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皮层抑制和易化:幻肢痛的基本机制。

Cortical depression and potentiation: basic mechanisms for phantom pain.

机构信息

Department of Physiology, Faculty of Medicine, Centre for the Study of Pain, University of Toronto, Medical Sciences Building, King's College Circle, Toronto, Ontario, Canada. ; Center for Neuron and Disease, Frontier Institute of Science and Technology, Xi'an Jiaotong University, Xi'an, China.

出版信息

Exp Neurobiol. 2012 Dec;21(4):129-35. doi: 10.5607/en.2012.21.4.129. Epub 2012 Dec 26.

DOI:10.5607/en.2012.21.4.129
PMID:23319872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3538176/
Abstract

People experience the feeling of the missing body part long after it has been removed after amputation are known as phantom limb sensations. These sensations can be painful, sometimes becoming chronic and lasting for several years (or called phantom pain). Medical treatment for these individuals is limited. Recent neurobiological investigations of brain plasticity after amputation have revealed new insights into the changes in the brain that may cause phantom limb sensations and phantom pain. In this article, I review recent progresses of the cortical plasticity in the anterior cingulate cortex (ACC), a critical cortical area for pain sensation, and explore how they are related to abnormal sensory sensations such as phantom pain. An understanding of these alterations may guide future research into medical treatment for these disorders.

摘要

截肢后,人们在肢体缺失很久后仍能感受到缺失的身体部位,这种现象被称为幻肢感。这些感觉可能是痛苦的,有时会变成慢性的,并持续数年(也称为幻肢痛)。对于这些人,医学治疗是有限的。最近对截肢后大脑可塑性的神经生物学研究揭示了大脑变化的新见解,这些变化可能导致幻肢感和幻肢痛。在本文中,我回顾了前扣带皮层(ACC)皮质可塑性的最新进展,ACC 是疼痛感知的关键皮质区域,并探讨了它们与异常感觉(如幻肢痛)之间的关系。了解这些改变可能有助于指导未来对这些疾病的医学治疗的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3538176/7267afccef81/en-21-129-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3538176/7267afccef81/en-21-129-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/3538176/7267afccef81/en-21-129-g001.jpg

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引用本文的文献

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PSD-95 in the anterior cingulate cortex contributes to neuropathic pain by interdependent activation with NR2B.扣带前皮质中的 PSD-95 通过与 NR2B 的相互激活导致神经性疼痛。
Sci Rep. 2022 Oct 12;12(1):17114. doi: 10.1038/s41598-022-21488-7.
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Loss of Synaptic Tagging in the Anterior Cingulate Cortex after Tail Amputation in Adult Mice.

本文引用的文献

1
Plasticity of metabotropic glutamate receptor-dependent long-term depression in the anterior cingulate cortex after amputation.断肢后扣带前皮质代谢型谷氨酸受体依赖性长时程抑郁的可塑性。
J Neurosci. 2012 Aug 15;32(33):11318-29. doi: 10.1523/JNEUROSCI.0146-12.2012.
2
Cortical plasticity as a new endpoint measurement for chronic pain.皮质可塑性作为慢性疼痛的新终点测量指标。
Mol Pain. 2011 Jul 28;7:54. doi: 10.1186/1744-8069-7-54.
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Long-term potentiation and long-term depression: a clinical perspective.长时程增强和长时程抑制:临床视角。
成年小鼠尾部截断后,前扣带皮层中的突触标记丢失。
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Loss of long-term depression in the insular cortex after tail amputation in adult mice.成年小鼠断尾后,其脑岛皮质的长期抑郁消失。
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Identification of an adenylyl cyclase inhibitor for treating neuropathic and inflammatory pain.鉴定一种用于治疗神经性和炎性疼痛的腺苷酸环化酶抑制剂。
Sci Transl Med. 2011 Jan 12;3(65):65ra3. doi: 10.1126/scitranslmed.3001269.
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Alleviating neuropathic pain hypersensitivity by inhibiting PKMzeta in the anterior cingulate cortex.通过抑制前扣带皮层中的 PKMzeta 来缓解神经病理性疼痛敏化。
Science. 2010 Dec 3;330(6009):1400-4. doi: 10.1126/science.1191792.
7
In vivo whole-cell patch-clamp recording of sensory synaptic responses of cingulate pyramidal neurons to noxious mechanical stimuli in adult mice.在体全细胞膜片钳记录成年小鼠扣带皮层锥体神经元对伤害性机械刺激的感觉突触反应。
Mol Pain. 2010 Sep 28;6:62. doi: 10.1186/1744-8069-6-62.
8
MRI structural brain changes associated with sensory and emotional function in a rat model of long-term neuropathic pain.长期神经性疼痛大鼠模型中与感觉和情绪功能相关的MRI脑结构变化
Neuroimage. 2009 Sep;47(3):1007-14. doi: 10.1016/j.neuroimage.2009.05.068. Epub 2009 Jun 1.
9
Morphological and functional reorganization of rat medial prefrontal cortex in neuropathic pain.神经性疼痛大鼠内侧前额叶皮层的形态学和功能重组
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10
Presynaptic and postsynaptic amplifications of neuropathic pain in the anterior cingulate cortex.前扣带回皮层中神经性疼痛的突触前和突触后放大
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