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Publication : A mesocortical glutamatergic pathway modulates neuropathic pain independent of dopamine co-release.

First Author  Li M Year  2024
Journal  Nat Commun Volume  15
Issue  1 Pages  643
PubMed ID  38245542 Mgi Jnum  J:351995
Mgi Id  MGI:7578357 Doi  10.1038/s41467-024-45035-2
Citation  Li M, et al. (2024) A mesocortical glutamatergic pathway modulates neuropathic pain independent of dopamine co-release. Nat Commun 15(1):643
abstractText  Dysfunction in the mesocortical pathway, connecting the ventral tegmental area (VTA) to the prefrontal cortex, has been implicated in chronic pain. While extensive research has focused on the role of dopamine, the contribution of glutamatergic signaling in pain modulation remains unknown. Using in vivo calcium imaging, we observe diminished VTA glutamatergic activity targeting the prelimbic cortex (PL) in a mouse model of neuropathic pain. Optogenetic activation of VTA glutamatergic terminals in the PL alleviates neuropathic pain, whereas inhibiting these terminals in naive mice induces pain-like responses. Importantly, this pain-modulating effect is independent of dopamine co-release, as demonstrated by CRISPR/Cas9-mediated gene deletion. Furthermore, we show that VTA neurons primarily project to excitatory neurons in the PL, and their activation restores PL outputs to the anterior cingulate cortex, a key region involved in pain processing. These findings reveal a distinct mesocortical glutamatergic pathway that critically modulates neuropathic pain independent of dopamine signaling.
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