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Publication : Role of anterior cingulate cortex inputs to periaqueductal gray for pain avoidance.

First Author  Lee JY Year  2022
Journal  Curr Biol Volume  32
Issue  13 Pages  2834-2847.e5
PubMed ID  35609604 Mgi Jnum  J:351508
Mgi Id  MGI:7326862 Doi  10.1016/j.cub.2022.04.090
Citation  Lee JY, et al. (2022) Role of anterior cingulate cortex inputs to periaqueductal gray for pain avoidance. Curr Biol 32(13):2834-2847.e5
abstractText  Although pain-related excessive fear is known to be a key factor in chronic pain disability, which involves the anterior cingulate cortex (ACC), little is known about the downstream circuits of the ACC for fear avoidance in pain processing. Using behavioral experiments and functional magnetic resonance imaging with optogenetics at 15.2 T, we demonstrate that the ACC is a part of the abnormal circuit changes in chronic pain and its downstream circuits are closely related to modulating sensorimotor integration and generating active movement rather than carrying sensory information. The projection from the ACC to the dorsolateral and lateral parts of the periaqueductal gray (dl/lPAG) especially enhances both reflexive and active avoidance behavior toward pain. Collectively, our results indicate that increased signals from the ACC to the dl/lPAG might be critical for excessive fear avoidance in chronic pain disability.
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