2014
DOI: 10.1523/jneurosci.5316-13.2014
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Persistent Pain after Spinal Cord Injury Is Maintained by Primary Afferent Activity

Abstract: Chronic pain caused by insults to the CNS (central neuropathic pain) is widely assumed to be maintained exclusively by central mechanisms. However, chronic hyperexcitablility occurs in primary nociceptors after spinal cord injury (SCI), suggesting that SCI pain also depends upon continuing activity of peripheral sensory neurons. The present study in rats (Rattus norvegicus) found persistent upregulation after SCI of protein, but not mRNA, for a voltage-gated Na ϩ channel, Nav1.8, that is expressed almost exclu… Show more

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Cited by 124 publications
(149 citation statements)
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“…Injury is thought to activate intrinsic neuronal growth programs, including neurotrophin signaling, to promote axon regrowth (59). Neurotrophin release in response to injury also leads to inflammatory signaling, hyperalgesia, and aberrant sprouting in peripheral sensory neurons, resulting in potentially debilitating neuropathic pain (60)(61)(62)(63)(64)(65)(66)(67). Increased expression of TRPV2 was thought to contribute directly to pain sensation after nerve injury (58).…”
Section: Discussionmentioning
confidence: 99%
“…Injury is thought to activate intrinsic neuronal growth programs, including neurotrophin signaling, to promote axon regrowth (59). Neurotrophin release in response to injury also leads to inflammatory signaling, hyperalgesia, and aberrant sprouting in peripheral sensory neurons, resulting in potentially debilitating neuropathic pain (60)(61)(62)(63)(64)(65)(66)(67). Increased expression of TRPV2 was thought to contribute directly to pain sensation after nerve injury (58).…”
Section: Discussionmentioning
confidence: 99%
“…In a previous study we suggested that the neural mechanisms that mediate apprehension are independent of those that mediate aversion measured with the PEAP test [2]. The analgesic effect of UR13870 should now be assessed with translational behavioral measures of non-evoked neuropathic pain [23,24] and also for evidence of reversal of established chronic pain behaviors.…”
Section: Discussionmentioning
confidence: 99%
“…Spontaneous pain was tested using a conditioning paradigm with retigabine (#R-100, Alomone Laboratory, Jerusalem, Israel) as the conditioned stimulus to briefly relieve pain (45–60 minutes), as originally described in a rat model [6; 53]. Briefly, mice were first allowed to freely explore the conditioned place preference apparatus, which consists of 2 chambers (18 × 20 cm, 1 dark, 1 light) connected by a 15 cm hallway (Stoelting, Wood Dale, IL), for 15 minutes.…”
Section: Methodsmentioning
confidence: 99%