Xu F, Wen T, Lu T J, Seffen K A
Engineering Department, Cambridge University, Cambridge CB2 1PZ, UK.
J Biomech Eng. 2008 Aug;130(4):041013. doi: 10.1115/1.2939370.
All biological bodies live in a thermal environment with the human body as no exception, where skin is the interface with protecting function. When the temperature moves out of normal physiological range, skin fails to protect and pain sensation is evocated. Skin thermal pain is one of the most common problems for humans in everyday life as well as in thermal therapeutic treatments. Nocicetors (special receptor for pain) in skin play an important role in this process, converting the energy from external noxious thermal stimulus into electrical energy via nerve impulses. However, the underlying mechanisms of nociceptors are poorly understood and there have been limited efforts to model the transduction process. In this paper, a model of nociceptor transduction in skin thermal pain is developed in order to build direct relationship between stimuli and neural response, which incorporates a skin thermomechanical model for the calculation of temperature, damage and thermal stress at the location of nociceptor and a revised Hodgkin-Huxley form model for frequency modulation. The model qualitatively reproduces measured relationship between spike rate and temperature. With the addition of chemical and mechanical components, the model can reproduce the continuing perception of pain after temperature has returned to normal. The model can also predict differences in nociceptor activity as a function of nociceptor depth in skin tissue.
所有生物体都生活在一个热环境中,人体也不例外,其中皮肤是具有保护功能的界面。当温度超出正常生理范围时,皮肤的保护功能失效,疼痛感觉被唤起。皮肤热痛是人类在日常生活以及热疗治疗中最常见的问题之一。皮肤中的伤害感受器(特殊的疼痛感受器)在此过程中起着重要作用,它通过神经冲动将外部有害热刺激的能量转化为电能。然而,伤害感受器的潜在机制尚不清楚,并且对转导过程进行建模的努力有限。在本文中,开发了一种皮肤热痛中伤害感受器转导的模型,以便建立刺激与神经反应之间的直接关系,该模型包含一个用于计算伤害感受器位置处温度、损伤和热应力的皮肤热机械模型以及一个用于频率调制的修正霍奇金 - 赫胥黎形式模型。该模型定性地再现了测量得到的脉冲频率与温度之间的关系。通过添加化学和机械成分,该模型可以再现温度恢复正常后疼痛的持续感知。该模型还可以预测作为皮肤组织中伤害感受器深度函数的伤害感受器活动差异。