Tuesday, 9 October 2018

Targeting Brain Neurons To Control Nerve Pain

Today's post from sciencedaily.com (see link below) explains how scientists have found that certain neurons in the brain can influence a person's sensitivity to touch and therefore, pain. This is a physiological discovery that will eventually enable scientists to target these neurons and hopefully, 'switch them off' so that pain-producing sensitivity is nullified. It also may explain why mind-body techniques, that are so widely scoffed at (not least by many patients themselves) may actually play a greater role than at first supposed. Now sensitivity to touch and even numbness, are mainstays of neuropathic symptoms and will be familiar to most nerve damage patients. This discovery may lead to an increase in brain training by in some way targeting the neurons responsible. It is a complex subject and I realise that I've summarised it pretty badly but hopefully reading the article will help you understand it better. Unfortunately, the breakthrough treatment is still something for the future (aren't they all!) but it does show that scientists are getting closer to being able to switch pain signals off or on, therefore controlling the extent of nerve pain when it occurs.

Minding the brain to curb pain hypersensitivity
Date: September 12, 2018 Source: Boston Children's Hospital


Scientists isolate neurons in the brain that could be targeted to dampen pain from touch

A study led by Boston Children's Hospital and the National Institute of Mental Health (NIMH) may open up new opportunities for treating neuropathic pain, a difficult-to-treat type of chronic pain due to damage to the nervous system that can make the lightest touch intensely painful. In a report today in Nature, scientists led by Zhigang He, PhD, and Clifford Woolf, PhD, of the F.M. Kirby Neurobiology Center at Boston Children's, demonstrate that neurons that originate in the brain's cortex influence sensitivity to touch.

The circuit could help explain why mind-body techniques to control pain seem to help many people.

"We know that mental activities of the higher brain -- cognition, memory, fear, anxiety -- can cause you to feel more or less pain," says Woolf. "Now we've confirmed a physiological pathway that may be responsible for the extent of the pain. We have identified a volume control in the brain for pain -- now we need to learn how to switch it off."

A mind-body pathway

Pain sensation was previously believed to originate with neurons in the spinal cord receiving sensory information from the body and relaying it on to the brain. The new study found that a small group of neurons in the cortex can amplify touch sensation, sending projections to the same parts of the spinal cord that receive tactile sensory information from the body (known as the dorsal horns).

"The anatomy of this circuit has been known for some time, but no one actually looked at its function before," says He.

"In normal conditions, the touch and pain layers of the spinal cord are strongly separated by inhibitory neurons," elaborates Alban Latremoliere, PhD, one of four co-first authors on the paper. "After nerve injury, this inhibition is lost, leading to touch information activating pain neurons. When the spinal neurons that are supposed to be pain-only send this information to the brain, we feel pain."

He, Woolf and colleagues think the cortical neurons they identified could be a potential target for treating the tactile component of neuropathic pain, via drugs or possibly brain electrical stimulation, breaking a feedback loop that introduces and exaggerates the pain response to normally non-painful touch.

When the team severed these neurons or silenced them genetically in a mouse model of neuropathic pain, the mice stopped recoiling from light, innocuous touches, such as stroking with a soft paintbrush or placement of a bit of tape on the bottom of a foot. But the mice retained their sensitivity to truly painful stimuli, reflexively withdrawing their paws when exposed to heat, cold or pinpricks.

Teasing out nerve circuits
The researchers used recently developed technologies to visualize and target specific groups of neurons in the brain and spinal cord. This enabled them to observe the results when different neurons were activated or silenced in a mouse model, and observe which circuits were activated when mice were exposed to noxious or innocuous stimuli.

He notes that some clinicians have tried using brain stimulation as a way of treating neuropathic pain, not always successfully.

"Our findings might help us target the stimulation to particular areas or groups of neurons," says He. "It might be interesting to look at clinical data and try to replicate the stimulation in animals, and see what kind of stimulation would silence these neurons."

With functional imaging technologies, investigators could probe what kinds of interventions maximally inhibit this circuit, adds Woolf.

"We now have the ability to silence or activate whole groups of neurons and image their patterns of electrical firing with single-neuron resolution," he says. "None of this was possible 10 years ago."

Yuanyuan Liu, Alban Latremoliere and Zicong Zhang (Boston Children's Hospital) and Xinjian Li (NIMH) were co-first authors on the paper. (Latremoliere is now at Johns Hopkins Medical School.) Kuan Hong Wang (NIMH) was co-senior author together with He and Woolf. The study was supported by the Craig Neilsen Foundation, the Paralyzed Veterans of America Foundation, the Dr. Miriam and Sheldon G. Adelson Medical Research Foundation, the National Institute for Neurological Disorders and Stroke, the NIMH (ZIA MH002897) and the Boston Children's Hospital IDDRC (NIH P30 HD018655, P30EY012196).

Story Source:

Materials provided by Boston Children's Hospital. Note: Content may be edited for style and length.

Journal Reference:
Yuanyuan Liu, Alban Latremoliere, Xinjian Li, Zicong Zhang, Mengying Chen, Xuhua Wang, Chao Fang, Junjie Zhu, Chloe Alexandre, Zhongyang Gao, Bo Chen, Xin Ding, Jin-Yong Zhou, Yiming Zhang, Chinfei Chen, Kuan Hong Wang, Clifford J. Woolf, Zhigang He. Touch and tactile neuropathic pain sensitivity are set by corticospinal projections. Nature, 2018; DOI: 10.1038/s41586-018-0515-2

Cite This Page:

Boston Children's Hospital. "Minding the brain to curb pain hypersensitivity: Scientists isolate neurons in the brain that could be targeted to dampen pain from touch." ScienceDaily. ScienceDaily, 12 September 2018. .


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