Innervation of laryngeal nerve paraganglia: an anterograde tracing and immunohistochemical study in the rat.

Carotid body-like organs, paraganglia, frequently occur in the superior and recurrent laryngeal nerves. The paraganglia are supplied with a rich innervation of unknown origin. In the present study, the origin of the innervation of the paraganglia of the rat was studied with two different techniques. One approach was anterograde tracing of wheat-germ agglutinin-horseradish peroxidase after injection into the nodose and jugular ganglia of the vagus and the superior cervical ganglion. The other approach was immunohistochemical staining for neuropeptides after excision of the superior cervical ganglion, or vagotomy. Antisera against neuropeptide Y, vasoactive intestinal polypeptide, and calcitonin gene-related peptide were utilized. Both the tracing method and calcitonin gene-related peptide immunohistochemistry after vagotomy showed that the paraganglia receive sensory innervation from the vagal ganglia. No labeling was detected in the paraganglia after injection of wheat-germ agglutinin-horseradish peroxidase in the superior cervical ganglion. Excision of this ganglion did not lead to a decrease in the neuropeptide-Y innervation in the paraganglia, but most of this innervation in the surrounding blood vessels disappeared. The observations show that the superior cervical ganglion does not contribute to the innervation in the paraganglia and that the neuropeptide-Y innervation of the blood vessels originates from the superior cervical ganglion whereas that of the paraganglia has another origin, most likely local ganglionic cells. The results also suggest that the vasoactive intestinal polypeptide innervation in the paraganglia arises from local ganglionic cells. The two approaches complemented each other in mapping the afferent and efferent nerve supply of the paraganglia.