Pain and emotion interactions in subregions of the cingulate gyrus
Open accessAbstract
Acute pain and emotion are processed in two forebrain networks, and the cingulate cortex is involved in both. Although Brodmann's cingulate gyrus had two divisions and was not based on any functional criteria, functional imaging studies still use this model. However, recent cytoarchitectural studies of the cingulate gyrus support a four-region model, with subregions, that is based on connections and qualitatively unique functions. Although the activity evoked by pain and emotion has been widely reported, some view them as emergent products of the brain rather than of small aggregates of neurons. Here, we assess pain and emotion in each cingulate subregion, and assess whether pain is co-localized with negative affect. Amazingly, these activation patterns do not simply overlap.
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The pregenual and subgenual anterior cingulate cortex have known affective function and are thought to instantiate visceromotor responses observed during classical conditioning, pain, and affective behaviors.
“The pACC and sACC have known affective function and are thought to instantiate the visceromotor responses observed during classical conditioning, pain, and affective behaviors (Devinksy et al. 1995; Vogt 2005).”
From The brain basis of emotion: a meta-analytic review (2012) · cites this paper as Vogt 2005
The paper’s discussion of ACC subregions links sACC to autonomic function and classical conditioning, and links both sACC and pACC to affective activity. But it distinguishes their roles in pain: visceral nociceptive activity is associated mainly with pACC, which it says is not an autonomic integrative center like sACC. It therefore does not support attributing the same visceromotor role across classical conditioning, pain, and affective behavior to both subregions. (LLM, conf=0.87)
Experimental — accuracy not yet measuredPregenual anterior cingulate cortex is implicated in pain, perhaps because it supports the feeling of suffering.
“Finally, pACC is implicated in pain, perhaps because it supports the feeling of “suffering” (cf. Vogt 2005).”
From The brain basis of emotion: a meta-analytic review (2012) · cites this paper as Vogt 2005
Middle and anterior parts of the cingulate cortex are involved in negative affect.
“which are involved in negative affect (Vogt, 2005)”
From Oxytocin Facilitates Pavlovian Fear Learning in Males (2016) · cites this paper as Vogt, 2005
The pMCC has a hypothesized role in orienting the body toward innocuous and noxious somatosensory stimuli.
“the hypothesized role of this region in 'orienting the body toward innocuous and noxious somatosensory stimuli' (Vogt, 2005).”
From Oxytocin Facilitates Pavlovian Fear Learning in Males (2016) · cites this paper as Vogt, 2005
Pain intensity ratings were additionally associated with activation in contralateral precentral gyrus, and in dorsal posterior cingulate gyrus in a region involved in visuo-spatial attention.
“Pain intensity ratings were additionally associated with activation in contralateral precentral gyrus, and in dorsal posterior cingulate gyrus in a region involved in visuo-spatial attention [32].”
From What are you feeling? Using functional magnetic resonance imaging to assess the modulation of sensory and affective responses during empathy for pain (2007) · cites this paper as [32]
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“Dorsal ACC additionally has been implicated in pain processing and the anticipation of pain (Vogt, 2005), which suggests a possible mechanism for mindfulness meditation training on altered functional connectivity in chronic pain (Su et al., 2016) and pain relief by mind-fulness (Fig.”
BackgroundFrontostriatal functional connectivity in major depressive disorder
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MethodFunctional segregation of the human dorsomedial prefrontal cortex
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BackgroundWhite matter brain and trigeminal nerve abnormalities in temporomandibular disorder
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- Authors
- Vogt, B. A.
- Affiliations
- SUNY Upstate Medical University (US)
- Corresponding author
- Vogt, Brent A.
- ORCID
- Vogt, Brent A.
- Venue
- Nature Reviews Neuroscience
- Published
- 2005-07
- Volume
- 6
- Issue
- 7
- Pages
- 533-544
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- PMC
- PMC2659949
- OpenAlex
- W2028850601
- Cited by
- 1,810
- References
- 118
- Citations by year
- 2026: 69 · 2025: 77 · 2024: 60 · 2023: 83 · 2022: 78 · 2021: 101 · 2020: 87 · 2019: 88 · 2018: 75 · 2017: 108 · 2016: 100 · 2015: 93 · 2014: 98 · 2013: 109 · 2012: 108
- FWCI
- 7.91
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS044222)
- Topics
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- cingulate gyrus, pain, emotions, negative affect, Brodmann areas, brain networks, cytoarchitecture
- MeSH terms
- Animals, Brain Mapping, Emotions, Gyrus Cinguli, Humans, Models, Biological, Neurons, Afferent, Nociceptors, Pain
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