Boada Danilo M, Martin Thomas J, Peters Christopher M, Hayashida Kenichiro, Harris Michael H, Houle Timothy T, Boyden Edward S, Eisenach James C, Ririe Douglas G
Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA The Synthetic Neurobiology Group, Media Lab, Massachusetts Institute of Technology, Cambridge, MA, USA.
Pain. 2014 Dec;155(12):2646-2655. doi: 10.1016/j.pain.2014.09.030. Epub 2014 Sep 28.
Fast-conducting myelinated high-threshold mechanoreceptors (AHTMR) are largely thought to transmit acute nociception from the periphery. However, their roles in normal withdrawal and in nerve injury-induced hyperalgesia are less well accepted. Modulation of this subpopulation of peripheral neurons would help define their roles in withdrawal behaviors. The optically active proton pump, ArchT, was placed in an adeno-associated virus-type 8 viral vector with the CAG promoter and was administered by intrathecal injection resulting in expression in myelinated neurons. Optical inhibition of peripheral neurons at the soma and transcutaneously was possible in the neurons expressing ArchT, but not in neurons from control animals. Receptive field characteristics and electrophysiology determined that inhibition was neuronal subtype-specific with only AHTMR neurons being inhibited. One week after nerve injury the AHTMR are hyperexcitable, but can still be inhibited at the soma and transcutaneously. Withdrawal thresholds to mechanical stimuli in normal and in hyperalgesic nerve-injured animals also were increased by transcutaneous light to the affected hindpaw. This suggests that AHTMR neurons play a role not only in threshold-related withdrawal behavior in the normal animal, but also in sensitized states after nerve injury. This is the first time this subpopulation of neurons has been reversibly modulated to test their contribution to withdrawal-related behaviors before and after nerve injury. This technique may prove useful to define the role of selective neuronal populations in different pain states.
快速传导的有髓鞘高阈值机械感受器(AHTMR)在很大程度上被认为是从外周传递急性伤害性感受的。然而,它们在正常退缩反应以及神经损伤诱导的痛觉过敏中的作用却不太为人所接受。对外周神经元这一亚群的调节将有助于明确它们在退缩行为中的作用。将光学活性质子泵ArchT置于带有CAG启动子的腺相关病毒8型载体中,并通过鞘内注射给药,从而使其在有髓鞘神经元中表达。在表达ArchT的神经元中,可以在躯体水平对外周神经元进行光学抑制,并且也能经皮进行抑制,但在对照动物的神经元中则无法做到。感受野特征和电生理学研究确定这种抑制具有神经元亚型特异性,只有AHTMR神经元会被抑制。神经损伤一周后,AHTMR会出现过度兴奋,但仍可在躯体水平和经皮进行抑制。对正常和痛觉过敏的神经损伤动物施加经皮光照到受影响的后爪,其对机械刺激的退缩阈值也会升高。这表明AHTMR神经元不仅在正常动物与阈值相关的退缩行为中起作用,而且在神经损伤后的敏感状态中也起作用。这是首次对这一神经元亚群进行可逆性调节,以测试它们在神经损伤前后对与退缩相关行为的贡献。这项技术可能被证明有助于确定不同疼痛状态下选择性神经元群体的作用。