脊髓损伤疼痛大鼠丘脑皮质失同步。

Thalamocortical asynchrony in conditions of spinal cord injury pain in rats.

机构信息

Department of Neural and Pain Sciences, Program in Neuroscience, University of Maryland School of Dentistry, Baltimore, Maryland 21201, USA.

出版信息

J Neurosci. 2012 Nov 7;32(45):15843-8. doi: 10.1523/JNEUROSCI.2927-12.2012.

Abstract

Spinal cord injury (SCI) pain is a debilitating chronic condition that is severe and unrelenting. Despite decades of extensive research, the neuropathological mechanisms responsible for the development of this devastating condition remain largely unknown, hindering our ability to develop effective treatments. Because several lines of evidence implicate abnormalities of the thalamus and cortex in the etiology of SCI pain, we hypothesized that SCI pain results from abnormal functional connectivity of brain areas heavily implicated in pain processing. We performed a longitudinal study in a rat model of SCI (SCI group, n = 8; sham-operated group, n = 6) and acquired resting-state functional magnetic resonance imaging scans before spinal surgery and 3, 7, 14, and 21 (SCI only) days after surgery in the same animals. Functional connectivity was decreased between the ventroposterior lateral thalamus (VPL) and primary somatosensory cortex (S1) 7 d after SCI. This reduction preceded an increase in connectivity between S1 and other cortical areas involved in nociceptive processing. In addition, VPL had increased connectivity to contralateral thalamus at 7 and 14 d after injury. The temporal pattern of the increase in functional connectivity within the thalamus and between cortical areas (particularly S1 and retrosplenial cortex) had a striking resemblance to the temporal pattern for the development of a "below-level" mechanical hypersensitivity in the same animals. Our findings suggest that below-level hypersensitivity is associated with functional disconnection (asynchrony) between the thalamus and cortical areas involved in nociceptive processing.

摘要

脊髓损伤 (SCI) 疼痛是一种使人衰弱的慢性疾病,其严重且持续不断。尽管经过数十年的广泛研究,导致这种破坏性疾病发展的神经病理学机制在很大程度上仍然未知,这阻碍了我们开发有效治疗方法的能力。由于有几条证据表明丘脑和皮层的异常与 SCI 疼痛的病因有关,我们假设 SCI 疼痛是由于与疼痛处理密切相关的大脑区域的功能连接异常引起的。我们在 SCI 大鼠模型中进行了一项纵向研究(SCI 组,n = 8;假手术组,n = 6),并在脊柱手术前和手术后第 3、7、14 和 21 天(仅 SCI 组)对同一动物进行了静息态功能磁共振成像扫描。SCI 后 7 天,腹后外侧丘脑 (VPL) 与初级躯体感觉皮层 (S1) 之间的功能连接减少。这种减少先于 S1 与其他参与痛觉处理的皮层区域之间连接的增加。此外,VPL 在损伤后 7 和 14 天与对侧丘脑的连接增加。丘脑和皮层区域(特别是 S1 和后扣带回皮层)之间功能连接的增加具有明显的时间模式,与同一动物中“低于损伤水平”机械性超敏反应的发展时间模式非常相似。我们的发现表明,低于损伤水平的超敏反应与涉及痛觉处理的丘脑和皮层区域之间的功能连接中断(失同步)有关。

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