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Research Article| Volume 20, ISSUE 8, P917-931, August 2019

Imbalance Between Excitatory and Inhibitory Synaptic Transmission in the Primary Somatosensory Cortex Caused by Persistent Nociception in Rats

  • Author Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
    Fa-Le Cao
    Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
    Affiliations
    The Department of Neurology, The 88th Hospital of PLA, Tai'an, PR China

    Institute for Biomedical Sciences of Pain and Institute for Functional Brain Disorders, Tangdu Hospital, The Fourth Military Medical University, Xi'an, PR China
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  • Author Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
    Min Xu
    Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
    Affiliations
    The Department of Nephrology, The 88th Hospital of PLA, Tai'an, PR China
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  • Author Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
    Kerui Gong
    Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of California San Francisco, California
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  • Yan Wang
    Affiliations
    Institute for Biomedical Sciences of Pain and Institute for Functional Brain Disorders, Tangdu Hospital, The Fourth Military Medical University, Xi'an, PR China
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  • Ruirui Wang
    Affiliations
    Institute for Biomedical Sciences of Pain and Institute for Functional Brain Disorders, Tangdu Hospital, The Fourth Military Medical University, Xi'an, PR China
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  • Xuefeng Chen
    Affiliations
    Institute for Biomedical Sciences of Pain and Institute for Functional Brain Disorders, Tangdu Hospital, The Fourth Military Medical University, Xi'an, PR China
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  • Jun Chen
    Correspondence
    Address reprint requests to Dr Jun Chen, Tangdu Hospital, Institute for Biomedical Sciences of Pain and Institute for Functional Brain Disorders, The Fourth Military Medical University, #1 Xinsi Road, Baqiao, Xi'an 710038; PR China.
    Affiliations
    Institute for Biomedical Sciences of Pain and Institute for Functional Brain Disorders, Tangdu Hospital, The Fourth Military Medical University, Xi'an, PR China
    Search for articles by this author
  • Author Footnotes
    1 F.L.C., M.X., and K.G. contributed equally to this work.
Published:February 08, 2019DOI:https://doi.org/10.1016/j.jpain.2018.11.014

      Highlights

      • Peripheral nociception induced gain of spatial and temporal plasticity in the primary somatosensory cortex.
      • Excitatory transmission was enhanced with both presynaptic and postsynaptic ingredients.
      • Inhibitory transmission was reduced with loss of gamma-amino butyric acid-A function.
      • The excitatory/inhibitory imbalance may contribute to the plastic changes in the primary somatosensory cortex.

      Abstract

      There is substantial evidence supporting the notion that the primary somatosensory (S1) cortex is an important structure involved in the perceptional component of pain. However, investigations have mainly focused on other pain-related formations, and few reports have been provided to investigate the synaptic plasticity in the S1 cortex in response to persistent pain. In the present study, we report that bee venom (BV) injection triggered an imbalance between excitatory and inhibitory synaptic transmission in the S1 cortex in rats. Using a multi-electrode array recording, we found that BV-induced persistent inflammatory pain led to temporal and spatial enhancement of synaptic plasticity. Moreover, slice patch clamp recordings on identified pyramidal neurons demonstrated that BV injection increased presynaptic and postsynaptic transmission in excitatory synapses and decreased postsynaptic transmission in inhibitory synapses in the layer II/III neurons within the S1 cortex. In immunohistochemistry and Western blot sections, the distribution and expression of total AMPA receptor subunits and gamma-amino butyric acid-A (GABAA) were unaffected, although the membrane fractions of GluR2 and GABAA were decreased, and their cytosolic fractions were increased in contrast. The change of GluR1 was opposite to that of GluR2, and GluR3 did not change significantly. Our studies, therefore, provide direct evidence for both presynaptic and postsynaptic changes in synapses within the S1 cortex in persistent nociception, which are probably related to the membrane trafficking of GluR1, GluR2, and GABAA.
      Perspective: Increased synaptic plasticity was detected in S1 after peripheral nociception, with enhanced excitatory and decreased inhibitory synaptic transmissions. Increased GluR1, and decreased GABAAα1 and GluR2 membrane trafficking were detected. Therefore, the disrupted excitatory/inhibitory balance in transmissions is involved in nociception processing, and S1 can be a potential antinociceptive site.

      Key words

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