Cortical changes to experimental sensitization of the human esophagus

Topographical organization in the neocortex shows experience-dependent plasticity. We hypothesized that experimental sensitization of the esophagus results in changes of the topographical distribution of the evoked potentials and the corresponding dipole source activities to painful stimulation. An...

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Veröffentlicht in:Neuroscience 2006-01, Vol.140 (1), p.269-279
Hauptverfasser: Sami, S.A.K., Rössel, P., Dimcevski, G., Nielsen, K. Dremstrup, Funch-Jensen, P., Valeriani, M., Arendt-Nielsen, L., Drewes, A.M.
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container_issue 1
container_start_page 269
container_title Neuroscience
container_volume 140
creator Sami, S.A.K.
Rössel, P.
Dimcevski, G.
Nielsen, K. Dremstrup
Funch-Jensen, P.
Valeriani, M.
Arendt-Nielsen, L.
Drewes, A.M.
description Topographical organization in the neocortex shows experience-dependent plasticity. We hypothesized that experimental sensitization of the esophagus results in changes of the topographical distribution of the evoked potentials and the corresponding dipole source activities to painful stimulation. An endoscopic method was used to deliver 35 electrical stimuli at the pain threshold to a fixed area of the mucosa in 10 healthy volunteer men and women. The stimulations were repeated after 30 min (reproducibility experiment), and after 60 min following perfusion of 200 ml 0.1 N hydrochloric acid (sensitization experiment). During stimulation the electroencephalogram was recorded from 64 surface electrodes. The sensitization resulted in a decrease in the pain threshold ( F=6.2; P=0.004). The topographic distribution of the evoked potentials showed reproducible negative (N1, N2) and positive (P1, P2) components. After acid perfusion a reduced latency and a change in localization was seen for the P1 subdivided into frontal and occipital components ( F=29.5, P
doi_str_mv 10.1016/j.neuroscience.2006.02.031
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The sensitization resulted in a decrease in the pain threshold ( F=6.2; P=0.004). The topographic distribution of the evoked potentials showed reproducible negative (N1, N2) and positive (P1, P2) components. After acid perfusion a reduced latency and a change in localization was seen for the P1 subdivided into frontal and occipital components ( F=29.5, P&lt;0.001; F=53.7, P&lt;0.001). Furthermore the sensitization resulted in a reduction of the latency for P2 ( F=6.2, P=0.009). The source analysis showed consistent dipolar activity in the bilateral opercular–insular cortex before and after acid perfusion. For the anterior cingulate dipole there was a reduction in latency ( P=0.03) and a posterior shift ( P=0.0002) following acid perfusion. 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The stimulations were repeated after 30 min (reproducibility experiment), and after 60 min following perfusion of 200 ml 0.1 N hydrochloric acid (sensitization experiment). During stimulation the electroencephalogram was recorded from 64 surface electrodes. The sensitization resulted in a decrease in the pain threshold ( F=6.2; P=0.004). The topographic distribution of the evoked potentials showed reproducible negative (N1, N2) and positive (P1, P2) components. After acid perfusion a reduced latency and a change in localization was seen for the P1 subdivided into frontal and occipital components ( F=29.5, P&lt;0.001; F=53.7, P&lt;0.001). Furthermore the sensitization resulted in a reduction of the latency for P2 ( F=6.2, P=0.009). The source analysis showed consistent dipolar activity in the bilateral opercular–insular cortex before and after acid perfusion. For the anterior cingulate dipole there was a reduction in latency ( P=0.03) and a posterior shift ( P=0.0002) following acid perfusion. The findings indicate that short-term sensitization of the esophagus results in central neuroplastic changes involving the cingulate gyrus, which also showed pathological activation in functional diseases of the gut, thus reflecting the importance of this region in visceral pain and hyperalgesia.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>16631315</pmid><doi>10.1016/j.neuroscience.2006.02.031</doi><tpages>11</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Biological and medical sciences
Brain Mapping
Cerebral Cortex - drug effects
Cerebral Cortex - physiology
Cerebral Cortex - radiation effects
Electric Stimulation - methods
Electroencephalography - methods
Endoscopes
esophagus
Esophagus - drug effects
Esophagus - innervation
Esophagus - radiation effects
Evoked Potentials, Somatosensory - physiology
experimental pain
Female
Fundamental and applied biological sciences. Psychology
Humans
Hydrochloric Acid - administration & dosage
Male
Middle Aged
Pain Measurement - methods
Pain Threshold - drug effects
Pain Threshold - radiation effects
plasticity
Reaction Time - drug effects
Reaction Time - physiology
Reaction Time - radiation effects
Reproducibility of Results
Sensitivity and Specificity
sensitization
Statistics, Nonparametric
Vertebrates: nervous system and sense organs
title Cortical changes to experimental sensitization of the human esophagus
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