Galanin-like immunoreactivity and
galanin receptors are found in dorsal root ganglion (DRG) cells and in dorsal horn interneurons, suggesting that this
neuropeptide may have a role in sensory transmission and modulation at the spinal level. Expression of
galanin or
galanin receptors in the DRG and spinal cord are altered, sometimes in a dramatic fashion, by
peripheral nerve injury or
inflammation. Under normal conditions,
galanin occurs in a small population of primary sensory neurons as well as in spinal interneurons. However, following
peripheral nerve injury or
inflammation, expression of
galanin in primary afferents and spinal cord is upregulated. We examined the role of
galanin in spinal processing of nociceptive information under normal and pathologic conditions in a large series of electrophysiologic and behavioral studies. Results suggest that under normal conditions
galanin exerts tonic inhibition of nociceptive input to the central nervous system. After
peripheral nerve injury the inhibitory control exerted by endogenous
galanin, probably released from DRG neurons, is increased. During
inflammation,
galanin presumably released from dorsal horn interneurons also exerts an inhibitory function. Thus, stable
galanin agonists may be useful in the treatment of inflammatory and
neuropathic pain.