Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio 44195, United States.
Eur J Pharmacol. 2011 Sep 30;667(1-3):26-31. doi: 10.1016/j.ejphar.2011.05.080. Epub 2011 Jun 24.
Negative affective emotions are defined as the conceptual feature of pain. A number of clinical and animal studies have indicated that the limbic system including the anterior cingulate cortex (ACC) and amygdala plays a critical role in the processing of affective components of pain. Glutamatergic transmission plays an important role in the processing of affective aspects of pain. Long-term changes on glutamatergic synapses contribute to the expression of aversion behavior induced by pain. In this article, the neurocircuits involved in the processing of affective aspects of pain, the glutamatergic synaptic plasticity in these brain regions, and the epigenetic mechanisms underlying pain-related synaptic plasticity will be reviewed and discussed. New discoveries regarding the interaction between the synaptic plasticity and affective components of pain may advance our understanding on the pain mechanism, and lead to new strategies for pain treatment.
负性情感被定义为疼痛的概念特征。许多临床和动物研究表明,包括前扣带皮层(ACC)和杏仁核在内的边缘系统在疼痛的情感成分处理中起着关键作用。谷氨酸能传递在疼痛的情感方面的处理中起着重要作用。谷氨酸能突触的长期变化有助于疼痛引起的厌恶行为的表达。本文将综述和讨论参与疼痛情感方面处理的神经回路、这些脑区中的谷氨酸能突触可塑性以及与疼痛相关的突触可塑性的表观遗传机制。关于突触可塑性与疼痛情感成分之间相互作用的新发现,可能会增进我们对疼痛机制的理解,并为疼痛治疗提供新策略。