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The Journal of Neuroscience, January 15, 2003, 23(2):601-610
Widespread Projections from Myelinated Nociceptors throughout the
Substantia Gelatinosa Provide Novel Insights into Neonatal
Hypersensitivity
C. Jeffery
Woodbury and
H. Richard
Koerber
Department of Neurobiology, University of Pittsburgh School of
Medicine, Pittsburgh, Pennsylvania 15261
Skin sensory neurons have long been thought to undergo major
changes in anatomy and physiology over the first few weeks of postnatal
life. Low-threshold mechanoreceptors (LTMRs) are believed to project
extensively throughout superficial dorsal horn laminas initially
and provide the afferent limb for hyperactive nocifensive reflexes.
However, our recent studies revealed that neonatal LTMRs do not project
into "pain-specific" regions; instead, they exhibit adult-like
anatomy shortly after birth. We sought to determine whether the same
might be true for myelinated high-threshold mechanoreceptors (HTMRs).
We used an intact, ex vivo somatosensory system
preparation from neonatal mice to allow intrasomal recording and
neurobiotin labeling of individual sensory neurons characterized via
natural skin stimuli. Neonatal HTMRs displayed a number of key
hallmarks of their adult counterparts; relative to LTMRs, they
exhibited broader, inflected somal spikes and higher mechanical
thresholds and/or responded in an increasingly vigorous manner to
incrementally graded forces in a manner capable of encoding stimulus
intensity. Two types were discerned on the basis of central anatomy:
one subset projected to superficial laminas (I/II); the other gave rise
to diffuse, dorsally recurving collateral arbors extending throughout
the entire dorsal horn (I-V). The latter represent a novel cutaneous
afferent morphology that persists in older animals. These studies
reveal that inputs from myelinated afferents to superficial
pain-specific laminas in neonates arise from HTMRs and not LTMRs as
commonly thought. This frequently overlooked population is in a
position, therefore, to contribute substantially to paradoxical
nocifensive behaviors in neonates and various pain states in adults.
Key words:
pain; development; spinal cord; dorsal horn; lamina
II; skin; sensory; dorsal root ganglia; DRG
Copyright © 2003 Society for Neuroscience 0270-6474/03/232601-10$05.00/0
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