Center for Neuroplasticity and Pain (CNAP), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Department of Engineering, King's College London, London, UK.
Eur J Pain. 2021 Mar;25(3):612-623. doi: 10.1002/ejp.1697. Epub 2020 Dec 5.
The current knowledge on the role of SI and ACC in acute pain processing and how these contribute to the development of chronic pain is limited. Our objective was to investigate differences in and modulation of intracortical responses from SI and ACC in response to different intensities of peripheral presumed noxious and non-noxious stimuli in the acute time frame of a peripheral nerve injury in rats.
We applied non-noxious and noxious electrical stimulation pulses through a cuff electrode placed around the sciatic nerve and measured the cortical responses (six electrodes in each cortical area) before and after the spared nerve injury model.
We found that the peak response correlated with the stimulation intensity and that SI and ACC differed in both amplitude and latency of cortical response. The cortical response to both noxious and non-noxious stimulation showed a trend towards faster processing of non-noxious stimuli in ACC and increased cortical processing of non-noxious stimuli in SI after SNI.
We found different responses in SI and ACC to different intensity electrical stimulations based on two features and changes in these features following peripheral nerve injury. We believe that these features may be able to assist to track cortical changes during the chronification of pain in future animal studies.
This study showed distinct cortical processing of noxious and non-noxious peripheral stimuli in SI and ACC. The processing latency in ACC and accumulated spiking activity in SI appeared to be modulated by peripheral nerve injury, which elaborated on the function of these two areas in the processing of nociception.
目前关于 SI 和 ACC 在急性疼痛处理中的作用以及它们如何导致慢性疼痛发展的知识有限。我们的目的是研究在大鼠周围神经损伤的急性时间内,来自 SI 和 ACC 的皮质内反应在不同强度的外周假定有害和无害刺激下的差异和调制。
我们通过放置在坐骨神经周围的袖带电极施加无害和有害的电刺激脉冲,并在 spared 神经损伤模型之前和之后测量皮质反应(每个皮质区域的六个电极)。
我们发现峰值反应与刺激强度相关,并且 SI 和 ACC 在皮质反应的幅度和潜伏期上存在差异。对有害和无害刺激的皮质反应均显示出 ACC 中无害刺激处理速度更快的趋势,以及 SNI 后 SI 中无害刺激皮质处理增加的趋势。
我们发现 SI 和 ACC 对不同强度的电刺激有不同的反应,这是基于两个特征,并且这些特征在周围神经损伤后发生了变化。我们相信,这些特征可能能够在未来的动物研究中帮助跟踪疼痛慢性化过程中的皮质变化。
这项研究显示了 SI 和 ACC 对有害和无害外周刺激的明显不同的皮质处理。ACC 的处理潜伏期和 SI 中的累积放电活动似乎被周围神经损伤所调制,这阐述了这两个区域在伤害感受处理中的功能。