2014
DOI: 10.7554/elife.02370
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Criticality and degeneracy in injury-induced changes in primary afferent excitability and the implications for neuropathic pain

Abstract: Neuropathic pain remains notoriously difficult to treat despite numerous drug targets. Here, we offer a novel explanation for this intractability. Computer simulations predicted that qualitative changes in primary afferent excitability linked to neuropathic pain arise through a switch in spike initiation dynamics when molecular pathologies reach a tipping point (criticality), and that this tipping point can be reached via several different molecular pathologies (degeneracy). We experimentally tested these pred… Show more

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Cited by 60 publications
(74 citation statements)
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References 70 publications
(93 reference statements)
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“…146 This makes it very difficult to predict, for example, how effective benzodiazepines will be against a certain type of pain (for detailed discussions, see Refs. 14,33,111,147).…”
Section: Implications For Therapeutic Interventionsmentioning
confidence: 99%
“…146 This makes it very difficult to predict, for example, how effective benzodiazepines will be against a certain type of pain (for detailed discussions, see Refs. 14,33,111,147).…”
Section: Implications For Therapeutic Interventionsmentioning
confidence: 99%
“…5, these kinds of features can be tuned while keeping other features fixed if maximal conductances are covaried along approximately linear paths in parameter space. This provides a link to recent experimental observations (45)(46)(47) and theoretical models of activity-dependent ion channel regulation (48,49) in which linear correlations between conductance densities are seen.…”
Section: Ion Channels Have Paradoxical Effects On Excitability In Difmentioning
confidence: 99%
“…These are all neural processes that are not only changed by nerve injury (Lekan et al, 1997, Costigan et al, 2002, Yaksh, 2006, Wilson et al, 2012, Ratte et al, 2014) but appear to contribute to the signs and symptoms of peripheral neuropathy (Siau and Bennett, 2006). For example, in models of traumatic nerve injury, which is often associated with paresthesias, dysesthesias, and ongoing pain, there are changes in the regulation of [Ca 2+ ] i in both putative nociceptive and non-nociceptive neurons in a pattern that appears to depend on whether or not the neurons were injured or were adjacent to those that were injured.…”
mentioning
confidence: 99%