The rostral anterior cingulate cortex (rACC) is involved in supraspinal nociceptive processing. ACC lesions relieve persistent pain, but do not affect the patient's ability to localize a noxious stimulus. Since the rACC has a high density of GABA receptors, it is possible that pain processing is influenced by these receptors in the rACC. The present experiments examined the involvement of rat rACC GABA A and GABA B receptors in regard to sensitivity to mechanical stimulation and escape/ avoidance behavior in response to a noxious stimulus following L5 spinal nerve ligation. Rats were or were not afflicted with a neuropathic pain condition by an L5 spinal nerve ligation. rACC microinjection of 10 μg/μl GABA, a GABA A agonist (0.001 μg/μl, 0.1 μg/μl, or 0.5 μg/μl muscimol), a GABA B agonist (0.1 μg/μl, 1 μg/μl, or 5 μg/μl baclofen), or saline, did not alter mechanical withdrawal thresholds. Importantly, following 10 μg/μl GABA, 0.1 μg/μl, or 0.5 μg/μl muscimol microinjected into the rACC, place escape/avoidance behavior to a noxious mechanical stimulus was attenuated in injured animals. The attenuation was specific to the rACC and was blocked by a preadministered microinjection of the appropriate antagonist(s) into the rACC. In conclusion, microinjection of GABA and higher doses of muscimol did not decrease mechanical hyperalgesia but did attenuate place escape/avoidance behavior that is associated with mechanical stimulation of the ligated paw. These results provide additional support for the role of the rACC in higher order supraspinal processing of noxious events and suggest that rACC GABA A receptors significantly contribute to this processing.
KeywordsGABA; Limbic System; Nociception; Escape; Avoidance; Cingulate Cortex Chronic pain conditions affect the lives of millions of individuals every day. Pain is considered to include sensory/discriminative, motivational/affective, and cognitive/evaluative dimensions (Melzack and Casey, 1968). Spinal and supraspinal mechanisms underlying the sensory dimension of pain have received much attention, while the underlying mechanisms of the Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
NIH Public Access Author ManuscriptExp Neurol. Author manuscript; available in PMC 2008 March 1.
Published in final edited form as:Exp Neurol. 2007 March ; 204(1): 182-194.
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript affective dimension of pain remain unclear. Many structures in the limbic system are involved in affective drives and escape behavior. As a result, these brain regions may be involved in behavior re...