, the parvocellular reticular formation ventromedial to the facial nerve and ventrolateral to the locus coeruleus. Adrenergic terminals are present in the locus coeruleus and other medullary and pontine structures. The locus coeruleus contains only tyrosine hydroxylase-immunoreactive cells and appears to be the source of a discrete dorsal catecholaminergic bundle which runs through the central tegmental field just ventrolateral to the periaqueductal gray of the rostral pons and mesencephalon and which does not contain adrenergic axons. A ventral catecholaminergic bundle arising in the medullary cells does contain a subset of adrenergic axons in the mesencephalic tegmental field. These two longitudinal axon bundles run near each other in the mesencephalic reticular formation. Additional descriptions are provided of catecholaminergic axons near the dorsal and ventral surface of the human medulla.