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Publication : Neurons in the caudal ventrolateral medulla mediate descending pain control.

First Author  Gu X Year  2023
Journal  Nat Neurosci Volume  26
Issue  4 Pages  594-605
PubMed ID  36894654 Mgi Jnum  J:339759
Mgi Id  MGI:7486665 Doi  10.1038/s41593-023-01268-w
Citation  Gu X, et al. (2023) Neurons in the caudal ventrolateral medulla mediate descending pain control. Nat Neurosci 26(4):594-605
abstractText  Supraspinal brain regions modify nociceptive signals in response to various stressors including stimuli that elevate pain thresholds. The medulla oblongata has previously been implicated in this type of pain control, but the neurons and molecular circuits involved have remained elusive. Here we identify catecholaminergic neurons in the caudal ventrolateral medulla that are activated by noxious stimuli in mice. Upon activation, these neurons produce bilateral feed-forward inhibition that attenuates nociceptive responses through a pathway involving the locus coeruleus and norepinephrine in the spinal cord. This pathway is sufficient to attenuate injury-induced heat allodynia and is required for counter-stimulus induced analgesia to noxious heat. Our findings define a component of the pain modulatory system that regulates nociceptive responses.
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