Onuf's nucleus, located in the ventral horn of the sacral spinal cord of many mammals, including humans, is a sexually dimorphic nucleus that innervates the perineal muscles that are involved in sexual behavior. In humans, it is a distinct group of neurons located in the ventral part of the anterior horn of the sacral region of the spinal cord involved in the maintenance of micturition and defecatory continence, as well as muscular contraction during orgasm [
18]. The number of neurons in Onuf's nucleus is greater in males than in females [
18–
21]. On the other hand, the spinal nucleus of the bulbocavernosus (SNB) of rats, located in the lower lumbar and upper sacral spinal segments, is homologous to Onuf's nucleus in that it innervates the striated perineal muscles that are attached to the base of the penis [
21–
23]. The distribution of serotonergic fibers and terminals in this nucleus in rats is also different between the sexes (male dominant) [
24–
26]. SNB also plays a significant role in male sexual functions in the rat [
22,
23,
27,
28]. Male rats have a larger and a greater number of SNB motoneurons than females; this dimorphism results from differences in perinatal androgen signaling through a mechanism mediated by the androgen receptor [
22]. On the other hand, we recently reported that a collection of neurons within the upper lumbar spinal cord (L3-L4 level) project axons with gastrin-releasing peptide (GRP) to the lower lumbar spinal cord, controlling male reproductive functions in rats [
9,
29,
30]. It has also been reported that the sexually dimorphic distribution of GRP-immunoreactive fibers in the lower lumbar spinal cord is profoundly regulated by circulating androgen levels [
31], mirroring changes in SNB motoneuron arborizations and other synaptic populations [
23]. However, due to methodological difficulties, no direct evidence has been reported regarding GRP synaptic inputs to the SNB motoneurons. The aim of the current study was to determine the axodendritic synaptic inputs of GRP neurons that project into perineal SNB motoneurons and bulbocavernosus muscles. Immunoelectron microscopy, in combination with a retrograde tracing technique using UHVEM, was employed to visualize the 3D ultrastructures of the central nervous system [
8].
Rats were deeply anesthetized using intraperitoneal injections of 50

mg/kg body weight sodium pentobarbital and bilaterally injected with 1
μL of 0.2% cholera toxin
β subunit-horseradish peroxidase conjugate (CTb-HRP; List Laboratories, Cupertino, CA, USA) into the bulbocavernosus muscles. Rats were overdosed with sodium pentobarbital (100

mg/kg body weight) 48–96

h after the CTb-HRP injection, and then perfusion fixed with 4% paraformaldehyde, 0.2% glutaraldehyde, and 1.25% picric acid in a 0.1

M PB solution (pH 7.4). Spinal cords were immediately removed and immersed in the same fresh fixative for 3

h. Spinal sections (L5-L6 level; 30
μm thickness) were prepared using a microslicer (Dosaka EM). Next to visualize SNB somata and dendrites, retrogradely labeled with CTb-HRP, the tetramethylbenzidine (TMB)/diaminobenzidine- (DAB-) nickel method was performed as previously described [
32]. Sodium tungstate was used as the stabilizer. Sections were then placed in a 0.1

M PB with 25% sucrose and 10% glycerol for 1

h for cryoprotection, then freeze-thawed using liquid nitrogen to enhance the penetration of the antibodies. After blocking with phosphate buffered saline (PBS; pH 7.4) containing 0.05% Triton X-100, 1% normal goat serum, and 1% BSA for 2

h, the sections were incubated in rabbit anti-GRP serum (Phoenix Pharmaceuticals, Burlingame, CA, USA) at a 1

:

5,000 dilution in the blocking solution, for 5 days at 4°C. After washing with PBS, the sections were treated with biotinylated goat anti-rabbit IgG (Nichirei, Tokyo, Japan), at a 1

:

1,000 dilution in the blocking solution for 3

h at room temperature. After washing with PBS, GRP immunoreactivity was developed using the streptavidin-biotin-HRP complex/DAB-nickel method, as previously described [
29,
33]. After washing with 0.1

M PB, the sections were placed in a 0.1

M PB solution with 1% OsO
4 for 90

min, dehydrated, and flat embedded in epoxy resin. The embedded sections were viewed using an Olympus Optical BH-2 microscope (Tokyo, Japan), and regions that may contain GRP synapses were selected. These sections were further cut into serial 2
μm-thick semithin sections and collected on copper grids coated with collodion film. Each specimen was first photographed using a light microscope for reference purpose, then examined using UHVEM at an accelerating voltage of 1,000

kV and conventional transmission electron microscopy (EM; JEM-1220, JEOL, Tokyo, Japan) at an accelerating voltage of 80

kV. Stereopaired photomicrographs using UHVEM were prepared by tilting the specimen stage ±8°. Neuronal profiles were identified using the criteria described by Peters et al. [
34].
Retrograde tracing is a reliable neuroanatomical method used to locate the somata and dendrites of the motoneurons that innervate the somatic muscles [
29,
32,
35]. Neurons, retrogradely labeled with CTb-HRP, were visualized by the TMB method, and were observed only in the SNB at the fifth and sixth lumbar segments of the spinal cord. Using light microscopy, we found densely stained somata and dendrites that were diffusely distributed, or in a dot-like fashion, and often appeared to make close appositions with immunolabeled GRP-immunoreactive axons. These appositions were particularly abundant in the dorsal gray commissure (DGC). GRP-immunoreactive somata were not observed in the SNB.
In terms of their ultrastructures, the TMB reaction products in the CTb-HRP-labeled SNB neurons were also diffusely distributed within the cytoplasm, as revealed by UHVEM and conventional EM [
8,
32]. The TMB reaction products were more electron-dense than the DAB reaction products of the GRP-immunoreactive axons [
8]. The TMB reaction products were electron-dense small bodies, with a 3D radial spindle-like shape in clusters of various sizes within the cytoplasm and dendrites (). The DAB reaction products were visualized as fine, fuzzy materials that were homogeneously distributed throughout the axons and terminals of the GRP neurons (). Strikingly, the 3D TMB crystalline structures were clearly observed by UHVEM and were easily distinguishable from the DAB reaction products (). Interestingly, 3D analysis with a polarizing lens revealed that some populations of the GRP-immunoreactive terminals possibly formed synaptic contacts with the SNB motoneurons [
8]. GRP-immunoreactive axons were also found to wind around a single distal dendrite within the DGC. Taken together, these results suggest that GRP-containing afferents to SNB motoneurons regulate male sexual reflexes
via these synapses, since the contraction of bulbocavernosus muscles is involved in penile erection [
36].
Conventional EM method revealed synaptic inputs into the SNB motoneurons that innervate the bulbocavernosus muscles [
8]. In the analysis of ultrathin serial sections we identified a single synaptic GRP input to a TMB-labeled dendrite; however, multiple inputs were not identified. Conventional EM analysis of the ultrathin serial sections (60-nm thick) only revealed a single synaptic input even though both GRP-immunoreactive fibers and SNB motoneuron dendrites are broadly distributed throughout the DGC. By studying the stereopaired UHVEM images, fine, 3D, axonal projections of GRP neurons to CTb-labeled SNB dendrites were observed in a wide but discrete area. Since the semithin sections (2
μm thick) were first visualized using light microscopy and then analyzed using UHVEM (), this report is able to definitively conclude that the ability of UHVEM to detect synaptic formations is superior to conventional EM.