Functional peripheral and central vagal neural circuits of interoception inhibiting pain

内感受抑制疼痛的功能性外周和中枢迷走神经回路

• 批准号: 10390781
• 负责人: Man-Kyo Chung
• 金额: $ 73.83万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2026-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10390781
• 关键词: Ablation; Absence of pain sensation; Address; Adult; Affective; Anxiety; Arthralgia; Attenuated; Brain; Brain region; Cell Nucleus; Cognitive; Data; Dopamine; Dopamine Antagonists; Economic Burden; Electric Stimulation; Emotional; FDA approved; Fibromyalgia; Genetic; Genetic Recombination; Head and neck structure; Health; Homeostasis; Human; Image; Inflammation; Injections; Interoception; Mandible; Mastication; Mediating; Mental Depression; Migraine; Modeling; Mood Disorders; Motion; Mus; Muscle; Musculoskeletal structure; Myofascial Pain Syndromes; Nerve; Neurons; Nociception; Orofacial Pain; Outcome; Pain; Pain Management Method; Pathway interactions; Patients; Peripheral; Physiological; Population; Presynaptic Terminals; Prevalence; Process; Regulation; Reporting; Role; Seizures; Signal Transduction; Source; Spinal Cord; Structure of trigeminal ganglion; Temporomandibular Joint; Temporomandibular Joint Disorders; Temporomandibular joint disorder pain; Testing; Tissues; Trigeminal System; Vagus nerve structure; Work; base; chronic pain; chronic pain management; chronic painful condition; comorbidity; designer receptors exclusively activated by designer drugs; diphtheria toxin receptor; dopaminergic neuron; emotion regulation; experience; improved; in vivo; joint inflammation; mouse model; neural circuit; neurobiological mechanism; neurochemistry; neuromechanism; novel; opioid epidemic; optogenetics; pain behavior; pain inhibition; pain processing; pain signal; parabrachial nucleus; psychosocial; relating to nervous system; sound; temporomandibular pain; transmission process; vagus nerve stimulation

Functional peripheral and central vagal neural circuits of interoception inhibiting pain Interoception is the sense of the physiological condition of the body, and is critical for maintaining homeostasis and regulating cognitive and emotional processes. The neural processing of interoception can be regulated by electrical stimulation of the vagus nerve, which led to an FDA-approved therapy for seizure and depression. Interestingly, vagal stimulation also modulates intractable chronic pain in patients. However, the road to improving chronic pain management through the regulation of interoceptive inputs is blocked by our ignorance of the neurobiological mechanisms whereby vagal activity modulates chronic pain, posing a significant hurdle. To overcome this hurdle, we will focus on the neural mechanisms of vagal modulation in a mouse model of inflammation in temporomandibular joint (TMJ), a surrogate model of temporomandibular disorders (TMD). TMD is a prevalent form of chronic pain that often occurs as a comorbidity with other chronic pain conditions, such as migraine and fibromyalgia. Since chronic pain involves a wide range of neural processes ranging from peripheral nociception to affective and cognitive processing in the brain, it is possible that interoceptive inputs regulate pain pathways through multiple peripheral and central mechanisms. Vagal stimulation was suggested to inhibit transmission of pain signals at spinal cord through the regulation of descending pain modulatory pathways. Considering the high comorbidity of chronic pain and affective disorders, such as anxiety or depression, vagal inputs likely modulate pain through regulation of brain regions involved in emotional regulation. Furthermore, pain is driven by nociceptive processing by pain-sensing nerves at peripheral tissues, but vagal regulation of nociception in the periphery has not been reported. Here, our objective is to determine functional neural mechanisms by which interoception inhibits pain. Our central hypothesis is that vagal interoceptive circuits intersect with peripheral and central nociceptive pathways to inhibit pain from TMJ. We will test this hypothesis in the following specific aims.

功能外周和中枢迷走神经回路抑制感觉间疼痛