Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Science. 2019 Jan 18;363(6424):276-281. doi: 10.1126/science.aap8586.
Pain is an unpleasant experience. How the brain's affective neural circuits attribute this aversive quality to nociceptive information remains unknown. By means of time-lapse in vivo calcium imaging and neural activity manipulation in freely behaving mice encountering noxious stimuli, we identified a distinct neural ensemble in the basolateral amygdala that encodes the negative affective valence of pain. Silencing this nociceptive ensemble alleviated pain affective-motivational behaviors without altering the detection of noxious stimuli, withdrawal reflexes, anxiety, or reward. Following peripheral nerve injury, innocuous stimuli activated this nociceptive ensemble to drive dysfunctional perceptual changes associated with neuropathic pain, including pain aversion to light touch (allodynia). These results identify the amygdalar representations of noxious stimuli that are functionally required for the negative affective qualities of acute and chronic pain perception.
疼痛是一种不愉快的体验。大脑的情感神经回路如何将这种令人不快的感觉归因于伤害性信息仍然未知。通过在自由活动的小鼠中进行延时在体钙成像和神经活动操作,我们在外侧杏仁核中发现了一个独特的神经集合,它编码疼痛的负面情感价值。沉默这个伤害性集合减轻了疼痛的情感动机行为,而不改变对有害刺激的检测、退缩反射、焦虑或奖励。在周围神经损伤后,无害刺激激活了这个伤害性集合,导致与神经病理性疼痛相关的功能失调的知觉变化,包括对轻触的疼痛回避(痛觉过敏)。这些结果确定了杏仁核对有害刺激的表示,这些表示对于急性和慢性疼痛感知的负面情感质量是功能必需的。