Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn

Neuropathic pain is a debilitating condition caused by the abnormal processing of somatosensory input. Synaptic inhibition in the spinal dorsal horn plays a key role in that processing. Mechanical allodynia – the misperception of light touch as painful – occurs when inhibition is compromised. Disinh...

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Main Authors: Kwan Yeop Lee, Stéphanie Ratté, Steven A Prescott
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2019-11-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/49753
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author Kwan Yeop Lee
Stéphanie Ratté
Steven A Prescott
author_facet Kwan Yeop Lee
Stéphanie Ratté
Steven A Prescott
author_sort Kwan Yeop Lee
collection DOAJ
description Neuropathic pain is a debilitating condition caused by the abnormal processing of somatosensory input. Synaptic inhibition in the spinal dorsal horn plays a key role in that processing. Mechanical allodynia – the misperception of light touch as painful – occurs when inhibition is compromised. Disinhibition is due primarily to chloride dysregulation caused by hypofunction of the potassium-chloride co-transporter KCC2. Here we show, in rats, that excitatory neurons are disproportionately affected. This is not because chloride is differentially dysregulated in excitatory and inhibitory neurons, but, rather, because excitatory neurons rely more heavily on inhibition to counterbalance strong excitation. Receptive fields in both cell types have a center-surround organization but disinhibition unmasks more excitatory input to excitatory neurons. Differences in intrinsic excitability also affect how chloride dysregulation affects spiking. These results deepen understanding of how excitation and inhibition are normally balanced in the spinal dorsal horn, and how their imbalance disrupts somatosensory processing.
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spelling doaj.art-577289e40ca24aff8e5bd09d2db496572022-12-22T03:33:28ZengeLife Sciences Publications LtdeLife2050-084X2019-11-01810.7554/eLife.49753Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal hornKwan Yeop Lee0Stéphanie Ratté1Steven A Prescott2https://orcid.org/0000-0002-3827-4512Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, Canada; Department of Physiology, University of Toronto, Toronto, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, CanadaNeurosciences and Mental Health, The Hospital for Sick Children, Toronto, Canada; Department of Physiology, University of Toronto, Toronto, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, CanadaNeurosciences and Mental Health, The Hospital for Sick Children, Toronto, Canada; Department of Physiology, University of Toronto, Toronto, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, CanadaNeuropathic pain is a debilitating condition caused by the abnormal processing of somatosensory input. Synaptic inhibition in the spinal dorsal horn plays a key role in that processing. Mechanical allodynia – the misperception of light touch as painful – occurs when inhibition is compromised. Disinhibition is due primarily to chloride dysregulation caused by hypofunction of the potassium-chloride co-transporter KCC2. Here we show, in rats, that excitatory neurons are disproportionately affected. This is not because chloride is differentially dysregulated in excitatory and inhibitory neurons, but, rather, because excitatory neurons rely more heavily on inhibition to counterbalance strong excitation. Receptive fields in both cell types have a center-surround organization but disinhibition unmasks more excitatory input to excitatory neurons. Differences in intrinsic excitability also affect how chloride dysregulation affects spiking. These results deepen understanding of how excitation and inhibition are normally balanced in the spinal dorsal horn, and how their imbalance disrupts somatosensory processing.https://elifesciences.org/articles/49753allodynianeuropathic paindisinhibitionspinal cordKCC2spatial summation
spellingShingle Kwan Yeop Lee
Stéphanie Ratté
Steven A Prescott
Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
eLife
allodynia
neuropathic pain
disinhibition
spinal cord
KCC2
spatial summation
title Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
title_full Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
title_fullStr Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
title_full_unstemmed Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
title_short Excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
title_sort excitatory neurons are more disinhibited than inhibitory neurons by chloride dysregulation in the spinal dorsal horn
topic allodynia
neuropathic pain
disinhibition
spinal cord
KCC2
spatial summation
url https://elifesciences.org/articles/49753
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AT stephanieratte excitatoryneuronsaremoredisinhibitedthaninhibitoryneuronsbychloridedysregulationinthespinaldorsalhorn
AT stevenaprescott excitatoryneuronsaremoredisinhibitedthaninhibitoryneuronsbychloridedysregulationinthespinaldorsalhorn