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Gwak, YS, Kang, J, Unabia, GC and Hulsebosch, CE. Spatial and temporal activation of spinal glial cells: role of gliopathy in central neuropathic pain following spinal cord injury in rats. Exp Neurol 234: 362-372

Department of Neuroscience and Cell Biology, University of Texas Medical Branch at Galveston, TX 77555, USA.
Experimental Neurology (Impact Factor: 4.62). 10/2011; 234(2):362-72. DOI: 10.1016/j.expneurol.2011.10.010
Source: PubMed

ABSTRACT In the spinal cord, neuron and glial cells actively interact and contribute to neurofunction. Surprisingly, both cell types have similar receptors, transporters and ion channels and also produce similar neurotransmitters and cytokines. The neuroanatomical and neurochemical similarities work synergistically to maintain physiological homeostasis in the normal spinal cord. However, in trauma or disease states, spinal glia become activated, dorsal horn neurons become hyperexcitable contributing to sensitized neuronal-glial circuits. The maladaptive spinal circuits directly affect synaptic excitability, including activation of intracellular downstream cascades that result in enhanced evoked and spontaneous activity in dorsal horn neurons with the result that abnormal pain syndromes develop.

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    • "In sum, observations from SCI pain models, supported by a larger body of similar evidence from peripheral neuropathic pain models (e.g., Colburn et al., 1999; Sweitzer et al., 1999; Zhuang et al., 2005) indicate that interactions among astrocytes, microglia, and neurons are critical for the development and maintenance of neuropathic SCI pain (Gwak et al., 2012; Ji et al., 2013). Important interactions may also involve satellite glial cells in sensory ganglia, which are closely related to astrocytes and are known to contribute to behavioral hypersensitivity in peripheral models of neuropathic pain (Huang et al., 2013; Ji et al., 2013; Ohara et al., 2009; Xie et al., 2009), but contributions of satellite glial cells to painful consequences of SCI have yet to be reported. "
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    ABSTRACT: Neuropathic pain after spinal cord injury (SCI) is common, often intractable, and can be severely debilitating. A number of mechanisms have been proposed for this pain, which are discussed briefly, along with methods for revealing SCI pain in animal models, such as the recently applied conditioned place preference test. During the last decade, studies of animal models have shown that both central neuroinflammation and behavioral hypersensitivity (indirect reflex measures of pain) persist chronically after SCI. Interventions that reduce neuroinflammation have been found to ameliorate pain-related behavior, such as treatment with agents that inhibit the activation states of microglia and/or astroglia (including IL-10, minocycline, etanercept, propentofylline, ibudilast, licofelone, SP600125, carbenoxolone). Reversal of pain-related behavior has also been shown with disruption by an inhibitor (CR8) and/or genetic deletion of cell cycle-related proteins, deletion of a truncated receptor (trkB.T1) for brain-derived neurotrophic factor (BDNF), or reduction by antisense knockdown or an inhibitor (AMG9810) of the activity of channels (TRPV1 or Nav1.8) important for electrical activity in primary nociceptors. Nociceptor activity is known to drive central neuroinflammation in peripheral injury models, and nociceptors appear to be an integral component of host defense. Thus, emerging results suggest that spinal and systemic effects of SCI can activate nociceptor-mediated host defense responses that interact via neuroinflammatory signaling with complex central consequences of SCI to drive chronic pain. This broader view of SCI-induced neuroinflammation suggests new targets, and additional complications, for efforts to develop effective treatments for neuropathic SCI pain.
    Experimental Neurology 08/2014; 258:48–61. DOI:10.1016/j.expneurol.2014.02.001 · 4.62 Impact Factor
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    • "Similarly, the brain appears to exhibit an inflammatory neuraxis, with higher numbers of microglia in some regions, such as the hippocampus and substantia nigra. While the spinal cord appears to have a relatively homogenous distribution of microglia, their activation pattern is different depending on the cord segment (Gwak et al., 2012; Olson, 2010; Schomberg and Olson, 2012). "
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    ABSTRACT: Inflammation within the brain or spinal cord has the capacity to damage neurons and is known to contribute to long-term disability in a spectrum of central nervous system (CNS) pathologies. However, there is a more profound increase in the recruitment of potentially damaging populations of leukocytes to the spinal cord than to the brain after equivalent injuries. Increased levels of inflammatory cytokines and chemokines in the spinal cord underpin this dissimilarity after injury, which also appears to be very sensitive to processes that operate within organs distant from the primary injury site such as the liver, lung and spleen. Indeed, CNS injury per se can generate profound changes in gene expression and the cellularity of these organs, which, as a consequence, gives rise to secondary organ damage. Our understanding of the local inflammatory processes that can damage neurons is becoming clearer, but our understanding of how the peripheral immune system coordinates the response to CNS injury and how any concomitant infections or injury might impact on the outcome of CNS injury is not so well developed. It is clear that the orientation of the response to peripheral challenges, be it a pro- or anti-inflammatory effect, appears to be dependent on the nature and timing of events. Here, the importance of the inter-relationship between inflammation in the CNS and the consequent inflammatory response in peripheral tissues is highlighted.
    Experimental Neurology 08/2014; 258:105–111. DOI:10.1016/j.expneurol.2014.03.013 · 4.62 Impact Factor
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    • "Similarly, the brain appears to exhibit an inflammatory neuraxis, with higher numbers of microglia in some regions, such as the hippocampus and substantia nigra. While the spinal cord appears to have a relatively homogenous distribution of microglia, their activation pattern is different depending on the cord segment (Gwak et al., 2012; Olson, 2010; Schomberg and Olson, 2012). "
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