We investigated the physiological properties of mediastinal pleural pr
imary afferent units by recording single nerve fibre activity from the
phrenic nerve in an in vitro preparation of rabbit tissue. A total of
41 units with conduction velocities in the group III and IV range wer
e examined for their responsiveness to mechanical, thermal and chemica
l stimuli. Most receptive fields were adjacent to the phrenic nerve-pe
ricardiacophrenic artery complex. The thresholds to punctate mechanica
l stimulation (von Frey hairs) were widely scattered around a median o
f 5.4 mN; all fibres showed slowly adapting responses to mechanical st
imulation. Heat sensitivity was observed in 7/41 units (17%), while 17
/41 (41%) of the fibres exhibited a spurious transient excitation to s
trong and rapid cooling. Chemosensitivity was scarce with respect to c
apsaicin (7/33 (21%) of the units responding) but more common to CO2-s
aturated synthetic interstitial fluid (pH 6.1, 5/16 (31%) responding).
The most effective stimulus was a mixture of bradykinin, serotonin, h
istamine and prostaglandin E-2 ('inflammmatory soup') which evoked sti
mulus responses in 27/33 (82%) of the afferent fibres challenged. Sens
itization to mechanical stimuli occurred in 5/41 (12%) of the units, f
ollowing the application of heat or inflammatory mediators. The rabbit
pleura appears as a tissue mainly innervated by multimodal mechano- a
nd chemosensitive afferent units.