When primary neurons are injured in humans and experimental animals, hyperalgesia can develop to heating or, more commonly, to mechanical stroking and indentation of cutaneous territory of the nerve. In rat with such injuries, the somata of certain dorsal root ganglion neurons (DRGs) becomes hyperexcitable and exhibit various patterns of abnormal ectopic discharge. However, the functional properties of these neurons are unknown, as they are typically severed from their peripheral receptors in most animal models. Furthermore, little is known of the capacities of normal or injured sensory neurons to transduce the stimuli that evoke neuropathic sensations due, in part, to the lack of control over stimulus properties and cutaneous delivery. We propose to address these issues with a new model of neuropathic pain in rats that have a chronic compression of the lumbar DRG ('CCD') similar to the compression that might occur in humans as a consequence of an acutely herniated lumbar disc, spinal stenosis, tumor or other injury or disease of the spine. In the rat, CCD produces severe cutaneous hyperalgesia; this hyperalgesia will be measured using new methodology including the stroking of textured surfaces with controlled geometry across the skin. A large population of neurons become hyperexcitable and express patterns of ectopic discharge similar to those of axotomized neurons. A novel feature of CCD is that the neurons are intact. Also, we propose a novel method of recording intracellularly from visualized, chambered DRG neurons in vivo to measure simultaneously, for the first time, the functional properties of the peripheral receptors and the membrane properties of the somata of neuropathic DRG neurons; these neurons can be labeled and histochemically identified. With extracellular recording from dorsal root in vivo, and with a skin nerve preparation that allows separate measures of tensile and compressional stress applied to the skin, we will determine how ectopic discharge affects sensory transmission and whether the hyperexcitability of the somata is reflected in the sensitization of their peripheral receptors. Results will provide new information on the functional properties of DRG neurons contributing to neuropathic pain caused by nerve injuries or by certain injuries or disorders of the spine.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
2R01NS014624-21
Application #
2859958
Study Section
Special Emphasis Panel (ZRG1-IFCN-1 (03))
Program Officer
Kitt, Cheryl A
Project Start
1978-07-01
Project End
2003-03-31
Budget Start
1999-04-15
Budget End
2000-03-31
Support Year
21
Fiscal Year
1999
Total Cost
Indirect Cost
Name
Yale University
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
06520
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