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The Periaqueductal Gray Controls Brainstem Emotional Motor Systems Including Respiration
Abstract
Respiration is a motor system essential for the survival of the individual and of the species. Because of its vital significance, studies on respiration often assume that breathing takes place independent of other motor systems. However, motor systems generating vocalization, coughing, sneezing, vomiting, as well as parturition, ejaculation, and defecation encompass abdominal pressure control, which involves changes in the respiratory pattern. The mesencephalic periaqueductal gray (PAG) controls all these motor systems. It determines the level setting of the whole body by means of its very strong projections to the ventromedial medullary tegmentum, but it also controls the cell groups that generate vocalization, coughing, sneezing, vomiting, as well as respiration. For this control, the PAG maintains very strong connections with the nucleus retroambiguus, which enables it to control abdominal and intrathoracic pressure. In this same context, the PAG also runs the pelvic organs, bladder, uterus, prostate, seminal vesicles, and the distal colon and rectum via its projections to the pelvic organ stimulating center and the pelvic floor stimulating center. These cell groups, via long descending projections, have direct control of the parasympathetic motoneurons in the sacral cord as well as of the somatic motoneurons in the nucleus of Onuf, innervating the pelvic floor. Respiration, therefore, is not a motor system that functions by itself, but is strongly regulated by the same systems that also control the other motor output systems.
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“The EMS involves multiple subcortical motor centers [striatum, red nucleus, periaqueductal gray (PAG)] which are involved in emotion-specific movements and postures which can occur outside voluntary cortical control.”
From Somatic experiencing: using interoception and proprioception as core elements of trauma therapy (2015) · cites this paper as Holstege, 2013
In the citing paper
“It is strongly influenced by ANS, LS and RAS, and provides important kinesthetic and proprioceptive feedback to them (Holstege et al., 1996; Holstege, 2013).”
From Somatic experiencing: using interoception and proprioception as core elements of trauma therapy (2015) · cites this paper as Holstege, 2013
In the citing paper
“Affective and ANS activation have a direct and immediate effect on the somatic system by way of the EMS (Holstege et al., 1996; Holstege, 2013).”
From Somatic experiencing: using interoception and proprioception as core elements of trauma therapy (2015) · cites this paper as Holstege, 2013
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Metadata
- Authors
- Holstege, G.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Holstege, Gert
- ORCID
- Holstege, Gert
- Venue
- Progress in brain research
- Publisher
- Elsevier
- Published
- 2014
- Volume
- 209
- Pages
- 379-405
- ISSN
- 0079-6123 (ISSN-L)
- OpenAlex
- W157754080
- Cited by
- 102
- References
- 105
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 9 · 2021: 22 · 2020: 16 · 2019: 11 · 2018: 9 · 2017: 3 · 2016: 4 · 2015: 9 · 2014: 3
- FWCI
- 8.83
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Progress in brain research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
- Keywords
- periaqueductal gray, respiration, brainstem, nucleus retroambiguus, intrathoracic pressure, pelvic floor, vocalizations, cough, sneezing, vomiting, childbirth, ejaculation, defecation
- MeSH terms
- Animals, Brain Stem, Emotions, Humans, Neural Pathways, Periaqueductal Gray, Respiration
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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