Spread of excitation across modality borders in spinal dorsal horn of neuropathic rats

Pain. 2008 Apr;135(3):300-310. doi: 10.1016/j.pain.2007.12.016. Epub 2008 Feb 8.

Abstract

Under physiological conditions, nociceptive information is mainly processed in superficial laminae of the spinal dorsal horn, whereas non-nociceptive information is processed in deeper laminae. Neuropathic pain patients often suffer from touch-evoked pain (allodynia), suggesting that modality borders are disrupted in their nervous system. We studied whether excitation evoked in deep dorsal horn neurons either via stimulation of primary afferent Abeta-fibres, by direct electrical stimulation or via glutamate microinjection leads to activation of neurons in the superficial dorsal horn. We used Ca(2+)-imaging in transversal spinal cord slices of neuropathic and control animals to monitor spread of excitation from the deep to the superficial spinal dorsal horn. In neuropathic but not control animals, a spread of excitation occurred from the deep to the superficial dorsal horn. The spread of excitation was synaptically mediated as it was blocked by the AMPA receptor antagonist CNQX. In contrast, block of NMDA receptors was ineffective. In control animals, the violation of modality borders could be reproduced by bath application of GABA(A) and glycine receptor antagonists. Furthermore, we could show that neuropathic animals were more prone to synchronous network activity than control animals. Thus, following peripheral nerve injury, excitation generated in dorsal horn areas which process non-nociceptive information can invade superficial dorsal horn areas which normally receive nociceptive input. This may be a spinal mechanism of touch-evoked pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Afferent Pathways / drug effects
  • Afferent Pathways / metabolism
  • Afferent Pathways / physiopathology
  • Animals
  • Calcium / analysis
  • Calcium / metabolism
  • Calcium Signaling / drug effects
  • Calcium Signaling / physiology
  • Disease Models, Animal
  • Excitatory Amino Acid Antagonists / pharmacology
  • GABA-A Receptor Antagonists
  • Hyperalgesia / metabolism
  • Hyperalgesia / physiopathology
  • Male
  • Nerve Fibers, Myelinated / drug effects
  • Nerve Fibers, Myelinated / metabolism
  • Nerve Net / drug effects
  • Nerve Net / metabolism
  • Nerve Net / physiopathology
  • Neuralgia / metabolism
  • Neuralgia / physiopathology*
  • Nociceptors / drug effects
  • Nociceptors / metabolism
  • Nociceptors / physiopathology*
  • Peripheral Nervous System Diseases / metabolism
  • Peripheral Nervous System Diseases / physiopathology*
  • Posterior Horn Cells / drug effects
  • Posterior Horn Cells / metabolism
  • Posterior Horn Cells / physiopathology*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, AMPA / antagonists & inhibitors
  • Receptors, AMPA / drug effects
  • Receptors, GABA-A / metabolism
  • Receptors, Glycine / antagonists & inhibitors
  • Receptors, Glycine / metabolism
  • Synaptic Transmission / drug effects
  • Synaptic Transmission / physiology*

Substances

  • Excitatory Amino Acid Antagonists
  • GABA-A Receptor Antagonists
  • Receptors, AMPA
  • Receptors, GABA-A
  • Receptors, Glycine
  • Calcium