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The Journal of Neuroscience, January 1, 2003, 23(1):52-63
Synaptic Plasticity in the Amygdala in a Model of Arthritic Pain:
Differential Roles of Metabotropic Glutamate Receptors 1 and 5
Volker
Neugebauer1,
Weidong
Li1,
Gary C.
Bird1,
Gautam
Bhave2, and
Robert W.
Gereau IV2
1 Department of Anatomy and Neurosciences and Marine
Biomedical Institute, The University of Texas Medical Branch,
Galveston, Texas 77555-1069, and 2 Division of
Neuroscience, Baylor College of Medicine, Houston, Texas 77030
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ABSTRACT |
Pain has a strong emotional-affective dimension, and the amygdala
plays a key role in emotionality. Mechanisms of pain-related changes in
the amygdala were studied at the cellular and molecular levels in a
model of arthritis pain. The influence of the arthritic condition
induced in vivo on synaptic transmission and group I metabotropic glutamate receptor (mGluR1 and mGluR5) function was examined in vitro using whole-cell voltage-clamp
recordings of neurons in the central nucleus of the amygdala (CeA).
G-protein-coupled mGluRs are implicated in various forms of
neuroplasticity as well as in neurological and psychiatric disorders.
Synaptic transmission was evoked by electrical stimulation of afferents
from the basolateral amygdala (BLA) and the pontine parabrachial (PB)
area in brain slices from control (untreated or saline-injected) rats
and from arthritic rats. This study shows enhanced synaptic
transmission of nociceptive-specific inputs (PB CeA synapse)
and polymodal sensory inputs (BLA CeA synapse) in the arthritis
model. CeA neurons from arthritic rats also developed increased
excitability compared with control CeA neurons. Synaptic plasticity in
the CeA was accompanied by increased presynaptic mGluR1 function and
upregulation of mGluR1 and mGluR5. A selective mGluR1 antagonist
reduced transmission in CeA neurons from arthritic animals but not in
control neurons, and increased levels of mGluR1 and mGluR5 protein were
measured in the CeA of arthritic rats compared with controls. Our
results show that plastic changes in the amygdala in an arthritis model that produces prolonged pain involve a critical switch of presynaptic mGluR1 expression and function.
Key words:
amygdala; arthritis pain; electrophysiology; metabotropic glutamate receptors; nociception; patch-clamp; plasticity; synaptic transmission
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Introduction |
The amygdala plays a key role in the
emotional-affective aspects of behavior, the emotional evaluation of
sensory stimuli, emotional learning and memory, and related disorders
(Davis, 1998 ; Cahill, 1999 ; Davidson et al., 1999 ; Gallagher and
Schoenbaum, 1999 ; Maren, 1999 ; Aggleton, 2000 ; LeDoux, 2000 ;
Rasia-Filho et al., 2000 ). The amygdala is also implicated in the
emotional-affective component of pain (Bernard and Bandler, 1998 ;
Manning et al., 2001 ; Schneider et al., 2001 ; Neugebauer and Li, 2002 ).
The amygdala exhibits a high degree of plasticity in models of tetanic,
pharmacologically induced, and behavioral long-term modification of
synaptic transmission (McKernan and Shinnick-Gallagher, 1997 ;
Neugebauer et al., 1997a , 2000 ; Maren, 1999 ; Wang and Gean, 1999 ;
LeDoux, 2000 ; Martin et al., 2000 ; Bauer et al., 2001 ; Blair et al.,
2001 ; Lin et al., 2001 ). Such neuroplasticity is believed to be
involved in associative learning and in certain neurological and
psychiatric disorders.
The amygdala receives purely nociceptive information through the
spino-parabrachio-amygdaloid pain pathway, which connects the pontine
parabrachial area and spinal cord with the central nucleus of the
amygdala (CeA) (Bernard et al., 1993 ; Jasmin et al., 1997 ; Buritova et
al., 1998 ) (see Fig. 1). Polymodal sensory, including nociceptive,
information reaches the amygdala from thalamic and cortical areas
through connections with the lateral and basolateral amygdaloid nuclei,
which then project to the CeA, the output nucleus for major amygdala
functions (Pitkanen et al., 1997 ; Doron and LeDoux, 1999 ; Linke et al.,
1999 ; Shi and Davis, 1999 ; LeDoux, 2000 ; Smith et al., 2000 ) (see Fig.
1).
Accumulating evidence implicates the amygdala in pain processing and
modulation. Electrical stimulation of the amygdala elicits vocalizations that are accompanied by emotional reactions in monkeys (Jurgens et al., 1967 ; Jurgens, 1982 ). Lesions or temporary
inactivation of the amygdala decrease higher integrated emotional pain
responses without affecting normal behavior or baseline nociceptive
responses (Charpentier, 1967 ; Calvino et al., 1982 ; Helmstetter, 1992 ;
Maier et al., 1993 ; Fox and Sorenson, 1994 ; Watkins et al., 1998 ;
Borszcz, 1999 ; Tershner and Helmstetter, 2000 ). Single-unit recordings in anesthetized rats defined the capsular division of the CeA as the
"nociceptive amygdala," because the vast majority of these neurons
respond exclusively or preferentially to painful stimuli (Bernard et
al., 1992 ; Neugebauer and Li, 2002 ).
The role of the amygdala in prolonged, and chronic pain is mostly
unknown. This study is the first to address cellular and molecular
mechanisms of synaptic plasticity in the amygdala in a well established
model of arthritic pain arising from a localized inflammation of one
knee joint (Neugebauer et al., 1993 , 1994 , 1995 , 1996 ). We focus on
group I metabotropic glutamate receptors (mGluRs), which are involved
in neuroplasticity associated with normal brain functions as well as in
neurological and psychiatric disorders (Fundytus, 2001 ; Neugebauer,
2001a , 2002 ). Group I mGluRs comprise mGluR1 and mGluR5 subtypes. These
couple through Gq/11-proteins to the activation
of phospholipase C and protein kinase C, and they also regulate various
other signal transduction pathways. Accumulating evidence suggests an
important role of mGluRs in pain processing (Fundytus, 2001 ; Karim et
al., 2001 ; Neugebauer, 2001a ,b ; Neugebauer, 2002 ; Neugebauer and
Carlton, 2002 ; Varney and Gereau, 2002 ).
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Materials and Methods |
Electrophysiological and biochemical data were obtained from
control rats (untreated normal rats and saline-injected "sham" rats) and rats with monoarthritis (6-8 hr after induction). Male Sprague Dawley rats (110-250 gm) were individually housed in standard plastic boxes (40 × 20 cm) in a temperature-controlled room and maintained on a 12 hr day/night cycle. Standard laboratory chow and tap
water were available ad libitum. On the day of the
experiment, rats were transferred from the animal facility and allowed
to acclimate to the laboratory for at least 1 hr.
Arthritis pain model
In one group of rats ("arthritis"), arthritis was induced in
one knee joint as described in detail previously (Neugebauer et al.,
1989 , 1993 , 1994 , 1995 , 1996 ; Neugebauer and Schaible, 1990 ). A kaolin
suspension (4%, 80-100 µl) was slowly injected into the joint
cavity through the patellar ligament with a syringe and needle (1 ml,
25G5/8). After repetitive flexions and extensions of the knee for 15 min, a carrageenan solution (2%, 80-100 µl) was injected into the
knee joint cavity, and the leg was flexed and extended for another 5 min. This treatment paradigm reliably leads to localized inflammation
and swelling of the injected knee within 1-3 hr. The inflammation
persists for up to 2 weeks. It does not spread systemically (Neugebauer
et al., 1989 , 1993 , 1994 , 1995 , 1996 ; Neugebauer and Schaible, 1990 ;
Min et al., 2001 ).
Another group of rats ("shams") received injections of a sterile
physiological saline solution into one knee joint similar to the kaolin
and carrageenan injections of the arthritis group. The knee joint was
rhythmically flexed and extended as in the arthritis group (see above).
The intra-articular saline injection caused a temporary swelling of the
knee joint, which did not persist beyond 2 hr after injection.
The third group of rats ("normal") did not receive any injections
but was kept under the same conditions as the arthritis and sham rats
before brain slices were obtained for electrophysiological and
molecular studies.
Behavioral tests
Evoked and spontaneous pain-related behavior was tested in rats
from which brain slices were obtained for electrophysiology and Western
blot analysis. Behavioral data were measured in control rats, which
consisted of untreated normal rats and shams, and arthritic rats.
Evoked behavior. Hindlimb withdrawal and vocalization
thresholds were measured and determined as follows: mechanical stimuli of gradually increasing intensity (steps of 50 gm/30
mm2) were applied to the hindpaw by means
of a forceps with a force transducer, whose calibrated output was
amplified and displayed in g on an liquid crystal display
screen. Threshold was defined as the minimum stimulus intensity that
evoked withdrawal of the hindlimb or vocalization. The threshold
stimulus intensity was then tested again three times to verify the
presence of the withdrawal reflex or vocalization in at least 50% of trials.
Spontaneous behavior. Exploratory behavior was measured
using an activity box, which monitors exploratory activity in terms of
the frequency at which the animal interrupts one of six beams of UV
light over 45 min. A computer tracked the activity and provided a
report of exploratory activity over time in terms of parameters such as
entries, distance traveled, and time spent resting.
Electrophysiology
Whole-cell voltage-clamp recordings were made from CeA neurons
in brain slices from control and arthritic rats (6-8 hr after induction of arthritis). Monosynaptic EPSCs were evoked at the parabrachial (PB) CeA synapse (nociceptive-specific input) and the
basolateral amygdala (BLA) CeA synapse (polymodal sensory, including
nociceptive, inputs) (Fig. 1). Drugs dissolved in artificial CSF (ACSF)
were applied by superfusion. ACSF contained (in mM): 117 NaCl, 4.7 KCl, 1.2 NaH2PO4,
2.5 CaCl2, 1.2 MgCl2, 25 NaHCO3, and 11 glucose.
Amygdala slice preparation. Brain slices containing the CeA
were obtained as previously described (Neugebauer et al. 1997a , 2000 )
(see Fig. 1). Rats were decapitated, and the brains quickly dissected
out and blocked in cold (4°C) ACSF (see above). ACSF was oxygenated
and equilibrated to pH 7.4 with a mixture of 95% O2and 5% CO2. Coronal
brain slices (350-500 µm) were prepared using a Vibroslice (Camden
Instruments, London, UK). After incubation in ACSF at room temperature
(21°C) for at least 1 hr, a single brain slice was transferred to the
recording chamber and submerged in ACSF (31 ± 1°C), which
superfused the slice at ~2 ml/min.
Whole-cell patch-clamp recording. Whole-cell recordings
using the "blind" patch technique (Blanton et al., 1989 ) or
differential interference contrast (DIC)-enhanced infrared (IR)
videomicroscopy (Dodt and Zieglgansberger, 1990 , 1998 ) (see Fig. 1)
were obtained from CeA neurons using patch electrodes made from 1.5 mm
borosilicate glass capillaries (1.5 mm outer diameter, 1.12 mm inner
diameter; Drummond, Broomall, PA) pulled on a Flaming-Brown
micropipette puller (P-80/PC; Sutter Instrument Co., Novato, CA).
Recording electrodes were positioned in the central medial and lateral
capsular divisions of the CeA under visual control. The boundaries of
the CeA were discerned under light microscopy (see Fig. 1); each slice was matched with the corresponding level of Paxinos and Watson (1998) .
The internal solution of the recording electrodes (3-5 M tip
resistance) contained (in mM): 122 K-gluconate, 5 NaCl, 0.3 CaCl2, 2 MgCl2, 1 EGTA, 10 HEPES, 5 Na2-ATP, and 0.4 Na3-GTP, pH was adjusted to 7.2-7.3 with KOH and
osmolarity to 280 mOsm/kg with sucrose.
After tight (>2G ) seals were formed and the whole-cell
configuration was obtained, neurons were included in the sample if the
resting membrane potential was more negative than 50 mV, and action
potentials overshooting 0 mV were evoked by direct cathodal
stimulation. Voltage and current signals were low-pass-filtered at 1 kHz with a dual four-pole Bessel filter (Warner Instrument Corp.,
Hamden, CT), digitized at 5 kHz (Digidata 1200 interface; Axon
Instruments, Foster City, CA), and stored on a computer (Gateway Performance Pentium III). Data were also continuously recorded on a pen
chart recorder (3400; Gould Instruments, Valley View, OH). Evoked
potential and evoked current data were acquired and analyzed using
pCLAMP8 software (Axon Instruments). Discontinuous single-electrode
voltage-clamp recordings were acquired using an Axoclamp-2B amplifier
(Axon Instruments) with a switching frequency of 5-6 kHz (30% duty
cycle), gain of 3-8 nA/mV, and time constant of 20 msec. Phase shift
and the antialias filter were optimized. The head stage voltage was
monitored continuously on a digital oscilloscope (Gould 400) to ensure
precise performance of the amplifier. Neurons were voltage-clamped at
60 mV.
Synaptic stimulation. The CeA represents the major output
nucleus of the amygdala and processes information from other amygdala nuclei and from widespread brain areas. We studied two lines of input
to the CeA: the BLA CeA synapse and the pontine PB CeA synapse (see
introductory remarks and Fig. 1). Using two concentric bipolar stimulating electrodes (Kopf Instruments) of 22 k resistance, EPSCs
were evoked in CeA neurons by electrical stimulation (using an S88
stimulator; Grass Instruments) of the two afferent synapses to the CeA
(see Fig. 1): the PB CeA synapse, which provides nociceptive inputs
from the spinal cord and brainstem (PB; Bernard et al., 1993 ; Harrigan
et al., 1994 ; Alheid et al., 1995 ), and the BLA-CeA synapse, which
provides highly integrated polymodal sensory, including nociceptive,
information from thalamic and cortical areas (see introductory
remarks). For stimulation of the PB, the electrode was positioned under
microscopic control on the fibers dorsomedial to the CeA and ventral to
but outside the caudate-putamen (Bernard et al., 1993 ). Electrical
stimuli (150 µsec square-wave pulses) were delivered at frequencies
<0.25 Hz. Thresholds for EPSCs and spiking were defined as the
respective intensity that evoked a response in at least 5 of 10 trials
with mean amplitude determined from the 10 trial stimulations.
Input-output relationships were obtained by increasing the stimulus
intensity in 50 µA steps. For evaluation of a drug effect on
synaptically evoked responses, the stimulus intensity was adjusted to
75-80% of the intensity required for orthodromic spike generation.
Paired-pulse facilitation. Paired-pulse facilitation (PPF)
is being used to distinguish presynaptic versus postsynaptic mechanisms in the CNS (McKernan and Shinnick-Gallagher, 1997 , and references therein). Two orthodromic synaptic stimuli of equal intensity were
applied at varying intervals, and the resulting EPSCs were recorded.
PPF refers to the phenomenon that the amplitude of the second EPSC is
usually larger than the initial EPSC if the interstimulus interval is
sufficiently small. In whole-cell voltage clamp, peak amplitudes were
measured as the difference between the current level before the
stimulus artifact and the peak of the EPSC. PPF (see Fig. 5) is
calculated as [(EPSC2 - EPSC1)/EPSC1] × 100 (see McKernan and
Shinnick-Gallagher, 1997 ). If a drug increases neurotransmitter release, PPF is reduced, whereas enhanced PPF would indicate decreased neurotransmitter release. Any alterations in PPF suggest a presynaptic site of action. PPF was tested before and during application of mGluR agonists.
Drugs. The following drugs were used:
2-amino-5-phosphonopentanoic acid (AP-5),
2-chloro-5-hydroxyphenyl-glycine (CHPG),
6-cyano-7-nitroquinoxaline-2,3-dione (CNQX),
7-(hydroxyimino)cyclopropa[b]chromen-1a-carboxylate ethyl ester
(CPCCOEt), (S)-3,5-dihydroxyphenylglycine
(DHPG), and 2-methyl-6-(phenylethynyl)pyridine (MPEP); these were
purchased from Tocris Cookson (Bristol, UK). All drugs were applied by
gravity-driven superfusion in the ACSF. Solution flow into the
recording chamber (1 ml volume) was controlled with a three-way
stopcock. Drug applications were for at least 8-10 min (agonists) and
10-15 min (antagonists) in duration to establish equilibrium in the tissue.
Quantitative immunoblotting
Two to three 500 µm amygdala slices from control or arthritic
rats (6-8 hr after induction) were homogenized in 1 ml of
homogenization buffer (in mM: 320 sucrose, 10 HEPES-Na, pH
7.5, and 1 EDTA-Na, pH 8) using eight strokes of a glass-Teflon
motorized homogenizer. The homogenate was centrifuged at 1500 × g for 5 min to remove nuclei and debris and then centrifuged
at 100,000 × g for 30 min in a TLA100.2 rotor to
pellet postnuclear membranes. The pellet was resuspended in
homogenization buffer and solubilized with an equal volume of either
2× sample buffer (100 mM Tris-Cl, pH 6.8, 4%
SDS, 20% glycerol, and 0.02% bromophenol blue) for SDS-PAGE or 4%
SDS for protein quantitation. A BCA assay (Pierce, Rockford, IL) using
bovine serum albumin as a standard was used to determine protein concentration.
Ten micrograms of membrane protein were loaded onto a polyacrylamide
gel and transferred to a nitrocellulose membrane using a semidry
transfer apparatus. The blots were blocked in Tris-buffered saline with
Tween 20 (TBST; 150 mM NaCl, 50 mM Tris-Cl, pH
7.5, and 0.05% Tween 20) and 5% milk for 1 hr at room temperature, incubated for 1 hr in either mGluR1a antibody (1:1000; Upstate Biotechnology, Lake Placid, NY) or mGluR5 antibody (1:2000; Upstate Biotechnology) diluted in TBST and 5% nonfat dry milk, washed four
times with TBST, incubated for 1 hr in
125I-coupled donkey anti-rabbit secondary
antibody (0.2 µCi/ml; Amersham Biosciences, Piscataway, NJ) diluted
in TBST and 5% milk, and finally washed four times with TBST.
Signals were detected and densitized using a Cyclone phosphorimager and
Optiquant acquisition and analysis software (Packard Instrument Co.,
Meriden, CT). All statistical comparisons were done using a log
transformation of immunoreactivity to yield ratios with normal
distributions for parametric statistics (Robakiewicz and Ryder,
2000 ).
Data analysis
Electrophysiology. Membrane properties, EPSC
threshold, spike threshold, input-output relationships, and drug
effects were measured in neurons from control rats and neurons from
arthritic rats. The Mann-Whitney U test (GraphPad Prism
3.0) was used to compare membrane properties. Differences in EPSC and
spike thresholds were evaluated for statistical significance using an
unpaired t test (GraphPad Prism 3.0). Input-output
relationships, drug effects on paired pulse facilitation, and
concentration-response relationships of drug effects were analyzed
using a two-way ANOVA followed by Bonferroni post-tests (GraphPad Prism
3.0). EC50 values were calculated from sigmoid
curves fitted to the cumulative concentration-response data by
nonlinear regression using the following formula: y = A + (B - A)/[1 + (10C/10X)D],
where A is bottom plateau, B is top plateau,
C is log(EC50), and D is
slope coefficient (GraphPad Prism 3.0). Effects of individual drug
concentrations were compared between control and arthritis using
unpaired t tests. Using the linear curve fit function of pCLAMP8 software (Axon Instruments), slope conductance (in nanosiemens) in the absence and presence of drugs was calculated from the linear portion of the I-V relationships recorded in voltage-clamp
mode. Concentration-dependent drug-related changes of slope conductance in neurons from arthritic rats and in control neurons were analyzed using post hoc t tests after repeated measures
ANOVA (GraphPad Prism 3.0). All averaged values are given as mean ± SEM. Statistical significance was accepted at the p < 0.05.
Quantitative Western blotting. Densitometry of mGluR1a and
mGluR5 immunoreactivity in arthritic rats was compared with that of
control rats using a one-sample t test. Ipsilateral and
contralateral sides were compared with a paired t test. All
averaged values are given as mean ± SEM. Statistical significance
was accepted at p < 0.05.
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Results |
Kaolin- and carrageenan-induced monoarthritis caused swelling of
the injected but not the contralateral knee joint within 1-3 hr. The
inflammation reached a maximum plateau after 4-6 hr and lasted for at
least 24 hr (Fig. 1). Intra-articular
saline injections caused only a temporary swelling of the knee, which did not last >2 hr (Fig. 1). This monoarthritis resulted in
significantly decreased hindlimb withdrawal and vocalization thresholds
to mechanical stimuli (n = 10) and was associated with
reduced exploratory behavior (n = 13) compared with
control rats (n = 13).

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Figure 1.
Experimental setup, design of electrophysiological
studies, and time course of arthritis pain model. Coronal brain slices
containing the amygdala were obtained from control (untreated normal
and saline-injected sham) rats and from arthritic rats 6-8 hr after
injections of kaolin and carrageenan (K/C) into one knee
joint. Under microscopic control, the patch-clamp electrode was
positioned in the "nociceptive amygdala," which is the lateral
capsular part (CeC) of the CeA contralateral to the
arthritis (cf. Bourgeais et al., 2001 ; Neugebauer and Li, 2002 ). Two
stimulation electrodes were arranged for synaptic stimulation of
afferent fibers from the pontine PB area providing nociceptive
information to the CeA (left; Bernard et al., 1993 ) and
inputs from the lateral-basolateral amygdala (right)
providing polymodal information to the CeA from thalamic and cortical
areas (part of the netting below the
slice can be seen). Individual amygdala neurons were
visualized and patched using DIC-enhanced infrared IR videomicroscopy
(inset, CeA neurons and "dimple" caused by the patch
electrode approaching from the bottom right).
CeM, CeL, Medial and lateral subdivisions of the CeA,
respectively. Intra-articular injections of kaolin and carrageenan
cause the progressive, persistent swelling of the injected knee joint
but not the uninjected contralateral knee joint (n = 35; graph on bottom left).
Intra-articular saline injections produce only a temporary swelling of
the injected knee (n = 12; graph on
bottom right).
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Synaptic plasticity and altered membrane properties in CeA neurons
in the arthritis pain model
Whole-cell voltage-clamp recordings of CeA neurons were made in
brain slices from control rats (untreated normal rats or
saline-injected shams) and from rats in which the arthritis had been
induced in one knee joint by intra-articular injections of kaolin and
carrageenan 6-8 hr before. Because no obvious differences in membrane
properties, synaptic transmission, and effects of mGluR agonists and
antagonists were measured between neurons from untreated rats and
neurons from saline-injected shams, the data were pooled and termed
"controls."
Synaptic plasticity in the amygdala has been shown to underlie a number
of long-term behavioral modifications in the kindling model of
epilepsy, chronic cocaine model of drug addiction, and models of
conditioned fear and associative learning [lateral amygdala (LA)-BLA:
LeDoux et al., 1990 ; Rainnie et al., 1992 ; McKernan and
Shinnick-Gallagher, 1997 ; Neugebauer et al., 1997a ; Wang and Gean,
1999 ; Lin et al., 2000 , Bauer et al., 2001 ; Blair et al., 2001 ; Lin et
al., 2001 ] (CeA: Neugebauer et al., 2000 ; Nader et al., 2001 ). To test
whether the arthritic pain behavior is associated with synaptic
plasticity in the "nociceptive amygdala" (Bourgeais et al., 2001 ;
Neugebauer and Li, 2002 ), we performed whole-cell patch-clamp
recordings of membrane properties and synaptic transmission in CeA
neurons recorded in brain slices obtained from control (normal and
sham) rats and arthritic rats.
CeA neurons from arthritic animals (6-8 hr after induction) showed
several characteristics that distinguished
them from neurons in brain slices from
control animals (Table 1, Fig. 2). The
resting membrane potential of CeA neurons was, on average,
significantly depolarized (Table 1; p < 0.001;
Mann-Whitney U test). Compared with control neurons,
neurons from arthritic rats also had a lower threshold and higher
frequency of action potentials generated by direct depolarizing current
pulses injected via the recording electrode in current-clamp mode (see
individual examples in Fig. 2A,B). Increased action
potential firing rate (Fig. 2C; p < 0.0001; F(1,448) = 34.25; two-way ANOVA) and
membrane potentials at which action potentials were evoked by
intracellular current injections (Table 1; p < 0.05;
Mann-Whitney U test) were significantly different. Current-clamp recordings showed that the input resistance of CeA neurons from arthritic rats was significantly decreased compared with
control neurons (p < 0.001; Mann-Whitney
U test; Table 1). Input resistance was calculated from the
slope of the linear portion of the I-V curve. Transient
current pulses (500 msec) were injected via the recording electrode in
50 pA increments from a holding potential of 60 mV. I-V
curves (Fig. 2F) were obtained by plotting steady-state voltage changes against the amplitudes of current injections (see individual examples in Fig. 2D,E).
Accordingly, voltage-clamp data showed that the average slope
conductance calculated from the linear portion of the I-V
relationship was greater in neurons from arthritic animals than in
control neurons from normal animals (Table 1; p < 0.001; Mann-Whitney U test). These data suggest altered
intrinsic membrane properties of CeA neurons in the arthritis pain
model.
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Table 1.
Altered membrane properties and synaptic transmission in
CeA neurons in the arthritis model of prolonged pain
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Figure 2.
Enhanced action potential firing rate, lower
spike threshold, and increased input resistance recorded in CeA neurons
in the arthritis pain model compared with control neurons. A,
B, Current-clamp recordings of depolarizations and action
potentials (top traces) generated by direct current
pulses of increasing magnitude (200 pA steps, 500 msec duration;
bottom traces) injected via the recording electrode in a
CeA neuron from a normal rat (A) and in a CeA
neuron from an arthritic rat 6 hr after induction of arthritis
(B). C, The action potential
firing rate in CeA neurons in the arthritis pain model
(n = 21) was significantly
(p < 0.0001;
F(1,448) = 34.25; two-way ANOVA)
increased compared with control CeA neurons (n = 45). **p < 0.01; ***p < 0.001; Bonferroni post-tests after the two-way ANOVA.
D-F, Calculation of neuronal input resistance in the
current-clamp mode. CeA neurons from arthritic rats (E, F,
filled circles) had a lower input resistance than control CeA
neurons (D, F, open circles). Input resistance
was calculated from the slope of the linear portion of the
I-V curve (F).
I-V curves were obtained by plotting steady-state
voltage changes against the amplitudes of transient current pulses (500 msec) injected via the recording electrode in 50 pA increments from a
holding potential of 60 mV (D, E).
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In addition to the enhanced excitability of CeA neurons in the
arthritis pain model, we also observed enhanced synaptic transmission at the nociceptive PB CeA synapse and the polymodal BLA CeA synapse (see introductory remarks) in CeA neurons from arthritic rats compared
with control CeA neurons (Fig. 3).
Monosynaptic EPSCs with progressively larger amplitudes were evoked by
electrical stimulation with increasing intensities (BLA CeA synapse,
Fig. 3A,C,E; PB CeA synapse, Fig.
3B,D,F). Compared with control neurons (Fig.
3A,B), synaptic transmission was enhanced in CeA neurons recorded in brain slices from arthritic rats (6-8 hr after induction of arthritis) (Fig. 3C,D). In arthritis, evoked monosynaptic
EPSCs had larger amplitudes, and the threshold for orthodromic spike generation was lower at both synapses, whereas a lower EPSC threshold was recorded only at the BLA CeA synapse (Table 1). Consistent with
the PB CeA synapse providing high-threshold nociceptive PB input (see
introductory remarks), the major change of synaptic transmission was
with high-intensity stimulation, whereas synaptic transmission at the
polymodal BLA CeA synapse was enhanced over a wide range of low- and
high-intensity stimulation. The fast monosynaptic EPSCs at both the
BLA CeA synapse and the PB CeA synapse were completely blocked in
the presence of NMDA and non-NMDA receptor antagonists (AP-5, 50 µM; CNQX, 30 µM,
respectively) in CeA neurons from control animals (n = 12) and in the arthritis pain model (n = 8), suggesting
that basal synaptic transmission at these synapses is mediated entirely
by ionotropic glutamate receptors.

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Figure 3.
Enhanced synaptic transmission in the CeA in the
arthritis pain model. Coronal brain slices containing the CeA were
obtained from control (uninjected normal and saline-injected sham) rats
and from rats with arthritis in the left knee (6-8 hr after injection
of kaolin/carrageenan). Whole-cell voltage-clamp recordings were made
from neurons in the lateral capsular part of the CeA. Synaptic
transmission was studied at two synaptic pathways in the CeA, using
electrical stimulation of afferent fibers from the parabrachial area
(PB CeA synapse) and from the basolateral amygdala (BLA CeA
synapse). Monosynaptic EPSCs were recorded, and input-output
relationships were obtained by increasing the stimulus intensity in 50 µA steps and measuring the peak amplitudes of evoked EPSCs.
A-D, Individual examples of one CeA neuron recorded in
the brain slice from a normal rat (A, B) and another CeA
neuron from an arthritic rat (C, D; 6 hr after
induction). A, C, At the BLA CeA synapse, lower
thresholds for EPSCs and orthodromic spike generation were recorded in
arthritis. B, D, EPSCs evoked at the PB CeA synapse in
arthritis had lower spike thresholds. E, F,
Significantly altered input-output relationships in neurons from
arthritic animals (n = 20) compared with control
neurons (n = 36; normal uninjected rats,
n = 26; saline-injected shams,
n = 10), suggesting enhanced synaptic transmission
at both the BLA CeA (E) and PB CeA
(F) synapses (two-way ANOVA followed by
Bonferroni post-tests). *p < 0.05;
**p < 0.01; ***p < 0.001. Neurons were held at 60 mV.
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Input-output relationships were obtained by measuring EPSC peak
amplitude (picoamperes) as a function of afferent fiber stimulus intensity (microamperes) for each neuron (see examples in Fig. 3A-D). The comparison of input-output relationships
between neurons from control rats (n = 36; normal
uninjected rats, n = 26; saline-injected shams,
n = 10) and neurons from arthritic rats
(n = 20) showed significant differences in synaptic
transmission in arthritis at both synapses (Fig. 3E,F;
two-way ANOVA followed by Bonferroni post-tests). At the BLA CeA
synapse, the arthritis led to a significant leftward shift of the
curves (Fig. 3E) and also lowered the thresholds for evoked
EPSCs and orthodromic spike generation (Table 1). The input-output
relationship measured at the PB CeA synapse had a steeper slope,
resulting in an upward shift at higher stimulus intensities in CeA
neurons from arthritic rats compared with control neurons (Fig.
3F). The spike threshold, but not the EPSC threshold, was also altered at the PB CeA synapse (Table 1).
Differential roles of mGluR1 and mGluR5 in synaptic plasticity in
the arthritis pain model
Group I mGluRs, which consist of mGluR1 and mGluR5 subtypes, play
important roles in nociceptive plasticity in the peripheral nervous
system and the spinal cord and have been proposed as novel targets for
pain relief (Fundytus, 2001 ; Karim et al., 2001 ; Neugebauer, 2001a ,b ;
Gasparini et al., 2002 ; Neugebauer, 2002 ; Neugebauer and Carlton, 2002 ;
Varney and Gereau, 2002 ). The role of mGluRs in the brain, however, in
prolonged, and chronic pain states are for the most part unknown.
Accumulating evidence suggests a role of mGluRs in the amygdala in
synaptic plasticity associated with behavioral modifications (Holmes et
al., 1996 ; Neugebauer et al., 1997a ,b , 2000 ; Masugi et al., 1999 ; Keele
et al., 2000 ; Lin et al., 2000 ). Thus, it is conceivable that mGluRs
also contribute to pain-related synaptic plasticity in the amygdala. We
tested this hypothesis using selective group I agonists and antagonists to analyze changes of receptor function in the arthritis pain model.
Agonists
We tested whether group I mGluR receptor sensitivity was altered
in CeA neurons from arthritic rats compared with control neurons from
normal and saline-injected sham rats. In control neurons, a group I
mGluR agonist, DHPG, which can activate both mGluR1 and mGluR5
subtypes, potentiated the peak amplitude of monosynaptic EPSCs evoked
at the PB CeA and BLA CeA synapses. This effect was mimicked by a
selective mGluR5 agonist, CHPG, which produced similar maximum effects.
Figure 4A shows the
effects of the group I agonists on EPSCs evoked at the PB CeA synapse in one CeA neuron in a brain slice from a normal animal. In CeA neurons from arthritic animals, DHPG more potently potentiated evoked
EPSCs, whereas the effects of CHPG were unchanged. Figure 4B shows the effects of DHPG and CHPG at the PB CeA
synapse in one CeA neuron recorded in a brain slice from an arthritic
rat. Drug effects started after superfusing the brain slices for 2-3 min and increased further until a plateau effect was observed at 6-10
min of drug application. Drug effects reported in this study were
measured at 8-10 min.

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Figure 4.
Group I mGluR agonists facilitate synaptic
transmission in the amygdala. A, In one CeA neuron
recorded in a brain slice from a normal rat, DHPG (1 µM;
mGluR1 and mGluR5 agonist) and CHPG (100 µM; mGluR5
agonist) enhanced monosynaptic EPSCs at the PB CeA synapse,
suggesting the involvement of mGluR5 in group I mGluR effects on normal
transmission. B, In a CeA neuron recorded in a slice
from an arthritic rat (7 hr after induction), DHPG (100 nM;
note lower concentration than in A) but not CHPG became
more potent in enhancing EPSCs. Each trace is the
average of 8-10 EPSCs recorded at -60 mV. Drugs were applied by
superfusion of the slice in ACSF for 8-10 min. Data shown were
recorded at 8-10 min. C, D, Cumulative
concentration-response relationships (see Materials and Methods) show
the increased potency of DHPG but not CHPG on transmission at the
PB CeA synapse in arthritis 6-8 hr after induction (DHPG,
n = 11; CHPG, n = 8) compared
with neurons from control rats (DHPG, n = 12; CHPG,
n = 9), suggesting a change of mGluR1 rather than
mGluR5 receptor sensitivity and function.
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Analysis of the cumulative concentration-response relationships in CeA
neurons from control and arthritic animals revealed that DHPG was more
potent in arthritis (EC50, 3.4 nM;
n = 11) (Fig. 4C, filled circles)
than under normal conditions (EC50, 25.9 nM; n = 12) (Fig. 4C,
open circles), whereas the potency of CHPG did not change
significantly (normal: EC50, 1.2 µM; n = 9; Fig.
4D, open symbols; arthritis:
EC50, 0.9 µM;
n = 8; Fig. 4D, filled
symbols; p > 0.05;
F(1,75) = 0.64; two-way ANOVA). Concentration-response relationships for DHPG in CeA neurons from control and arthritic rats were significantly different
(p < 0.05; F(1,84) = 4.09; two-way ANOVA). These
data suggest that under normal conditions, the potentiating effects of
group I mGluR activation are mediated through mGluR5, whereas the
enhanced effects of group I mGluR activation in arthritis involve
recruitment or enhanced receptor sensitivity of mGluR1.
The potentiating effects of DHPG (100 nM) in control
neurons were mostly blocked by a selective mGluR5 antagonist (MPEP, 1 µM; n = 4), whereas a selective mGluR1
antagonist (CPCCOEt, 10 µM) had only a little
effect (n = 4). In the arthritis pain model, however,
both CPCCOEt (10 µM; n = 3) and
MPEP (1 µM; n = 3) strongly reduced the potentiation by DHPG (100 nM),
suggesting a change of mGluR1 involvement in group I mGluR function in
the arthritis pain model.
Similar but less pronounced changes of DHPG effects in arthritis were
measured at the BLA CeA synapse (control: EC50,
7.9 nM; n = 12; arthritis:
EC50, 3.7 nM;
n = 11; p < 0.05;
F(1.84) = 4.23; two-way ANOVA; data
not shown), suggesting a closer association of mGluR1 with
arthritis-related changes at the nociceptive PB CeA synapse than the
polymodal BLA CeA synapse. The potency of CHPG at the BLA CeA
synapse remained mostly unchanged in the arthritis pain model (normal:
EC50, 0.4 µM;
n = 6; arthritis: EC50, 0.5 µM; n = 5; data not shown).
To examine whether enhanced presynaptic transmitter release contributed
to the synaptic potentiation by group I mGluR agonists, we analyzed the
effect of DHPG on PPF (see Materials and Methods) in CeA neurons. PPF
refers to the phenomenon that the amplitude of the second of two EPSCs
evoked by synaptic stimulation of equal magnitude is usually larger
than the initial EPSC if the interstimulus interval is sufficiently
small. If a drug increases neurotransmitter release, PPF is reduced,
whereas enhanced PPF would indicate decreased neurotransmitter release.
Any alterations in PPF suggest a presynaptic site of action (see
McKernan and Shinnick-Gallagher, 1997 ). Figure 5 shows that DHPG (100 nM;
thick lines) reduced PPF (50 msec interstimulus intervals)
in a CeA neuron from a normal rat (Fig. 5A) and in another
CeA neuron from an arthritic rat (Fig. 5B). The initial EPSC
were potentiated by DHPG in both neurons as shown before (Fig. 4). The
reduction of PPF by DHPG was statistically significant in CeA neurons
from normal rats (Fig. 5C; n = 6;
p < 0.0001; F(1,80) = 62.23; two-way ANOVA) and in CeA neurons from arthritic rats (Fig.
5D; n = 5; p < 0.0001;
F(1,64) = 90.84; two-way ANOVA).

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Figure 5.
A group I mGluR agonist (DHPG) reduced PPF,
indicating that enhanced presynaptic transmitter release contributed to
the synaptic potentiation by DHPG. PPF (see Materials and Methods) was
studied at the PB CeA synapse before and during application of DHPG.
A, B, DHPG (100 nM; thick
lines) reduced PPF in a control CeA neuron
(A) and in a CeA neuron from an arthritic rat
(B), whereas the amplitudes of the initial EPSCs
were potentiated by DHPG as described before (Fig. 4). Neurons were
recorded in the whole-cell voltage-clamp mode and held at 60 mV. Each
trace is the average of 8-10 EPSCs. DHPG was applied by
superfusion of the slice in ACSF for 10 min. Data shown were recorded
at 8-10 min. C, D, PPF at the PB CeA synapse is
significantly reduced in the presence of DHPG in CeA neurons from
normal rats (n = 6) and in CeA neurons from
arthritic rats (n = 5). Peak amplitudes were
measured as the difference between the current level before the
stimulus artifact and the peak of the EPSC. PPF was calculated as
[(EPSC2 - EPSC1)/EPSC1] × 100. Paired pulse EPSCs were evoked at a
frequency of 0.1 Hz. **p < 0.01;
***p < 0.001, Bonferroni post-tests after two-way
ANOVA.
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Consistent with our PPF studies suggesting presynaptic mechanism(s) of
group I mGluR-mediated synaptic potentiation, we did not find any
evidence that the effects of DHPG and CHPG on synaptic transmission
were attributable to postsynaptic alterations of intrinsic membrane
properties by these agents. Concentrations of DHPG and CHPG that
potentiated synaptic transmission did not affect I-V
relationships of CeA neurons. Neither a parallel shift nor a change of
slope conductance of the I-V curves was measured in CeA
neurons (Fig. 6A,B). At
high concentrations, however, DHPG and CHPG decreased the slope
conductance significantly both in CeA neurons from arthritic rats and
in control neurons (for details, see Fig. 6A,B).
These data show that we were able to detect drug effects on membrane
properties with the experimental approach we used in this study.

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Figure 6.
Low concentrations of the group I mGluR agonists
DHPG (A) and CHPG (B) do
not produce postsynaptic membrane effects on slope conductance in CeA
neurons from arthritic rats (DHPG, n = 11; CHPG,
n = 8) and in CeA neurons from control rats (DHPG,
n = 12; CHPG, n = 9). At higher
concentrations, however, DHPG (1 µM) and CHPG (100 µM) significantly decreased the slope conductance both in
CeA neurons from arthritic rats and in control neurons. Group I mGluR
antagonists CPCCOEt (C) and MPEP
(D) did not have postsynaptic membrane effects on
slope conductance in control CeA neurons (CPCCOEt,
n = 11; MPEP, n = 10) and in
CeA neurons from arthritic animals (CPCCOEt, n = 9;
MPEP, n = 9). For each neuron, the slope
conductance was calculated from the I-V relationships
in the presence and absence of the different drug concentrations.
I-V curves were constructed by plotting steady-state
currents from voltage-clamp recordings against membrane potential in
the absence and presence of a particular drug. Whole-cell currents were
elicited by a series of 400 msec voltage steps ( 110 to 40 mV) from
a holding potential of 60 mV in control ACSF and during drug
application (after 11 min). *p < 0.05, post
hoc t test after repeated measures ANOVA.
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Antagonists
The results with mGluR1 and mGluR5 agonists suggest that the
receptor sensitivity of mGluR1 is increased in arthritic animals. We
next examined whether these receptors are involved in tonic regulation
of synaptic transmission in CeA neurons under normal conditions and
whether this modulation is enhanced in arthritis. In CeA neurons
recorded in brain slices from normal rats (see individual neuron in
Fig. 7A), a selective mGluR5
antagonist, MPEP, inhibited monosynaptic EPSCs evoked at the PB CeA
and BLA CeA synapses, whereas a selective mGluR1 antagonist, CPCCOEt,
had no effect. In CeA neurons from arthritic animals, however, block of
mGluR1 with CPCCOEt inhibited synaptic transmission (see individual example in Fig. 7B). Analysis of the concentration-response
relationships showed that CPCCOEt (mGluR1 antagonist) (Fig.
7C) inhibited synaptic transmission at the PB CeA synapse
in the arthritis pain model (EC50, 94 nM; n = 9 neurons) (Fig.
7C, filled circles), whereas CPCCOEt had no
significant effect on synaptic transmission under normal conditions;
i.e., the slope of the concentration-response curve was not
significantly different from zero (p > 0.05;
F(1,3) = 6.482; n = 11; linear regression analysis, Prism 3.0, GraphPad software) (Fig.
7C, open circles). A similar change of CPCCOEt effects was observed at the BLA CeA synapse, although the antagonist was less potent (EC50, 179 nM; n = 9 neurons) than at the
PB CeA synapse (see above). The analysis of the raw data showed that block of mGluR1 by CPCCOEt reduced the increased EPSC amplitude in CeA
neurons from arthritic rats to control levels measured in neurons from
nonarthritic rats (Fig. 7D), suggesting that the increased
EPSC component in enhanced synaptic transmission in the arthritis pain
model involves mGluR1.

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Figure 7.
Differential changes of mGluR1- and
mGluR5-mediated effects in the arthritis pain model. A,
In a CeA neuron recorded in a brain slice from a normal rat, MPEP (1 µM; mGluR5 antagonist) inhibited synaptic transmission,
whereas CPCCOEt (10 µM; mGluR1 antagonist) had no effect.
B, In a CeA neuron from an arthritic rat (6 hr after
induction), both CPCCOEt and MPEP inhibited synaptic transmission,
suggesting a change in the endogenous activation of mGluR1 in the
arthritis pain model. Each trace is the average of 8-10
monosynaptic EPSCs recorded at -60 mV. Drugs were applied by
superfusion of the slice in ACSF for at least 10 min. Data shown were
recorded at 10-12 min. C, CPCCOEt inhibited synaptic
transmission in neurons from arthritic rats (EC50,
94 nM; n = 9) but not in neurons from
normal rats (n = 11), suggesting a change in the
activation state of mGluR1 in the arthritis pain model.
D, Analysis of the raw data (EPSC peak amplitude in
picoamperes) shows that blocking of mGluR1 by CPCCOEt significantly
reduced the increased EPSC amplitude in CeA neurons from arthritic rats
to control levels measured in neurons from nonarthritic rats.
E, The inhibitory effects of MPEP on synaptic
transmission in CeA neurons were not significantly different in normal
rats (EC50, 28.3 nM;
n = 10) and in arthritis (EC50,
27.7 nM; n = 9; p > 0.05; two-way ANOVA). F, Analysis of the raw data
(picoamperes) shows that MPEP reduced a larger portion of the increased
EPSC in arthritis than in control neurons; however, the
MPEP-insensitive component of the EPSC also increased in arthritis.
***p < 0.001; unpaired t
test.
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The comparison of the concentration-response relationships for MPEP
(mGluR5 antagonist) (Fig. 7E) in normal and arthritic animals showed the concentration-dependent inhibition of synaptic transmission at the PB CeA synapse in both experimental conditions without a significant change in potency or efficacy
(p > 0.05; F(4,76) = 0.10; two-way ANOVA). The
EC50 values for inhibitory effects of MPEP at the
PB CeA synapse were 28.3 nM in control neurons
(n = 10) and 27.7 nM in arthritis
(n = 9). MPEP was more potent at the BLA CeA synapse
in control neurons (EC50, 11.4 nM; n = 10) as well as in
arthritis (EC50, 10.1 nM;
n = 9). The analysis of the raw data showed that the
mGluR5 antagonist MPEP reduced a larger portion of the increased EPSC
in arthritis than in control neurons; however, the MPEP-insensitive
component of the EPSC also increased in arthritis (Fig.
7F). The overall consequence is that the
mGluR5-dependent component of synaptic transmission remains unchanged
in the arthritis pain model.
Neither antagonist had any significant postsynaptic effects on
intrinsic membrane properties such as current-voltage relationships. There was no drug-induced change in slope conductance in CeA neurons from arthritic rats and in control CeA neurons (Fig.
6C,D).
These data suggest the intrinsic activation of mGluR5, but not mGluR1,
in normal synaptic transmission and the additional involvement of
mGluR1 in enhanced synaptic transmission in the arthritis pain model.
This observation is consistent with the agonist studies (see above)
that suggest the increased function of mGluR1 rather than mGluR5 in the
arthritis pain model.
Upregulation of mGluR1 and mGluR5 protein expression in the
arthritis pain model
The enhanced effects of mGluR1 agonists and antagonists in
arthritis could be mediated by increased expression of mGluR1, increased sensitivity and activity of existent receptors, or both. To
test whether arthritis caused increased expression of mGluR1 protein in
the CeA, we performed quantitative Western blot analysis of mGluR1 and
mGluR5 protein expression in the CeA. We detected high levels of mGluR5
but little mGluR1 under normal conditions (Fig.
8). In the CeA from arthritic animals
(6-8 hr after induction), however, significantly more expression of
mGluR1 was detected as well as an increased expression of mGluR5.
Densitometric analysis of mGluR1a and mGluR5 immunoreactivity showed a
significant increase of mGluR1 and mGluR5 expression in the
contralateral CeA of arthritic rats and a significant increase in
mGluR1, but not mGluR5, in the ipsilateral CeA (Fig.
8B; n = 3 in duplicate;
*p < 0.05, arthritis compared with normal control
using a one-sample t test;
+p < 0.05, contralateral
CeA compared with the ipsilateral side in arthritis with paired
t test). These results strongly suggest that the increased
effects of mGluR1 agonists in arthritis is attributable to increased
expression of mGluR1 protein in the CeA.

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Figure 8.
Upregulation of mGluR1 and mGluR5 in the amygdala
in the arthritis pain model. Group I mGluR1 and mGluR5 expression
increased in the amygdala 5-6 hr after kaolin/carrageenan-induced
arthritis in the knee. A, Top panel,
mGluR1a immunoblot of amygdala (CeA) membranes from normal and
arthritic rats; the ~150 kDa band is mGluR1a, whereas
the bottom band probably represents a proteolytic
fragment or cross-reactive protein. Bottom panel, mGluR5
immunoblot of amygdala (CeA) membranes from normal and arthritic rats;
the ~150 kDa band represents mGluR5 immunoreactivity.
B, Densitometry of mGluR1a and mGluR5 immunoreactivity
suggests an increase in group I mGluR expression in arthritic rats with
a greater increase in the contralateral amygdala (n = 3 in duplicate; +p < 0.05 when
compared with the ipsilateral side with paired t test;
*p < 0.05 when compared with normal rats using a
one-sample t test).
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Discussion |
This study is the first to analyze synaptic plasticity and
underlying mechanisms in the amygdala in a model of prolonged pain. We
show that the amygdala undergoes dramatic neuroplastic changes in a
well established model of arthritic pain arising from a localized inflammation of one knee joint (Neugebauer et al., 1993 , 1994 , 1995 ,
1996 ). Neuroplasticity is manifested as altered excitability and
enhanced synaptic transmission in CeA neurons recorded in brain slices
in vitro in the arthritis pain state induced in
vivo. We also demonstrate the contribution of enhanced function
and expression of presynaptic mGluR1 within the CeA to this plasticity.
Synaptic plasticity in the amygdala, particularly the lateral and
basolateral nuclei (LA and BLA), is involved in a variety of behavioral
modifications and disorders, including models of epilepsy, drug
addiction, conditioned fear, and associative learning (Rainnie et al.,
1992 ; McKernan and Shinnick-Gallagher, 1997 ; Neugebauer et al., 1997a ;
Davis, 1998 ; Huang and Kandel, 1998 ; Post et al., 1998 ; Maren, 1999 ;
LeDoux, 2000 ; Lin et al., 2000 , 2001 ; Rolls, 2000 ; Bauer et al., 2001 ;
Blair et al., 2001 ). The role of the amygdala in persistent and chronic
pain is not clear. A behavioral study was unable to show a significant
reduction of pain responses in the formalin test (Manning, 1998 ), but
long-term increases of regional blood flow were detected in the
amygdala in a neuropathic pain model (Paulson et al., 2002 ).
We found several long-lasting physiological changes in the CeA in the
arthritis pain model. The nociceptive-specific inputs from the pontine
PB area were potentiated in CeA neurons from arthritic rats compared
with controls. Thus, incoming nociceptive signals would generate
enhanced responses in the amygdala. In addition, we also observed
significant enhancement of synaptic transmission at the BLA CeA
synapse, which provides highly processed polymodal information. This is
consistent with the integrative role of the amygdala in the complex
emotional behavior in response to aversive events (pain). The enhanced
transmission was accompanied by changes in membrane properties of CeA
neurons (decreased input resistance and increased slope conductance),
suggesting tonic activation of ion channels during prolonged pain. The
overall enhanced excitability of CeA neurons in the arthritic pain
model is also reflected in the lower threshold for action potentials generated by intracellular current injections.
Importantly, changes in synaptic transmission and intrinsic membrane
properties of CeA neurons in the arthritis pain model differ from those
observed in other models of amygdala plasticity. In a model of drug
addiction, chronic cocaine treatment in vivo also enhanced
CeA excitatory synaptic transmission but altered the gain of CeA
synapses differently than in the present study (Neugebauer et al.,
2000 ). Furthermore, membrane properties of CeA neurons were altered
differently in the chronic cocaine model than in our arthritis pain
model in that the lower input resistance and increased slope
conductance resulted in a hyperpolarized membrane potential (Neugebauer
et al., 2000 ) rather than a depolarization as observed here, suggesting
that different ionic mechanisms underlie the excitability changes. In
contrast to the arthritis pain and chronic cocaine models, enhanced
synaptic transmission in the kindling model of epilepsy was not
accompanied by intrinsic membrane property changes of CeA and BLA
neurons (Neugebauer et al., 1997a , 2000 ). Similarly, in the
fear-conditioning model, synaptic transmission in LA neurons was
enhanced in the absence of intrinsic membrane property changes
(McKernan and Shinnick-Gallagher, 1997 ). These differential plastic
changes in the amygdala suggest specificity in different models of
behavioral plasticity.
Our results show that both input to and output from the CeA are
enhanced during arthritis-induced prolonged pain. The altered input to
CeA neurons is reflected in the enhancement of synaptic transmission,
and the increased output will result from the enhanced excitability of
CeA neurons in arthritis. As the output nucleus for major amygdala
functions, the CeA with its laterocapsular division, also termed the
"nociceptive amygdala" because of its high content of nociceptive
neurons (Bourgeais et al., 2001 ; Neugebauer and Li, 2002 ), is well
positioned to contribute to aversive and anxiogenic reactions to
noxious stimuli, to participate in autonomic and endocrine aspects of
emotional pain behavior, and to influence cortical sensory processing
and forebrain mechanisms of pain modulation (Willis, 1991 ; Casey, 1999 ;
Gallagher and Schoenbaum, 1999 ; Fields, 2000 ; LeDoux, 2000 ; Bourgeais
et al., 2001 ).
The electrophysiological changes of CeA neurons were closely paralleled
by changes in the sensitivity of these cells to the group I mGluR
agonist DHPG. DHPG potentiated synaptic transmission at the PB CeA
synapse, and arthritis produced a significant increase in the potency
of DHPG. Interestingly, the effects of the selective mGluR5 agonist
CHPG were unaltered. These data suggest that, under normal conditions,
the facilitation of synaptic transmission by group I mGluR agonists is
mediated through mGluR5, whereas the enhanced effects of group I mGluR
activation in arthritis involve recruitment or enhanced coupling of
mGluR1. Similar but less pronounced changes of DHPG effects in
arthritis were measured at the BLA CeA synapse, suggesting a closer
association of mGluR1 with the nociceptive PB CeA synapse than with
the polymodal BLA CeA synapse. Our study is the first to analyze the
role of group I mGluR subtypes on synaptic transmission at the PB CeA
and BLA CeA synapses in the amygdala. Although previous studies
reported inhibition of synaptic transmission by DHPG, there is also
good evidence for enhanced transmitter release by group I mGluRs and
facilitation of fast synaptic transmission by mGluRs (Anwyl 1999 ;
Cartmell and Schoepp, 2000 ). The effects of group I mGluR
activation can differ with different brain areas, synapses, systems,
and pathways studied and therefore need to be analyzed in each
instance. Importantly, synaptic potentiation by group I mGluRs in the
CeA involves enhanced presynaptic transmitter release, as evidenced by
our PPF data (Fig. 5) and the lack of drug effects on intrinsic
membrane properties (Fig. 6). PPF has been used in the amygdala before
to analyze presynaptic mechanisms of synaptic plasticity in the
fear-conditioning model (McKernan and Shinnick-Gallagher, 1997 ).
Our studies using selective antagonists suggest increased mGluR1
function in the arthritis pain model. Under normal conditions, fast
synaptic transmission was partially inhibited by the selective mGluR5
antagonist MPEP, whereas CPCCOEt, a selective mGluR1 antagonist, had no
effect at the concentrations used in this study. However, in neurons
from arthritic animals, the mGluR1 antagonist significantly reduced
fast synaptic transmission. Importantly, CPCCOEt reduced the increased
EPSC amplitude in neurons from arthritic animals to the level of
control neurons. Although MPEP reduced a larger portion of the
increased EPSC in arthritis than in control neurons, the
MPEP-insensitive component of the EPSC also increased in arthritis; therefore, the mGluR5-dependent proportion of synaptic transmission would remain unchanged in the arthritis pain model.
These results suggest that synaptic transmission in the arthritis pain
model involves mGluR1 activation. Alternatively, basal extracellular
levels of glutamate may increase in arthritis to a concentration
sufficient to activate mGluRs, allowing antagonists to reduce
transmission. In other brain regions, activation of group I mGluRs can
depolarize cells by activation of a variety of
Ca2+-dependent and -independent
nonselective inward cationic currents (Conn and Pin, 1997 ; Anwyl, 1999 ;
Neugebauer, 2001a ). This could explain the decrease in input
resistance, increased slope conductance, and depolarization we observed
in CeA neurons from arthritic animals. In the present study, however,
mGluR effects were attributable to presynaptic mechanisms in CeA
neurons from control or arthritic animals, suggesting that tonic
activation of these mGluRs by ambient glutamate cannot directly account
for the alterations in membrane properties. These data also suggest
that synaptic plasticity occurs, at least in part, independently of
intrinsic membrane property changes.
In addition to enhanced endogenous activation, the following mechanisms
could explain the enhanced mGluR1 function in CeA neurons in the
arthritis pain model: increased receptor expression, enhanced receptor
sensitivity, decreased desensitization, and altered coupling to signal
transduction pathways. We found that mGluR1 protein expression was
significantly increased in the CeA in arthritic animals compared with
controls, suggesting that the enhanced mGluR1 function reflects either
increased production of mGluR1 mRNA or protein or increased stability
of the protein. We also observed a significant increase in mGluR5
levels in arthritic animals, but our electrophysiological and
pharmacological data suggest that the proportion of mGluR5-dependent
enhanced synaptic transmission is not changed from that in the
arthritis pain model. The reason why the increase of mGluR5 does not
seem to translate into functional significance is not clear, but it is
possible that the maximum contribution of mGluR5 to synaptic
transmission is accomplished with the levels of receptor expression
measured under normal conditions, and the increase in arthritis would
not translate into functional changes ("ceiling effect").
Alternatively, the increase in mGluR5 levels may occur in cells other
than those involved in our recordings.
In summary, this study is the first to analyze electrophysiological,
pharmacological, and biochemical changes in the amygdala in a model of
persistent pain arising from a monoarthritic lesion. We demonstrate
here that the potentiation of synaptic transmission and enhanced
neuronal excitability in the amygdala is preserved in an in
vitro preparation that is disconnected from the site of arthritic
injury induced in vivo, suggesting that this plasticity is
maintained independent of continuous afferent inputs. This plasticity
involves increased presynaptic group I mGluR function, which reflects
an underlying increase in mGluR1 expression in the CeA.
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FOOTNOTES |
Received April 10, 2002; revised Oct. 9, 2002; accepted Oct. 14, 2002.
This work was supported by John Sealy Memorial Endowment Fund for
Biomedical Research 2528-99 (V.N.) and National Institutes of Health
Grants NS38261 (V.N.) and MH60230 (R.W.G.). G.B. is a McNair scholar of
the Baylor College of Medicine Medical Scientist Training Program. We
thank Dr. William D. Willis for continued generous support and critical
reading of and helpful comments on this manuscript. We also thank Vicki
Wilson for superb secretarial assistance.
Correspondence should be addressed to Dr. Volker Neugebauer, Department
of Anatomy and Neurosciences and Marine Biomedical Institute, The
University of Texas Medical Branch, 301 University Boulevard,
Galveston, TX 77555-1069. E-mail: voneugeb{at}utmb.edu.
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