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Publication : A neural circuit for comorbid depressive symptoms in chronic pain.

First Author  Zhou W Year  2019
Journal  Nat Neurosci Volume  22
Issue  10 Pages  1649-1658
PubMed ID  31451801 Mgi Jnum  J:359401
Mgi Id  MGI:6378293 Doi  10.1038/s41593-019-0468-2
Citation  Zhou W, et al. (2019) A neural circuit for comorbid depressive symptoms in chronic pain. Nat Neurosci 22(10):1649-1658
abstractText  Comorbid depressive symptoms (CDS) in chronic pain are a common health problem, but the neural circuit mechanisms underlying these symptoms remain unclear. Here we identify a novel pathway involving 5-hydroxytryptamine (5-HT) projections from the dorsal raphe nucleus (5-HT(DRN)) to somatostatin (SOM)-expressing and non-SOM interneurons in the central nucleus of the amygdala (CeA). The SOM(CeA) neurons project directly to the lateral habenula, an area known involved in depression. Inhibition of the 5-HT(DRN)-->SOM(CeA) pathway produced depression-like behavior in a male mouse model of chronic pain. Activation of this pathway using pharmacological or optogenetic approaches reduced depression-like behavior in these mice. Human functional magnetic resonance imaging data showed that compared to healthy controls, functional connectivity between the CeA-containing centromedial amygdala and the DRN was reduced in patients with CDS but not in patients in chronic pain without depression. These findings indicate that a novel 5-HT(DRN)-->SOM(CeA)-->lateral habenula pathway may mediate at least some aspects of CDS.
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