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Becker J, Papagianni A, Herrmann E, Nöller F, Sommer C, Rittner HL. Transient hypoalgesia after COVID-19 infection. Pain Rep 2022; 7:e990. [PMID: 35295965 PMCID: PMC8920299 DOI: 10.1097/pr9.0000000000000990] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 12/14/2021] [Accepted: 01/21/2022] [Indexed: 11/25/2022] Open
Abstract
Supplemental Digital Content is Available in the Text. In-depth phenotype analysis of a patient after COVID-19 disease in spring 2020 with long-lasting dysgeusia and transient hypoalgesia as supported by clinical examination, reduced axon flare reaction and loss of intraepidermal fibers. Introduction: Loss of smell or taste are often-cited complications during COVID-19 disease, but there is no clear evidence for affection of the peripheral nervous system. Methods: Here, we report a 48-year-old man presenting with persistent dysgeusia and hypoalgesia of the lower legs, hands, and cheeks after COVID-19 infection in Spring 2020. Results: Upon clinical examination 7 months after the infection, the patient could not feel pain after pinprick stimuli. Quantitative sensory testing revealed increased thermal detection thresholds at the face but no changes at the foot. Electrical C-fiber stimulation elicited lower pain ratings at the distal leg compared with the proximal leg, but overall higher pain ratings than in healthy control subjects. The axon flare reaction in response to histamine and acetylcholine was almost absent with no pain sensation. Skin punch biopsy revealed a reduced intraepidermal nerve fiber density at the lower leg, and transient receptor potential vanilloid 1 and calcitonin gene-related peptide immunoreactivity were similar to a healthy control. Symptoms and positive tests improved 5 months later. Conclusion: In summary, we describe a case of hypoalgesia after COVID-19 disease. Studies investigating long-COVID syndrome should test not only for painful neuropathic symptoms but also for hypoalgesia, especially in patients with prolonged dysgeusia.
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Affiliation(s)
| | | | | | - Frank Nöller
- Neurology, University Hospital of Würzburg, Würzburg, Germany
| | - Claudia Sommer
- Neurology, University Hospital of Würzburg, Würzburg, Germany
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2
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Kamei J. [Recent Findings on the Mechanism of Cough Hypersensitivity as a Cause of Chronic Cough]. YAKUGAKU ZASSHI 2021; 141:1333-1342. [PMID: 34853206 DOI: 10.1248/yakushi.21-00155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
An increasing number of patients complain to medical institutions about a cough that persists for more than 8 weeks, namely chronic cough. The cough observed in patients with chronic cough is not responsive to conventional antitussive agents such as dihydrocodeine and dextromethorphan, and this is a major clinical problem. The most common pathology of chronic cough in Japan is dry cough. Two causes of dry cough are increased sensitivity of cough receptors (cough hypersensitivity) and increased contraction of bronchial smooth muscle. Among these, the mechanisms of cough hypersensitivity are diverse, and understanding these mechanisms is important for the diagnosis and treatment of chronic cough. In this paper I will review the regulatory mechanisms of cough hypersensitivity, especially the regulation of Aδ fiber excitability by C fibers. Furthermore, the central mechanisms involved cough reflex are discussed in relation to central acting antitussives.
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Affiliation(s)
- Junzo Kamei
- Department of Biomolecular Pharmacology, Hoshi University
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3
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Oga S, Goto K, Sakamoto J, Honda Y, Sasaki R, Ishikawa K, Kataoka H, Nakano J, Origuchi T, Okita M. Mechanisms underlying immobilization-induced muscle pain in rats. Muscle Nerve 2020; 61:662-670. [PMID: 32083755 DOI: 10.1002/mus.26840] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 12/01/2019] [Accepted: 12/03/2019] [Indexed: 12/27/2022]
Abstract
INTRODUCTION We investigated the mechanisms underlying immobilization-induced muscle pain in rats. METHODS In rat skeletal muscle, pressure pain threshold (PPT) of the gastrocnemius muscle was measured, and nerve growth factor (NGF) level, peripheral nerve fiber density, macrophage number, and interleukin-1β (IL-1β) mRNA expression were examined. An NGF receptor inhibitor was injected intramuscularly to assess the relationship between PPT and NGF levels. RESULTS Immobilization resulted in a decrease in PPT and increases in NGF level, C-fiber density, M1 macrophage number, and IL-1β mRNA expression. Injection of NGF receptor inhibitor reversed the decrease in PPT. DISCUSSION NGF upregulation may be a major contributor to immobilization-induced muscle pain. The increases in C-fiber density, M1 macrophage number, and IL-1β mRNA expression may be related to immobilization-induced muscle pain.
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Affiliation(s)
- Satoshi Oga
- Department of Locomotive Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.,Department of Rehabilitation, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan
| | - Kyo Goto
- Department of Rehabilitation, Nagasaki Memorial Hospital, Nagasaki, Japan
| | - Junya Sakamoto
- Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Yuichiro Honda
- Department of Rehabilitation, Nagasaki University Hospital, Nagasaki, Japan
| | - Ryo Sasaki
- Department of Locomotive Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.,Department of Rehabilitation, Juzenkai Hospital, Nagasaki, Japan
| | - Kumiko Ishikawa
- Department of Rehabilitation, Nagasaki University Hospital, Nagasaki, Japan
| | - Hideki Kataoka
- Department of Rehabilitation, Nagasaki Memorial Hospital, Nagasaki, Japan
| | - Jiro Nakano
- Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Tomoki Origuchi
- Department of Locomotive Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
| | - Minoru Okita
- Department of Locomotive Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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4
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Nakagawa T, Akimoto N, Hakozaki A, Noma T, Nakamura A, Hayashi Y, Sasaki E, Ozaki N, Furue H. Responsiveness of lumbosacral superficial dorsal horn neurons during the voiding reflex and functional loss of spinal urethral-responsive neurons in streptozotocin-induced diabetic rats. Neurourol Urodyn 2019; 39:144-157. [PMID: 31663175 DOI: 10.1002/nau.24198] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 09/23/2019] [Indexed: 12/20/2022]
Abstract
AIMS Sensory information from the lower urinary tract (LUT) is conveyed to the spinal cord to trigger and co-ordinate micturition. However, it is not fully understood how spinal dorsal horn neurons are excited during the voiding reflex. In this study, we developed an in vivo technique allowing recording of superficial dorsal horn (SDH) neurons concurrent with intravesical pressure (IVP) during the micturition cycle in both normal and diabetic rats. METHODS Lumbosacral dorsal horn neuronal activity and IVP were recorded from urethane-anesthetized naive and streptozotocin (STZ)-induced diabetic rats. Saline was continuously perfused into the urinary bladder through a cannula to induce micturition. RESULTS We classified SDH neurons into bladder- and urethral-responsive neurons, based on their responsiveness during the voiding reflex. Bladder-responsive SDH neurons responded to the rapid increase in IVP at the start of voiding. In contrast, urethral-responsive SDH neuronal firing increased at the peak IVP and their firing lasted during the voiding phase (the high-frequency oscillations). Urethral-responsive SDH neurons were more sensitive to capsaicin, received C afferent fiber inputs, and were rarely detected in STZ-diabetes rats. Administration of a cyclohexenoic long-chain fatty alcohol (TAC-302), which is reported to promote neurite outgrowth of peripheral nerves in STZ-diabetic rats, prevented the functional loss of spinal urethral response. CONCLUSIONS Sensory information from the bladder and urethra is conveyed separately to different groups of SDH neurons. Functional loss of spinal urethral sensory information through unmyelinated C afferent fibers may contribute to diabetic bladder dysfunction.
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Affiliation(s)
- Tatsuki Nakagawa
- Department of Neurophysiology, Hyogo College of Medicine, Nishinomiya, Japan.,Department of Functional Anatomy, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.,Department of Information Physiology, National Institute for Physiological Sciences, Okazaki, Japan
| | - Nozomi Akimoto
- Department of Information Physiology, National Institute for Physiological Sciences, Okazaki, Japan
| | - Atsushi Hakozaki
- Department of Information Physiology, National Institute for Physiological Sciences, Okazaki, Japan.,Drug Discovery and Development II, Taiho Pharmaceutical Co. Ltd, Tsukuba, Japan
| | - Takahisa Noma
- Drug Discovery and Development II, Taiho Pharmaceutical Co. Ltd, Tsukuba, Japan
| | - Ayumi Nakamura
- Department of Neurophysiology, Hyogo College of Medicine, Nishinomiya, Japan.,Department of Information Physiology, National Institute for Physiological Sciences, Okazaki, Japan
| | - Yukio Hayashi
- Drug Discovery and Development II, Taiho Pharmaceutical Co. Ltd, Tsukuba, Japan
| | - Eiji Sasaki
- Drug Discovery and Development II, Taiho Pharmaceutical Co. Ltd, Tsukuba, Japan
| | - Noriyuki Ozaki
- Department of Functional Anatomy, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan
| | - Hidemasa Furue
- Department of Neurophysiology, Hyogo College of Medicine, Nishinomiya, Japan.,Department of Information Physiology, National Institute for Physiological Sciences, Okazaki, Japan
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5
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McAllen RM, Shafton AD, Bratton BO, Trevaks D, Furness JB. Calibration of thresholds for functional engagement of vagal A, B and C fiber groups in vivo. ACTA ACUST UNITED AC 2017; 1:21-27. [PMID: 29480903 DOI: 10.2217/bem-2017-0001] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Accepted: 08/10/2017] [Indexed: 02/01/2023]
Abstract
Vagal nerve stimulation is widely used therapeutically but the fiber groups activated are often unknown. Aim To establish a simple protocol to define stimulus thresholds for vagal A, B and C fibers. Methods The intact left or right cervical vagus was stimulated with 0.1 ms pulses in spontaneously breathing anesthetized rats. Heart and respiratory rate responses to vagal stimulation were recorded. The vagus was subsequently cut distally, and mass action potentials to the same stimuli were recorded. Results Stimulating at either 50 Hz for 2 s or 2 Hz for 10 s at experimentally determined strengths revealed A, B and C fiber thresholds that were related to respiratory and heart rate changes. Conclusion Our simple protocol discriminates vagal A, B and C fiber thresholds in vivo.
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Affiliation(s)
- Robin M McAllen
- Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia.,Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia
| | - Anthony D Shafton
- Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia.,Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia
| | - Bradford O Bratton
- Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia.,Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia
| | - David Trevaks
- Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia.,Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia
| | - John B Furness
- Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia.,Department of Anatomy & Neuroscience, University of Melbourne, Parkville, Victoria 3010, Australia.,Florey Institute of Neuroscience & Mental Health Parkville, Victoria 3010, Australia.,Department of Anatomy & Neuroscience, University of Melbourne, Parkville, Victoria 3010, Australia
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6
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Li H, Peng Z, Qian J, Wang M, Wang C, Fu X. C Fibers@WSe 2 Nanoplates Core-Shell Composite: Highly Efficient Solar-Driven Photocatalyst. ACS Appl Mater Interfaces 2017; 9:28704-28715. [PMID: 28800215 DOI: 10.1021/acsami.7b10376] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Recently, WSe2 as a typical transition metal dichalcogenide compound has attracted extensive attention due to its potential applications in electronic and optoelectronic devices. However, WSe2 alone cannot be directly used as a photocatalyst due to its inferior performance possibly caused by the strong recombination of photogenerated electron-hole pairs. Here a novel C fibers@WSe2 nanoplates core-shell composite (NPCSC) was successfully synthesized via facile, one-step thermal evaporation, in which numerous WSe2 thin nanoplates were in situ, densely and even vertically grown on the surface of the C fibers. Such composite presents highly solar-driven photocatalytic activity and stability for the degradation of various organic aqueous dyes including methylene blue and rhodamine B, and highly harmful gases like toluene, showing the great potential for environmental remediation by degrading toxic industrial chemicals using sunlight. Under simulated sunlight irradiation, comparing with commercially available WSe2 powder, the as-synthesized C fibers@WSe2 NPCSC presents significantly enhanced reaction rate constants by a factor of approximately 15, 9, and 3 for the degradation of aqueous methylene blue, aqueous rhodamine B, and gaseous toluene, respectively, due to the effective separation of photogenerated electron-hole pairs promoted by the rapid transfer of photogenerated electrons through C fibers. Moreover, this one-step thermal evaporation is an easy-handling, environmentally friendly, and low-cost synthesis method, which is suitable for large-scale production.
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Affiliation(s)
- Hong Li
- School of Engineering and Technology, China University of Geosciences , Beijing 100083, P. R. China
- School of Science, China University of Geosciences , Beijing 100083, P. R. China
- State Key Laboratory of Information Photonics and Optical Communications, and School of Science, Beijing University of Posts and Telecommunications , Beijing 100876, P. R. China
| | - Zhijian Peng
- School of Science, China University of Geosciences , Beijing 100083, P. R. China
| | - Jingwen Qian
- School of Engineering and Technology, China University of Geosciences , Beijing 100083, P. R. China
- School of Science, China University of Geosciences , Beijing 100083, P. R. China
- State Key Laboratory of Information Photonics and Optical Communications, and School of Science, Beijing University of Posts and Telecommunications , Beijing 100876, P. R. China
| | - Meng Wang
- School of Engineering and Technology, China University of Geosciences , Beijing 100083, P. R. China
- School of Science, China University of Geosciences , Beijing 100083, P. R. China
- State Key Laboratory of Information Photonics and Optical Communications, and School of Science, Beijing University of Posts and Telecommunications , Beijing 100876, P. R. China
| | - Chengbiao Wang
- School of Engineering and Technology, China University of Geosciences , Beijing 100083, P. R. China
| | - Xiuli Fu
- State Key Laboratory of Information Photonics and Optical Communications, and School of Science, Beijing University of Posts and Telecommunications , Beijing 100876, P. R. China
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7
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Watkins RH, Wessberg J, Backlund Wasling H, Dunham JP, Olausson H, Johnson RD, Ackerley R. Optimal delineation of single C-tactile and C-nociceptive afferents in humans by latency slowing. J Neurophysiol 2017; 117:1608-1614. [PMID: 28123010 PMCID: PMC5376601 DOI: 10.1152/jn.00939.2016] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Revised: 01/23/2017] [Accepted: 01/23/2017] [Indexed: 11/24/2022] Open
Abstract
Human skin encodes a plethora of touch interactions, and affective tactile information is primarily signaled by slowly conducting C-mechanoreceptive afferents. We show that electrical stimulation of low-threshold C-tactile afferents produces markedly different patterns of activity compared with high-threshold C-mechanoreceptive nociceptors, although the populations overlap in their responses to mechanical stimulation. This fundamental distinction demonstrates a divergence in affective touch signaling from the first stage of sensory processing, having implications for the processing of interpersonal touch. C-mechanoreceptors in humans comprise a population of unmyelinated afferents exhibiting a wide range of mechanical sensitivities. C-mechanoreceptors are putatively divided into those signaling gentle touch (C-tactile afferents, CTs) and nociception (C-mechanosensitive nociceptors, CMs), giving rise to positive and negative affect, respectively. We sought to distinguish, compare, and contrast the properties of a population of human C-mechanoreceptors to see how fundamental the divisions between these putative subpopulations are. We used microneurography to record from individual afferents in humans and applied electrical and mechanical stimulation to their receptive fields. We show that C-mechanoreceptors can be distinguished unequivocally into two putative populations, comprising CTs and CMs, by electrically evoked spike latency changes (slowing). After both natural mechanical stimulation and repetitive electrical stimulation there was markedly less latency slowing in CTs compared with CMs. Electrical receptive field stimulation, which bypasses the receptor end organ, was most effective in classifying C-mechanoreceptors, as responses to mechanical receptive field stimulation overlapped somewhat, which may lead to misclassification. Furthermore, we report a subclass of low-threshold CM responding to gentle mechanical stimulation and a potential subclass of CT afferent displaying burst firing. We show that substantial differences exist in the mechanisms governing axonal conduction between CTs and CMs. We provide clear electrophysiological “signatures” (extent of latency slowing) that can be used in unequivocally identifying populations of C-mechanoreceptors in single-unit and multiunit microneurography studies and in translational animal research into affective touch. Additionally, these differential mechanisms may be pharmacologically targetable for separate modulation of positive and negative affective touch information. NEW & NOTEWORTHY Human skin encodes a plethora of touch interactions, and affective tactile information is primarily signaled by slowly conducting C-mechanoreceptive afferents. We show that electrical stimulation of low-threshold C-tactile afferents produces markedly different patterns of activity compared with high-threshold C-mechanoreceptive nociceptors, although the populations overlap in their responses to mechanical stimulation. This fundamental distinction demonstrates a divergence in affective touch signaling from the first stage of sensory processing, having implications for the processing of interpersonal touch.
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Affiliation(s)
- Roger H Watkins
- Department of Physiology, University of Gothenburg, Gothenburg, Sweden; .,School of Physiology and Pharmacology, University of Bristol, Bristol, United Kingdom
| | - Johan Wessberg
- Department of Physiology, University of Gothenburg, Gothenburg, Sweden
| | | | - James P Dunham
- University Division of Anaesthesia, Cambridge University Hospitals, NHS Foundation Trust, Cambridge, United Kingdom
| | - Håkan Olausson
- Department of Physiology, University of Gothenburg, Gothenburg, Sweden.,Center for Social and Affective Neuroscience, Department of Clinical and Experimental Medicine, Linkoping University, Linkoping, Sweden; and
| | - Richard D Johnson
- Department of Physiology, University of Gothenburg, Gothenburg, Sweden.,Department of Physiological Sciences, University of Florida, Gainesville, Florida
| | - Rochelle Ackerley
- Department of Physiology, University of Gothenburg, Gothenburg, Sweden.,Laboratoire de Neurosciences Intégratives et Adaptatives (UMR 7260), Aix-Marseille Université-CNRS, Marseille, France
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8
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Colon E, Liberati G, Mouraux A. EEG frequency tagging using ultra-slow periodic heat stimulation of the skin reveals cortical activity specifically related to C fiber thermonociceptors. Neuroimage 2016; 146:266-274. [PMID: 27871921 DOI: 10.1016/j.neuroimage.2016.11.045] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 10/25/2016] [Accepted: 11/17/2016] [Indexed: 11/29/2022] Open
Abstract
The recording of event-related brain potentials triggered by a transient heat stimulus is used extensively to study nociception and diagnose lesions or dysfunctions of the nociceptive system in humans. However, these responses are related exclusively to the activation of a specific subclass of nociceptive afferents: quickly-adapting thermonociceptors. In fact, except if the activation of Aδ fibers is avoided or if A fibers are blocked, these responses specifically reflect activity triggered by the activation of Type 2 quickly-adapting A fiber mechano-heat nociceptors (AMH-2). Here, we propose a novel method to isolate, in the human electroencephalogram (EEG), cortical activity related to the sustained periodic activation of heat-sensitive thermonociceptors, using very slow (0.2Hz) and long-lasting (75s) sinusoidal heat stimulation of the skin between baseline and 50°C. In a first experiment, we show that when such long-lasting thermal stimuli are applied to the hand dorsum of healthy volunteers, the slow rises and decreases of skin temperature elicit a consistent periodic EEG response at 0.2Hz and its harmonics, as well as a periodic modulation of the magnitude of theta, alpha and beta band EEG oscillations. In a second experiment, we demonstrate using an A fiber block that these EEG responses are predominantly conveyed by unmyelinated C fiber nociceptors. The proposed approach constitutes a novel mean to study C fiber function in humans, and to explore the cortical processing of tonic heat pain in physiological and pathological conditions.
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Affiliation(s)
- Elisabeth Colon
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium; Center for Pain and the Brain, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
| | - Giulia Liberati
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
| | - André Mouraux
- Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
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9
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Lee LY, Hsu CC, Lin YJ, Lin RL, Khosravi M. Interaction between TRPA1 and TRPV1: Synergy on pulmonary sensory nerves. Pulm Pharmacol Ther 2015; 35:87-93. [PMID: 26283426 DOI: 10.1016/j.pupt.2015.08.003] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2015] [Accepted: 08/11/2015] [Indexed: 12/15/2022]
Abstract
Transient receptor potential ankyrin type 1 (TRPA1) and vanilloid type 1 (TRPV1) receptors are co-expressed in vagal pulmonary C-fiber sensory nerves. Because both these ligand-gated non-selective cation channels are sensitive to a number of endogenous inflammatory mediators, it is highly probable that they can be activated simultaneously during airway inflammation. Studies were carried out to investigate whether there is an interaction between these two polymodal transducers upon simultaneous activation, and how it modulates the activity of vagal pulmonary C-fiber sensory nerves. Our studies showed a distinct potentiating effect induced abruptly by simultaneous activations of TRPA1 and TRPV1 by their respective selective agonists, allyl isothiocyanate (AITC) and capsaicin (Cap), at near-threshold concentrations. This synergistic effect was demonstrated in the studies of single-unit recording of vagal bronchopulmonary C-fiber afferents and the reflex responses elicited by activation of these afferents in intact animals, as well as in the isolated nodose and jugular bronchopulmonary sensory neurons. This potentiating effect was absent when either AITC or Cap was replaced by non-TRPA1 and non-TRPV1 chemical activators of these neurons, demonstrating the selectivity of the interaction between these two TRP channels. Furthermore, the synergism was dependent upon the extracellular Ca(2+), and the rapid onset of the action further suggests that the interaction probably occurred locally at the sites of these channels. These findings suggest that the TRPA1-TRPV1 interaction may play an important role in regulating the function and excitability of pulmonary sensory neurons during airway inflammation, but the mechanism underlying this positive interaction is not yet fully understood.
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Affiliation(s)
- Lu-Yuan Lee
- Department of Physiology, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA.
| | - Chun-Chun Hsu
- Department of Physiology, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA
| | - Yu-Jung Lin
- Department of Physiology, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA
| | - Ruei-Lung Lin
- Department of Physiology, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA
| | - Mehdi Khosravi
- Department of Internal Medicine, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA
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10
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Yu X, Hu Y, Ru F, Kollarik M, Undem BJ, Yu S. TRPM8 function and expression in vagal sensory neurons and afferent nerves innervating guinea pig esophagus. Am J Physiol Gastrointest Liver Physiol 2015; 308:G489-96. [PMID: 25591866 PMCID: PMC4360048 DOI: 10.1152/ajpgi.00336.2014] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Sensory transduction in esophageal afferents requires specific ion channels and receptors. TRPM8 is a new member of the transient receptor potential (TRP) channel family and participates in cold- and menthol-induced sensory transduction, but its role in visceral sensory transduction is still less clear. This study aims to determine TRPM8 function and expression in esophageal vagal afferent subtypes. TRPM8 agonist WS-12-induced responses were first determined in nodose and jugular neurons by calcium imaging and then investigated by whole cell patch-clamp recordings in Dil-labeled esophageal nodose and jugular neurons. Extracellular single-unit recordings were performed in nodose and jugular C fiber neurons using ex vivo esophageal-vagal preparations with intact nerve endings in the esophagus. TRPM8 mRNA expression was determined by single neuron RT-PCR in Dil-labeled esophageal nodose and jugular neurons. The TRPM8 agonist WS-12 elicited calcium influx in a subpopulation of jugular but not nodose neurons. WS-12 activated outwardly rectifying currents in esophageal Dil-labeled jugular but not nodose neurons in a dose-dependent manner, which could be inhibited by the TRPM8 inhibitor AMTB. WS-12 selectively evoked action potential discharges in esophageal jugular but not nodose C fibers. Consistently, TRPM8 transcripts were highly expressed in esophageal Dil-labeled TRPV1-positive jugular neurons. In summary, the present study demonstrated a preferential expression and function of TRPM8 in esophageal vagal jugular but not nodose neurons and C fiber subtypes. This provides a distinctive role of TRPM8 in esophageal sensory transduction and may lead to a better understanding of the mechanisms of esophageal sensation and nociception.
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Affiliation(s)
| | | | | | | | | | - Shaoyong Yu
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
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11
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Boada DM, Martin TJ, Peters CM, Hayashida K, Harris MH, Houle TT, Boyden ES, Eisenach JC, Ririe DG. Fast-conducting mechanoreceptors contribute to withdrawal behavior in normal and nerve injured rats. Pain 2014; 155:2646-2655. [PMID: 25267211 DOI: 10.1016/j.pain.2014.09.030] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 08/27/2014] [Accepted: 09/22/2014] [Indexed: 11/29/2022]
Abstract
Fast-conducting myelinated high-threshold mechanoreceptors (AHTMR) are largely thought to transmit acute nociception from the periphery. However, their roles in normal withdrawal and in nerve injury-induced hyperalgesia are less well accepted. Modulation of this subpopulation of peripheral neurons would help define their roles in withdrawal behaviors. The optically active proton pump, ArchT, was placed in an adeno-associated virus-type 8 viral vector with the CAG promoter and was administered by intrathecal injection resulting in expression in myelinated neurons. Optical inhibition of peripheral neurons at the soma and transcutaneously was possible in the neurons expressing ArchT, but not in neurons from control animals. Receptive field characteristics and electrophysiology determined that inhibition was neuronal subtype-specific with only AHTMR neurons being inhibited. One week after nerve injury the AHTMR are hyperexcitable, but can still be inhibited at the soma and transcutaneously. Withdrawal thresholds to mechanical stimuli in normal and in hyperalgesic nerve-injured animals also were increased by transcutaneous light to the affected hindpaw. This suggests that AHTMR neurons play a role not only in threshold-related withdrawal behavior in the normal animal, but also in sensitized states after nerve injury. This is the first time this subpopulation of neurons has been reversibly modulated to test their contribution to withdrawal-related behaviors before and after nerve injury. This technique may prove useful to define the role of selective neuronal populations in different pain states.
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Affiliation(s)
- Danilo M Boada
- Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA The Synthetic Neurobiology Group, Media Lab, Massachusetts Institute of Technology, Cambridge, MA, USA
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12
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Abstract
Acid reflux-induced heartburn and noncardiac chest pain are processed peripherally by sensory nerve endings in the wall of the esophagus, but the underlying mechanism is still unclear. This study aims to determine the effects of acid on esophageal vagal nociceptive afferent subtypes. Extracellular single-unit recordings were performed in guinea pig vagal nodose or jugular C fiber neurons by using ex vivo esophageal-vagal preparations with intact nerve endings in the esophagus. We recorded action potentials (AP) of esophageal nodose or jugular C fibers evoked by acid perfusion and compared esophageal distension-evoked AP before and after acid perfusion. Acid perfusion for 30 min (pH range 7.4 to 5.8) did not evoke AP in nodose C fibers but significantly decreased their responses to esophageal distension, which could be recovered after washing out acid for 90 min. In jugular C fibers, acid perfusion not only evoked AP but also inhibited their responses to esophageal distension, which were not recovered after washing out acid for 120 min. Lower concentration of capsaicin perfusion mimicked acid-induced effects in nodose and jugular C fibers. Pretreatment with TRPV1 antagonist AMG9810, but not acid-sensing ion channel (ASIC) inhibitor amiloride, significantly inhibited acid-induced effects in nodose and jugular C fiber. These results demonstrate that esophageal vagal nociceptive afferent nerve subtypes display distinctive responses to acid. Acid activates jugular, but not nodose, C fibers and inhibits both of their responses to esophageal distension. These effects are mediated mainly through TRPV1. This inhibitory effect is a novel finding and may contribute to esophageal sensory/motor dysfunction in acid reflux diseases.
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Affiliation(s)
| | | | - Shaoyong Yu
- Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland
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13
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Zappia KJ, Garrison SR, Hillery CA, Stucky CL. Cold hypersensitivity increases with age in mice with sickle cell disease. Pain 2014; 155:2476-2485. [PMID: 24953902 DOI: 10.1016/j.pain.2014.05.030] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Revised: 05/19/2014] [Accepted: 05/29/2014] [Indexed: 10/25/2022]
Abstract
Sickle cell disease (SCD) is associated with acute vaso-occlusive crises that trigger painful episodes and frequently involves ongoing, chronic pain. In addition, both humans and mice with SCD experience heightened cold sensitivity. However, studies have not addressed the mechanism(s) underlying the cold sensitization or its progression with age. Here we measured thermotaxis behavior in young and aged mice with severe SCD. Sickle mice had a marked increase in cold sensitivity measured by a cold preference test. Furthermore, cold hypersensitivity worsened with advanced age. We assessed whether enhanced peripheral input contributes to the chronic cold pain behavior by recording from C fibers, many of which are cold sensitive, in skin-nerve preparations. We observed that C fibers from sickle mice displayed a shift to warmer (more sensitive) cold detection thresholds. To address mechanisms underlying the cold sensitization in primary afferent neurons, we quantified mRNA expression levels for ion channels thought to be involved in cold detection. These included the transient receptor potential melastatin 8 (Trpm8) and transient receptor potential ankyrin 1 (Trpa1) channels, as well as the 2-pore domain potassium channels, TREK-1 (Kcnk2), TREK-2 (Kcnk10), and TRAAK (Kcnk4). Surprisingly, transcript expression levels of all of these channels were comparable between sickle and control mice. We further examined transcript expression of 83 additional pain-related genes, and found increased mRNA levels for endothelin 1 and tachykinin receptor 1. These factors may contribute to hypersensitivity in sickle mice at both the afferent and behavioral levels.
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Affiliation(s)
- Katherine J Zappia
- Department of Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee, WI, USA Department of Pediatrics and Children's Research Institute, Division of Hematology/Oncology, Medical College of Wisconsin, Milwaukee, WI, USA Blood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA
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14
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Abstract
Acid reflux in the esophagus can induce esophageal painful sensations such as heartburn and noncardiac chest pain. The mechanisms underlying acid-induced esophageal nociception are not clearly understood. In our previous studies, we characterized esophageal vagal nociceptive afferents and defined their responses to noxious mechanical and chemical stimulation. In the present study, we aim to determine their responses to intraluminal acid infusion. Extracellular single-unit recordings were performed in nodose ganglion neurons with intact nerve endings in the esophagus using ex vivo esophageal-vagal preparations. Action potentials evoked by esophageal intraluminal acid perfusion were compared in naive and ovalbumin (OVA)-challenged animals, followed by measurements of transepithelial electrical resistance (TEER) and the expression of tight junction proteins (zona occludens-1 and occludin). In naive guinea pigs, intraluminal infusion with either acid (pH = 2-3) or capsaicin did not evoke an action potential discharge in esophageal nodose C fibers. In OVA-sensitized animals, following esophageal mast cell activation by in vivo OVA inhalation, intraluminal acid infusion for about 20 min started to evoke action potential discharges. This effect is further confirmed by selective mast cell activation using in vitro tissue OVA challenge in esophageal-vagal preparations. OVA inhalation leads to decreased TEER and zona occludens-1 expression, suggesting an impaired esophageal epithelial barrier function after mast cell activation. These data for the first time provide direct evidence of intraluminal acid-induced activation of esophageal nociceptive C fibers and suggest that mast cell activation may make esophageal epithelium more permeable to acid, which subsequently may increase esophageal vagal nociceptive C fiber activation.
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Affiliation(s)
- Shizhong Zhang
- 1Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan; and
| | - Zhenyu Liu
- 2Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Andrea Heldsinger
- 1Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan; and
| | - Chung Owyang
- 1Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan; and
| | - Shaoyong Yu
- 2Johns Hopkins University School of Medicine, Baltimore, Maryland
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15
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Zhang S, Grabauskas G, Wu X, Joo MK, Heldsinger A, Song I, Owyang C, Yu S. Role of prostaglandin D2 in mast cell activation-induced sensitization of esophageal vagal afferents. Am J Physiol Gastrointest Liver Physiol 2013; 304:G908-16. [PMID: 23471341 PMCID: PMC3652067 DOI: 10.1152/ajpgi.00448.2012] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Sensitization of esophageal afferents plays an important role in esophageal nociception, but the mechanism is less clear. Our previous studies demonstrated that mast cell (MC) activation releases the preformed mediators histamine and tryptase, which play important roles in sensitization of esophageal vagal nociceptive C fibers. PGD2 is a lipid mediator released by activated MCs. Whether PGD2 plays a role in this sensitization process has yet to be determined. Expression of the PGD2 DP1 and DP2 receptors in nodose ganglion neurons was determined by immunofluorescence staining, Western blotting, and RT-PCR. Extracellular recordings were performed in ex vivo esophageal-vagal preparations. Action potentials evoked by esophageal distension were compared before and after perfusion of PGD2, DP1 and DP2 receptor agonists, and MC activation, with or without pretreatment with antagonists. The effect of PGD2 on 1,1'-dioctadecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate (DiI)-labeled esophageal nodose neurons was determined by patch-clamp recording. Our results demonstrate that DP1 and DP2 receptor mRNA and protein were expressed mainly in small- and medium-diameter neurons in nodose ganglia. PGD2 significantly increased esophageal distension-evoked action potential discharges in esophageal nodose C fibers. The DP1 receptor agonist BW 245C mimicked this effect. PGD2 directly sensitized DiI-labeled esophageal nodose neurons by decreasing the action potential threshold. Pretreatment with the DP1 receptor antagonist BW A868C significantly inhibited PGD2 perfusion- or MC activation-induced increases in esophageal distension-evoked action potential discharges in esophageal nodose C fibers. In conclusion, PGD2 plays an important role in MC activation-induced sensitization of esophageal nodose C fibers. This adds a novel mechanism of visceral afferent sensitization.
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Affiliation(s)
- Shizhong Zhang
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Gintautas Grabauskas
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Xiaoyin Wu
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Moon Kyung Joo
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Andrea Heldsinger
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Il Song
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Chung Owyang
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
| | - Shaoyong Yu
- Division of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan
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