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Boadas-Vaello P, Homs J, Reina F, Carrera A, Verdú E. Neuroplasticity of Supraspinal Structures Associated with Pathological Pain. Anat Rec (Hoboken) 2017; 300:1481-1501. [PMID: 28263454 DOI: 10.1002/ar.23587] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 09/27/2016] [Accepted: 10/18/2016] [Indexed: 12/19/2022]
Abstract
Peripheral nerve and spinal cord injuries, along with other painful syndromes such as fibromyalgia, diabetic neuropathy, chemotherapeutic neuropathy, trigeminal neuralgia, complex regional pain syndrome, and/or irritable bowel syndrome, cause several neuroplasticity changes in the nervous system along its entire axis affecting the different neuronal nuclei. This paper reviews these changes, focusing on the supraspinal structures that are involved in the modulation and processing of pain, including the periaqueductal gray matter, red nucleus, locus coeruleus, rostral ventromedial medulla, thalamus, hypothalamus, basal ganglia, cerebellum, habenula, primary, and secondary somatosensory cortex, motor cortex, mammillary bodies, hippocampus, septum, amygdala, cingulated, and prefrontal cortex. Hyperexcitability caused by the modification of postsynaptic receptor expression, central sensitization, and potentiation of presynaptic delivery of neurotransmitters, as well as the reduction of inhibitory inputs, changes in dendritic spine, neural circuit remodeling, alteration of gray matter, and upregulation of proinflammatory mediators (e.g., cytokines) by reactivation of astrocytes and microglial cells are the main functional, structural, and molecular neuroplasticity changes observed in the above supraspinal structures, associated with pathological pain. Studying these changes in greater depth may lead to the implementation and improvement of new therapeutic strategies against pathological pain. Anat Rec, 300:1481-1501, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Pere Boadas-Vaello
- Research Group of Clinical Anatomy, Embryology and Neuroscience (NEOMA), Department of Medical Sciences, Faculty of Medicine, Universitat de Girona, Girona, Catalonia, 17003, Spain
| | - Judit Homs
- Research Group of Clinical Anatomy, Embryology and Neuroscience (NEOMA), Department of Medical Sciences, Faculty of Medicine, Universitat de Girona, Girona, Catalonia, 17003, Spain.,Department of Physical Therapy EUSES-Universitat of Girona, Salt (Girona), Catalonia, 17190, Spain
| | - Francisco Reina
- Research Group of Clinical Anatomy, Embryology and Neuroscience (NEOMA), Department of Medical Sciences, Faculty of Medicine, Universitat de Girona, Girona, Catalonia, 17003, Spain
| | - Ana Carrera
- Research Group of Clinical Anatomy, Embryology and Neuroscience (NEOMA), Department of Medical Sciences, Faculty of Medicine, Universitat de Girona, Girona, Catalonia, 17003, Spain
| | - Enrique Verdú
- Research Group of Clinical Anatomy, Embryology and Neuroscience (NEOMA), Department of Medical Sciences, Faculty of Medicine, Universitat de Girona, Girona, Catalonia, 17003, Spain
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Padel Y, Sybirska E, Bourbonnais D, Vinay L. Electrophysiological identification of a somaesthetic pathway to the red nucleus. Behav Brain Res 1988; 28:139-51. [PMID: 2838041 DOI: 10.1016/0166-4328(88)90090-3] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
In awake chronically implanted cat, the cells in the red nucleus (RN) can be either activated or inhibited by natural stimulation on periphery. The effective stimuli are touching the fur, rotating the joints and tapping the muscles. A somaesthetic map has been constructed with the face area dorsally, the forelimb more ventrally and the hindlimb lateroventrally in the RN. In acute preparations, after ablation of the motor cortex and the cerebellum and section of the dorsal columns of the spinal cord at cervical level, the RN cells were still reacting to natural stimulation of the skin or electrical stimulation of peripheral nerves. The course of the somaesthetic pathway was systematically mapped by microstimulation of the spinal cord. It was shown that it follows the primary afferents which enter the dorsal columns, where they give off collaterals which relay at segment levels. After decussation the fibres ascend the ventromedial quadrant of the cord. A large portion of the fibres relay a second time in the medulla. The existence of such a pathway can account for the somaesthetic responses recorded in the RN in awake cats.
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Affiliation(s)
- Y Padel
- Laboratoire de Neurosciences Fonctionnelles, C.N.R.S., Marseille, France
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Strominger RN, McGiffen JE, Strominger NL. Morphometric and experimental studies of the red nucleus in the albino rat. Anat Rec (Hoboken) 1987; 219:420-8. [PMID: 3448957 DOI: 10.1002/ar.1092190413] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Cytoarchitectural observations showed that the red nucleus of the albino rat consists of three distinct neuronal populations. Neurons with coarse Nissl bodies occupy the caudal end of the red nucleus and extend in diminishing number to the rostral tip. Neurons with finely granular Nissl material are the predominant cell type at the rostral tip of the red nucleus and interdigitate with the coarse neurons except at the caudal end of the nucleus. Coarse neurons, in contrast to fine neurons, are multiangular in contour and tend to be larger, although the two populations overlap in size. A population of interneurons, almost entirely smaller than the other cell types and less numerous, is ubiquitous within the red nucleus. Injections of horseradish peroxidase (HRP) at different levels of the spinal cord established that the coarse neurons on the contralateral side are the source of the rubrospinal tract and are topographically organized. The dorsal-medial part of the red nucleus emits axons which project to the cervical cord and the ventral-ventrolateral part of the nucleus to the lumbar cord. The thoracic cord receives projections from rubral neurons at intermediate positions. Further, coarse neurons from the entire rostrocaudal axis of the red nucleus contribute fibers to the rubrospinal tract.
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