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Journal ArticleDOI

VR1 protein expression increases in undamaged DRG neurons after partial nerve injury.

TLDR
Examination of the expression of the sensory neuron‐specific cation channel Vanilloid Receptor 1 (VR1), an important transducer of noxious stimuli, in three models of nerve injury in the rat found that VR1‐IR persisted in the transected sciatic nerve proximal to the lesion, despite its down‐regulation in the damaged neuronal somata.
Abstract
Changes in phenotype or connectivity of primary afferent neurons following peripheral nerve injury may contribute to the hyperalgesia and allodynia associated with neuropathic pain conditions. Although earlier studies using partial nerve injury models have focused on the role of damaged fibres in the generation of ectopic discharges and pain, it is now thought that remaining undamaged fibres may be equally important. We have examined the expression of the sensory neuron-specific cation channel Vanilloid Receptor 1 (VR1), an important transducer of noxious stimuli, in three models of nerve injury in the rat, using anatomical separation or fluorescent retrograde tracers to identify damaged or undamaged sensory neurons. After total or partial sciatic nerve transection, or spinal nerve ligation, VR1-immunoreactivity (IR) was significantly reduced in the somata of all damaged dorsal root ganglion (DRG) neuronal profiles, compared to controls. However, after partial transection or spinal nerve ligation, VR1 expression was greater in the undamaged DRG somata than in controls. Unexpectedly, after L5 spinal nerve ligation, VR1-IR of the A-fibre somata increased approximately 3-fold in the uninjured L4 DRG compared to controls; a much greater increase than seen in the somata with C-fibres. Furthermore, we found that VR1-IR persisted in the transected sciatic nerve proximal to the lesion, despite its down-regulation in the damaged neuronal somata. This persistence in the nerve proximal to the lesion after nerve section, together with increased VR1 in DRG neurons left undamaged after partial nerve injury, may be crucial to the development or maintenance of neuropathic pain.

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Citations
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Journal ArticleDOI

Mechanisms of neuropathic pain.

TL;DR: This review focuses on how both human studies and animal models are helping to elucidate the mechanisms underlying neuropathic pain, one of the surprisingly common disorders.
Journal ArticleDOI

The vanilloid receptor TRPV1: 10 years from channel cloning to antagonist proof-of-concept

TL;DR: It is argued that TRPV1 antagonists alone or in conjunction with other analgesics will improve the quality of life of people with migraine, chronic intractable pain secondary to cancer, AIDS or diabetes, and emerging data indicate that TRPs could be useful in treating disorders other than pain, such as urinary urge incontinence, chronic cough and irritable bowel syndrome.
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Mechanisms of Disease: neuropathic pain—a clinical perspective

TL;DR: The conceptual framework of the novel mechanism-based classification of neuropathic pain is discussed, encouraging the reader to see neuropathicPain as a clinical entity rather than a compilation of single disease states.
Journal ArticleDOI

Beyond Neurons: Evidence That Immune and Glial Cells Contribute to Pathological Pain States

TL;DR: All nerves and neurons regardless of modality or function are likely affected by immune and glial activation in the ways described for pain, and proinflammatory cytokines appear to be of special importance in the creation of peripheral nerve and neuronal hyperexcitability.
Journal ArticleDOI

Deconstructing the Neuropathic Pain Phenotype to Reveal Neural Mechanisms

TL;DR: The pain phenotype can serve as a window on underlying pathophysiological neural mechanisms and as a guide for developing personalized pain medicine.
References
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Journal ArticleDOI

The capsaicin receptor: a heat-activated ion channel in the pain pathway

TL;DR: The cloned capsaicin receptor is also activated by increases in temperature in the noxious range, suggesting that it functions as a transducer of painful thermal stimuli in vivo.
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A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man.

TL;DR: A peripheral mononeuropathy was produced in adult rats by placing loosely constrictive ligatures around the common sciatic nerve and the postoperative behavior of these rats indicated that hyperalgesia, allodynia and, possibly, spontaneous pain were produced.
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Impaired Nociception and Pain Sensation in Mice Lacking the Capsaicin Receptor

TL;DR: Sensory neurons from mice lacking VR1 are severely deficient in their responses to each of these noxious stimuli and are impaired in the detection of painful heat, and showed little thermal hypersensitivity in the setting of inflammation.
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An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat.

TL;DR: Results suggested that the surgical procedure in all 3 groups produced a long-lasting hyperalgesia to noxious heat and mechanical allodynia of the affected foot and there were behavioral signs of the presence of spontaneous pain in the affectedFoot.
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The Cloned Capsaicin Receptor Integrates Multiple Pain-Producing Stimuli

TL;DR: It is shown that protons decrease the temperature threshold for VR1 activation such that even moderately acidic conditions (pH < or = 5.9) activate VR1 at room temperature, and VR1 can be viewed as a molecular integrator of chemical and physical stimuli that elicit pain.
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