Selective nociceptor activation in volunteers by infrared diode laser
Identifieur interne : 000961 ( Main/Exploration ); précédent : 000960; suivant : 000962Selective nociceptor activation in volunteers by infrared diode laser
Auteurs : Alexander Z. Tzabazis [Allemagne, États-Unis] ; Michael Klukinov [États-Unis] ; Sonia Crottaz-Herbette [États-Unis] ; Mikhail I. Nemenov [États-Unis] ; Martin S. Angst [États-Unis] ; David C. Yeomans [États-Unis]Source :
- Molecular Pain [ 1744-8069 ] ; 2011.
Abstract
Two main classes of peripheral sensory neurons contribute to thermal pain sensitivity: the unmyelinated C fibers and thinly myelinated Aδ fibers. These two fiber types may differentially underlie different clinical pain states and distinctions in the efficacy of analgesic treatments. Methods of differentially testing C and Aδ thermal pain are widely used in animal experimentation, but these methods are not optimal for human volunteer and patient use. Thus, this project aimed to provide psychophysical and electrophysiological evidence that whether different protocols of infrared diode laser stimulation, which allows for direct activation of nociceptive terminals deep in the skin, could differentially activate Aδ or C fiber thermonociceptors in volunteers.
Short (60 ms), high intensity laser pulses (SP) evoked monomodal "pricking" pain which was not enhanced by topical capsaicin, whereas longer, lower power pulses (LP) evoked monomodal "burning" pain which was enhanced by topical capsaicin. SP also produced cortical evoked EEG potentials consistent with Aδ mediation, the amplitude of which was directly correlated with pain intensity but was not affected by topical capsaicin. LP also produced a distinct evoked potential pattern the amplitude of which was also correlated with pain intensity, which was enhanced by topical capsaicin, and the latency of which could be used to estimate the conduction velocity of the mediating nociceptive fibers.
Psychophysical and electrophysiological data were consistent with the ability of short high intensity infrared laser pulses to selectively produce Aδ mediated pain and of longer pulses to selectively produce C fiber mediated thermal pain. Thus, the use of these or similar protocols may be useful in developing and testing novel therapeutics based on the differential molecular mechanisms underlying activation of the two fiber types (e.g., TRPV1, TRPV2, etc). In addition, these protocol may be useful in determining the fiber mediation of different clinical pain types which may, in turn be useful in treatment choice.
Url:
DOI: 10.1186/1744-8069-7-18
PubMed: 21426575
PubMed Central: 3070669
Affiliations:
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Tzabazis</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Anesthesia, Friedrich Alexander University, Erlangen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Anesthesia, Friedrich Alexander University, Erlangen</wicri:regionArea><placeName><settlement type="city">Erlangen</settlement><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Moyenne-Franconie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="I2">Department of Anesthesia, Stanford University, Stanford, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesia, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Klukinov, Michael" sort="Klukinov, Michael" uniqKey="Klukinov M" first="Michael" last="Klukinov">Michael Klukinov</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Anesthesia, Stanford University, Stanford, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesia, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Crottaz Herbette, Sonia" sort="Crottaz Herbette, Sonia" uniqKey="Crottaz Herbette S" first="Sonia" last="Crottaz-Herbette">Sonia Crottaz-Herbette</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Anesthesia, Stanford University, Stanford, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesia, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Nemenov, Mikhail I" sort="Nemenov, Mikhail I" uniqKey="Nemenov M" first="Mikhail I" last="Nemenov">Mikhail I. Nemenov</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Anesthesia, Stanford University, Stanford, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesia, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="I3">Lasmed, LLC, Mountain View, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lasmed, LLC, Mountain View, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Angst, Martin S" sort="Angst, Martin S" uniqKey="Angst M" first="Martin S" last="Angst">Martin S. Angst</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Anesthesia, Stanford University, Stanford, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesia, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Yeomans, David C" sort="Yeomans, David C" uniqKey="Yeomans D" first="David C" last="Yeomans">David C. Yeomans</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Anesthesia, Stanford University, Stanford, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesia, Stanford University, Stanford, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">Molecular Pain</title><idno type="eISSN">1744-8069</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Two main classes of peripheral sensory neurons contribute to thermal pain sensitivity: the unmyelinated C fibers and thinly myelinated Aδ fibers. These two fiber types may differentially underlie different clinical pain states and distinctions in the efficacy of analgesic treatments. Methods of differentially testing C and Aδ thermal pain are widely used in animal experimentation, but these methods are not optimal for human volunteer and patient use. Thus, this project aimed to provide psychophysical and electrophysiological evidence that whether different protocols of infrared diode laser stimulation, which allows for direct activation of nociceptive terminals deep in the skin, could differentially activate Aδ or C fiber thermonociceptors in volunteers.</p></sec><sec><title>Results</title><p>Short (60 ms), high intensity laser pulses (SP) evoked monomodal "pricking" pain which was not enhanced by topical capsaicin, whereas longer, lower power pulses (LP) evoked monomodal "burning" pain which was enhanced by topical capsaicin. SP also produced cortical evoked EEG potentials consistent with Aδ mediation, the amplitude of which was directly correlated with pain intensity but was not affected by topical capsaicin. LP also produced a distinct evoked potential pattern the amplitude of which was also correlated with pain intensity, which was enhanced by topical capsaicin, and the latency of which could be used to estimate the conduction velocity of the mediating nociceptive fibers.</p></sec><sec><title>Conclusions</title><p>Psychophysical and electrophysiological data were consistent with the ability of short high intensity infrared laser pulses to selectively produce Aδ mediated pain and of longer pulses to selectively produce C fiber mediated thermal pain. Thus, the use of these or similar protocols may be useful in developing and testing novel therapeutics based on the differential molecular mechanisms underlying activation of the two fiber types (e.g., TRPV1, TRPV2, etc). In addition, these protocol may be useful in determining the fiber mediation of different clinical pain types which may, in turn be useful in treatment choice.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zotterman, Y" uniqKey="Zotterman Y">Y Zotterman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burgess, Pr" uniqKey="Burgess P">PR Burgess</name></author><author><name sortKey="Perl, Er" uniqKey="Perl E">ER Perl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yeomans, Dc" uniqKey="Yeomans D">DC Yeomans</name></author><author><name sortKey="Pirec, V" uniqKey="Pirec V">V Pirec</name></author><author><name sortKey="Proudfit, Hk" uniqKey="Proudfit H">HK Proudfit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yeomans, Dc" uniqKey="Yeomans D">DC Yeomans</name></author><author><name sortKey="Proudfit, Hk" 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Cruccu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Magerl, W" uniqKey="Magerl W">W Magerl</name></author><author><name sortKey="Ali, Z" uniqKey="Ali Z">Z Ali</name></author><author><name sortKey="Ellrich, J" uniqKey="Ellrich J">J Ellrich</name></author><author><name sortKey="Meyer, Ra" uniqKey="Meyer R">RA Meyer</name></author><author><name sortKey="Treede, Rd" uniqKey="Treede R">RD Treede</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>États-Unis</li></country><region><li>Bavière</li><li>Californie</li><li>District de Moyenne-Franconie</li></region><settlement><li>Erlangen</li></settlement></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Tzabazis, Alexander Z" sort="Tzabazis, Alexander Z" uniqKey="Tzabazis A" first="Alexander Z" last="Tzabazis">Alexander Z. Tzabazis</name></region></country><country name="États-Unis"><region name="Californie"><name sortKey="Tzabazis, Alexander Z" sort="Tzabazis, Alexander Z" uniqKey="Tzabazis A" first="Alexander Z" last="Tzabazis">Alexander Z. Tzabazis</name></region><name sortKey="Angst, Martin S" sort="Angst, Martin S" uniqKey="Angst M" first="Martin S" last="Angst">Martin S. Angst</name><name sortKey="Crottaz Herbette, Sonia" sort="Crottaz Herbette, Sonia" uniqKey="Crottaz Herbette S" first="Sonia" last="Crottaz-Herbette">Sonia Crottaz-Herbette</name><name sortKey="Klukinov, Michael" sort="Klukinov, Michael" uniqKey="Klukinov M" first="Michael" last="Klukinov">Michael Klukinov</name><name sortKey="Nemenov, Mikhail I" sort="Nemenov, Mikhail I" uniqKey="Nemenov M" first="Mikhail I" last="Nemenov">Mikhail I. Nemenov</name><name sortKey="Nemenov, Mikhail I" sort="Nemenov, Mikhail I" uniqKey="Nemenov M" first="Mikhail I" last="Nemenov">Mikhail I. Nemenov</name><name sortKey="Yeomans, David C" sort="Yeomans, David C" uniqKey="Yeomans D" first="David C" last="Yeomans">David C. Yeomans</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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