Principles of Neuroscience Lecture 25 Pain Flashcards
Define nociception
Nociception is the activation of nociceptor primary afferents
Describe how nociception is distinct from mechanoreception
These are two distinct pathways, with different sensory neurons: mechanoreceptors and nociceptors
It is possible to stimulate nociception w/o somatosensory on eg. Heat radiating from a light bulb
Define pain
Pain is the conscious experience of unpleasant somaesthetic to the body
Define Hyperalgesia
This is heightened sensitivity to noxious stimuli
What is the function of the primary afferents in nociception?
These detect and transduced noxious stimuli and carry this information to the CNS
What are the different types of nociceptor primary afferents?
Compare and contrast
A-delta fibres: very lightly myelinated, slow conducting, detect pain and temperature
“First pain”: high intensity, short lived
C fibres: unmyelinated, even more slowly conducting, detect pain, temperature and itch
“Second pain”: lower intensity, longer lived
If the A-delta nociceptor is lesioned, is it possible to still get a pain response ?
Yes. The two nociceptor types can function independently
Describe how capsaicin elicits a nociception response
- Capsaicin is taken into the mouth or onto skin
- Since it is lipid soluble it moves across the plasma membrane
- It binds to the TRP ion channel, on the inside of the cell
- The TRP channel opens, and K+ and Na+ move into the cell: depolarisation
- The nociceptor undergoes and action potential
What other molecules act on TRP channels?
What is the response?
Heat and H+ can open TRP channels, causing nociceptors to fire
Describe the pathway from the Primary afferent nociceptor to the brain
- Primary afferent nociceptor
- Cell body in Dorsal root ganglion
- Enters the dorsal part spinal cord
- Lissauer’s tract - Synapses and decussates
- Moves up the spinal cord in the Anterolateral system
- Ventral posterior nucleus of the thalamus
7a. Somatosensory cortex
7b. Anterior cingulate cortex
7c. Insular cortex
7d. Amygdala and hypothalamus
What is the name of the tract in the dorsal horn of the spinal cord where stuff goes on with the nociceptor afferents?
Describe what goes on here
Pain afferents enter and move up and down several segments in this tract before penetrating the grey matter, synapsing with the second order neuron, decussating and ascending in the anterolateral system
To which area of the brain does Pain information first go?
- The ventral posterior nucleus of the thalamus
2. Midline thalamic nuclei
Describe the interactions with interneurons in the dorsal horn
There are several laminae
Here, the primary afferent synapse with interneurons which connect to second order neurons, and there is interaction between mechanoreceptors and nociceptors
Describe the features of Brown-Séquard Syndrome
One half (eg. LHS) of the spinal cord is lesioned LHS below lesion: reduced somato-sensation, pain and temperature sensation is intact RHS below lesion: reduced pain and temperature sensation, somato-sensation is intact
What are the two pathways that pain information takes once it gets to the brain?
Sensory- discriminative
Affective-motivational