Lamellar (Pacinian) corpuscles
Lamellar corpuscles, also known as Vater-Pacini or Pacinian corpuscles, are sensory receptors with their endings encapsulated by concentric layers of connective tissue that respond to deep pressure and high-frequency vibrations (~250 Hz). These mechanoreceptors are found throughout the body, deep in the dermis and in non-cutaneous tissues. Pacinian corpuscles are part of the tactile-end organs in the skin, alongside Merkel cells, Meissner corpuscles, and Ruffini corpuscles.
Definition |
Sensory receptor - Mechanoreceptor Stimuli: low threshold/ high sensitivity Vibration (max sensitivity: 200- 400 Hz) and Deep pressure |
Location |
Glabrous skin Hairy skin Non-cutaneous tissues |
Structure |
Onion-like bulb formation - Terminal neurite - Lamellae: Inner core, Intermediate growth zone, Outer core, External capsule |
Function |
Mechanotransduction Μechanical stimulus → membrane deformation → receptor potential above threshold (Na+ channels) → action potential Voltage-gated channels; stimulus velocity and frequency sensitivity (K+ channels), stimulus transduction (Na+ channels) Voltage-independent channels; membrane tension and stretch Phasic receptor (off response) Rapid adaptation |
Location
The lamellar corpuscles are widely distributed in the human body, in the reticular layer of the dermis and hypodermis of both glabrous and hairy skin, as well as in subcutaneous tissues. They can be found in the palms, soles, and digits of hands and feet, as well as in the joints, external genitalia, the breasts,the heart, the mesentery, the periosteum, and loose connective tissue.
Structure
Pacinian corpuscles are structurally complex sensory receptors, encapsulating the endings of mechanosensory neurons in a distinctive onion-like bulb formation.
These oval-shaped structures can reach up to 4 mm in length. At their center, they contain the non-myelinated nerve terminal, the terminal neurite, of otherwise myelinated neurons functioning as low threshold mechanoreceptors (LTMRs) with fast conduction velocities (Aβ fibers). Typically, a single neurite is found within each corpuscle, although Pacinian corpuscles innervated by multiple nerve endings have been detected in the human skin and pancreas. The terminal neurite is coated by multiple concentric, non-neuronal cytoplasmic layers, called lamellae, forming a structure that can be divided into four compartments; the inner core, the intermediate growth zone, the outer core and the external capsule.
Inner core
The inner core is populated by non-myelinating modified Schwann cells and consists of thin lamellae (30- 40 nm), becoming progressively thinner closer to the neurite. The lamellae are tightly packed so that there is a relatively small amount of fluid in the interlamellar spaces and the collagen-like fibers between the lamellae run longitudinally. Key characteristics of this stratum include elongated nuclei, the presence of mitochondria, polyribosomes, microtubules, concentric arrays of rough endoplasmic reticulum, and other membranous structures. The inner core is rich in gap junctions, thus facilitating intercellular communication and overall regulation of the environment proximal to the neurite. The successive lamellae are connected by “attachment plaques”, which, along with tight junctions, may play a role in intercellular attachment and the overall mechanical stability of the inner core.
Intermediate layer (growth zone)
This layer separates the inner from the outer core of the Pacinian corpuscle. The most prominent cellular population is modified endoneurial CD34+ fibroblasts; however, macrophages have also been detected. At later developmental stages, the cellular elements of the intermediate layer become incorporated into either the inner or outer core.
Outer core and external capsule
The outer core encapsulates the inner core and is surrounded by the external capsule. It consists of approximately 30 lamellae, identical to each other but significantly different from those comprising the inner core in terms of size, cellular composition and origin. Specifically, these concentrically arranged, flattened lamellae are wider than those found in the inner core, and are populated by perineurial cells. Collagen fibrils are present particularly on the outer surface of the lamellae and are circularly oriented.
Function
Mechanotransduction
Mechanical stimuli deform the surface of non-specific cation channels found in the membrane of tactile receptors, causing an influx of sodium ions (Na+), which mediates the production of a receptor potential. The receptor potential is directly proportional to the intensity of the stimulus. When the cumulative effect of multiple receptor potentials reaches a threshold, an action potential is generated.
Both voltage-gated and voltage-independent channels have been proposed to mediate mechanotransduction. Voltage-dependent potassium channels (subtype: Kv7.4, also known as KCNQ) regulate the stimulus velocity and frequency sensitivity, whereas voltage-dependent sodium channels have a putative role in stimulus transduction (through the lamellae to the axon) and the generation of the axon potential. On the other hand, voltage-independent channels are divided into those that respond to membrane tension and those responding to membrane stretch. When the cell membrane is deformed, mechanosensitive channels transduce mechanical energy into electrical signals. The mechanical stimuli act solely on the lamellae and never directly reach the axon. The mechanical forces, along with the extracellular matrix and cytoskeletal elements, cause deformations in the axon membrane, thereby opening ion channels. Some of the most characteristic mechano-gated, voltage-independent channels include the PIEZO and TRP (Transient Receptor Potential) families.
Firing pattern
Axon potentials are generated at the onset and offset of the mechanical stimulus (off response). Specifically, spikes occur mainly during the dynamic and not the static phase of a stimulus. This is a characteristic of phasic receptors, which provide information regarding changes in the intensity of the stimulus. The absence of spikes during the static phase of the stimulus is the result of a process called adaptation.
Adaptation and the mechanochemical theory of mechanotransduction
Adaptation often results from mechanical characteristics of the capsule; however, a potential synaptic regulatory mechanism has also been proposed. The deformational properties of the capsule enable it to function as a band-pass filter, allowing only specific frequency ranges and blocking all others. Regarding the underlying synaptic mechanism of the phenomenon, glutamatergic neurotransmission has been suggested to promote the generation of action potentials during the static phase of the adapting response. Nevertheless, this excitatory effect is attenuated by the inhibitory neurotransmitter GABA (γ-aminobutyric acid), which is released from the modified Schwann cells of the inner core.
Clinical notes
Pathologies regarding the Pacinian corpuscle are relatively rare. Pacinian corpuscle hyperplasia (alternatively found as Pacinian hypertrophy, neuroma and Pacinioma) is a condition characterized by significant increase in the size and density of mature lamellar corpuscles. Several classifications based on the anatomical features of these benign tumors have been proposed, one of which distinguishes three main types:
- Type 1: a single, enlarged Pacinian corpuscle.
- Type 2: a cluster of normal sized Pacinian corpuscles.
- Type 3: multiple enlarged Pacinian corpuscles.
The differential diagnosis for a painful, cutaneous tumor is broad. However, what sets Pacinian corpuscle hyperplasia apart from other pathologies is its manifestation as an isolated, flesh-colored nodule on the volar surface of the distal palm or digit.
The exact etiology of this condition is not fully elucidated, but prior injury has been suggested as a possible cause. Trauma can disrupt the blood flow of the arteriovenous anastomoses located proximally to Pacinian corpuscle clusters, promoting the formation of new corpuscles.
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