“…Similarly, increased neuronal activities in the medial prefrontal cortex (including the rostral anterior cingulate) were detected during a sustained high-pain period in patients with chronic back pain (Baliki et al, 2006 ). Other studies applied various chemicals, including ζ-pseudosubstrate inhibitory peptide (ZIP; Li et al, 2010 ), IEM1460 (Liu et al, 2015 ) and clonidine (Zuo et al, 2015 ), to the ACC locally, and unmasking effects on the aversion induced by peripheral nerve injury were observed, whereas lesion (Qu et al, 2011 ) or injection of brain-derived neurotrophic factor (BDNF)–tropomyosin receptor kinase B (TrkB) antagonist into the rostral ACC completely blocked the CPP induced by clonidine (Zhang et al, 2016 ), suggesting that the ACC is necessary for the regulation of spontaneous pain. In the current study, we showed that application of clonidine topically to the ACC is sufficient to alleviate both mechanical allodynia and spontaneous pain at day 7 after nerve injury, and that inhibiting the activities of cingulate α 2A adrenoceptors abolishes the place preference induced by clonidine in CPN-ligated mice, suggesting that the activation of cingulate α 2A adrenoceptors is necessary for the analgesic effects of clonidine on the spontaneous pain.…”