The histochemical analysis of cholecystokinin (CCK) systems in sensory syst
ems has revealed involvement of CCK-ergic mechanisms both at the spinal lev
el and in the viscero-sensory vagal pathway, with distinct differences betw
een these two systems as well as between species. Thus, the CCK1 receptor i
s particularly abundant in rat nodose ganglion neurons which express the fo
od intake-suppressing cocaine- and amphetamine-regulated transcript (CART)
peptide(s), representing a likely link between gastrointestinal CCK and cen
tral feeding-regulatory centers. In contrast, rat dorsal root ganglions hav
e lower numbers of CCK receptor mRNA-positive neurons, and CART is only exp
ressed sparingly in this system. The CCK2 receptor is normally almost absen
t from both systems but is strongly upregulated after peripheral nerve inju
ry, suggesting a role in regenerative and trophic phenomena as well as, at
the spinal level, in nerve injury-induced pain. In man and monkey the CCK1
receptor seems important in the dorsal hom under normal conditions, indicat
ing distinct species differences.