Introduction : The systemic
                     administration of low doses of dopamine (DA)
                     agonists, such as apomorphine, piribedil,
                     lisuride and 3-PPP, induces yawning and penile
                     erection in rats. Such a response is apparently
                     mediated by the stimulation of central DA
                     receptors of the D2 type, according to the
                     nomenclature of Kebabian and Calnell. Indeed,
                     both penile erection and yawning are induced by
                     D2 DA agonists, but not by selective Dl DA
                     agonists such as SKF 38393, and are prevented by
                     selective D2 DA antagonists such as sulpiride .
                     Unlike low doses, high doses of D2 DA agonists
                     induce hypermotility and stereotypy, but
                     suppress penile erection and yawning.
                     Experimental evidence has shown that
                     hypermotility and stereotypy by high doses of D2
                     DA agonists are due to the stimulation of
                     postsynaptic DA receptors localized in the
                     caudate nucleus and in the nucleus accumbens.
                     
                     On the contrary, the localization of DA
                     receptors mediating yawning and penile erection
                     is still controversial. It has been suggested
                     that yawning induced by DA agonists is mediated
                     by DA 'autoreceptors', a special kind of DA
                     receptors located on the nerve endings and cell
                     bodies of the dopaminergic neuron itself, whose
                     stimulation leads to the inhibition of neuronal
                     dopaminergic activity. Such an hypothesis is
                     supported by studies showing that yawning is
                     abolished by the destruction of the
                     nigrostriatal DA system by 6-hydroxydopamine
                     (6OHDA). However, the above conclusions have
                     been questioned by recent experimental evidence
                     suggesting that DA receptors mediating yawning
                     are postsynaptic DA receptors . As to the DA
                     receptors mediating penile erection, the problem
                     is even more complicated, since it has still to
                     be determined whether or not these DA receptors
                     are the saine that mediate yawning or another
                     population of DA receptors. In order to clarify
                     the above controversy, it would be helpful to
                     determine the brain area where DA agonists act
                     to induce pende erection and yawning. In an
                     attempt to identify such brain area(s), we have
                     microinjected apomorphine into discrete brain
                     areas through chronically implanted guide
                     cannulae. The results show that low doses of
                     apomorphine and other DA agonists induce penile
                     erection and yawning when injected into the
                     paraventricular nucleus of the hypothalamus
                     (PVN). 
                     
                     [...] 
                     
                     Discussion : The present results show
                     that nanogram amounts of apomorphine induce
                     penile erection and yawing when injected into
                     the hypothalamic PVN. Although spreading of the
                     drug to hypothalamic areas surrounding the PVN
                     is possible, it is unlikely that such responses
                     are mediated by other hypothalamic nuclei since
                     injection of apomorphine in regions very close
                     to the PVN, such as the ventromedial and
                     dorsomedial nucleus and the preoptic area, was
                     ineffective. Similarly, ineffective were also
                     injections into the substantia nigra, the
                     striaturn and nucleus accumbens, the brain areas
                     that contain the highest levels of DA and that
                     mediate hypermotility and stereotypy induced by
                     DA agonists. The ineffectiveness of an
                     apomorphine injection into the striatum to
                     elicit yawning is in contrast with previous
                     studies showing that yawning is induced by the
                     bilateral injection of apomorphine into the
                     caudate nucleus. The discrepancy may be
                     explained by the fact that in these studies
                     doses of apomorphine (5µg and higher) were
                     used that were too high. Such doses have
                     probably resulted in a spread of the drug to the
                     active site. The present results are also in
                     contrast with the finding that the destruction
                     of the nigrostriatal DA system by 6-OHDA
                     abolishes yawning induced by apomorphine. A
                     possible explanation for the failure of
                     apomorphine to induce yawning might be the
                     development of DA receptor supersensitivity,
                     that favors the appearance of hypermotility and
                     stereotypy masking yawning and pende erection.
                     Alternatively, il might be that an intact
                     nigrostriatal DA systern is necessary for the
                     expression of yawning. 
                     
                     As to the possible site of action of
                     apomorphine in the PVN, il is noteworthy that D2
                     DA receptors have been detected in this area,
                     and that the PVN contains the cell bodies of DA
                     neurons of the A14 group, that constitute, the
                     so-called incertohypothalamic DA system,
                     together with those of the Al l and A13 groups.
                     This system consists of short, locally
                     projecting neurons whose fibers arborize
                     extensively soon after they have left their cell
                     bodies and also project to the anterior and
                     lateral hypothalamus and preoptic area . Recent
                     experiments suggest the presence of DA
                     autoreceptors on the incertohypothalamic DA
                     neurons controlling DA synthesis. Therefore,
                     penile erection and yawning might be due to the
                     autoreceptor-mediated inhibition of such
                     neurons. However, the finding that penile
                     erection and yawning were el cited by (+)-3-PPP,
                     but not by (-)-3-PPP, and that apomorphine
                     responses were antagonized by SCH 23390 supports
                     the hypothesis that yawning reflects activation
                     of postsynaptic DA receptors rather than
                     autoreceptor-mediated inhibition of DA
                     transmission. In fact, as previously discussed
                     for yawning induced by systemically injected
                     apomorphine, both 3-PPP enantiomers are DA
                     autoreceptor agonists, but have different
                     postsynaptic properties: namely, al this site
                     the (+)-enantiomer is an agonist while the
                     (-)-enantiorner is an antagonist. (-)-3-PPP,
                     because of its pre- and postsynaptic action,
                     would have been more active than the
                     (+)-enantiomer, if yawning reflected the
                     inhibition of DA transmission. Similarly, SCH
                     23390 has been shown to antagonize postsynaptic
                     DA receptor-mediated effects of apomorphine, but
                     to be unable to antagonize DA
                     autoreceptor-mediated responses: SCH 23390 would
                     have been ineffective in antagonizing the
                     apomorphine response, if DA autoreceptors in the
                     PVN behaved as DA autoreceptors in the
                     nigrostriatal DA system. 
                     
                     Irrespective of their location, DA receptors
                     mediating yawning and penile erection apparently
                     are of the D2 type because of their response
                     being reproduced by the selective D2 agonist LY
                     171555, but not by the Dl agonist SKF 38393, and
                     antagonized by sulpiride, a specific D2
                     antagonist. However, the finding that SCH 23390
                     antagonized apomorphine-induced yawning and
                     penile erection is in agreement with recent
                     observations showing that this rather selective
                     Dl antagonist paradoxically abolishes other
                     responses to apomorphine, which are considered
                     to be mediated by D2 receptors. These responses
                     also include yawning induced by systemic
                     apomorphine or LY 171555 administration 13 . An
                     explanation for this paradox might be sought in
                     the still unknown relationship between D1 and D2
                     receptors. 
                     
                     The present results suggest that the
                     hypothalamic PVN is the target of systemically
                     injected DA agonists to produce yawning and
                     pende erection, and that the
                     incertohypothalamic DA system has a
                     physiological role in controlling these
                     behaviors. Il is noteworthy that: (a)
                     stretching-yawning syndrome and penile erection
                     can be induced, other than by DA agonists, by
                     ACTH-derived peptides and by oxytocin, (b) that
                     the hypothalamic regions surrounding the third
                     ventricle are the most sensitive brain areas for
                     the induction of these effects by ACTH, (c) that
                     the PVN, where oxytocinergic neurons are
                     located, is the most sensitive site in the brain
                     for oxytocin-induced penile erection and
                     yawning. The link between DA, oxytocin and ACTH
                     in controlling yawning and/or pende erection and
                     the link between penile erection and yawning are
                     still obscure. 
                     
                     Pharmacological interactions suggest that DA,
                     oxytocin and ACTH receptors controlling the
                     above responses are situated downhill one after
                     the other in a sequence. Accordingly, blockade
                     of DA receptors by neuroleptics fails to inhibit
                     the effect of oxytocin and ACTH whereas blockade
                     of oxytocin receptors with the potent oxytocin
                     antagonist, d(CH2)5 Tyr(Me)-Orn-vasotocin,
                     results in the inactivation of apomorphine and
                     oxytocin but not ACTH responses. Finally, DA
                     agonist-induced yawning, like ACTH-and
                     oxytocin-induced yawning and penile erection, is
                     abolished by pretreatment with antimuscarinic
                     drugs. Since yawning also is induced by the
                     systemic injection of muscarinic agonists it has
                     been suggested that yawning is a consequence of
                     an increased cholinergic transmission secondary
                     to the inhibition of DA release. However,
                     this hypothesis has not been proved yet by
                     injecting directly antimuscarinic drugs into
                     discrete brain areas. Hence the site where
                     antimuscarinic agents act to abolish yawning is
                     still unknown. As to a possible interaction
                     between DA and acetylcholine in the PVN,
                     cholinergic fibers and terminals as well as
                     muscarinic receptors have been identified in
                     this nucleus. However, it is still unknown if a
                     direct interaction exists between the two
                     neurotransmitters. 
                     
                     In conclusion, the present results
                     indicate for the first time that the
                     incertohypothalamic DA neurons play an important
                     physiological role in controlling yawning and
                     pende erection.  
                  
                  
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