Circuitry and plasticity of the dorsal horn – Toward a better understanding of neuropathic pain. (6th August 2015) - West, S.J.
Highlights: We review the contribution of plasticity in the dorsal horn to hypersensitivity following peripheral nerve injury. Primary afferent neurons show spontaneous activity, phenotypic changes, and altered connectivity. Dorsal horn neurons undergo activity-dependent plasticity, and show altered expression patterns and connectivity. Descending controls to the dorsal horn are modulated which help to drive the neuropathic phenotype. Abstract: Maladaptive plasticity within the dorsal horn (DH) of the spinal cord is a key substrate for development of neuropathic pain following peripheral nerve injury. Advances in genetic engineering, tracing techniques and opto-genetics are leading to a much better understanding of the complex circuitry of the spinal DH and the radical changes evoked in such circuitry by nerve injury. These changes can be viewed at multiple levels including: synaptic remodeling including enhanced excitatory and reduced inhibitory drive, morphological and electrophysiological changes which are observed both to primary afferent inputs as well as DH neurons, and ultimately circuit-level rewiring which leads to altered connectivity and aberrant processing of sensory inputs in the DH. The DH should not be seen in isolation but is subject to important descending modulation from the brainstem, which is further dysregulated by nerve injury. Understanding which changes relate to specific disease-states is essential, and recent work has aimed to stratify patient populations in a mechanistic fashion. In this review we will discuss how such pathophysiological mechanisms may lead to the distressing sensory phenomena experienced by patients suffering neuropathic pain, and the relationship of such mechanisms to current and potential future treatment modalities.