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Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence
Open accessAbstract
Peripheral tissue damage or nerve injury often leads to pathological pain processes, such as spontaneous pain, hyperalgesia and allodynia, that persist for years or decades after all possible tissue healing has occurred. Although peripheral neural mechanisms, such as nociceptor sensitization and neuroma formation, contribute to these pathological pain processes, recent evidence indicates that changes in central neural function may also play a significant role. In this review, we examine the clinical and experimental evidence which points to a contribution of central neural plasticity to the development of pathological pain. We also assess the physiological, biochemical, cellular and molecular mechanisms that underlie plasticity induced in the central nervous system (CNS) in response to noxious peripheral stimulation. Finally, we examine theories which have been proposed to explain how injury or noxious stimulation lead to alterations in CNS function which influence subsequent pain experience.
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“These rat model findings suggest that central sensitization, a process thought to underlie pain hypersensitivity, is an important mechanism”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Coderre et al., 1993
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“…remainder of patients was classified as ‘‘Injury of bone and soft tissue and visceral pain disorders’’ (IBST) – assuming self-sustaining central hyperexcitability (Coderre et al., 1993), as there were no signs of inflammation or peripheral nerve lesions, for visceral pain disorders it is…”
BackgroundInfluentialKim, Y. I., Na, H., Han, J., & Sk, H. (1995) · Journal of Neuroscience · doi:10.1523/jneurosci.15-06-04133.1995 · Cited by 48
“…capsaicin of AS-and C-fibers prevented the activities induced in these fibers by the nerve injury from producing " central sensitization, " central changes thought to be required for the emergence of neuropathic pain symptoms following peripheral nerve injury (Roberts, 1986; Coderre et al., 1993).”
Wasner, G. L., Baron, R., & Jänig, W. (1999) · Pain · doi:10.1016/s0304-3959(98)00159-6 · Cited by 48
Vizzard, M. A., & Boyle, M. M. (1999) · Brain Research · doi:10.1016/s0006-8993(99)01936-8 · Cited by 48
Hyperexcitability in sensory neurons of rats selected for high versus low neuropathic pain phenotype
Liu, C., Raber, P., Ziv-Sefer, S., & Devor, M. G. (2001) · Neuroscience · doi:10.1016/s0306-4522(01)00161-0 · Cited by 48
Steinberg, R. B., Reuben, S. S., & Gardner, G. (1998) · Anesthesia & Analgesia · doi:10.1213/00000539-199804000-00021 · Cited by 48
Pain threshold and sleep quality in women with endometriosis
Nunes, F. R., Ferreira, J. M., & Bahamondes, L. (2015) · European Journal of Pain · doi:10.1002/ejp.514 · Cited by 46
“Those findings showed that endometriosis is associated with central sensitization of the neural structures involved in pain perception, which occurs as a consequence of biochemical, cellular and molecular disorders of the pain perception mechanisms (Coderre et al., 1993).”
BackgroundXu, B. Y., Guan, X., Jun-xiong, Y., Lv, J., Zhang, H., Fu, Q., Xiang, H., Bu, H., Shi, D., Shu, B., et al. (2014) · Experimental Neurology · doi:10.1016/j.expneurol.2014.02.019 · Cited by 47
“Therefore mapping Fos expression in these neurons is the best biomarker to indicate the activity of these neurons (Coderre et al., 1993; Coggeshall, 2005; Ghanima et al., 2002; Ma and Woolf, 1996; Ruan et al., 2010).”
Kuraishi, Y., Takasaki, I., Nojima, H., Shiraki, K., & Takahata, H. (2004) · Life Sciences · doi:10.1016/j.lfs.2004.01.005 · Cited by 47
Impact of haloperidol and risperidone on gene expression profile in the rat cortex
Fehér, L. Z., Kalman, J. L., Puskás, L. G., Gyülvészi, G., Kitajka, K., Penke, B., Palotás, M., Samarova, E. I., Molnár, J., Zvara, Á., et al. (2005) · Neurochemistry International · doi:10.1016/j.neuint.2005.04.020 · Cited by 47
Yashpal, K., & Coderre, T. J. (1998) · European Journal of Pain · doi:10.1016/s1090-3801(98)90047-7 · Cited by 47
“Earlyphase (O-5 min) and late-phase (25-60 min) nociceptive responses to formalin were assessed using the weighted-scores method of behavioural rating (Coderre et al., 1993~).”
BackgroundMethodSelf-citationTaylor, B. K., Peterson, M. A., & Basbaum, A. I. (1997) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(24)36429-8 · Cited by 47
Slingsby, L. S., Taylor, P. M., & Murrell, J. C. (2011) · Veterinary Anaesthesia and Analgesia · doi:10.1111/j.1467-2995.2011.00656.x · Cited by 46
Prospects for Metabotropic Glutamate 1 Receptor Antagonists in the Treatment of Neuropathic Pain
Schkeryantz, J. M., Kingston, A. E., & Johnson, M. P. (2007) · Journal of Medicinal Chemistry · doi:10.1021/jm060950g · Cited by 46
Bruchim, Y., Srugo, I., Shira, B., Kelmer, E., Sigal, Y., Aroch, I., & Segev, G. (2012) · Journal of Veterinary Emergency and Critical Care · doi:10.1111/j.1476-4431.2012.00779.x · Cited by 46
Mustafa, G., Hou, J., Tsuda, S., Nelson, R., Sinharoy, A., Wilkie, Z., Pandey, R., Caudle, R. M., Neubert, J. K., Thompson, F. J., et al. (2016) · Neuropharmacology · doi:10.1016/j.neuropharm.2016.03.016 · Cited by 46
“It is a hypothesis that such changes could underlie the observed alterations in thermosensitivity [22; 63].”
Lack of efficacy of riluzole in the treatment of peripheral neuropathic pain conditions
Galer, B. S., Twilling, L., Harle, J., Cluff, R. S., Friedman, E., & Rowbotham, M. C. (2000) · Neurology · doi:10.1212/wnl.55.7.971 · Cited by 46
Mechanisms of Pavlovian conditioning: Role of protection from habituation in spinal conditioning.
Joynes, R. L., & Grau, J. W. (1996) · Behavioral Neuroscience · doi:10.1037//0735-7044.110.6.1375 · Cited by 46
Methadone for Phantom Limb Pain
Bergmans, L., Snijdelaar, D. G., Katz, J. D., & Crul, B. J. P. (2002) · Clinical Journal of Pain · doi:10.1097/00002508-200205000-00012 · Cited by 46
Self-citationPain During Injection of Propofol: The Effect of Prior Administration of Butorphanol
Agarwal, A., Raza, M., Dhiraaj, S., Pandey, R. K., Gupta, D. K., Pandey, C. K., Singh, P. K., & Singh, U. (2004) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000117002.03919.49 · Cited by 46
Boccara, G., Chaumeron, A., Pouzeratte, Y., & Mann, C. (2004) · British Journal of Anaesthesia · doi:10.1093/bja/aei056 · Cited by 46
Rainsford, K. D. (2005) · Birkhäuser Basel eBooks · doi:10.1007/3-7643-7410-1 · Cited by 46
Metadata
- Authors
- Coderre, T. J., Katz, J., Vaccarino, A. L., & Melzack, R.
- Affiliations
- University of Toronto (CA)
- LSU New Orleans (US)
- McGill University (CA)
- Corresponding author
- Vaccarino, Anthony L.
- Venue
- Pain
- Published
- 1993-03
- Volume
- 52
- Issue
- 3
- Pages
- 259-285
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2062625412
- Cited by
- 1,966
- References
- 304
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 8 · 2023: 16 · 2022: 16 · 2021: 28 · 2020: 24 · 2019: 36 · 2018: 25 · 2017: 25 · 2016: 30 · 2015: 30 · 2014: 37 · 2013: 42 · 2012: 53
- FWCI
- 12.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- YorkSpace (York University) (submittedVersion)
- Funders
- Medical Research Council Canada
- Natural Sciences and Engineering Research Council of Canada (A7891)
- Fonds de Recherche du Québec - Santé
- Medical Research Council
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- pathological pain, hyperalgesia, allodynia, spontaneous pain, central sensitization, nerve injury, nociceptor sensitization, neuroma formation, central nervous system plasticity, noxious stimulation, pain mechanisms
- MeSH terms
- Acute Disease, Animals, Central Nervous System, Chronic Disease, Humans, Models, Neurological, Neuronal Plasticity, Pain, Palliative Care, Pain Management
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