Ploner, Markus, Bettina Pollok, and Alfons Schnitzler. Pain facilitates tactile processing in human somatosensory cortices. J Neurophysiol 92: 1825-1829, 2004. First published April 28, 2004 10.1152/jn.00260.2004. Touch and pain are intimately related modalities. Despite a substantial overlap in their cortical representations interactions between both modalities are largely unknown at the cortical level. We therefore used magnetoencephalography and selective nociceptive cutaneous laser stimulation to investigate the effects of brief painful stimuli on cortical processing of touch. Using a conditioning test stimulus paradigm, our results show that painful conditioning stimuli facilitate processing of tactile test stimuli applied 500 ms later. This facilitation applies to cortical responses later than 40 ms originating from primary (S1) and secondary (S2) somatosensory cortices but not to earlier S1 responses. By contrast, tactile conditioning stimuli yield a decrease of early as well as late responses to tactile test stimuli. Control experiments show that pain-induced facilitation of tactile processing is not restricted to the site of the painful conditioning stimulus, whereas auditory conditioning does not yield a comparable facilitation. Apart from a lack of spatial specificity, the facilitating effect of pain closely resembles attentional effects on cortical processing of tactile stimuli. Thus these findings may represent a physiological correlate of an alerting function of pain as a change in the internal state to prepare for processing signals of particular relevance.
I N T R O D U C T I O NTouch and pain are intimately related modalities. According to everyday experience, painful stimuli and appropriate behavioral responses are associated with tactile sensations. This close association of both modalities is paralleled by a substantial overlap between the cortical representation of touch and pain. In particular, the primary (S1) and secondary (S2) somatosensory cortices are involved in processing of both modalities as revealed by functional imaging and neurophysiological studies directly comparing cortical activations to both stimuli (Chen et al. 2002;Coghill et al. 1994;Gelnar et al. 1999;Ploner et al. 2000). Although interactions between both modalities have been characterized on the behavioral level (Apkarian et al. 1994;Bolanowski et al. 2000;Hansson and Lundeberg 1999;Hollins et al. 1996;Melzack and Wall 1965), the modulatory effects of pain on cortical processing of touch and vice versa are largely unknown. A few studies showed that pain inhibits tactile processing in S1 (Rossi et al. 1998;Tommerdahl et al. 1996;Tran et al. 2003), whereas another study did not show this inhibitory effect (Dowman 1999). However, in most of these studies, nonselective nociceptive and tonic painful stimuli were applied (Rossi et al. 1998;Tommerdahl et al. 1996;Tran et al. 2003), which has possibly resulted in confounding of intermodal interaction effects between touch and pain and intramodal tactile interaction effects. ...