Chemical anatomy of pain (1) Flashcards
To discuss neurochemical variety of DRG neurons (particularly nociceptors); To highlight the progressive changes in our understanding of the characteristics of nociceptors, in relation to technical developments; To discuss the issue of the functional specificity of different identifiable subpopulations of nociceptors To draw attention to the areas of uncertainty/controversy in the field.
How are innocuous stimuli transmitted in the somatosensory system?
- through Abeta fibers and travel via the dorsal column medial lemniscus
How are noxious stimuli transmitted in the somatosensory system?
- through C and Adelta fibers and travel via spinothalamic tract
How does the somatosensory system process sensory information, especially in the context of pain?
- somatosensory system comprises parallel pathways (for processing various sensory info e.g. touch, pain, temp)
- convergence of pathways can occur, where different types of sensory info are integrated & processed together
What is the primary role of the dorsal root ganglia (DRG) in the somatosensory system?
- acts as a cluster of sensory nerve cell bodies that transmit sensory info from periphery to CNS
What type of neurons are found in the DRG?
- DRG contains pseudo-unipolar sensory neurons, which have a single process extending from the cell body that bifurcates into both peripheral and central branches
What is the first step in somatosensory processing, and where does it occur?
- first step is transduction, (takes place in periphery) where DRG neurons convert various sensory stimuli into electrical signals
What happens after transduction in somatosensory processing?
sensory signals are transmitted to CNS via the central branch of DRG neurons
What part of the central nervous system processes and interprets somatosensory information?
- cerebral cortex is responsible for the perception and interpretation of somatosensory input
What is the role of DRG neurons in modulation within the somatosensory system?
- involved in the modulation of sensory information, influencing how we perceive sensations like pain
What are the fundamental processes involved in sensation within the somatosensory system?
- Sensation involves transduction of stimuli from the periphery
- DRG neurons play a role in this process
Describe the steps of sensory signal processing in the somatosensory system
- Transmitted signals are sent to CNS
- Perception occurs in the cerebral cortex, enabling conscious awareness of the sensory input
How can the perception of sensation, especially pain, be modulated within the somatosensory system?
- Modulation processes can change how sensations perceived - incl. pain
- Sensory neurons use neurotransmitters like glutamate (NMDA/AMPA/mGluR) for signal transmission.
- Neuromodulators like substance P, acting via NK1 receptors, can influence sensory processing
What are the characteristics of cutaneous nociceptors in terms of localization and sensations?
Back:
- well-localized
- can produce sensations like pricking, stabbing, and burning
How do muscle and visceral nociceptors differ from cutaneous nociceptors in terms of localization and sensations?
- Muscle & visceral nociceptors are much more poorly localized
- can generate sensations such as aching, cramping, fullness, dullness & vagueness
What contributes to the differences in localization and sensation between cutaneous and visceral nociceptors?
- influenced by the distribution of C-fiber components in the skin compared to visceral afferents & their connections to central and peripheral terminals
Where do the peripheral processes of dorsal root ganglion (DRG) neurons innervate receptors?
- the skin, muscle, and viscera
How can the peripheral processes of some DRG cells influence vascular activity?
- Some DRG cells’ peripheral processes release vasoactive mediators that change vascular permeability, indicating efferent as well as afferent activity
What are A fibers, and what types of input do they process?
- sensory nerve fibers with low threshold input sensitivity, primarily processing mechanosensation
- they’re myelinated & conduct signals rapidly
What are C fibers, and what types of input do they process?
- sensory nerve fibers with high-threshold sensitivity, processing mechanical, thermal, and chemical (polymodal) stimuli
- they’re unmyelinated & have slower conduction velocities
What are the two main subgroups of C fibers?
- peptide-rich
- peptide-poor
What neuropeptides are released by C fibers in the periphery, and what are their functions?
- C fibers (particularly peptide-rich subpopulation) release substances such as substance P and CGRP in the periphery
- these neuropeptides have vasoactive properties & can promote inflammatory responses
How were polymodal nociceptors initially proposed to be divided into two groups?
- suggested to be divided into 2 groups based on their content of peptide and fluoride-resistant acid phosphatase (FRAP)
- as well as their termination sites within the spinal cord