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Descending inhibitory rostral ventromedial medulla neurons cause widespread antinociception and contribute to the pain-inhibits-pain phenomenon - PubMed

6 hours ago
  • #RVM neurons
  • #pain inhibition
  • #DNIC/CPM mechanism
  • Researchers identified descending inhibitory neurons in the rostral ventromedial medulla (RVM) that bilaterally innervate the spinal cord.
  • Activation of these neurons reduces heat and cold sensitivity in healthy mice and produces widespread antihyperalgesia in chronic pain models.
  • Silencing these neurons leads to mechanical allodynia and spontaneous pain-like behaviors.
  • Noxious stimuli activate subsets of these neurons in the lateral paragigantocellularis nucleus (LPGi), which inhibit nociception.
  • These spinally projecting inhibitory RVM neurons are likely circuit elements of diffuse noxious inhibitory control (DNIC) and conditioned pain modulation (CPM).
  • Dysfunction of these neurons may contribute to widespread chronic pain syndromes.