2012
DOI: 10.1523/jneurosci.1473-12.2012
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Central Amygdala Metabotropic Glutamate Receptor 5 in the Modulation of Visceral Pain

Abstract: Painful bladder syndrome is a debilitating condition that affects 3–6% of women in the United States. Multiple lines of evidence suggest that changes in central nervous system processing are key to the development of chronic bladder pain conditions, but little is known regarding the underlying cellular, molecular, and neuronal mechanisms. Using a mouse model of distension-induced bladder pain, we found that the central nucleus of the amygdala (CeA) is a critical site of neuromodulation for processing of bladde… Show more

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Cited by 101 publications
(87 citation statements)
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“…Accordingly, ROS scavengers in the amygdala can inhibit increased pain behaviors [25;36;40]. These findings are consistent with an important role of G protein-coupled mGluR5 in amygdala plasticity in pain [9;21;32;35;45] and with an emerging role of ROS in peripheral [28;55;60], spinal [15;22;29;30;33;34;52;54;61], and supraspinal [25;36;39;40;48] mechanisms of inflammatory and neuropathic pain.…”
Section: Discussionsupporting
confidence: 61%
“…Accordingly, ROS scavengers in the amygdala can inhibit increased pain behaviors [25;36;40]. These findings are consistent with an important role of G protein-coupled mGluR5 in amygdala plasticity in pain [9;21;32;35;45] and with an emerging role of ROS in peripheral [28;55;60], spinal [15;22;29;30;33;34;52;54;61], and supraspinal [25;36;39;40;48] mechanisms of inflammatory and neuropathic pain.…”
Section: Discussionsupporting
confidence: 61%
“…As a preliminary indicator of bladder pain involvement in rodents, increased levels of cFos protein were observed in the CeA following a single CYP injection 22 . In an opposing top-down approach, non-specific optogenetic activation of the right CeA resulted in increased pain-like responses during bladder distension, demonstrating this loci's ability to modulate sensory information arising from the viscera 23 .…”
Section: Resultsmentioning
confidence: 97%
“…Administration of agonists and antagonists of metabotropic glutamate receptor 5 (mGluR5) into the CeA increase and decrease UBD-evoked pain-like responses respectively by altering CeA neuronal excitability 23 . Furthermore, genetic disruption of mGluR5 in the right CeA decreases both bladder pain and dorsal horn spinal phosphorylation of extracellular signal-regulated kinase (ERK), a common marker of nociceptive-induced neuronal activation, following UBD 23 . Asymmetrical involvement of the left and right CeA in somatic pain processing has been reported, but the specific contribution of the left CeA in bladder pain remains unknown 24 .…”
Section: Resultsmentioning
confidence: 99%
“…The effects of CeA manipulations on nociception are likely dictated by whether these manipulations affect interneurons or projection neurons or both, and also by the extent and laterality of the lesion. For example, one prior study showed that unilateral optogenetic activation of right CeA promotes nociception in a mouse model of chronic bladder pain (Crock et al, 2012), whereas other work shows that bilateral CeA lesion blocks antinociception (ie, promotes nociception; Werka, 1994;Werka and Marek, 1990). In humans with PTSD, neuroimaging studies report higher amygdala activity at rest (Semple et al, 2000), and hyper-reactivity of the amygdala to traumarelated stimuli (Dickie et al, 2008;Morey et al, 2009;Rauch et al, 2000), although those studies lacked the resolution to isolate the CeA.…”
Section: Discussionmentioning
confidence: 99%