Department of Pharmacology and Neuroscience, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Department of Pharmacology and Neuroscience, Texas Tech University Health Sciences Center, Lubbock, TX, USA; Center of Excellence for Translational Neuroscience and Therapeutics, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Neuropharmacology. 2021 Mar 1;185:108456. doi: 10.1016/j.neuropharm.2021.108456. Epub 2021 Jan 12.
Recent evidence suggests that kappa opioid receptors (KOR) in limbic brain regions such as the amygdala contribute to pain conditions, but underlying mechanisms remain to be determined. The amygdala is an important player in averse-affective aspects of pain and pain modulation. The central nucleus (CeA) serves output functions through projection neurons that include corticotropin releasing factor (CRF) expressing neurons. The CeA is also rich in KOR. Here we tested the novel hypothesis that KOR activation in the CeA generates pain-like behaviors through a mechanism that involves inhibition of synaptic inhibition (disinhibition) of CRF neurons. Intra-CeA administration of a KOR agonist (U-69,593) increased vocalizations of naïve rats to noxious stimuli, and induced anxiety-like behaviors in the open field test (OFT) and avoidance in the conditioned place preference test, without affecting mechanosensory thresholds. Optogenetic silencing of CeA-CRF neurons blocked the facilitatory effects of systemically applied U-69,593 in naïve rats. Patch-clamp recordings of CRF neurons in rat brain slices found that U-69,593 decreased feedforward inhibitory transmission evoked by optogenetic stimulation of parabrachial afferents, but had no effect on monosynaptic excitatory transmission. U-69,593 decreased frequency, but not amplitude, of inhibitory synaptic currents, suggesting a presynaptic action. Multiphoton imaging of CeA-CRF neurons in rat brain slices showed that U-69,593 increased calcium signals evoked by electrical stimulation of presumed parabrachial input. This study shows for the first time that KOR activation increases activity of amygdala CRF neurons through synaptic disinhibition, resulting in averse-affective pain-like behaviors. Blocking KOR receptors may therefore represent a novel therapeutic strategy.
最近的证据表明,孤啡肽受体(KOR)在边缘脑区(如杏仁核)中的作用与疼痛状态有关,但潜在机制仍有待确定。杏仁核是疼痛和疼痛调节的负面情感方面的重要参与者。中央核(CeA)通过包括促肾上腺皮质释放因子(CRF)表达神经元的投射神经元发挥输出功能。CeA 中也富含 KOR。在这里,我们提出了一个新的假设,即 CeA 中的 KOR 激活通过涉及抑制 CRF 神经元的突触抑制(去抑制)的机制产生类痛行为。CeA 内给予 KOR 激动剂(U-69,593)可增加对伤害性刺激的天真大鼠的发声,并在旷场测试(OFT)中引起焦虑样行为,并在条件性位置偏爱测试中引起回避,而不影响机械感觉阈值。CeA-CRF 神经元的光遗传沉默阻断了系统应用 U-69,593 在天真大鼠中的促进作用。在大鼠脑片上记录的 CRF 神经元的膜片钳记录发现,U-69,593 降低了光遗传学刺激臂旁核传入纤维引起的前馈抑制性传递,但对单突触兴奋性传递没有影响。U-69,593 降低了抑制性突触电流的频率,但不影响幅度,提示其具有突触前作用。大鼠脑片上 CeA-CRF 神经元的多光子成像显示,U-69,593 增加了对假定臂旁核输入电刺激的钙信号。这项研究首次表明,KOR 激活通过突触去抑制增加杏仁核 CRF 神经元的活性,导致负面情感的类痛行为。因此,阻断 KOR 受体可能代表一种新的治疗策略。
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