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Leif
12-14-2005, 09:48 AM
http://www.pnas.org/cgi/content/extract/102/50/17885?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=1&andorexacttitle=and&andorexacttitleabs=and&fulltext=spinal+cord&andorexactfulltext=and&searchid=1134567699540_5327&stored_search=&FIRSTINDEX=0&sortspec=date&fdate=10/1/2005&journalcode=pnas



Published online before print December 5, 2005, 10.1073/pnas.0508494102
PNAS | December 13, 2005 | vol. 102 | no. 50 | 17885-17886

COMMENTARY
Pains, gains, and midbrains


Anthony H. Dickenson *, Lucy A. Bee and Rie Suzuki
Department of Pharmacology, University College London, Gower Street, London WC1E 6BT, United Kingdom


One of the main aims of neuroscience is to understand how the CNS deals with and adapts to external inputs and internal events. The altered molecular and cellular events form a basis for abnormal processing that underlies physiopathological events. Understanding these events can allow translation from bench science to the patient, and a key step in this process is using models of a clinical condition in animals and human volunteers. Pain is an example of an area where this process has reached a high level of sophistication and where the route from the bench to the patient is starting to be mapped out. The article by Iannetti et al. in this issue of PNAS (1) is a wonderful example of how an imaginative and well planned imaging study can build on findings from animals to help explain the complex mechanisms of pain and its modulation in humans.

Sensory and Affective Events in Pain

Pain is defined by the International Association for the Study of Pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage." Key to this definition is the recognition that both the perception and experience of pain are multi-factorial. Detection of a noxious stimulus begins with nociceptors that are expressed on primary afferent fibers distributed throughout the body. These afferents, thinly myelinated Ahttp://www.pnas.org/math/delta.gif fibers and small diameter unmyelinated C fibers, transduce stimulus energy into electrical signals (action potentials) that are conducted along neurones to the spinal cord and brain. There is no dependable relationship between the intensity of the stimulus and the pain that is eventually perceived; instead, the relationship is subject to individual variation and is influenced, at least in part, by the condition of the tissue and the environmental context in which the stimulus . . .


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