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Identification of spinal circuits involved in touch-evoked dynamic mechanical pain.

Abstract
Mechanical hypersensitivity is a debilitating symptom for millions of chronic pain patients. It exists in distinct forms, including brush-evoked dynamic and filament-evoked punctate hypersensitivities. We reduced dynamic mechanical hypersensitivity induced by nerve injury or inflammation in mice by ablating a group of adult spinal neurons defined by developmental co-expression of VGLUT3 and Lbx1 (VT3Lbx1 neurons): the mice lost brush-evoked nocifensive responses and conditional place aversion. Electrophysiological recordings show that VT3Lbx1 neurons form morphine-resistant polysynaptic pathways relaying inputs from low-threshold Aβ mechanoreceptors to lamina I output neurons. The subset of somatostatin-lineage neurons preserved in VT3Lbx1-neuron-ablated mice is largely sufficient to mediate morphine-sensitive and morphine-resistant forms of von Frey filament-evoked punctate mechanical hypersensitivity. Furthermore, acute silencing of VT3Lbx1 neurons attenuated pre-established dynamic mechanical hypersensitivity induced by nerve injury, suggesting that these neurons may be a cellular target for treating this form of neuropathic pain.
AuthorsLongzhen Cheng, Bo Duan, Tianwen Huang, Yan Zhang, Yangyang Chen, Olivier Britz, Lidia Garcia-Campmany, Xiangyu Ren, Linh Vong, Bradford B Lowell, Martyn Goulding, Yun Wang, Qiufu Ma
JournalNature neuroscience (Nat Neurosci) Vol. 20 Issue 6 Pg. 804-814 (Jun 2017) ISSN: 1546-1726 [Electronic] United States
PMID28436981 (Publication Type: Journal Article)
Chemical References
  • Amino Acid Transport Systems, Acidic
  • Diphtheria Toxin
  • Heparin-binding EGF-like Growth Factor
  • Lbx1h protein, mouse
  • Muscle Proteins
  • vesicular glutamate transporter 3, mouse
  • Somatostatin
  • Morphine
  • Clozapine
Topics
  • Action Potentials (drug effects, physiology)
  • Amino Acid Transport Systems, Acidic (biosynthesis, genetics, physiology)
  • Animals
  • Avoidance Learning (physiology)
  • Clozapine (pharmacology)
  • Diphtheria Toxin (pharmacology)
  • Female
  • Gene Knock-In Techniques
  • Heparin-binding EGF-like Growth Factor (genetics)
  • Hyperalgesia (physiopathology)
  • Male
  • Mice
  • Mice, Transgenic
  • Morphine (pharmacology)
  • Muscle Proteins (biosynthesis)
  • Nerve Fibers, Unmyelinated (physiology)
  • Neural Pathways (drug effects, physiology)
  • Neurons (drug effects, metabolism, physiology)
  • Pain Measurement (drug effects)
  • Somatostatin (physiology)
  • Spinal Cord (drug effects, physiology)
  • Touch (physiology)

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