Freezing of Enkephalinergic Functions by Multiple Noxious Foci A Source of Pain Sensitization 英文参考文献.docVIP
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Freezing of Enkephalinergic Functions by Multiple Noxious Foci A Source of Pain Sensitization 英文参考文献
FreezingofEnkephalinergicFunctionsbyMultiple
NoxiousFoci:ASourceofPainSensitization?
Franc?oisCesselin1,2*,SylvieBourgoin2,3,AnnieMauborgne1,2,MichelHamon2,3,DanielLeBars1,2
1Team‘‘Pain’’,INSERMUMRS975,CNRSUMR7225,Paris,France,2Universite′ PierreetMarieCurie,Faculte′ deMe′decine UPMC,Paris,France,3INSERMUMR677,Paris,
France
Abstract
Background:Thefunctionalsignificanceofproenkephalinsystemsinprocessingpainremainsanopenquestionandindeed
ispuzzling.Forexample,anoxiousmechanicalstimulusdoesnotalterthereleaseofMet-enkephalin-likematerial(MELM)
from segments of the spinal cord related to the stimulated area of the body, but does increase its release from other
segments.
Methodology/PrincipalFindings:Hereweshowthat,intherat,anoxiousmechanicalstimulusappliedtoeithertheright
or the left hind paw elicits a marked increase of MELM release during perifusion of either the whole spinal cord or the
cervico-trigeminalarea.However,thesestimulatoryeffectswerenotadditiveandindeed,disappearedcompletelywhenthe
rightandleftpawswerestimulatedsimultaneously.
Conclusion/Significance: We have concluded that in addition to the concept of a diffuse control of the transmission of
nociceptivesignalsthroughthedorsalhorn,thereisadiffusecontrolofthemodulationofthistransmission.The‘‘freezing’’
ofMet-enkephalinergicfunctionsrepresentsapotentialsourceofcentralsensitizationinthespinalcord,notablyinclinical
situationsinvolvingmultiplepainfulfoci,e.g.cancerwithmetastases,poly-traumatismorrheumatoidarthritis.
Citation:CesselinF,BourgoinS,MauborgneA,HamonM,LeBarsD(2009)FreezingofEnkephalinergicFunctionsbyMultipleNoxiousFoci:ASourceofPain
Sensitization?.PLoSONE4(9):e6874.doi:10.1371/journal.pone.0006874
Editor:OlivierJacquesManzoni,INSERMU862,France
ReceivedMay26,2009;AcceptedJuly10,2009;PublishedSeptember3,2009
Copyright: ? 2009 Cesselin et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits
unrestricteduse,distribution,andrepr
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