The present study is an attempt to examine the neuronal circuitry of a
supraspinal site engaged in pain modulation. Five physiological measu
res were postulated as the criteria for defining a central nervous sys
tem site engaged in the circuitry of pain modulation. The lateral hypo
thalamus met these five measures: (i) 81% of the lateral hypothalamus
neurons (247/304) responded to noxious stimuli using a single cell rec
ording procedure; (ii) stimulation of the periaqueductal gray-dorsal r
aphe area or the habenula modulated 98% and 87% of the lateral hypotha
lamus noxious-evoked activity; (iii) microiontophoretically applied mo
rphine modulated 77% of the lateral hypothalamus noxious evoked activi
ty; (iv) electrical stimulation of the lateral hypothalamus produced b
ehavioral analgesia proportional to the stimulus intensity as assessed
by the tail flick assay; and (v) morphine application into the latera
l hypothalamus produced behavioral analgesia in a dose-response manner
using, the tail flick assay. In conclusion, the lateral hypothalamus
can be considered one of the pain modulation sites.