前脑网络驱动脑干疼痛调节电路在健康人群的nocebo过敏症期间
Lewis S Crawford1, Sora Yang1, Noemi Meylakh1
1School of Medical Sciences (Neuroscience), Brain and Mind Centre, University of Sydney, Sydney, Australia.
Pain
|April 15, 2025
概括
这项研究揭示了前脑和脑干中的大脑活动和连接性变化如何导致nocebo过敏症. 特定的神经通路,特别是涉及背侧前额叶皮质,驱动这些疼痛感知变化.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 心理学 心理学 心理学
背景情况:
- 由于负面的期望而导致的nocebo过敏症或恶化的疼痛受先前的经验和条件的影响.
- 在nocebo效应期间,将前脑活动与脑干疼痛调节联系起来的神经机制仍然不完全理解.
研究的目的:
- 在nocebo超痛症期间调查前脑活动和与侧脑中脑周水道灰质 (lPAG) 的连接性.
- 为了确定特定的神经回路参与表达nocebo诱导的疼痛.
主要方法:
- 在25名健康参与者中使用了经典的条件和预期模型.
- 采用超高场功能磁共振成像 (fMRI) 来测量大脑活动和功能连接.
- 评估前脑区域和lPAG之间的刺激依赖和独立连接.
主要成果:
- 观察到轨道前皮层,胰岛和杏仁体的信号增加,与过敏症相关.
- 确定了依赖于刺激的lPAG连接与轨道前额,前带膜和后侧前额皮层.
- 发现刺激独立的lPAG连接与前带带皮质,背侧前额皮质和核.
- 动态因果建模表明,背侧前额叶皮质主要驱动lPAG活动.
结论:
- 诺塞博超痛症涉及前脑激活和脑干疼痛调节电路之间的复杂相互作用.
- 背侧前额叶皮质通过其对lPAG的影响在调节疼痛感知方面发挥着关键作用.
- 这些发现阐明了期望驱动的疼痛增强的神经基础.
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