Department of Neurology, Institute of Neuroscience, Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, and Emergency Department of the Second Affiliated Hospital, School of Basic Medicine, Guangzhou Medical University, Guangzhou, China.
Department of Physiology, School of Basic Medicine, Guangdong Medical University, Zhanjiang, China.
J Clin Invest. 2023 May 1;133(9):e166356. doi: 10.1172/JCI166356.
Chronic pain can cause both hyperalgesia and anxiety symptoms. However, how the two components are encoded in the brain remains unclear. The prelimbic cortex (PrL), a critical brain region for both nociceptive and emotional modulations, serves as an ideal medium for comparing how the two components are encoded. We report that PrL neurons projecting to the basolateral amygdala (PrLBLA) and those projecting to the ventrolateral periaqueductal gray (PrLl/vlPAG) were segregated and displayed elevated and reduced neuronal activity, respectively, during pain chronicity. Consistently, optogenetic suppression of the PrL-BLA circuit reversed anxiety-like behaviors, whereas activation of the PrL-l/vlPAG circuit attenuated hyperalgesia in mice with chronic pain. Moreover, mechanistic studies indicated that elevated TNF-α/TNFR1 signaling in the PrL caused increased insertion of GluA1 receptors into PrLBLA neurons and contributed to anxiety-like behaviors in mice with chronic pain. Together, these results provide insights into the circuit and molecular mechanisms in the PrL for controlling pain-related hyperalgesia and anxiety-like behaviors.
慢性疼痛可引起痛觉过敏和焦虑症状。然而,这两个组成部分在大脑中是如何编码的仍不清楚。额前皮质(PrL),一个对伤害性和情绪调节都很重要的关键大脑区域,是比较两个组成部分如何编码的理想媒介。我们报告说,投射到基底外侧杏仁核(PrLBLA)的 PrL 神经元和投射到腹外侧中脑导水管周围灰质(PrLl/vlPAG)的 PrL 神经元被分离出来,并分别显示出在疼痛慢性期升高和降低的神经元活动。一致地,光遗传学抑制 PrL-BLA 回路逆转了慢性疼痛小鼠的焦虑样行为,而激活 PrL-l/vlPAG 回路减轻了慢性疼痛小鼠的痛觉过敏。此外,机制研究表明,PrL 中升高的 TNF-α/TNFR1 信号导致 GluA1 受体在 PrLBLA 神经元中的插入增加,并导致慢性疼痛小鼠出现焦虑样行为。总之,这些结果为 PrL 控制与疼痛相关的痛觉过敏和焦虑样行为的电路和分子机制提供了深入了解。
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