微神经生理学作为研究人类个体 C 纤维传入的功能的工具:来自伤害感受器、热敏感受器和机械感受器的反应。

Microneurography as a tool to study the function of individual C-fiber afferents in humans: responses from nociceptors, thermoreceptors, and mechanoreceptors.

机构信息

Aix Marseille University, CNRS, LNSC (Laboratoire de Neurosciences Sensorielles et Cognitives - UMR 7260), Marseille, France.

Department of Physiology, University of Gothenburg , Gothenburg , Sweden.

出版信息

J Neurophysiol. 2018 Dec 1;120(6):2834-2846. doi: 10.1152/jn.00109.2018. Epub 2018 Sep 26.

Abstract

The technique of microneurography-recording neural traffic from nerves in awake humans-has provided us with unrivaled insights into afferent and efferent processes in the peripheral nervous system for over 50 years. We review the use of microneurography to study single C-fiber afferents and provide an overview of the knowledge gained, with views to future investigations. C-fibers have slowly conducting, thin-diameter, unmyelinated axons and make up the majority of the fibers in peripheral nerves (~80%). With the use of microneurography in humans, C-fiber afferents have been differentiated into discrete subclasses that encode specific qualities of stimuli on the skin, and their functional roles have been investigated. Afferent somatosensory information provided by C-fibers underpins various positive and negative affective sensations from the periphery, including mechanical, thermal, and chemical pain (C-nociceptors), temperature (C-thermoreceptors), and positive affective aspects of touch (C-tactile afferents). Insights from microneurographic investigations have revealed the complexity of the C-fiber system, methods for delineating fundamental C-fiber populations in a translational manner, how C-fiber firing can be used to identify nerve deficits in pathological states, and how the responses from C-fibers may be modified to change sensory percepts, including decreasing pain. Understanding these processes may lead to future medical interventions to diagnose and treat C-fiber dysfunction. NEW & NOTEWORTHY The technique of microneurography allows us to directly investigate the functional roles of single C-fiber afferents in awake human beings. Here we outline and discuss the current field of C-fiber research on this heterogeneous population of afferents in healthy subjects, in pathological states, and from a translational perspective. We cover C-fibers encoding touch, temperature, and pain and provide perspectives on the future of C-fiber microneurography investigations in humans.

摘要

微神经生理学记录来自清醒人体神经的神经冲动的技术已经为我们提供了 50 多年来对周围神经系统传入和传出过程的无与伦比的见解。我们回顾了微神经生理学用于研究单个 C 纤维传入纤维的用途,并概述了所获得的知识,以期对未来的研究提供观点。C 纤维具有缓慢传导、细直径、无髓鞘的轴突,构成周围神经纤维的大部分(~80%)。使用微神经生理学在人类中,C 纤维传入纤维已被区分成离散的亚类,这些亚类编码皮肤刺激的特定质量,并且已经研究了它们的功能作用。C 纤维传入的感觉信息构成了来自外周的各种正性和负性感觉,包括机械、热和化学痛觉(C 伤害感受器)、温度(C 热敏感受器)和触觉的正性感觉(C 触须传入纤维)。微神经生理学研究的结果揭示了 C 纤维系统的复杂性、以转化方式描绘基本 C 纤维群体的方法、C 纤维放电如何用于识别病理状态下的神经缺陷以及 C 纤维的反应如何改变感觉知觉,包括减轻疼痛。了解这些过程可能会导致未来的医学干预措施来诊断和治疗 C 纤维功能障碍。 新的和值得注意的是,微神经生理学技术使我们能够直接研究单个 C 纤维传入纤维在清醒人体中的功能作用。在这里,我们概述并讨论了在健康受试者、病理状态下以及从转化角度来看,这一异质传入纤维群体的 C 纤维研究的当前领域。我们涵盖了编码触觉、温度和疼痛的 C 纤维,并对人类 C 纤维微神经生理学研究的未来提供了观点。

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