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Publication : Cells and circuits for amygdala neuroplasticity in the transition to chronic pain.

First Author  Kiritoshi T Year  2024
Journal  Cell Rep Volume  43
Issue  9 Pages  114669
PubMed ID  39178115 Mgi Jnum  J:355019
Mgi Id  MGI:7736480 Doi  10.1016/j.celrep.2024.114669
Citation  Kiritoshi T, et al. (2024) Cells and circuits for amygdala neuroplasticity in the transition to chronic pain. Cell Rep 43(9):114669
abstractText  Maladaptive plasticity is linked to the chronification of diseases such as pain, but the transition from acute to chronic pain is not well understood mechanistically. Neuroplasticity in the central nucleus of the amygdala (CeA) has emerged as a mechanism for sensory and emotional-affective aspects of injury-induced pain, although evidence comes from studies conducted almost exclusively in acute pain conditions and agnostic to cell type specificity. Here, we report time-dependent changes in genetically distinct and projection-specific CeA neurons in neuropathic pain. Hyperexcitability of CRF projection neurons and synaptic plasticity of parabrachial (PB) input at the acute stage shifted to hyperexcitability without synaptic plasticity in non-CRF neurons at the chronic phase. Accordingly, chemogenetic inhibition of the PB-->CeA pathway mitigated pain-related behaviors in acute, but not chronic, neuropathic pain. Cell-type-specific temporal changes in neuroplasticity provide neurobiological evidence for the clinical observation that chronic pain is not simply the prolonged persistence of acute pain.
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