The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain

© 2018 Wiley Periodicals, Inc. Recurrent thalamocortical connections are integral to the generation of brain rhythms and it is thought that the inhibitory action of the thalamic reticular nucleus is critical in setting these rhythms. Our work and others' has suggested that chronic pain th...

Full description

Bibliographic Details
Main Authors: Di Pietro, Flavia, Macey, P.M., Rae, C.D., Alshelh, Z., Macefield, V.G., Vickers, E.R., Henderson, L.A.
Format: Journal Article
Language:English
Published: WILEY 2018
Subjects:
Online Access:http://purl.org/au-research/grants/nhmrc/G160279
http://hdl.handle.net/20.500.11937/79559
_version_ 1848764073759473664
author Di Pietro, Flavia
Macey, P.M.
Rae, C.D.
Alshelh, Z.
Macefield, V.G.
Vickers, E.R.
Henderson, L.A.
author_facet Di Pietro, Flavia
Macey, P.M.
Rae, C.D.
Alshelh, Z.
Macefield, V.G.
Vickers, E.R.
Henderson, L.A.
author_sort Di Pietro, Flavia
building Curtin Institutional Repository
collection Online Access
description © 2018 Wiley Periodicals, Inc. Recurrent thalamocortical connections are integral to the generation of brain rhythms and it is thought that the inhibitory action of the thalamic reticular nucleus is critical in setting these rhythms. Our work and others' has suggested that chronic pain that develops following nerve injury, that is, neuropathic pain, results from altered thalamocortical rhythm, although whether this dysrhythmia is associated with thalamic inhibitory function remains unknown. In this investigation, we used electroencephalography and magnetic resonance spectroscopy to investigate cortical power and thalamic GABAergic concentration in 20 patients with neuropathic pain and 20 pain-free controls. First, we found thalamocortical dysrhythmia in chronic orofacial neuropathic pain; patients displayed greater power than controls over the 4–25 Hz frequency range, most marked in the theta and low alpha bands. Furthermore, sensorimotor cortex displayed a strong positive correlation between cortical power and pain intensity. Interestingly, we found no difference in thalamic GABA concentration between pain subjects and control subjects. However, we demonstrated significant linear relationships between thalamic GABA concentration and enhanced cortical power in pain subjects but not controls. Whilst the difference in relationship between thalamic GABA concentration and resting brain rhythm between chronic pain and control subjects does not prove a cause and effect link, it is consistent with a role for thalamic inhibitory neurotransmitter release, possibly from the thalamic reticular nucleus, in altered brain rhythms in individuals with chronic neuropathic pain.
first_indexed 2025-11-14T11:13:34Z
format Journal Article
id curtin-20.500.11937-79559
institution Curtin University Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T11:13:34Z
publishDate 2018
publisher WILEY
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-795592020-09-04T05:53:10Z The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain Di Pietro, Flavia Macey, P.M. Rae, C.D. Alshelh, Z. Macefield, V.G. Vickers, E.R. Henderson, L.A. Science & Technology Life Sciences & Biomedicine Neurosciences Neuroimaging Radiology, Nuclear Medicine & Medical Imaging Neurosciences & Neurology chronic pain electroencephalography GABA thalamocortical rhythm SPINAL-CORD-INJURY NUCLEUS-RETICULARIS THALAMI THALAMOCORTICAL DYSRHYTHMIA NETWORK PROPERTIES NEUROGENIC PAIN NEURONS RATS PALMITOYLETHANOLAMIDE INHIBITION MECHANISMS © 2018 Wiley Periodicals, Inc. Recurrent thalamocortical connections are integral to the generation of brain rhythms and it is thought that the inhibitory action of the thalamic reticular nucleus is critical in setting these rhythms. Our work and others' has suggested that chronic pain that develops following nerve injury, that is, neuropathic pain, results from altered thalamocortical rhythm, although whether this dysrhythmia is associated with thalamic inhibitory function remains unknown. In this investigation, we used electroencephalography and magnetic resonance spectroscopy to investigate cortical power and thalamic GABAergic concentration in 20 patients with neuropathic pain and 20 pain-free controls. First, we found thalamocortical dysrhythmia in chronic orofacial neuropathic pain; patients displayed greater power than controls over the 4–25 Hz frequency range, most marked in the theta and low alpha bands. Furthermore, sensorimotor cortex displayed a strong positive correlation between cortical power and pain intensity. Interestingly, we found no difference in thalamic GABA concentration between pain subjects and control subjects. However, we demonstrated significant linear relationships between thalamic GABA concentration and enhanced cortical power in pain subjects but not controls. Whilst the difference in relationship between thalamic GABA concentration and resting brain rhythm between chronic pain and control subjects does not prove a cause and effect link, it is consistent with a role for thalamic inhibitory neurotransmitter release, possibly from the thalamic reticular nucleus, in altered brain rhythms in individuals with chronic neuropathic pain. 2018 Journal Article http://hdl.handle.net/20.500.11937/79559 10.1002/hbm.23973 English http://purl.org/au-research/grants/nhmrc/G160279 http://purl.org/au-research/grants/nhmrc/1091415 WILEY restricted
spellingShingle Science & Technology
Life Sciences & Biomedicine
Neurosciences
Neuroimaging
Radiology, Nuclear Medicine & Medical Imaging
Neurosciences & Neurology
chronic pain
electroencephalography
GABA
thalamocortical rhythm
SPINAL-CORD-INJURY
NUCLEUS-RETICULARIS THALAMI
THALAMOCORTICAL DYSRHYTHMIA
NETWORK PROPERTIES
NEUROGENIC PAIN
NEURONS
RATS
PALMITOYLETHANOLAMIDE
INHIBITION
MECHANISMS
Di Pietro, Flavia
Macey, P.M.
Rae, C.D.
Alshelh, Z.
Macefield, V.G.
Vickers, E.R.
Henderson, L.A.
The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain
title The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain
title_full The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain
title_fullStr The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain
title_full_unstemmed The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain
title_short The relationship between thalamic GABA content and resting cortical rhythm in neuropathic pain
title_sort relationship between thalamic gaba content and resting cortical rhythm in neuropathic pain
topic Science & Technology
Life Sciences & Biomedicine
Neurosciences
Neuroimaging
Radiology, Nuclear Medicine & Medical Imaging
Neurosciences & Neurology
chronic pain
electroencephalography
GABA
thalamocortical rhythm
SPINAL-CORD-INJURY
NUCLEUS-RETICULARIS THALAMI
THALAMOCORTICAL DYSRHYTHMIA
NETWORK PROPERTIES
NEUROGENIC PAIN
NEURONS
RATS
PALMITOYLETHANOLAMIDE
INHIBITION
MECHANISMS
url http://purl.org/au-research/grants/nhmrc/G160279
http://purl.org/au-research/grants/nhmrc/G160279
http://hdl.handle.net/20.500.11937/79559