It has been reported that long-term enhancement of superficial dorsal horn (DH
s
) excitatory synaptic transmission underlies central sensitization, secondary hyperalgesia, and persistent pain. We tested whether impaired clearance of K
+
and glutamate by glia in DH
s
may contribute to initiation and maintenance of the CNS pain circuit and sensorimotor abnormalities. Transient exposure of the spinal cord slice to fluorocitrate (FC) is shown to be accompanied by a protracted
decrease
of the DH
s
optical response to repetitive electrical stimulation of the ipsilateral dorsal root, and by a similarly protracted
increase
in the postsynaptic response of the DH
s
like LTP. It also is shown that LTP
FC
does not
occur in the presence of APV, and becomes progressively
smaller
as [K
+
]
o
in the perfusion solution decreased from 3.0 mM to 0.0 mM. Interestingly LTP
FC
is
reduced
by bath application of Bic. Whole-cell patch recordings were carried out to evaluate the effects of FC on the response of DH
s
neurons to puffer-applied GABA. The observations reveal that transient exposure to FC is reliably accompanied by a prolonged (>1 hr) depolarizing shift of the equilibrium potential for the DH
s
neuron transmembrane ionic currents evoked by GABA. Considered collectively, the findings demonstrate that LTP
FC
involves (1) elevation of [K
+
]
o
in the DH
s
, (2) NMDAR activation, and (3) conversion of the effect of GABA on DH
s
neurons from inhibition to excitation. It is proposed that a transient impairment of astrocyte energy production can trigger the cascade of dorsal horn mechanisms that underlies hyperalgesia and persistent pain.