Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury

The hyperactive state of sensory neurons in the spinal cord enhances pain transmission. Spinal glial cells have also been implicated in enhanced excitability of spinal dorsal horn neurons, resulting in pain amplification and distortions. Traumatic injuries of the neural system such as spinal cord in...

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Main Authors: Young S. Gwak, Claire E. Hulsebosch, Joong Woo Leem
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2017/2480689
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author Young S. Gwak
Claire E. Hulsebosch
Joong Woo Leem
author_facet Young S. Gwak
Claire E. Hulsebosch
Joong Woo Leem
author_sort Young S. Gwak
collection DOAJ
description The hyperactive state of sensory neurons in the spinal cord enhances pain transmission. Spinal glial cells have also been implicated in enhanced excitability of spinal dorsal horn neurons, resulting in pain amplification and distortions. Traumatic injuries of the neural system such as spinal cord injury (SCI) induce neuronal hyperactivity and glial activation, causing maladaptive synaptic plasticity in the spinal cord. Recent studies demonstrate that SCI causes persistent glial activation with concomitant neuronal hyperactivity, thus providing the substrate for central neuropathic pain. Hyperactive sensory neurons and activated glial cells increase intracellular and extracellular glutamate, neuropeptides, adenosine triphosphates, proinflammatory cytokines, and reactive oxygen species concentrations, all of which enhance pain transmission. In addition, hyperactive sensory neurons and glial cells overexpress receptors and ion channels that maintain this enhanced pain transmission. Therefore, post-SCI neuronal-glial interactions create maladaptive synaptic circuits and activate intracellular signaling events that permanently contribute to enhanced neuropathic pain. In this review, we describe how hyperactivity of sensory neurons contributes to the maintenance of chronic neuropathic pain via neuronal-glial interactions following SCI.
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spelling doaj-art-c9e55eebf28a480aa4d0ad6ebd5a02392025-08-20T02:19:42ZengWileyNeural Plasticity2090-59041687-54432017-01-01201710.1155/2017/24806892480689Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord InjuryYoung S. Gwak0Claire E. Hulsebosch1Joong Woo Leem2Department of Physiology, College of Korean Medicine, Daegu Haany University, Daegu, Republic of KoreaDepartment of Neurobiology and Anatomy, The University of Texas Health Science Center at Houston, Houston, TX 77030, USADepartment of Physiology, Yonsei University College of Medicine, Seoul, Republic of KoreaThe hyperactive state of sensory neurons in the spinal cord enhances pain transmission. Spinal glial cells have also been implicated in enhanced excitability of spinal dorsal horn neurons, resulting in pain amplification and distortions. Traumatic injuries of the neural system such as spinal cord injury (SCI) induce neuronal hyperactivity and glial activation, causing maladaptive synaptic plasticity in the spinal cord. Recent studies demonstrate that SCI causes persistent glial activation with concomitant neuronal hyperactivity, thus providing the substrate for central neuropathic pain. Hyperactive sensory neurons and activated glial cells increase intracellular and extracellular glutamate, neuropeptides, adenosine triphosphates, proinflammatory cytokines, and reactive oxygen species concentrations, all of which enhance pain transmission. In addition, hyperactive sensory neurons and glial cells overexpress receptors and ion channels that maintain this enhanced pain transmission. Therefore, post-SCI neuronal-glial interactions create maladaptive synaptic circuits and activate intracellular signaling events that permanently contribute to enhanced neuropathic pain. In this review, we describe how hyperactivity of sensory neurons contributes to the maintenance of chronic neuropathic pain via neuronal-glial interactions following SCI.http://dx.doi.org/10.1155/2017/2480689
spellingShingle Young S. Gwak
Claire E. Hulsebosch
Joong Woo Leem
Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury
Neural Plasticity
title Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury
title_full Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury
title_fullStr Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury
title_full_unstemmed Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury
title_short Neuronal-Glial Interactions Maintain Chronic Neuropathic Pain after Spinal Cord Injury
title_sort neuronal glial interactions maintain chronic neuropathic pain after spinal cord injury
url http://dx.doi.org/10.1155/2017/2480689
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AT joongwooleem neuronalglialinteractionsmaintainchronicneuropathicpainafterspinalcordinjury