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Thermal Detection Thresholds of Aδ- and C-Fibre Afferents Activated by Brief CO2 Laser Pulses Applied onto the Human Hairy Skin

Identifieur interne : 000573 ( Ncbi/Merge ); précédent : 000572; suivant : 000574

Thermal Detection Thresholds of Aδ- and C-Fibre Afferents Activated by Brief CO2 Laser Pulses Applied onto the Human Hairy Skin

Auteurs : Maxim Churyukanov [Belgique, Russie] ; Léon Plaghki [Belgique] ; Valéry Legrain [Belgique] ; André Mouraux [Belgique]

Source :

RBID : PMC:3338467

Abstract

Brief high-power laser pulses applied onto the hairy skin of the distal end of a limb generate a double sensation related to the activation of Aδ- and C-fibres, referred to as first and second pain. However, neurophysiological and behavioural responses related to the activation of C-fibres can be studied reliably only if the concomitant activation of Aδ-fibres is avoided. Here, using a novel CO2 laser stimulator able to deliver constant-temperature heat pulses through a feedback regulation of laser power by an online measurement of skin temperature at target site, combined with an adaptive staircase algorithm using reaction-time to distinguish between responses triggered by Aδ- and C-fibre input, we show that it is possible to estimate robustly and independently the thermal detection thresholds of Aδ-fibres (46.9±1.7°C) and C-fibres (39.8±1.7°C). Furthermore, we show that both thresholds are dependent on the skin temperature preceding and/or surrounding the test stimulus, indicating that the Aδ- and C-fibre afferents triggering the behavioural responses to brief laser pulses behave, at least partially, as detectors of a change in skin temperature rather than as pure level detectors. Most importantly, our results show that the difference in threshold between Aδ- and C-fibre afferents activated by brief laser pulses can be exploited to activate C-fibres selectively and reliably, provided that the rise in skin temperature generated by the laser stimulator is well-controlled. Our approach could constitute a tool to explore, in humans, the physiological and pathophysiological mechanisms involved in processing C- and Aδ-fibre input, respectively.


Url:
DOI: 10.1371/journal.pone.0035817
PubMed: 22558230
PubMed Central: 3338467

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PMC:3338467

Le document en format XML

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<p>Brief high-power laser pulses applied onto the hairy skin of the distal end of a limb generate a double sensation related to the activation of Aδ- and C-fibres, referred to as first and second pain. However, neurophysiological and behavioural responses related to the activation of C-fibres can be studied reliably only if the concomitant activation of Aδ-fibres is avoided. Here, using a novel CO
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<name sortKey="Shigenaga, Y" uniqKey="Shigenaga Y">Y Shigenaga</name>
</author>
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</author>
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<name sortKey="Lamotte, C" uniqKey="Lamotte C">C LaMotte</name>
</author>
<author>
<name sortKey="Shigenaga, Y" uniqKey="Shigenaga Y">Y Shigenaga</name>
</author>
<author>
<name sortKey="Kenins, P" uniqKey="Kenins P">P Kenins</name>
</author>
</analytic>
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</author>
<author>
<name sortKey="Lamotte, C" uniqKey="Lamotte C">C LaMotte</name>
</author>
<author>
<name sortKey="Johnson, B" uniqKey="Johnson B">B Johnson</name>
</author>
<author>
<name sortKey="Oldfield, S" uniqKey="Oldfield S">S Oldfield</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
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</author>
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<name sortKey="Plaghki, L" uniqKey="Plaghki L">L Plaghki</name>
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<name sortKey="Decruynaere, C" uniqKey="Decruynaere C">C Decruynaere</name>
</author>
<author>
<name sortKey="Van Dooren, P" uniqKey="Van Dooren P">P Van Dooren</name>
</author>
<author>
<name sortKey="Le Bars, D" uniqKey="Le Bars D">D Le Bars</name>
</author>
</analytic>
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<author>
<name sortKey="Peng, Yb" uniqKey="Peng Y">YB Peng</name>
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<author>
<name sortKey="Kenshalo, Dr" uniqKey="Kenshalo D">DR Kenshalo</name>
</author>
<author>
<name sortKey="Gracely, Rh" uniqKey="Gracely R">RH Gracely</name>
</author>
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<name sortKey="Hardy, Jd" uniqKey="Hardy J">JD Hardy</name>
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<name sortKey="Goodell, H" uniqKey="Goodell H">H Goodell</name>
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<name sortKey="Wolff, Hg" uniqKey="Wolff H">HG Wolff</name>
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<name sortKey="Meyer, Ra" uniqKey="Meyer R">RA Meyer</name>
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<name sortKey="Raja, Sn" uniqKey="Raja S">SN Raja</name>
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</div1>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS One</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group>
<journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">22558230</article-id>
<article-id pub-id-type="pmc">3338467</article-id>
<article-id pub-id-type="publisher-id">PONE-D-11-19205</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0035817</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Biology</subject>
<subj-group>
<subject>Anatomy and Physiology</subject>
<subj-group>
<subject>Neurological System</subject>
<subj-group>
<subject>Sensory Physiology</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Skin</subject>
<subj-group>
<subject>Skin Physiology</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group>
<subject>Neuroscience</subject>
<subj-group>
<subject>Cognitive Neuroscience</subject>
<subj-group>
<subject>Pain</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Sensory Perception</subject>
<subject>Sensory Systems</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Medicine</subject>
<subj-group>
<subject>Anatomy and Physiology</subject>
<subj-group>
<subject>Skin</subject>
<subj-group>
<subject>Skin Physiology</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group>
<subject>Anesthesiology</subject>
<subj-group>
<subject>Pain Management</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Neurology</subject>
<subj-group>
<subject>Pain Management</subject>
</subj-group>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Thermal Detection Thresholds of Aδ- and C-Fibre Afferents Activated by Brief CO
<sub>2</sub>
Laser Pulses Applied onto the Human Hairy Skin</article-title>
<alt-title alt-title-type="running-head">Heat Detection Threshold of Aδ and C Nociceptors</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Churyukanov</surname>
<given-names>Maxim</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Plaghki</surname>
<given-names>Léon</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Legrain</surname>
<given-names>Valéry</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mouraux</surname>
<given-names>André</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Institute of Neuroscience (IONS), Université catholique de Louvain, Brussels, Belgium</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>Department of Nervous Diseases, The I.M. Sechenov First Moscow State Medical University, Moscow, Russia</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Laboratory of Pathophysiology of Pain, Institute of General Pathology and Pathophysiology RAMS, Moscow, Russia</addr-line>
</aff>
<aff id="aff4">
<label>4</label>
<addr-line>Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor">
<name>
<surname>El-Deredy</surname>
<given-names>Wael</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1">University of Manchester, United Kingdom</aff>
<author-notes>
<corresp id="cor1">* E-mail:
<email>andre.mouraux@uclouvain.be</email>
</corresp>
<fn fn-type="con">
<p>Conceived and designed the experiments: MC LP VL AM. Performed the experiments: MC AM. Analyzed the data: MC LP VL AM. Contributed reagents/materials/analysis tools: AM. Wrote the paper: MC LP VL AM.</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>4</month>
<year>2012</year>
</pub-date>
<volume>7</volume>
<issue>4</issue>
<elocation-id>e35817</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>9</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>3</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>Churyukanov et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract>
<p>Brief high-power laser pulses applied onto the hairy skin of the distal end of a limb generate a double sensation related to the activation of Aδ- and C-fibres, referred to as first and second pain. However, neurophysiological and behavioural responses related to the activation of C-fibres can be studied reliably only if the concomitant activation of Aδ-fibres is avoided. Here, using a novel CO
<sub>2</sub>
laser stimulator able to deliver constant-temperature heat pulses through a feedback regulation of laser power by an online measurement of skin temperature at target site, combined with an adaptive staircase algorithm using reaction-time to distinguish between responses triggered by Aδ- and C-fibre input, we show that it is possible to estimate robustly and independently the thermal detection thresholds of Aδ-fibres (46.9±1.7°C) and C-fibres (39.8±1.7°C). Furthermore, we show that both thresholds are dependent on the skin temperature preceding and/or surrounding the test stimulus, indicating that the Aδ- and C-fibre afferents triggering the behavioural responses to brief laser pulses behave, at least partially, as detectors of a change in skin temperature rather than as pure level detectors. Most importantly, our results show that the difference in threshold between Aδ- and C-fibre afferents activated by brief laser pulses can be exploited to activate C-fibres selectively and reliably, provided that the rise in skin temperature generated by the laser stimulator is well-controlled. Our approach could constitute a tool to explore, in humans, the physiological and pathophysiological mechanisms involved in processing C- and Aδ-fibre input, respectively.</p>
</abstract>
<counts>
<page-count count="9"></page-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Belgique</li>
<li>Russie</li>
</country>
<region>
<li>District fédéral central</li>
<li>Province de Flandre-Orientale</li>
<li>Région de Bruxelles-Capitale</li>
<li>Région flamande</li>
</region>
<settlement>
<li>Bruxelles</li>
<li>Gand</li>
<li>Louvain-la-Neuve</li>
<li>Moscou</li>
</settlement>
<orgName>
<li>Université catholique de Louvain</li>
<li>Université de Gand</li>
</orgName>
</list>
<tree>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Churyukanov, Maxim" sort="Churyukanov, Maxim" uniqKey="Churyukanov M" first="Maxim" last="Churyukanov">Maxim Churyukanov</name>
</region>
<name sortKey="Legrain, Valery" sort="Legrain, Valery" uniqKey="Legrain V" first="Valéry" last="Legrain">Valéry Legrain</name>
<name sortKey="Mouraux, Andre" sort="Mouraux, Andre" uniqKey="Mouraux A" first="André" last="Mouraux">André Mouraux</name>
<name sortKey="Plaghki, Leon" sort="Plaghki, Leon" uniqKey="Plaghki L" first="Léon" last="Plaghki">Léon Plaghki</name>
</country>
<country name="Russie">
<region name="District fédéral central">
<name sortKey="Churyukanov, Maxim" sort="Churyukanov, Maxim" uniqKey="Churyukanov M" first="Maxim" last="Churyukanov">Maxim Churyukanov</name>
</region>
<name sortKey="Churyukanov, Maxim" sort="Churyukanov, Maxim" uniqKey="Churyukanov M" first="Maxim" last="Churyukanov">Maxim Churyukanov</name>
</country>
</tree>
</affiliations>
</record>

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