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      Functional differences between neurochemically defined populations of inhibitory interneurons in the rat spinal dorsal horn

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          Summary

          Neurochemically defined populations of inhibitory interneurons in the superficial dorsal horn of the spinal cord differ in their receptor expression pattern and responses to noxious stimuli.

          Abstract

          In order to understand how nociceptive information is processed in the spinal dorsal horn we need to unravel the complex synaptic circuits involving interneurons, which constitute the vast majority of the neurons in laminae I–III. The main limitation has been the difficulty in defining functional populations among these cells. We have recently identified 4 non-overlapping classes of inhibitory interneuron, defined by expression of galanin, neuropeptide Y (NPY), neuronal nitric oxide synthase (nNOS) and parvalbumin, in the rat spinal cord. In this study we demonstrate that these form distinct functional populations that differ in terms of sst 2A receptor expression and in their responses to painful stimulation. The sst 2A receptor was expressed by nearly all of the nNOS- and galanin-containing inhibitory interneurons but by few of those with NPY and none of the parvalbumin cells. Many galanin- and NPY-containing cells exhibited phosphorylated extracellular signal-regulated kinases (pERK) after mechanical, thermal or chemical noxious stimuli, but very few nNOS-containing cells expressed pERK after any of these stimuli. However, many nNOS-positive inhibitory interneurons up-regulated Fos after noxious thermal stimulation or injection of formalin, but not after capsaicin injection. Parvalbumin cells did not express either activity-dependent marker following any of these stimuli. These results suggest that interneurons belonging to the NPY, nNOS and galanin populations are involved in attenuating pain, and for NPY and nNOS cells this is likely to result from direct inhibition of nociceptive projection neurons. They also suggest that the nociceptive inputs to the nNOS cells differ from those to the galanin and NPY populations.

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          Most cited references73

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          NeuN, a neuronal specific nuclear protein in vertebrates.

          A battery of monoclonal antibodies (mAbs) against brain cell nuclei has been generated by repeated immunizations. One of these, mAb A60, recognizes a vertebrate nervous system- and neuron-specific nuclear protein that we have named NeuN (Neuronal Nuclei). The expression of NeuN is observed in most neuronal cell types throughout the nervous system of adult mice. However, some major cell types appear devoid of immunoreactivity including cerebellar Purkinje cells, olfactory bulb mitral cells, and retinal photoreceptor cells. NeuN can also be detected in neurons in primary cerebellar cultures and in retinoic acid-stimulated P19 embryonal carcinoma cells. Immunohistochemically detectable NeuN protein first appears at developmental timepoints which correspond with the withdrawal of the neuron from the cell cycle and/or with the initiation of terminal differentiation of the neuron. NeuN is a soluble nuclear protein, appears as 3 bands (46-48 x 10(3) M(r)) on immunoblots, and binds to DNA in vitro. The mAb crossreacts immunohistochemically with nervous tissue from rats, chicks, humans, and salamanders. This mAb and the protein recognized by it serve as an excellent marker for neurons in the central and peripheral nervous systems in both the embryo and adult, and the protein may be important in the determination of neuronal phenotype.
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            Trans-synaptic shift in anion gradient in spinal lamina I neurons as a mechanism of neuropathic pain.

            Modern pain-control theory predicts that a loss of inhibition (disinhibition) in the dorsal horn of the spinal cord is a crucial substrate for chronic pain syndromes. However, the nature of the mechanisms that underlie such disinhibition has remained controversial. Here we present evidence for a novel mechanism of disinhibition following peripheral nerve injury. It involves a trans-synaptic reduction in the expression of the potassium-chloride exporter KCC2, and the consequent disruption of anion homeostasis in neurons of lamina I of the superficial dorsal horn, one of the main spinal nociceptive output pathways. In our experiments, the resulting shift in the transmembrane anion gradient caused normally inhibitory anionic synaptic currents to be excitatory, substantially driving up the net excitability of lamina I neurons. Local blockade or knock-down of the spinal KCC2 exporter in intact rats markedly reduced the nociceptive threshold, confirming that the reported disruption of anion homeostasis in lamina I neurons was sufficient to cause neuropathic pain.
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              Models and mechanisms of hyperalgesia and allodynia.

              Hyperalgesia and allodynia are frequent symptoms of disease and may be useful adaptations to protect vulnerable tissues. Both may, however, also emerge as diseases in their own right. Considerable progress has been made in developing clinically relevant animal models for identifying the most significant underlying mechanisms. This review deals with experimental models that are currently used to measure (sect. II) or to induce (sect. III) hyperalgesia and allodynia in animals. Induction and expression of hyperalgesia and allodynia are context sensitive. This is discussed in section IV. Neuronal and nonneuronal cell populations have been identified that are indispensable for the induction and/or the expression of hyperalgesia and allodynia as summarized in section V. This review focuses on highly topical spinal mechanisms of hyperalgesia and allodynia including intrinsic and synaptic plasticity, the modulation of inhibitory control (sect. VI), and neuroimmune interactions (sect. VII). The scientific use of language improves also in the field of pain research. Refined definitions of some technical terms including the new definitions of hyperalgesia and allodynia by the International Association for the Study of Pain are illustrated and annotated in section I.
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                Author and article information

                Contributors
                Journal
                Pain
                Pain
                Pain
                Elsevier/North-Holland
                0304-3959
                1872-6623
                1 December 2013
                December 2013
                : 154
                : 12
                : 2606-2615
                Affiliations
                [a ]Spinal Cord Group, Institute of Neuroscience and Psychology, University of Glasgow, Glasgow G12 8QQ, United Kingdom
                [b ]Department of Anatomy, Hokkaido University School of Medicine, Sapporo 060-8638, Japan
                Author notes
                [* ]Corresponding authors. Address: Spinal Cord Group, West Medical Building, University of Glasgow, University Avenue, Glasgow G12 8QQ, UK. erika.beresford-polgar@ 123456glasgow.ac.uk andrew.todd@ 123456glasgow.ac.uk
                Article
                S0304-3959(13)00224-8
                10.1016/j.pain.2013.05.001
                3858808
                23707280
                660b4a6c-0779-4648-acd6-e26329a530ff
                © 2013 Elsevier B.V.

                This document may be redistributed and reused, subject to certain conditions.

                History
                : 8 February 2013
                : 24 April 2013
                : 1 May 2013
                Categories
                Research Papers

                Anesthesiology & Pain management
                neuronal nitric oxide synthase,galanin,parvalbumin,somatostatin receptor 2a,neuropeptide y,pain

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