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Ferland, S.

Publications and source records attributed to Ferland, S..

2 recordsLinked to original sources

Thermal and mechanical modalities converge in the noxious range

SummaryThere are competing theories on how nociceptive input is encoded by sensory fibers. That sensory modalities are exclusively conveyed by distinct populations of fibers is supported by ablation studies, indicating that TRPV1+and MrgprD+afferents selectively encode for heat and mechanical input, respectively. However, interpreting ablation results can be clouded by compensatory plasticity. Furthermore, a population-level parametric analysis of afferent response profiles to natural stimuliin vivois still scarce. Using functional imagingin vivoin mice, we found that most TRPV1+neurons responded to noxious heat, but not cooling. While none of them responded to innocuous mechanical input, about half were also sensitive to noxious mechanical stimuli. In contrast, 80% of MrgprD+neurons responded to noxious mechanical stimuli. Yet, 70% were also sensitive to noxious thermal stimuli. Of innocuous mechanosensitive MrgprD+neurons, <15% responded to innocuous warming and none to innocuous cooling. Polymodality in the innocuous thermal and mechanical range also occurred in <10% of all primary afferents. Acute silencing of TRPV1+or MrgprD+afferents inhibited both thermal and mechanical nociception. In contrast, ablation did not reproduce a combined loss of sensitivity, which appeared to be due to compensatory central disinhibition. Our findings reveal that modality separation dominates in the innocuous regime, while polymodality predominates in the noxious range.

neuroscience↗

Decreased KCC2 expression in the human spinal dorsal horn associated with chronic pain and long-term opioid use

Loss of GABAergic and glycinergic inhibitory efficacy in the spinal dorsal horn is associated with neuropathic pain and opioid-induced hyperalgesia in rodent models. Downregulation of the KCC2 chloride extrusion transporter is a key mechanism underlying this decreased inhibitory efficacy, but to-date there is no evidence supporting or opposing this hypothesis in humans. Here we demonstrate that KCC2 expression is decreased in superficial dorsal horn neurons of organ donors who died with a documented history of pain, or of long-term opioid use. We show profoundly decreased KCC2 dorsal horn membrane expression in a primary cohort associated with either chronic pain or opioid use, and in a replication cohort of mixed chronic pain and opioid use history. These results show that decreased dorsal horn inhibitory efficacy likely promotes chronic pain in humans and support the development of therapeutics augmenting KCC2 function as a treatment for chronic pain and opioid use disorders.

neuroscience↗