Liu Yaling, Xu Helen, Sun Guanghao, Vemulapalli Bharat, Jee Hyun Jung, Zhang Qiaosheng, Wang Jing
Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, NY, United States.
Interdisciplinary Pain Research Program, New York University Langone Health, New York, NY, United States.
Front Pain Res (Lausanne). 2021 Aug 27;2:728045. doi: 10.3389/fpain.2021.728045. eCollection 2021.
As pain consists of both sensory and affective components, its management by pharmaceutical agents remains difficult. Alternative forms of neuromodulation, such as electrical stimulation, have been studied in recent years as potential pain treatment options. Although electrical stimulation of the brain has shown promise, more research into stimulation frequency and targets is required to support its clinical applications. Here, we studied the effect that stimulation frequency has on pain modulation in the prefrontal cortex (PFC) and the anterior cingulate cortex (ACC) in acute pain models in rats. We found that low-frequency stimulation in the prelimbic region of the PFC (PL-PFC) provides reduction of sensory and affective pain components. Meanwhile, high-frequency stimulation of the ACC, a region involved in processing pain affect, reduces pain aversive behaviors. Our results demonstrate that frequency-dependent neuromodulation of the PFC or ACC has the potential for pain modulation.
由于疼痛由感觉和情感成分组成,使用药物进行管理仍然很困难。近年来,人们对电刺激等其他形式的神经调节进行了研究,将其作为潜在的疼痛治疗选择。尽管对大脑的电刺激已显示出前景,但仍需要对刺激频率和靶点进行更多研究,以支持其临床应用。在此,我们研究了刺激频率对大鼠急性疼痛模型中前额叶皮质(PFC)和前扣带回皮质(ACC)疼痛调节的影响。我们发现,PFC边缘前区(PL-PFC)的低频刺激可减轻感觉性和情感性疼痛成分。同时,对参与处理疼痛情感的ACC区域进行高频刺激可减少疼痛厌恶行为。我们的结果表明,PFC或ACC的频率依赖性神经调节具有疼痛调节的潜力。