Sensory Systems · Unit 4: Proprioception and interoception
Proprioception: Sensing the Body's Own Position
Spindles, tendon organs and joint receptors all report on the body, but what each one actually signals, which channel carries the current and what a person loses without it were worked out over decades, the channel and the human loss only in 2015 and 2016. This lesson starts where the core course stops, at transduction and taxonomy: human recordings and vibration illusions, Piezo2 in mice and in two people who lack it, two competing mouse atlases of proprioceptor types, and the skeleton's dependence on proprioceptive neurons. Afterwards you can read a mechanically activated current as a decay curve and design an experiment that separates a developmental window from continuous need.
Watch first Position Is an Estimate · 2:55
Close your eyes, and a vibrator pressed on your biceps tendon at 100 Hz can make you misjudge where your elbow is, by as much as 40 degrees when the muscle is contracting, though the joint has not moved. Your sense of limb position is a computed estimate, built from sensors you cannot feel. This lesson asks what those sensors report, what channel turns stretch into current, and what happens to people and mice that lack it.
Motor units and reflexes already covered spindle anatomy, the Ia afferent, the tendon organ, the stretch reflex and gamma drive, and touch and pain mentioned that two people lacking PIEZO2 are poor at sensing limb position. We start at what is left: transduction, taxonomy and consequences. For how adaptation is measured, see sensory coding.
What each ending actually reports
Human limb position is not read from one receptor type. A review of the human literature concludes that limb-position information is generated by populations of afferents, not by one receptor (Proske and Gandevia, 2012). Here are the main members, with the common mistakes removed.
A muscle spindle has encapsulated intrafusal fibres with two sensory endings, a primary (Ia) and a secondary (II). Both signal static muscle length, and Ia endings add sensitivity to the rate of change of length. So “Ia is velocity and II is position” is wrong: Ia carries both, and the difference is that Ia endings are the more sensitive to the rate of change, while II endings also respond to it, though less. Gamma motor neurons on the polar ends of the intrafusal fibres set the gain of the afferent signal. Human microneurography, in which an electrode in a nerve records single afferents, separates the two classes by vibration: Roll and Vedel (1982) recorded 15 primary and five secondary endings from tibialis anterior and extensor digitorum longus in healthy people, and the secondary endings were less sensitive to low-amplitude tendon vibration.
A Golgi tendon organ sits at the myotendinous junction and has one Ib afferent. It is highly sensitive to contraction of the motor units in series with it, so it reports force from those units. It is not an injury alarm that waits for dangerous tension.
Joint receptors were once credited with signalling joint angle. Burke, Gandevia and Macefield (1988) recorded from the median and ulnar nerves at the wrist of six conscious people while their finger and thumb joints were rotated passively. Most joint afferents fired near the limits of rotation, not across the range. One afferent from the thumb interphalangeal joint responded in one direction throughout the physiological range, so the correction is “mostly near the limits, with exceptions”. Proske (2023) proposed that near elbow extension, joint signals combine with spindle signals to carry joint-limit information. Treat that as a hypothesis.
Spindle endings are not passive. Bewick, Reid, Richardson and Banks (2005) worked in adult rat hindpaw lumbrical nerve-muscle preparations ex vivo. The dye FM1-43 was taken up and released at primary endings in a calcium-sensitive way, which indicated recycling of synaptic-like vesicles about 50 nm across. Added glutamate raised the excitability of Ia endings to stretch, and the compound PCCG-13 lowered it even with no glutamate added. The authors interpreted this as an endogenous peripheral glutamatergic system. The pharmacology did not establish the receptor (the authors suggested a phospholipase D-linked metabotropic one), and it was done in rat.
Vibrating a tendon moves the limb you feel
Goodwin, McCloskey and Matthews (1972) vibrated the biceps or triceps tendons of human subjects at 100 Hz and asked them to judge elbow position. The subjects perceived a position consistent with stretching the vibrated muscle. During contraction the errors could reach 40 degrees. That figure is the error under contraction in that experiment, not a standard size of the illusion. In the leg, Roll and Vedel found primary endings more sensitive to low-amplitude vibration than secondary endings, and in their elbow illusions the perceived velocity of movement rose up to about 70 to 80 Hz in a 10 to 120 Hz series before falling. Those two sets of data come from different limbs and were not recorded together.
Read the result with care. The illusion shows that muscle afferent signals bias the percept. Primary endings are the likely carriers, since they are the more vibration-sensitive, but the experiments do not show that only they act. The same argument is what the next section applies to a channel.
Piezo2: the mouse current and the human loss
Which protein turns stretch into current at a spindle ending? Piezo2 is a mechanically activated channel, covered in Piezo channels and the physics of force. Woo and colleagues (2015) supplied three kinds of evidence in mouse:
- Where it is. A Piezo2-GFP reporter showed the protein in proprioceptor endings that innervate spindles and tendon organs of postnatal hindlimb muscle.
- What current it carries. Whole-cell patch clamp with mechanical indentation of dissociated adult DRG cell bodies, labelled with a parvalbumin-driven Cre line, recorded rapidly adapting currents.
- Whether the ending needs it. Conditional deletion of Piezo2 with Pvalb-Cre or with HoxB8-Cre sharply reduced stretch-evoked firing in an isolated extensor digitorum longus muscle with its deep peroneal nerve, from postnatal male mice.
A small stretch response remained after deletion (in the paper, one of eight muscles for each Cre line still increased its firing on stretch), so the careful word is principal transducer, not the transducer. Whether the pore is Piezo2 itself in every subtype, and what carries the rest, were not settled by this paper.
Worked problem: reading the soma current
In the cell-body recordings, 23 of 25 labelled neurons had rapidly adapting mechanically activated currents, and the inactivation time constant of those rapidly adapting currents was reported as 5.6 ± 0.33 ms (the paper’s notation, which I leave as it is).
Step 1, a fraction. 23/25 = 0.92, so 92% of this sample of 25. Parvalbumin labels proprioceptors and some other neurons, so this is not 92% of proprioceptors.
Step 2, a decay. Assume the current decays as a single exponential from its peak with tau = 5.6 ms. That is our assumption, not the paper’s. The fraction left at time t is exp(-t/tau).
fraction remaining = exp(-t / tau)
At 10 ms, exp(-10/5.6) = exp(-1.786) = 0.168, about 17%. At 20 ms, exp(-20/5.6) = exp(-3.571) = 0.028, about 3%.
- Fraction of peak remaining
- 0.168
- As a percent of the peak
- about 17%
- Arithmetic
- exp(−10.0/5.6) = exp(−1.786) = 0.168
In this sketch: one exponential from the peak, τ from Pvalb-labelled adult mouse DRG cell bodies in culture (Woo and colleagues, 2015), no rise phase, no spikes, no ending.
Rule to keep: fraction remaining = exp(−t/τ), and it is a current in cultured cell bodies under indentation, not a spindle afferent firing spikes. The 25 dots are a count in one sample, not part of the curve.
Step 3, the limits. This is a current in a cell body in culture, not a current at a spindle ending. It says how fast the channel population inactivates under indentation, not how a spindle afferent adapts when it fires spikes.
Humans
Chesler and colleagues (2016) reported two unrelated females with compound inactivating PIEZO2 variants, who presented at 18 and 8 years and were last examined at 19 and 10. In a forced-choice task with 10-degree angular joint movements, and in reaching with and without sight, proprioceptive ataxia and dysmetria became markedly worse without visual cues. Their report says they could still perform tasks such as walking, talking and writing, though one walked only with support. Delle Vedove and colleagues (2016) described ten affected people in four consanguineous families, with homozygous variants in each family (three frameshifts and one two-exon deletion), and a picture that included arthrogryposis, muscular atrophy, perinatal respiratory distress and scoliosis. Two people are a clinical series, not a prevalence. The human data show that loss of the gene goes with the deficit, and they do not show which endings account for each part.
An older case shows what such loss feels like in practice. Cole and Sedgwick (1992) studied an adult man, known as I.W., with a complete loss of large-fibre sensation below the neck that had lasted more than 16 years. He lacked light touch and proprioception below the neck but kept pain, heat, cold and the sense of muscular fatigue, and in their testing no novel movement was possible without visual feedback. That separates sensory loss from motor loss. The participant’s cause and onset are not needed for the point and are not given here.
Eight groups, or five: proprioceptor atlases and their disagreement
The classical picture has three classes: Ia, II and Ib. In 2021 two papers asked what single-cell RNA sequencing finds (for the method, see sequencing and genomes).
Wu and colleagues (Nature Communications 12:1026) sorted proprioceptors from the C5 to T1 dorsal root ganglia of adult mice (postnatal day 54, PV-Cre crossed to Ai14), sequenced them by Smart-seq2, kept 1,109 neurons after quality control and reported eight molecular subgroups. The analysis first found seven clusters, and one heterogeneous cluster was subdivided to give eight. Oliver and colleagues (Nature Communications, Molecular correlates of muscle spindle and Golgi tendon organ afferents) sampled neurons labelled by an intersection of PV-Cre and Runx3-FlpO, at all segmental levels in adults of at least P56, and reported five clusters. They validated Ia (calretinin, calbindin 1, vGlut2) and Ib (Pcdh8, Pou4f3) by markers and tissue, and assigned the rest to group II only provisionally, proposing Nxph1 as a possible group II marker that needs more validation.
Do the counts conflict? Not necessarily. They differ in labelling, age range, sampling depth and how clusters were cut, and Wu’s eight include a choice to split one cluster. Neither is a human atlas. A cluster is a molecular class, not a proven function, and the number of groups depends on the data set and the method. The practical lesson is to cite the paper with the count. Related atlases are in the sensory neuron atlas; for how proprioceptors depend on neurotrophin signalling in development, see Trk and p75.
Wu and colleagues also tested what experience does. Adult C57BL/6J males started four weeks of free-wheel or locked-wheel housing at eight weeks of age. Running changed the marker-defined composition of Ia subtypes, but the total number of brachial Ia proprioceptors was unchanged. That could be marker regulation, conversion of subtype, or something else, and lineage tracing would be needed to choose among them.
A sense that shapes bone: proprioceptor Piezo2 and postnatal alignment (2020)
If a muscle sensor is removed, would the spine notice? Assaraf and colleagues (2020) used Pvalb-Cre to delete Piezo2 in mice. Serial in vivo CT at P40, P60 and P90 showed scoliosis by P60 in some of these animals, and hip histology showed signs of dysplasia by P14. Spine histology at P10 showed no apparent differences from controls in bone, cartilage or surrounding soft tissue. When Piezo2 was deleted instead with Col1a1-Cre or Col2a1-Cre, which target osteogenic and chondrogenic lineages, the spinal deformities did not appear in the tested ages. The authors interpreted the results as a non-autonomous role: proprioceptive Piezo2 acts on the skeleton through a route that does not need Piezo2 inside the bone cells tested.
What the paper does not show is the intervening pathway, and a human family with scoliosis and PIEZO2 variants shows association, not the causal tissue. Parvalbumin-driven Cre also labels cells that expressed parvalbumin at some time, and not only proprioceptors.
Design problem
In the Assaraf mice, proprioceptor-directed Piezo2 deletion gave scoliosis in some animals by P60 and hip dysplasia signs by P14, while the tested collagen-I and collagen-II deletions did not reproduce the spinal phenotype. Design experiments that decide whether the skeletal phenotype needs proprioceptive feedback in a postnatal window or continuously in adults.
One way to do it
Timing. Use an inducible deletion of Piezo2 in proprioceptors and open it at two times: early, before alignment is established, and later, after it. Image the same animals with serial CT at matched ages. If only the early deletion gives scoliosis, a postnatal window is needed. If the late deletion also curves the spine, feedback is needed continuously.
Channel versus cell. Compare Piezo2 deletion with a generic reversible silencing of the same neurons, and with loss of the proprioceptor population itself. A result that follows the channel deletion and silencing alike points to lost activity, while one that needs the cells to disappear points to something the cells provide beyond transduction.
Controls and scope. Use littermate controls and a second, independent driver, because one Cre line labels cells that expressed it at some time and not a pure type. Keep the ages tested in the claim.
Limit. Even a clean answer shows the requirement in the mouse. Human PIEZO2 families show association, so they do not name the causal tissue.
How we measure it
Microneurography
A fine electrode is inserted through the skin into a peripheral nerve of an awake person and records the spikes of single afferents while the limb is moved or the muscle is vibrated. It gives the firing of identified endings in humans but samples few units, from accessible nerves.
Tendon-vibration psychophysics
A vibrator is held against a tendon and the person reports or matches where the limb seems to be. A systematic error in the direction expected from stretching the muscle shows that muscle afferent signals bias the percept, but it does not by itself show which ending class did it.
Conditional gene deletion with ex vivo muscle-nerve recording
A Cre driver removes a floxed gene in chosen cells, and an isolated muscle with its nerve is stretched while sensory firing is recorded. It tests whether the gene is needed for the ending's response, only in the cells the driver reached and at the ages tested.
Single-cell RNA sequencing of labelled proprioceptors
Genetically labelled neurons are dissociated, sorted and their transcripts read cell by cell. Clustering then groups neurons by expression. A cluster is a molecular class, and it becomes a functional type only when anatomy, physiology or behaviour is tied to it.
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Vagal Sensory Neurons: The Body Reports to the Brain
Light on one set of vagal sensory axons stops an anaesthetized mouse breathing, and light on another set makes it breathe fast and shallow. What does each set report, and how would you know?
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