Department of Neurobiology, School of Basic Medical Sciences, Neuroscience Research Institute, Peking University, Beijing, 100083, China.
CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, 100101, China.
Neurosci Bull. 2024 Jul;40(7):872-886. doi: 10.1007/s12264-023-01159-x. Epub 2024 Jan 5.
The prelimbic cortex (PL) is actively engaged in pain modulation. The infralimbic cortex (IL) has been reported to regulate the PL. However, how this regulation affects pain remains unclear. In the present study, we recorded temporary hyper-activity of PL pyramidal neurons responding to nociceptive stimuli, but a temporary hypo-function of the IL by in vivo electrophysiological recording in rats with peripheral inflammation. Manipulation of the PL or IL had opposite effects on thermal hyperalgesia. Furthermore, the functional connectivity and chemogenetic regulation between the subregions indicated an inhibitory influence of the IL on the PL. Activation of the pathway from the IL to the PL alleviated thermal hyperalgesia, whereas its inhibition exacerbated chronic pain. Overall, our results suggest a new mechanism underlying the role of the medial prefrontal cortex in chronic pain: hypo-function of the IL leads to hyperactivity of the PL, which regulates thermal hyperalgesia, and thus contributes to the chronicity of pain.
前额皮层(PL)积极参与疼痛调节。据报道,边缘下皮层(IL)调节 PL。然而,这种调节如何影响疼痛尚不清楚。在本研究中,我们通过对有外周炎症的大鼠进行体内电生理记录,发现其 PL 锥体神经元对伤害性刺激的短暂超活性,但 IL 的短暂功能障碍。PL 或 IL 的操作对热痛觉过敏有相反的影响。此外,亚区之间的功能连接和化学遗传调节表明 IL 对 PL 的抑制影响。IL 到 PL 的通路的激活减轻了热痛觉过敏,而其抑制则加重了慢性疼痛。总的来说,我们的结果表明,内侧前额叶皮层在慢性疼痛中作用的一个新机制:IL 的功能障碍导致 PL 的过度活跃,从而调节热痛觉过敏,从而导致疼痛的慢性化。
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