RT Journal Article SR Electronic T1 Alleviation of Neuropathic Pain Hypersensitivity by Inhibiting Neuronal Pentraxin 1 in the Rostral Ventromedial Medulla JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 12431 OP 12436 DO 10.1523/JNEUROSCI.2730-12.2012 VO 32 IS 36 A1 Agustin Zapata A1 Silvia Pontis A1 Raf J. Schepers A1 Ruizhong Wang A1 Eric Oh A1 Alexandra Stein A1 Cristina M. Bäckman A1 Paul Worley A1 Marta Enguita A1 M. Alba Abad A1 Ramon Trullas A1 Toni S. Shippenberg YR 2012 UL http://www.jneurosci.org/content/32/36/12431.abstract AB Peripheral nerve injury causes spontaneous and long-lasting pain, hyperalgesia, and allodynia. Excitatory amino acid receptor-dependent increases in descending facilitatory drive from the brainstem rostral ventromedial medulla (RVM) contribute to injury-evoked hypersensitivity. Although increased excitability likely reflects changes in synaptic efficacy, the cellular mechanisms underlying injury-induced synaptic plasticity are poorly understood. Neuronal pentraxin 1 (NP1), a protein with exclusive CNS expression, is implicated in synaptogenesis and AMPA receptor recruitment to immature synapses. Its role in the adult brain and in descending pain facilitation is unknown. Here, we use the spared nerve injury (SNI) model in rodents to examine this issue. We show that SNI increases RVM NP1 expression and constitutive deletion or silencing NP1 in the RVM, before or after SNI, attenuates allodynia and hyperalgesia in rats. Selective rescue of RVM NP1 expression restores behavioral hypersensitivity of knock-out mice, demonstrating a key role of RVM NP1 in the pathogenesis of neuropathic pain.