Chronic deafferentation of skin and peripheral tissues is associated with plsticit of representational maps in cerebral cortex and with perturbations of sensory experience that indude severe "central" pain. This study shows that in normal monkeys the nonnocieptive, emniscal component of the somatosensory pathways at spinal, brainstem, and thahamic levels is dguihed by cells and fibers immunoreactive for the calcium-binding protein parvalbumin, whereas cells of the nociceptive component at these levels are distinguished by Immunoreactivity for 28-kDa calbindin.Long-term dorsal rhizotomies in monkeys lead to transneuronal degeneration of parvalbumin cells at brainstem and thalamic sites accompanied in the thalamus by a downregulation of y-aminobutyric acid type A receptors and an apparent increase in activity of calbindin cells preferentially innervated by central pain pathways. Release from inhibition and imbalance in patterns of somatosensory inputs from thalamus to cerebral cortex may constitute subcortical mechanisms for inducing changes in representational maps and perturbations of sensory perception, including central pain.Long-standing denervation of skin and other peripheral tissues is associated with modifications of cerebral cortical representational maps of the body surface in experimental animals (1,2) and in humans with abnormal sensations that can include severe pain (3, 4). Central mechanisms that underlie plasticity of cortical maps and phenomena of central or deafferentation pain are poorly understood but are commonly believed to derive from an imbalance in the inputs to higher centers from nociceptive and nonnociceptive components of the ascending somatosensory pathways (5). These pathways include the dorsal column-lemniscal and spinothalamic systems, which, to a large extent, reflect the division of the somatosensory system into nonnociceptive and nociceptive components, respectively. Mechanisms of representational plasticity and perturbed sensory perceptions, such as central pain, may involve unmasking of previously silent synaptic connections (6), up-or down-regulation of neurotransmitter systems (7), sprouting of axons, and formation of new synapses (8); these mechanisms may operate at cortical or subcortical levels or both (9). The present investigation shows the differential expression of two calcium-binding proteins in the somatosensory pathways and the effects wrought by massive loss of afferent input upon the thalamus, the key structure in relay of sensory information to cerebral cortex (10).
METHODSTwelve Macacafascicularis and three Macacafuscata monkeys were used in these investigations. Nine of the former and all three of the latter species were normal. Three M. fascicularis monkeys at 3-4 yr had been subjected in another laboratory to unilateral or bilateral section of all dorsal roots of the spinal cord from the second cervical to the fourth thoracic segments and permitted to survive for 12 or more years (11). These animals, housed at the Delta Regional Primate Center, were...