Four nuclei of the pretectal complex, the olivary pretectal nucleus, t
he medial pretectal nucleus, the nucleus of the optic tract and the po
sterior pretectal nucleus, all have a demonstrated role in visual func
tion. In contrast, the anterior pretectal nucleus (APtN) has no inputs
from retina and has few outputs to visual accessory nuclei. The APtN
has connections with areas associated with sensory functions and it ha
s been suggested that this nucleus may have a role to play in somatose
nsory processing. An increasing number of behavioural and electrophysi
ological studies support this view. Brief low-intensity electrical or
chemical stimulation of the APtN causes antinociception in the tail fl
ick test in both unanaesthetised and anaesthetised animals. This inhib
ition of the tail flick response is attenuated by naloxone, alpha-adre
noceptor antagonists and muscarinic cholinergic receptor antagonists.
Electrical stimulation of the APtN is similarly effective in the paw p
ressure and formalin tests. APtN stimulation also causes a brief inhib
ition of the tooth pulp-evoked jaw opening reflex. studies with [C-14]
2-deoxyglucose indicate that peripheral noxious stimuli will cause an
increase in metabolic activity within the APtN. Animals with electrode
s placed in the APtN will self-administer electrical stimulation and t
his can reduce the aversive and autonomic effects of stimulating the v
entromedial hypothalamus. Part of the antinociceptive effects of stimu
lating the APtN are due to a descending inhibition of spinal dorsal ho
rn projection neurones. Multireceptive neurones deep in the dorsal hor
n are inhibited by APtN stimulation. In contrast, superficial projecti
on neurones that respond to intense cutaneous stimuli are excited by A
PtN stimulation. The APtN receives an excitatory input from low-thresh
old afferents via the dorsal column pathway and a high-threshold excit
atory drive from superficial cells projecting through the dorsolateral
funiculus. The excitatory input from the dorsal columns may well part
icipate in the long-term inhibition of spinal projection neurones evok
ed by dorsal column stimulation. These ascending excitatory pathways m
ay also be important to the long-term activation of descending inhibit
ion from the APtN.