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The Neuromodulation of Neuropathic Pain by Measuring Pain Response Rate and Pain Response Duration in Animal

  • Kim, Jinhyung (Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine) ;
  • Lee, Sung Eun (School of Electrical Engineering and Computer Science, Seoul National University) ;
  • Shin, Jaewoo (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Jung, Hyun Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Kim, Sung June (School of Electrical Engineering and Computer Science, Seoul National University) ;
  • Chang, Jin Woo (Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine)
  • Received : 2013.12.24
  • Accepted : 2014.04.09
  • Published : 2015.01.28

Abstract

Objective : Neuropathic pain causes patients feel indescribable pain. Deep Brain Stimulation (DBS) is one of the treatment methods in neuropathic pain but the action mechanism is still unclear. To study the effect and mechanism of analgesic effects from DBS in neuropathic pain and to enhance the analgesic effect of DBS, we stimulated the ventral posterolateral nucleus (VPL) in rats. Methods : To observe the effect from VPL stimulation, we established 3 groups : normal group (Normal group), neuropathic pain group (Pain group) and neuropathic pain+DBS group (DBS group). Rats in DBS group subjected to electrical stimulation and the target is VPL. Results : We observed the behavioral changes by DBS in VPL (VPL-DBS) on neuropathic pain rats. In our study, the pain score which is by conventional test method was effectively decreased. In specific, the time of showing withdrawal response from painful stimulation which is not used measuring method in our animal model was also decreased by DBS. Conclusion : The VPL is an effective target on pain modulation. Specifically we could demonstrate changes of pain response duration which is not used, and it was also significantly meaningful. We thought that this study would be helpful in understanding the relation between VPL-DBS and neuropathic pain.

Keywords

References

  1. Blomstedt P, Sandvik U, Fytagoridis A, Tisch S : The posterior subthalamic area in the treatment of movement disorders : past, present, and future. Neurosurgery 64 : 1029-1038; discussion 1038-1042, 2009 https://doi.org/10.1227/01.NEU.0000345643.69486.BC
  2. Choi Y, Yoon YW, Na HS, Kim SH, Chung JM : Behavioral signs of ongoing pain and cold allodynia in a rat model of neuropathic pain. Pain 59 : 369-376, 1994 https://doi.org/10.1016/0304-3959(94)90023-X
  3. DaSilva AF, Granziera C, Snyder J, Hadjikhani N : Thickening in the somatosensory cortex of patients with migraine. Neurology 69 : 1990-1995, 2007 https://doi.org/10.1212/01.wnl.0000291618.32247.2d
  4. Deniau JM, Degos B, Bosch C, Maurice N : Deep brain stimulation mechanisms : beyond the concept of local functional inhibition. Eur J Neurosci 32 : 1080-1091, 2010 https://doi.org/10.1111/j.1460-9568.2010.07413.x
  5. Dowdall T, Robinson I, Meert TF : Comparison of five different rat models of peripheral nerve injury. Pharmacol Biochem Behav 80 : 93-108, 2005 https://doi.org/10.1016/j.pbb.2004.10.016
  6. Gubellini P, Salin P, Kerkerian-Le Goff L, Baunez C : Deep brain stimulation in neurological diseases and experimental models : from molecule to complex behavior. Prog Neurobiol 89 : 79-123, 2009 https://doi.org/10.1016/j.pneurobio.2009.06.003
  7. Hubscher CH, Johnson RD : Chronic spinal cord injury induced changes in the responses of thalamic neurons. Exp Neurol 197 : 177-188, 2006 https://doi.org/10.1016/j.expneurol.2005.09.007
  8. Kahane P, Depaulis A : Deep brain stimulation in epilepsy : what is next? Curr Opin Neurol 23 : 177-182, 2010 https://doi.org/10.1097/WCO.0b013e3283374a39
  9. Kim J, Kim J, Min KS, Lee SE, Kim SJ, Chang JW : VPL-DBS on neuropathic pain rat model is effective in mechanical allodynia than cold allodynia. Neurol Sci 33 : 1265-1270, 2012 https://doi.org/10.1007/s10072-012-1097-7
  10. Kringelbach ML, Jenkinson N, Green AL, Owen SL, Hansen PC, Cornelissen PL : Deep brain stimulation for chronic pain investigated with magnetoencephalography. Neuroreport 18 : 223-228, 2007 https://doi.org/10.1097/WNR.0b013e328010dc3d
  11. Lee BH, Won R, Baik EJ, Lee SH, Moon CH : An animal model of neuropathic pain employing injury to the sciatic nerve branches. Neuroreport 11 : 657-661, 2000 https://doi.org/10.1097/00001756-200003200-00002
  12. Lucas JM, Ji Y, Masri R : Motor cortex stimulation reduces hyperalgesia in an animal model of central pain. Pain 152 : 1398-1407, 2011 https://doi.org/10.1016/j.pain.2011.02.025
  13. Merskey H, Bogduk N : Classification of chronic pain : Descriptions of chronic pain syndromes and definitions of pain terms, ed 2. Seattle : IASP Press, 1994
  14. Nandi D, Aziz TZ : Deep brain stimulation in the management of neuropathic pain and multiple sclerosis tremor. J Clin Neurophysiol 21 : 31-39, 2004 https://doi.org/10.1097/00004691-200401000-00005
  15. Paxinos G, Watson C : The Rat Brain in Stereotaxic Coordinates, ed 4. New York : Academic Press, 1988
  16. Perlmutter JS, Mink JW : Deep brain stimulation. Annu Rev Neurosci 29 : 229-257, 2006 https://doi.org/10.1146/annurev.neuro.29.051605.112824
  17. Pickering AE, Thornton SR, Love-Jones SJ, Steeds C, Patel NK : Analgesia in conjunction with normalisation of thermal sensation following deep brain stimulation for central post-stroke pain. Pain 147 : 299-304, 2009 https://doi.org/10.1016/j.pain.2009.09.011
  18. Seminowicz DA, Laferriere AL, Millecamps M, Yu JS, Coderre TJ : MRI structural brain changes associated with sensory and emotional function in a rat model of long-term neuropathic pain. Neuroimage 47 : 1007-1014, 2009 https://doi.org/10.1016/j.neuroimage.2009.05.068
  19. Shirvalkar P, Seth M, Schiff ND, Herrera DG : Cognitive enhancement with central thalamic electrical stimulation. Proc Natl Acad Sci U S A 103 : 17007-17012, 2006 https://doi.org/10.1073/pnas.0604811103
  20. Wu C, Wais M, Sheppy E, del Campo M, Zhang L : A glue-based, screwfree method for implantation of intra-cranial electrodes in young mice. J Neurosci Methods 171 : 126-131, 2008 https://doi.org/10.1016/j.jneumeth.2008.03.001
  21. Zimmermann M : Ethical guidelines for investigations of experimental pain in conscious animals. Pain 16 : 109-110, 1983 https://doi.org/10.1016/0304-3959(83)90201-4

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  1. Deep Brain Stimulation: Expanding Applications vol.55, pp.12, 2015, https://doi.org/10.2176/nmc.ra.2015-0172