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Neuronal Plasticity: Increasing the Gain in Pain

2000· review· en· 3,742 citations· W2133316133 on OpenAlex· 10.1126/science.288.5472.1765

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Abstract

We describe those sensations that are unpleasant, intense, or distressing as painful. Pain is not homogeneous, however, and comprises three categories: physiological, inflammatory, and neuropathic pain. Multiple mechanisms contribute, each of which is subject to or an expression of neural plasticity-the capacity of neurons to change their function, chemical profile, or structure. Here, we develop a conceptual framework for the contribution of plasticity in primary sensory and dorsal horn neurons to the pathogenesis of pain, identifying distinct forms of plasticity, which we term activation, modulation, and modification, that by increasing gain, elicit pain hypersensitivity.

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The record

Venue
Science
Topic
Pain Mechanisms and Treatments
Field
Medicine
Canadian institutions
Hospital for Sick Children
Funders
Keywords
NeuroplasticityNeurosciencePlasticityNeuropathic painHomogeneousSensory systemNociceptorChronic painPsychologyPathogenesisStructural plasticityNociceptionMedicineReceptorInternal medicinePhysics
Has abstract in OpenAlex
yes