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Oxytocin-Induced Antinociception in the Spinal Cord is Mediated by a Subpopulation of Glutamatergic Neurons in Lamina I-II Which Amplify GABAergic Inhibition
Open accessAbstract
Background: Recent evidence suggests that oxytocin (OT), secreted in the superficial spinal cord dorsal horn by descending axons of paraventricular hypothalamic nucleus (PVN) neurons, produces antinociception and analgesia. The spinal mechanism of OT is, however, still unclear and requires further investigation. We have used patch clamp recording of lamina II neurons in spinal cord slices and immunocytochemistry in order to identify PVN-activated neurons in the superficial layers of the spinal cord and attempted to determine how this neuronal population may lead to OT-mediated antinociception. Results: We show that OT released during PVN stimulation specifically activates a subpopulation of lamina II glutamatergic interneurons which are localized in the most superficial layers of the dorsal horn of the spinal cord (lamina I-II). This OT-specific stimulation of glutamatergic neurons allows the recruitment of all GABAergic interneurons in lamina II which produces a generalized elevation of local inhibition, a phenomenon which might explain the reduction of incoming Aδ and C primary afferent-mediated sensory messages. Conclusion: Our results obtained in lamina II of the spinal cord provide the first clear evidence of a specific local neuronal network that is activated by OT release to induce antinociception. This OT-specific pathway might represent a novel and interesting therapeutic target for the management of neuropathic and inflammatory pain.
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![Figure 6 Simplified diagram proposal summarizing the OT effects seen in lamina I-II at the light of our present study. Our results indicate that OT, which is physiologically released by hypothalamospinal fibers terminating in lamina I-II, activates a subpopulation of glutamatergic neurons (a) and, in particular, stimulates receptors present on presynaptic glutamatergic synaptic terminals (b). We also show that population of OT-sensitive glutamatergic neurons recruits the whole population of GABAergic neurons (c) resulting in an elevated GABAergic inhibitory tone in lamina II (represented as a green box). The dissection of the spinal action of OT can now unify previous observations which were in apparent contradiction. First, a network driven increase in GABAergic inhibition is likely to explain the specific inhibition of action potential triggered by the nociceptive activation of C and Aδ fibers [21,24]. In this case, a direct presynaptic inhibition of these fibers may be responsible for this effect (d). Alternatively, it remains possible that a specific C/Aδ network is inhibited through presynaptic fibre of neuronal inhibition (d). It remains that neurons, receiving convergent sensory inputs are not the direct target for OT effect since only C/Aδ fibre activity is reduced (e). Second, our findings and mechanism proposal fully answer to the questions left open after the work of Robinson et al [18], i.e. the presynaptic inhibition of glutamate release after stimulation of the dorsal roots and the postsynaptic effect on Lamina I-II neurons (OT sensitive neurons). Abbreviations: E: excitatory glutamatergic neurons; I: inhibitory GABAergic neurons.](/paper-figures/b5f3c78cf1734b17872468b04b91eab8/oxytocin-induced-antinociception-in-the-spinal-cord-is-mediated-by-a-figure-6.jpg)
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“One mechanism involves the engagement of GABA‐mediated inhibitory circuits at the superficial layers of spinal cord dorsal horn neurones, which express oxytocin receptors 7 and receive direct projections from hypothalamic oxytocin neurones 8, 9, reducing Aδ/C‐fibre afferent signalling and ascending nociceptive input 10, 11, 12, 13, 14.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [11]
In the citing paper
“animal studies have shown that oxytocin can specifically reduce Aδ/C‐fibre afferent signalling and ascending nociceptive input at the level of spinal cord dorsal horn neurones by engaging GABA‐mediated inhibitory cellular mechanisms 10, 11, 12, 13, 14, 29.”
From The Analgesic Effect of Oxytocin in Humans: A Double‐Blind, Placebo‐Controlled Cross‐Over Study Using Laser‐Evoked Potentials (2016) · cites this paper as [11]
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Oxytocin: The Great Facilitator of Life
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Self-citation
Metadata
- Authors
- Breton, J.-D., Veinante, P., Uhl-Bronner, S., Vergnano, A. M., Freund-Mercier, M. J., Schlichter, R., & Poisbeau, P.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Department Nociception and Pain, Institut des Neurosciences Cellulaires et Intégratives, Unité Mixte de Recherche 7168, Centre National de la Recherche Scientifique/Université Louis Pasteur, Strasbourg, France
- Corresponding author
- Breton, Jean-Didier
- Veinante, Pierre
- Vergnano, Angela Maria
- Schlichter, Rémy
- Poisbeau, Pierrick
- Venue
- Molecular Pain
- Publisher
- SAGE Publications
- Published
- 2008-01-01
- Volume
- 4
- Pages
- 19-19
- ISSN
- 1744-8069 (ISSN-L)
- PMC
- PMC2430948
- OpenAlex
- W2146655845
- Cited by
- 152
- References
- 35
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 11 · 2023: 8 · 2022: 9 · 2021: 12 · 2020: 8 · 2019: 13 · 2018: 13 · 2017: 11 · 2016: 6 · 2015: 9 · 2014: 9 · 2013: 12 · 2012: 6
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Molecular Pain (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fondation pour la Recherche Médicale
- Centre National de la Recherche Scientifique
- Institut Universitaire de France
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- oxytocin, antinociception, dorsal horn, lamina II, glutamatergic interneurons, GABAergic inhibition, paraventricular nucleus, descending pain modulation, neuropathic pain, inflammatory pain
- MeSH terms
- Analgesia, Animals, Electrophysiology, gamma-Aminobutyric Acid, Neurons, Oxytocin, Pain, Paraventricular Hypothalamic Nucleus, Spinal Cord, Rats, Wistar, Glutamic Acid, GABA Antagonists, Rats
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