Transmitting pain and itch messages: a contemporary view of the spinal cord circuits that generate gate control.
Transmitting pain and itch messages: a contemporary view of the spinal cord circuits that generate gate control.
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DOI:
10.1016/j.neuron.2014.01.018
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发表时间:
2014-05-07
期刊:
影响因子:
16.2
通讯作者:
Basbaum AI
中科院分区:
文献类型:
--
作者:
Braz J;Solorzano C;Wang X;Basbaum AI
The original formulation of Gate Control Theory (GCT) proposed that the perception of pain produced by spinal cord signaling to the brain depends on a balance of activity generated in large (non-nociceptive) and small (nociceptive) diameter primary afferent fibers. GCT proposed that activation of the large diameter afferent “closes” the gate by engaging a superficial dorsal horn interneuron that inhibits projection neuron firing. Activation of the nociceptors “opens” the gate through concomitant excitation of projection neurons and inhibition of inhibitory interneurons. Sixty years after publication of the GCT, we are faced with an ever-growing list of morphologically and neurochemically distinct spinal cord interneurons. This review highlights the complexity of superficial dorsal horn circuitry and addresses whether the premises outlined in GCT still have relevance today. By examining the dorsal horn circuits underlying the transmission of “pain” and “itch” messages, we also address the extent to which labeled lines can be incorporated into a contemporary view of GCT.
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DOI:
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发表时间:
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影响因子:
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发表时间:
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期刊:
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影响因子:
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