Department of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, 10016, USA.
College of Arts and Sciences, New York University, New York, NY, 10003, USA.
Mol Brain. 2020 Sep 23;13(1):129. doi: 10.1186/s13041-020-00670-w.
Chronic pain alters cortical and subcortical plasticity, causing enhanced sensory and affective responses to peripheral nociceptive inputs. Previous studies have shown that ketamine had the potential to inhibit abnormally amplified affective responses of single neurons by suppressing hyperactivity in the anterior cingulate cortex (ACC). However, the mechanism of this enduring effect has yet to be understood at the network level. In this study, we recorded local field potentials from the ACC of freely moving rats. Animals were injected with complete Freund's adjuvant (CFA) to induce persistent inflammatory pain. Mechanical stimulations were administered to the hind paw before and after CFA administration. We found a significant increase in the high-gamma band (60-100 Hz) power in response to evoked pain after CFA treatment. Ketamine, however, reduced the high-gamma band power in response to evoked pain in CFA-treated rats. In addition, ketamine had a sustained effect on the high-gamma band power lasting up to five days after a single dose administration. These results demonstrate that ketamine has the potential to alter maladaptive neural responses in the ACC induced by chronic pain.
慢性疼痛改变皮质和皮质下的可塑性,导致对周围伤害性传入的感觉和情感反应增强。先前的研究表明,氯胺酮通过抑制前扣带皮层(ACC)的过度活跃,有可能抑制单神经元异常放大的情感反应。然而,这种持久效应的机制在网络水平上尚未得到理解。在这项研究中,我们从自由活动的大鼠的 ACC 中记录局部场电位。动物接受完全弗氏佐剂(CFA)注射以诱导持续的炎症性疼痛。在 CFA 给药前后对后爪进行机械刺激。我们发现,在 CFA 处理后,对诱发疼痛的反应中,高伽马频带(60-100 Hz)的功率显著增加。然而,氯胺酮降低了 CFA 处理大鼠对诱发疼痛的高伽马频带功率。此外,氯胺酮对单剂量给药后长达五天的高伽马频带功率具有持续作用。这些结果表明,氯胺酮有可能改变慢性疼痛引起的 ACC 中的适应不良的神经反应。