The Gentle Touch Receptors of Mammalian Skin Amanda Zimmerman Et Al
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SKIN REVIEW localization and movement and to define tex- tural components of taste. In mammalian fe- males, milk secretion is triggered by suckling stimulation of the nipples. Moreover, some spe- The gentle touch receptors cies have evolved skin that is highly specialized for particular functions. Mystacial pads of noc- of mammalian skin turnalrodentshavelongwhiskersandarespe- cialized for navigation and spatial orientation. Amanda Zimmerman,1 Ling Bai,1,2 David D. Ginty1* The snouts of star-nosed moles and the bills of tactile-foraging birds are specialized for locating prey. These particular skin regions are asso- The skin is our largest sensory organ, transmitting pain, temperature, itch, and ciated with different combinations of LTMRs, touch information to the central nervous system. Touch sensations are conveyed by making each region neurophysiologically and distinct combinations of mechanosensory end organs and the low-threshold functionally distinct. mechanoreceptors (LTMRs) that innervate them. Here we explore the various Key to our understanding of the neuro- structures underlying the diverse functions of cutaneous LTMR end organs. Beyond biological basis of touch is determining how anchoring of LTMRs to the surrounding dermis and epidermis, recent evidence LTMR end organs encode complex forms of suggests that the non-neuronal components of end organs play an active role in tactile stimulation and how this encoding is signaling to LTMRs and may physically gate force-sensitive channels in these then integrated and processed within the cen- receptors. Combined with LTMR intrinsic properties, the balance of these factors tral nervous system. LTMR subtype central pro- comprises the response properties of mechanosensory neurons and, thus, the jections terminate within somatotopic columns neural encoding of touch. in the dorsal horn of the spinal cord, with a sub- set also sending collaterals to he skin, our largest organ, encompasses the dorsal column nuclei of the the entire body and mediates our sense of brainstem (1). Dorsal horn col- touch. Neurophysiologically complex, the umns contain interneurons that T skin is innervated by a wide variety of sen- are thought to process touch on August 3, 2015 sory neuron subtypes, including nocicep- information, as well as projec- tors, which sense painful stimuli; pruriceptors, tion neurons that carry this which convey itch; thermoreceptors, which reg- processed information to the ister temperature information; and low-threshold brainstem and higher cortical mechanoreceptors (LTMRs), which encode non- areas [for a review of central painful mechanical stimuli, or touch. We use our processing, see (2)]. Here we sense of touch to recognize and manipulate ob- explore the mechanosensory end jects, to communicate and socially interact with organs of the skin, focusing on one another, to appreciate the textures of the the physiological, morphological, foods we eat, for procreation and sexual plea- and ultrastructural properties www.sciencemag.org sure, and in maternal nursing. The cutaneous of LTMRs and their associated end organs and the mechanosensory neurons non-neuronal cells, and we hy- that innervate them have evolved to underlie a pothesize how different end range of sensory functions, as evidenced by the organs give rise to the distinct multitude of skin type specializations that are response properties and func- each innervated by a distinct array of sensory tions that define mammalian neuron subtypes, reflecting the diversity of func- touch neurons. tions of touch neurons. Downloaded from Mammalian skin comprises both hairy and LTMRs of hairy and nonhairy, or glabrous, skin. Glabrous skin is glabrous skin predominantly found on the hands and feet of TheLTMRsareaheterogeneous most mammals. In this context, glabrous skin group of sensory neurons. Just is specialized for discriminative touch, deter- Fig. 1. LTMR innervation of glabrous skin. Glabrous skin is in- as the gustatory system has dis- mining texture and shape to accurately recognize nervated by Ab LTMRs, including Ab SA1-LTMRs terminating in tinct sensory receptors optimal- objects and providing feedback to the central Merkel cells, Ab SA2-LTMRs hypothesized to end in Ruffini end- ly tuned to detect sweet, sour, nervous system to mediate proper grip con- ings, Ab RA1-LTMRs innervating Meissner corpuscles, and Ab salty, umami, or bitter tastants, trol, reaching, and locomotion. Hairy skin cov- RA2-LTMRs ending in Pacinian corpuscles. Green boxed regions LTMRs are divided into subtypes ers more than 90% of the body surface. It also are shown in greater detail in Fig. 3 (here, the letters “A,”“B,” and distinguished by their distinct serves a discriminative touch role, albeit with “C” correspond to panels with the same names in Fig. 3). SC, sensitivities, conduction veloc- considerably lower spatial acuity as compared stratum corneum; SL, stratum lucidum; SG, stratum granulosum; ities, and adaptation to sustained with nonhairy skin. Hairy skin is strongly as- SS, stratum spinosum; SB, stratum basale. mechanical stimulation. For ex- sociated with affective touch—that is, touch that ample, slowly-adapting (SA) touch evokes an emotional response, such as during receptors are indentation de- nurturing. Other types of skin are highly spe- tectors, firing continuously during a sustained 1Department of Neurobiology, Howard Hughes Medical cialized for the functional roles they play. The stimulus, whereas rapidly-adapting (RA) touch Institute, Harvard Medical School, 220 Longwood Avenue, genitalia, specifically the glans penis and glans receptors are velocity detectors that respond Boston, MA 02115, USA. 2The Solomon H. Snyder clitoris, are specialized forms of glabrous skin, only to the onset and offset of indentation. In Department of Neuroscience and Howard Hughes Medical fine-tuned for sexual pleasure sensation and re- glabrous skin, four types of LTMRs with fast Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. productive reflexes. The skin of the lips, tongue, conduction velocity (Ab LTMRs) have been *Corresponding author. E-mail: [email protected] and inner cheeks are specialized to aid in food defined (Fig. 1), each with a distinct terminal 950 21 NOVEMBER 2014 • VOL 346 ISSUE 6212 sciencemag.org SCIENCE morphology and tuning property (3–5): (i) Ab SA1-LTMRs innervate Merkel cells in the basal epidermis and report the static nature of touch stimuli, (ii) Ab SA2-LTMRs are hypothesized to terminate in Ruffini corpuscles in the dermis and are particularly sensitive to skin stretch, (iii) Ab RA1-LTMRs innervate Meissner’s corpuscles in dermal papillae and are sensitive to movement across the skin, and (iv) Ab RA2-LTMRs terminate in Pacinian corpuscles deep in the dermis and are tuned to high- frequency vibration (6–8). In hairy skin, several LTMRs form specialized terminals asso- ciated with hair follicles, allow- ing the sense of touch to extend beyond the skin surface (Fig. 2). Ab SA1-LTMRs and Merkel cells form complexes called touch domes to detect skin indentation (9, 10). Thehairfollicleshaftissupplied by collars of mechanoreceptor ter- minals, including at least three LTMR subtypes that exhibit lon- gitudinal lanceolate endings and Fig. 2. LTMR innervation of hairy skin. Hairy skin in rodents is innervated by distinct combinations of LTMRs. Touch onetypethathascircumferen- domes of Merkel cells and associated Ab SA1-LTMRs are found above the level of the sebaceous glands of guard hair tial endings. These subtypes differ follicles. Guard hairs are also innervated by Ab RA-LTMR lanceolate endings. Awl/auchene hairs are innervated by all three in their sensitivities, adaptation types of lanceolate-ending LTMRs: Ab RA-LTMRs, Ad-LTMRs, and C-LTMRs. Zigzag hairs, the most numerous, are innervated properties, and conduction veloc- by Ad-LTMRs and C-LTMRs. Circumferential endings encircle the longitudinal lanceolate endings of all three types of hair ities (1, 11). The neck of the hair follicles. The white boxed region is shown in greater detail in Fig. 4. follicles and the adjacent epidermis are penetrated by unmyelinated LTMRs with free nerve endings (12). At least one These complexes are infrequent or absent in dense-core vesicles are hypothesized to release type of unmyelinated, slowly-conducting LTMR skin regions in which spatial acuity is not para- neuropeptides rather than classical neurotrans- has endings localized solely to hairy skin and is mount, such as the genitalia (15, 16). Ab SA1- mitters, thus modulating Ab SA1-LTMR responses. implicated in pleasurable touch sensation in LTMR responses to static indentation include Taste receptor cells in the gustatory system humans (13). Thus, morphological and neuro- a high-frequency dynamic phase during initial and hair cells of the auditory system are promi- physiological differences in glabrous- and hairy- skin indentation and lower-frequency, tonic nent examples of non-neuronal cells participat- skin LTMRs define the distinct sensory functions firing during prolonged indentation. Function- ing in stimulus transduction (21, 22), yet it was of glabrous and hairy skin. ally, studies mainly performed in humans and only recently shown that an analogous situation other primates indicate that the glabrous-skin occurs in touch sensation. Merkel cells, both in The form that underlies function Merkel cell/Ab SA1-LTMR complex conveys in- culture and ex vivo, exhibit mechanically acti- of cutaneous touch receptors formation about texture,