In human ciliary ganglia, 18% of neurons were in contact with substanc
e P (SP) and 12% with calcitonin gene-related peptide (CGRP) like-immu
noreactive (LI) varicose axons. CGRP was colocalized with SP. Numerous
SP-LI and CGRP-LI non-varicose nerve fibers were found between the ga
nglion cells and in nerve trunks that entered the ganglia. Axons immun
oreactive for neuropeptide Y (NPY), vasoactive intestinal polypeptide
(VIP), tyrosine hydroxylase (TH) or dopamine-beta-hydroxylase (DBH) ne
ver contacted neuronal cell bodies. Perikarya of ciliary neurons neith
er stained for any of the neuropeptides nor for DBH. 23% of ciliary pe
rikarya were TH-immunoreactive. These observations suggest an innervat
ion of human ciliary ganglion neurons by peptidergic primary afferent
collaterals presumably of trigeminal origin.