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Postsynaptic potentiation of corticospinal projecting neurons in the anterior cingulate cortex after nerve injury

Abstract

Long-term potentiation (LTP) is the key cellular mechanism for physiological learning and pathological chronic pain. In the anterior cingulate cortex (ACC), postsynaptic recruitment or modification of AMPA receptor (AMPAR) GluA1 contribute to the expression of LTP. Here we report that pyramidal cells in the deep layers of the ACC send direct descending projecting terminals to the dorsal horn of the spinal cord (lamina I-III). After peripheral nerve injury, these projection cells are activated, and postsynaptic excitatory responses of these descending projecting neurons were significantly enhanced. Newly recruited AMPARs contribute to the potentiated synaptic transmission of cingulate neurons. PKA-dependent phosphorylation of GluA1 is important, since enhanced synaptic transmission was abolished in GluA1 phosphorylation site serine-845 mutant mice. Our findings provide strong evidence that peripheral nerve injury induce long-term enhancement of cortical-spinal projecting cells in the ACC. Direct top-down projection system provides rapid and profound modulation of spinal sensory transmission, including painful information. Inhibiting cortical top-down descending facilitation may serve as a novel target for treating neuropathic pain.

Introduction

Chronic pain is a major health problem that causes economic loss world-wide. The lack of effective drugs to control chronic pain, especially neuropathic pain, is in part due to our poor understanding of the basic neurobiology of pain at the molecular and cellular levels [1–4]. For example, what changes occur in the brain in response to peripheral insults? Are these changes long-lasting? If so, do these changes affect subsequent sensory processes after injury? Long term plasticity in synaptic transmission is believed to be the key cellular mechanism for not only learning and memory, but also for storing sensory information in the brain [5–8]. In the case of chronic pain, peripheral injury triggers long term potentiation (LTP) in the spinal dorsal horn and cortical synapses, suggesting that LTP serves as the cellular model for chronic pain [3, 4, 9–12].

The anterior cingulate cortex (ACC) is believed to be important for mediating emotional and attentive responses to internal and external noxious stimuli [3, 4, 13–16]. Various electrophysiological experiments have demonstrated that ACC neurons respond to noxious stimuli in different species including mouse, rat, rabbit, monkey and human [17–20]. More recently, works based on animal models of chronic pain have begun to reveal the cellular and molecular mechanisms of pain-induced LTP in the ACC (see [4] for review). It has been found that excitatory synaptic transmission in the layer II/III neurons of ACC could be enhanced by peripheral inflammation, nerve injury or digit amputation [21–23]. Furthermore, theta-burst stimulation (TBS) induced late-phase LTP in the ACC was occluded in animals with nerve injury [21]. In accordance with synaptic studies, inhibiting or erasing LTP in the ACC can reduce behavioral hyperalgesia [21, 24, 25], suggesting that they share similar neuronal mechanisms [4].

It is well known that spinal nociceptive transmission receives descending inhibitory and facilitatory modulation from supraspinal structures such as the midbrain periaqueductal grey (PAG) and rostral medical medulla (RVM) [26–31]. Although a previous study reported that stimulation of the ACC facilitated spinal tail-flick reflex by acting through brainstem descending modulation system [32], few works on the possible direct top-down corticospinal modulation in pain have been reported. Previous anatomic studies report that some prefrontal cortical areas, including part of the dorsal ACC, send descending projections to the spinal cord in rats and monkeys [33, 34]. This link provides possible pathway for ACC neurons to directly regulate the spinal cord neurons. In the present study, we employ integrative experimental approaches to show that long-term plastic changes taking place in these spinal cord projecting neurons in the deep layers of the ACC after nerve injury. The potentiated corticospinal projection will play direct and potent effects in pain regulation.

Results

Corticospinal projections from the ACC in adult mice

Since the dorsal horn of spinal cord (SC) is important for the transmission of nociceptive information, we firstly tested whether there were direct projections from the ACC to the spinal dorsal horn in adult mice. To investigate this, we injected the retrograde tracer Fluoro-Gold (FG) into the dorsal horn of mouse SC (n = 6 mice) (Figure 1A). Seven days after injection, FG-retrogradely labeled cortical neurons were observed in the bilateral sides of the ACC from 0.3-1.1 mm anterior to the bregma, with the contralateral predominance (71.3 ± 3.3% of FG labeled cells) (Figure 1B). Most of the FG retrograde labeled neurons were located in layer V, with scattered FG labeled neurons found in layer VI. Few or no labeled cells were found in the superficial layers (layers I-III) (Figure 1E-F). Furthermore, more FG-labeled neurons were found in the dorsal ACC (Table 1).

Figure 1
figure 1

Fos/FG double labeling after Fluoro-Gold injection into the spinal cord. A, Schematic figures and digitized photomicrograph showing Fluoro-Gold (FG) injection site in the spinal cord and retrograde transportation of FG label neurons in the ACC. B, Distribution of FG labeled neurons in both sides of ACC after FG injection into the spinal cord. C, D, Augmented figures showing FG (green) and Fos (red) double-labeling results in rectangle area 1 (C) and 2 (D) in B. Arrowheads on the merged figures indicate FG/Fos double-labeled neurons. E, After FG injection into one side of the dorsal part of spinal cord, the FG retrogradely labeled cells in the ACC was immunostained with anti-FG antibody and shown with ABC method. With Nissl counterstaining, most of the FG labeled cells are shown to be located within the layer V of the ACC. F, Augmented figures from upper (left) and lower (right) rectangled areas in E showed FG labeled neurons located in the layer V of the ACC. Bars equal to 200 μm in A, B and E and 20 μm in C, D and F.

Table 1 Numbers of Fos-immunoreactive (ir), FG-labeled and Fos/FG dual-labeled neurons (dorsal/ventral) in the contralateral anterior cingulate cortex after FG injection into the spinal cord

Injection of FG may label passing nerve fibers near the injection area. We thus explored anterograde labeling methods to further confirm the direct projections from the ACC to the spinal dorsal horn. We firstly injected phaseolus vulgaris leucoagglutinin (Pha-L), a widely used anterograde neuronal tracer [35, 36], into the ACC. Two weeks later, the Pha-L anterograde labeled fibers and terminals were detected in the dorsal layers of the spinal cord, in which most of the varicose and punctate fibers and terminals were distributed in laminae I and II and scattered fibers and terminals were observed in lamina III. No obvious fibers and terminals could be observed in deeper layers (Figure 2). Traditional anterograde tracers, including the Pha-L may have diffusion capacity in injected sites [37], we next used a modified anterograde tracing strategy based on lentivirus-assistant rabies virus system to only stain a small region of the deep ACC and check their projections to the spinal cord. The vesicular stomatitis virus glycoprotein (VSV-G) pseudotyped Lenti-TVA-mKate infected the neurons anterogradely, which located in the ACC and expressed the avian receptor protein (TVA) and mKate restrictlly in the infected neurons (Figure 3) [38]. The rabies virus EnvA-RV-mcherry was a glycoprotein deleted virus and was pseudotyped with the avian sarcoma leucosis virus glycoprotein (EnvA) [39, 40]. The EnvA-RV-mcherry could only infect the neurons that express TVA and labeled these Lenti-TVA-mKate infected ACC neurons locally (Figure 3A). We found that one week after the rabies infection in limited group of neurons in the deep layers of ACC (Figure 3B), virus infected varicose fibers and terminals (immunostained with FITC) were detected in the superficial layers (laminae I-III) of the spinal cord. Although the number of virus infected fibers and terminals was significantly less than that of Pha-L labeled ones, their distribution patterns were similar (Figures 2 and 3).

Figure 2
figure 2

Distribution of Pha-L anterograde labeled fibers and terminals in the spinal dorsal horn projected from the ACC. A-B, One sample figure from a sagittal slice (A) showing that Pha-L labeled fibers and terminals were distributed in the laminae I-III of the spinal cord (c4) after Pha-L injection into one side of the ACC (B). The rectangled areas (1–5) in A were augmented in C-G respectively. Bars equal to 100 μm in A, 200 μm in B, 10 μm in C-G.

Figure 3
figure 3

Distribution of rabies virus anterograde labeled fibers and terminals in the spinal dorsal horn projected from the ACC. A, The schematic figure showing the design of lentivirus-assistant rabies virus used for anterograde tracing. B-D, After the virus injection into one side of the ACC (B), virus infected fibers and terminals were distributed in the laminae I-III of the spinal cord (c4) (C-D). Rectangled areas of 1–5 in C and D were augmented in E-I respectively. Bars equal to 200 μm in B, 50 μm in C and D, 10 μm in E-I.

Peripheral nerve injury increased Fos expression in spinal cord but not ventral striatum projecting neurons in the layer V of the ACC

Confirmation of the projections from the ACC to the SC leads us to wonder if they are related to pain regulation. We then tested the expression of Fos protein, a widely used activity marker [41], in mice exposed to common peroneal nerve (CPN) ligation surgery – a model of neuropathic pain [21]. As expected, significantly more expression of Fos protein was observed in layer V neurons of the ACC in mice with nerve injury as compared with mice receiving sham surgery (Table 1). Among ACC- SC projecting neurons, many of them expressed Fos after nerve injury (mean 71.3 ± 7.3%) (n = 3 mice) (Figure 1C-D) (Table 1). In comparison, we tested the Fos expression in the ACC-ventral striatum (VS) projecting neurons (Figure 4A), which are more likely to be involved in reward function [42]. After FG injection into the VS, FG labeled neurons were observed in the bilateral ACC (Figure 4B). Unlike the corticospinal projecting cells, most of the ACC-VS projecting neurons were found in the ipsilateral ACC (Table 2). FG labeled neurons were distributed mainly in layer V of the dorsal part of the ACC, with scattered neurons in the layers III and VI, but no detectable FG labeled cells in layers I and II. Moreover, Fos staining revealed only small percentage of ACC-VS projection cells were activated after nerve injury (Table 2; Figure 4C-D).

Figure 4
figure 4

Fos/FG double labeling after Fluoro-Gold injection into the ventral striatum. A, Schematic figures and digitized photomicrograph showing FG injection site in the ventral striatum and retrograde transportation of FG to label neurons in the ACC. B, Distribution of FG labeled neurons in both sides of ACC with FG injection into the ventral striatum. C-D, Augmented figures showing FG (green) and Fos (red) double-labeling results in rectangle area 1 (C) and 2 (D) in B. Arrowheads on the merged figures indicate FG/Fos double-labeled neurons. Bars equal to 1000 μm in A, 200 μm in B, and 20 μm in C and D.

Table 2 Numbers of Fos-immunoreactive (ir), FG-labeled and Fos/FG dual-labeled neurons (dorsal/ventral) in the ipsilateral anterior cingulate cortex after FG injection into the ventral striatum

Potentiated AMPA receptor (AMPAR)-mediated postsynaptic responses

Previous studies in the ACC found that excitatory transmission in layer II-III pyramidal cells are potentiation after peripheral nerve injury or inflammation (see [3, 4] for reviews). Little information is available about excitatory synaptic transmission in deep cingulate neurons. Therefore, we decided to record the AMPAR mediated excitatory postsynaptic currents (EPSCs) on layer V pyramidal cells in the ACC to explore whether their synaptic responses are also enhanced after nerve injury (Figure 5A). We found that the input (stimulation intensity)–output (EPSC amplitude) curve (I-O curve) of AMPAR responses had steeper slope after peripheral nerve injury, compared with that of neurons from the sham surgery group (n = 12 neurons/9 mice in each group, two way ANOVA followed with Tukey’s post hoc test, F (1, 110)  = 42.147, p < 0.001) (Figure 5B), indicating that excitatory responses are potentiated after nerve injury. The AMPAR mediated EPSCs at the different holding potentials (-60 to +50 mV) were also recorded, and we found an obvious inward rectification of the mean I-V curve in mice with nerve injury (sham surgery: n = 7 neurons/6 mice, nerve injury: n = 9 neurons/7 mice; p < 0.05) (Figure 5C).

Figure 5
figure 5

Nerve injury increased the AMPAR mediated postsynaptic responses in the ACC. A, Schematic figures showing the recording on layer V by stimulating shallow layers (II/III), plus one biocytin labeled layer V pyramidal cell. B, The input–output curve of ACC layer V neurons became steeper in mice with nerve injury, compared with mice with sham injury. Two-way ANOVA followed by Tukey’s post hoc test; C, An inward rectification of AMPA I-V curve of layer V neurons after nerve injury. D-E, The frequency of the mEPSC (D) and the paired-pulse ratio (E) is not changed after nerve injury.

To determine if presynaptic transmitter release is altered in response to nerve injury, we measured the frequency of the miniature EPSCs (mEPSC) and the ratio of paired-pulse facilitation (PPF), two simple measurements for presynaptic transmitter release possibility. After nerve injury, no change in the frequency of the mEPSCs (n = 18 neurons/9 mice in each group, p > 0.05) and PPF ratios (n = 18 neurons/9 mice in each group, two way ANOVA, F (1, 170)  = 0.161, p > 0.05) were detected (Figure 5D-E). These results suggest that presynaptic release of glutamate is unlikely enhanced on layer V pyramidal cells by nerve injury.

Fos staining works suggest that SC but not VS projecting neurons in the ACC are more likely to be activated after nerve injury. It is important to determine if AMPAR mediated EPSCs are selectively enhanced in ACC-SC projecting neurons. After retrograde labeling ACC projecting cells by DiI (0.25%) or Alexa-488 conjugated Dextran (10%) (Figure 6A), we performed electrophysiological recordings from retrogradely labeled cells that were randomly selected from both sides of the ACC. We found that the I-O curve of AMPAR mediated EPSCs of spinal cord projecting neurons has steeper slope in mice with nerve injury, as compared with SC projecting neurons of mice with sham surgery (sham surgery: n = 6 neurons/5 mice. nerve injury: n = 12 neurons/9 mice; Two-way ANOVA followed with Tukey’s post hoc test, F (1, 80) = 22.461, p < 0.001). Interestingly, nerve injury did not affect the I-O curve in ACC-VS projecting neurons (sham surgery: n = 6 neurons/5 mice. nerve injury: n = 8 neurons/6 mice; Two way ANOVA, F (1, 60) =1.531, p > 0.05) (Figure 6B).

Figure 6
figure 6

GluA1/3 mediated the potentiated input–output responses in ACC-spinal cord projecting neurons. A, Digitized photomicrograph showing one DiI retrogradely labeled neuron after injection into the spinal cord (SC) was whole-cell patched and dual labeled by intracellular injection of Alex-488 (1), and one Alex-488 Dextran retrogradely labeled neuron after injection into the ventral striatum (VS) was patched and dual labeled with Alex-594(2). B, Samples and summarized results showing the I-O curve in ACC-SC projecting neurons in mice with nerve injury has steeper slope, as compared with ACC-SC projecting neurons in mice with sham surgery. Meanwhile, the I-O curve in ACC-VS projecting neurons was not different in mice with or without nerve injury. C, Bath application of NASPM only inhibited the I-O responses of neurons from nerve injury but not sham surgery group. D, Bath application of NASPM only inhibited the I-O responses of ACC-SC projecting neurons from nerve injury but not sham surgery group. E, Bath application of NASPM inhibited the I-O responses of ACC-VS projecting neurons from neither nerve injury nor sham surgery group. F. Nerve injury enhanced the I-O responses of ACC-SC projecting neurons in s831A mice but not in s845A mice. Bar equals to 20 μM in A. *,p < 0.05; ***,p < 0.001.

Calcium-permeable AMPAR (CP-AMPAR) contributes to the potentiation

AMPAR is heterotetramer of four homologous subunits (GluA1 to GluA4) that combine in different stoichiometries to form different subunits [43]. In normal conditions, most of the AMPAR contain the GluA2 subunit. During synaptic plastic changes, GluA2 can be replaced by GluA1/3 subunit [44, 45], which is Ca2+ permeable AMPAR (CP-AMPAR) and inwardly rectifying [46]. According to the observed inward rectification of the mean I-V curve in mice with nerve injury (Figure 5C), we expect that the potentiated AMPAR mediated responses in the ACC layer V may be sensitive to the inhibition of CP-AMPAR antagonist NASPM. We next recorded AMPAR mediated responses from ACC neurons in mice with nerve injury and found that NASPM inhibited the I-O responses (F (1, 80) = 29.163, p < 0.001, n = 9 neurons/6 mice, two way ANOVA followed with Tukey’s post hoc test). Meanwhile, NASPM didn’t inhibit the I-O responses in mice with sham surgery (F (1, 80) =0.849, p > 0.05, n = 9 neurons/6 mice, two way ANOVA) (Figure 6C). Furthermore, the AMPAR mediated eEPSCs were significantly inhibited by bath application of NASPM (50 μM) (75.3 ± 6.0% of baseline; n = 8 neurons/7 mice, paired t-test, p < 0.05). The same application of NASPM did not affect AMPAR mediated responses in ACC neurons recorded from mice with sham surgery (95.0 ± 5.2% of baseline; n = 7 neurons/6 mice, p > 0.05) (Figure 7A).

Figure 7
figure 7

GluA1/3 mediated the potentiation of the AMPAR mediated basal synaptic transmission in ACC-spinal cord projecting neurons. A, Samples and the averaged results showing that NASPM inhibited the AMPAR EPSCs in mice with nerve injury but not in mice with sham surgery. B, Samples and averaged results showing that NASPM only inhibited the AMPAR EPSCs in ACC-SC projecting neurons in mice with nerve injury but not in mice with sham surgery. C, NASPM did not inhibit the AMPAR EPSCs in ACC-VS projecting neurons in mice either with or without nerve injury. D, Plotted figure shows the summarized effect of NASPM on unlabeled or retrograded labeled projecting neurons. E-G, NASPM can only inhibit the AMPAR EPSCs of ACC-SC projecting neurons in s831A mice with nerve injury, but not in s845A mice with nerve injury, as well as s831A and s845A mice with sham surgery. *,p < 0.05; **,p < 0.01; ***,p < 0.001.

ACC-SC but not ACC-VS projecting neurons showed increased Fos expression, as well as potentiated AMPAR mediated responses. We therefore further investigated the effect of NASPM on these projecting neurons. After bath application of NASPM, the enhanced I-O responses on ACC-SC projecting neurons in mice with nerve injury (F (1, 70) =24.576, p < 0.001, n = 8 neurons/5 mice, two way ANOVA followed with Tukey’s post hoc test) were inhibited. This inhibition was not observed on ACC-SC projecting neurons in mice with sham surgery (two way ANOVA, F (1, 60) =0.052, p > 0.05, n = 7 neurons/5 mice) or on ACC-VS neurons in mice with either sham surgery (F (1, 60) =0.402, p > 0.05, n = 7 neurons/6 mice, two way ANOVA) or nerve injury (F (1, 60) =1.320, p > 0.05, n = 7 neurons/5 mice, two way ANOVA) (Figure 6D, E). In consistent with this finding, AMPAR mediated eEPSCs were greatly inhibited in ACC-SC projecting neurons in mice with nerve injury (65.7 ± 7.7% of baseline; n = 8 neurons/7 mice, paired t-test, p < 0.01) but not in mice with sham treatment (101.9 ± 7.8% of baseline; n = 6 neurons/5 mice, paired t-test, p > 0.05) (Figure 7B, D). Furthermore, AMPAR mediated eEPSCs from ACC-VS projecting neurons were not affected by bath application of NASPM (sham surgery: 103.6 ± 11.4% of baseline, n = 6 neurons/5 mice; nerve injury, 98.4 ± 1.9% of baseline, n = 7 neurons/5 mice. paired t-test, p > 0.05) (Figure 7C-D).

GluA1 PKA phosphorylation site is important for nerve injury induced synaptic potentiation

Phosphorylation of GluA1 is important for GluA1 trafficking and synaptic plasticity [47, 48]. Previous studies showed that nerve injury increased GluA1 PKA phosphorylation at the serine 845 site in the ACC, by using western blot method [22]. However, it is unknown if PKA phosphorylation of GluA1 is required for nerve injury induced synaptic potentiation of ACC neurons. Taking advantage of genetically induced GluA1 phosphorylation site knock in mice [45], we performed electrophysiological recordings from ACC-SC projecting neurons to test if these mutations affected injury induced synaptic potentiation. We found that enhanced AMPAR I-O responses after the injury was completely abolished in PKA phosphorylation s845A mutant mice (sham surgery: n = 7 neurons/6 mice; nerve injury: n = 7 neurons/5 mice, Two way ANOVA, F (1, 60)  = 0.028, p > 0.05), but not in PKC phosphorylation s831A mice (sham surgery: n = 7 neurons/6 mice; nerve injury: n = 8 neurons/7 mice, Two way ANOVA followed with Tukey’s post hoc test, F (1, 65) =22.339, p < 0.001) (Figure 6F). Baseline AMPAR responses were not different in these two lines of mice. We further examined the effect of NASPM on the ACC-SC projecting neurons in s845A and s831A mice. We found that bath application of NASPM significantly inhibited AMPAR eEPSCs in PKC phosphorylation s831A mice (65.8 ± 2.0% of baseline; n = 7 neurons/6 mice, paired t-test, p < 0.001) but not in PKA phosphorylation s845A mice (97.6 ± 3.6% of baseline; n = 6 neurons/6 mice, paired t-test, p > 0.05) with nerve injury (Figure 7E-G). These results strongly suggest that CP-AMPAR accumulation in the synaptic region is prevented by the GluA1 mutation on the PKA phosphorylation site, but not on the PKC phosphorylation site.

Excitatory unitary transmission from ACC layer III to layer V

It has been proposed that ACC superficial layer (II/III) cells send their projections to deeper layer V/VI cells [49, 50]. To determine if inter-layer excitatory synapses may undergo potentiation after injury, we performed dual patch recordings in ACC neurons of mice aged 6–7 weeks. In a total of 14 mice (88 dual recording experiments), three pairs of neurons between presynaptic layer III and postsynaptic layer V connections were obtained from sham surgery and nerve injury groups, respectively. Action potentials (APs) were induced in presynaptic (layer III) neurons by a brief (1 ms) depolarizing voltage pulse (from -60 mV to +20 mV) at 0.05 Hz and postsynaptic unitary AMPAR EPSCs were thus recorded [51]. We found that presynaptic AP-evoked postsynaptic EPSCs were inhibited by bath applications of NASPM (50 μM) in ACCs from mice with nerve injury (58.3 ± 10.8% of baseline, paired t-test, p < 0.05) but not from mice with sham surgery (93.4 ± 5.6% of baseline, paired t-test, p > 0.05) (Figure 8). These findings suggest that injury induced plastic changes take place in local excitatory synapses, especially those linking layer III to layer V ACC neurons.

Figure 8
figure 8

Nerve injury enhanced the layer III-layer V unitary AMPAR responses. A-B, Sample traces showing that NASPM inhibit the layer III-layer V unitary AMPAR responses in mice with nerve injury but not in mice with sham surgery. C-D, Summarized data showing the effect of NASPM on the layer III-layer V unitary AMPAR responses in mice with nerve injury or sham surgery. AMPA/KA receptor antagonist CNQX blocked the AMPA current. E, Fluorescent figure showing one pair of neurons labeled with biocytin (stained with FITC, green, layer V) or Lucifer yellow (red, layer III). *,p < 0.05.

Electrophysiological recordings from injury activated Fos-positive ACC layer V neurons

To test whether AMPAR mediated currents are enhanced in injury triggered Fos-positive layer V neurons, we used transgenic mice in which the expression of GFP is controlled by the promoter of the c-fos gene [52, 53]. After peripheral injury, the c-fos gene was activated and neurons can therefore be detected with GFP expression in transgenic mice [21]. Seven days after nerve injury, strong FosGFP-positive neurons were found in layer V of the ACC in Fos-GFP mice (Figure 9A). We then performed whole-cell patch recording from FosGFP-positive (Fos+) neurons. Recordings from FosGFP-negative (Fos-) neurons were also performed in the same slices for the comparison. We found that the I-O curves of AMPAR EPSCs significantly shifted to the left in Fos + neurons of mice with nerve injury, compared with those from Fos- neurons in mice with nerve injury or Fos- neurons in sham-operated mice (sham surgery: n = 9 Fos- neurons/6 mice, nerve injury: n = 9 Fos- neurons/6 mice and 10 Fos + neurons/7 mice, Two way ANOVA, F (2, 139)  = 25.293, p < 0.001) (Figure 9B). We then applied NASPM to Fos+ or Fos- neurons in mice with nerve injury or Fos- neurons in mice with sham surgery. In mice with nerve injury, the AMPAR mediated eEPSCs of Fos + neurons were inhibited significantly (n = 7 neurons/7 mice, 55.1 ± 7.6% of baseline; paired t-test, p < 0.05) but not in Fos- neurons (n = 6 neurons/6 mice, 97.0 ± 11.8% of baseline; p > 0.05). Moreover, AMPAR mediated responses on Fos- neurons from sham surgery mice were not affected either (n = 5 neurons/5 mice, 96.3 ± 8.3% of baseline; p > 0.05) (Figure 9C-D).

Figure 9
figure 9

GluA1/3 mediated the potentiated AMPAR current on the Fos-positive layer V neurons in mice with nerve injury. A, Digitized photomicrograph showing one Fos-GFP-positive (Fos+) (1) or one Fos-GFP-negative (Fos-) (2) neuron was whole-cell patched and dual-labeled by intracellular injection of Alex-594. B, Samples and summarized results showing the AMPAR I-O curve recorded on Fos- neurons in mice with sham surgery (Sham-Fos-) and on Fos- (Nerve injury-Fos-) and Fos + (Nerve injury-Fos+) neurons in mice with nerve injury, respectively. C, Samples and averaged results showing that NASPM only inhibited the AMPAR EPSCs on Fos + neurons in mice with nerve injury but not on Fos- neurons in mice either with nerve injury or sham surgery. D, Plotted figure showing the summarized effect of NASPM on Sham-Fos-, Nerve injury-Fos- and Nerve injury-Fos + neurons. Bar equals to 20 μm in A. *, p < 0.05; ***, p < 0.001.

Discussion

In the present study, we have demonstrated that postsynaptic recruitment of GluA1 mediated the nerve injury induced LTP, especially on the corticospinal projecting neurons of the ACC in adult mice. To our knowledge, this is the first study showing that nerve injury induces LTP in pain activated cortical–spinal cord projecting neurons in the deep layers of the ACC. Potentiation is mediated by postsynaptic AMPARs, and cAMP-PKA dependent pathway plays a critical role in this LTP. These findings provide strong evidence for the first time that potentiated responses in deep cingulate neurons may subsequently enhance or facilitate spinal pain transmission by direct cortical-spinal projecting control. This new mechanism allows synaptic potentiation at single synapse level (i.e., postsynaptic sites of deep cingulate pyramidal cells) to influence sensory pain transmission at distal location, at dorsal horn of the spinal cord. Synaptic potentiation and top-down facilitation thus may play important roles in behavioral hypersensitive responses to sensory stimuli in chronic pain conditions. Our data provide novel evidence for the corticospinal pathway as a target for reducing chronic pain.

Direct corticospinal projections from the ACC

Previous studies from rats and monkeys show that some of ACC neurons send their projecting fibers to the spinal cord [33, 34]. In the present study, by using different anatomic methods, we have clearly demonstrated that deep ACC neurons send direct descending projecting fibers to the spinal cord, especially the dorsal horn for the spinal cord in adult mice. This top-down corticospinal projection system is likely important for functional pain modulation, since our previous study using in vivo preparation show that spinal nociceptive tail-flick reflex is facilitated by activation of the ACC [32]. Although our previous studies found that descending modulation of the tail-flick reflex depends on brainstem relay, we cannot rule out that top-down descending facilitation modulation may not require brainstem relay in certain conditions. Direct descending projecting pathways could provide fast modulation of spinal synaptic transmission in an efficient manner. Our preliminary electrophysiological studies using in vivo whole-cell patch-clamp recording technique found that ACC stimulation indeed facilitated excitatory glutamatergic transmission in the spinal cord dorsal horn of adult rats (unpublished data).

Potentiation of excitatory transmission after nerve injury

Recent studies have consistently shown that excitatory transmission in the layer II/III of the ACC is potentiated after peripheral nerve injury (see [4]). Both presynaptic and postsynaptic mechanisms contribute to the potentiation [22]. The present results show that excitatory synaptic transmission in the layer V/VI of the ACC is also potentiated. However, unlike layer II/III, potentiation of excitatory transmission in layer V/VI is mainly mediated by postsynaptic mechanisms. However, we cannot rule out the possibility that some presynaptic mechanism may also contribute to this potentiation. Similar to layer II/III, calcium-CaM dependent PKA signaling pathway is critical for potentiation in layer V/VI neurons. By using dual paired recordings, we found that inter-cortical connections between layer II/III cells and layer V cells are also potentiated.

ACC LTP and postsynaptic GluA1

GluA1 trafficking into the synaptic region is an important mechanism for postsynaptic form of LTP [43, 47, 54, 55]. Our previous studies using pharmacological and genetic approaches consistently demonstrate that GluA1 is critical for ACC LTP [3, 56, 57]. In the present study, by applying GluA1/3 antagonist NASPM, we confirm that enhanced postsynaptic GluA1/3 may contribute to the LTP in ACC-SC projecting neurons after nerve injury. In a previous study, we observed through western blot analysis that nerve injury increases phosphorylated-GluA1 expression in layer II/III neuronal membrane in the ACC [22]. However, it is unknown if this PKA phosphorylation is actually required for chronic pain induced LTP. Through the use of mice with PKC or PKA phosphorylation site mutations, we showed that PKA phosphorylated site ser-845 but not PKC phosphorylated site ser-831 on GluA1 is necessary for the potentiated AMPAR mediated responses in ACC-SC projecting neurons. This finding is consistent with previous work in the ACC that show the requirement of AC1-cAMP signaling pathway for the induction of ACC LTP. ACC LTP is blocked in gene knockout mice lacking AC1 [58], and AC1 inhibitor NB001 prevented the induction of LTP [24].

Top-down descending facilitation

Spinal nociceptive transmission is under biphasic modulation from supraspinal structures, especially descending facilitatory modulation [31, 59]. Most of previous studies have mainly focused on descending projections from brainstem neurons [2, 27, 60, 61], and few studies have reported synaptic plastic changes in these cortical-spinal top-down projection cells. Using behavioral nociceptive reflexes, we have previously shown that ACC stimulation induces the facilitation of the spinal nociceptive tail-flick reflex [32]. Pharmacological studies revealed that some of this descending facilitation may rely on brainstem RVM cells, and the spinal transmitter serotonin is likely a key mediator for such facilitation [62, 63]. In the present study, we reveal a direct cortical-spinal projecting pathway. Our preliminary studies show that ACC-spinal cord descending facilitation does not require the brainstem relay (Chen et al., unpublished data). Our in vivo electrophysiological studies show that ACC stimulation can facilitate spinal cord neurons in control condition, while this facilitation is blocked in chronic pain condition, suggesting that ACC-SC descending facilitation is tonically activated in neuropathic pain condition (Chen et al., unpublished data). Considering glutamate is the major transmitter for most of pyramidal cells in the ACC, it raises the possibility that glutamate may also act as a transmitter for facilitating pain transmission in the spinal cord. Different types of glutamate receptors in the spinal cord, such as NMDA receptor, kainate receptors, metabotropic glutamate receptors as well as the possible recruitment of postsynaptic AMPARs may acts as possible candidates mechanisms for the amplified excitation in spinal cord [64–66]. Future studies are clearly needed to reveal molecular mechanism for this novel modulation.

Functional implications

The present study provides strong evidence for positive feedback mechanism at both synaptic and circuit levels in chronic pain conditions (see Figure 10). At the synaptic level, this is the first study to show that AMPARs undergo up-regulation in corticospinal projecting cells from the ACC. Accordingly, we presented pharmacological and genetic studies confirming the necessity of GluA1 receptors in ACC potentiation. At circuit level, our results suggest that potentiated ACC synapses may enhance neuronal spike responses to incoming sensory inputs from the thalamus. Consequently, the firing of corticospinal ACC neurons may trigger spinal facilitation of sensory transmission, including painful information. In case of nerve injury, this ACC-SC loop is activated and contributes to the maintenance of behavioral hyperalgesia and allodynia. These findings provide insights for designing new treatment methods and protocols, as well as exploring possible novel targets for analgesic drugs. One may reduce chronic pain by inhibiting injury triggered potentiation in the cortex, and/or inhibiting descending facilitation by corticospinal projections from the ACC. Future studies are clearly needed to identify the transmitters and mechanisms for such descending facilitation in different chronic pain conditions.

Figure 10
figure 10

A model for the role of cingulate-spinal projection pathways in pain regulation and their synaptic plasticity after nerve injury. A, A diagram shows the spinal-cortex-spinal circuit containing the spinal cord dorsal horn and ACC in the transmission and modulation of sensory information in chronic pain conditions. Through the thalamus (Thal), nociceptive information reaches the neurons in the ACC from the spinal cord dorsal horn. These information affect neural activities of deeper cingulate neurons by direct thalamic projecting or intercortical inputs from layer II and III cells. Many of deep cingulate neurons then send their direct projections to the spinal cord, and possibly affect spinal pain transmission. B, Detailed cortical circuits within the ACC. Pyramidal cells in layer II/III form direct synaptic connections with neurons in layer V/VI within the ACC. Enhanced synaptic transmission from Layer II/III to V is likely to activate or enhance descending facilitatory modulation from the ACC to the spinal cord. C, A synaptic model shows postsynaptic potentiation of excitatory transmission in layer V cells after peripheral nerve injury. PKA-dependent AMPARs GluR1/3 subtypes insertion is likely a key cellular mechanism for this postsynaptic potentiation.

Methods

Animals

Adult male C57BL/6, GluA1 serine-831 and serine-845 phosphorylation site mutant (s831A and s845A) mice were used. Animals were randomly housed under a 12-h light–dark cycle (9 a.m. to 9 p.m. light), with food and water freely available, at least one week before carrying out experiments. All procedures involving animals were under the guidelines of the Fourth Military Medical University, Xi’an Jiaotong University, Wuhan Institute of Physics and Mathematics, the Chinese Academy of Sciences, University of Toronto, National Institute for Physiological Sciences and Johns Hopkins University.

Nerve injury model

A model of neuropathic pain was induced by the ligation of the common peroneal nerve (CPN) as described previously [21, 22]. Briefly, mice were anesthetized by an intraperitoneal injection of a mixture saline of ketamine (0.16 mg/kg) and xylazine (0.01 mg/kg). The CPN was visible between the anterior and posterior groups of muscles, running almost transversely. The left CPN was slowly ligated with chromic gut suture 5–0 until contraction of the dorsiflexor of the foot was visible as twitching of the digits. The skin was then sutured and cleaned. Sham surgery was conducted in the same manner, but the nerve was not ligated. The mice were used for behavior and/or electrophysiological studies on postsurgical days 7.

Retrograde labeling

The procedure for retrograde tracer injection into the spinal cord (in the same time with CPN ligation or sham surgery) or ventral striatum (4 days after CPN ligation or sham surgery) was according to our previous works [67, 68]. The anesthetic mice were fixed on a stereotaxic frame. For the spinal cord injection, the skin between scapulas was incised and paravertebral muscles were cut off and vertebral plate of the fourth cervical vertebra was exposed. The vertebral plate was removed and the intumescentia cervialis was exposed. Then 4% FG (For FG immunostaining), 0.25% DiI or 10% Alexa-488 Dextran (for whole cell patch recording) distilled in saline solution was unilaterally pressure-injected (0.1 μl) into the C4-5 spinal cord with a Hamilton microsyringe attached with a glass micropipette (tip outer diameters ranged from 10–20 μm). Those mice were allowed to survive for one week before continuous immunostaining or whole cell patch experimental procedures. For ventral striatum (VS) injection, the skull was exposed, and a hole was drilled through the skull over the VS (0.38 mm anterior to bregma, 2.0 mm lateral to the midline and 4.5 mm ventral to the surface of the skull for the VS). 4% FG, 0.25% DiI or 10% Alexa-488 Dextran was unilaterally and iontophoretically injected (3-5 μA pulsed, 7 sec on/off) for 25 min. Those mice were allowed for three days survive before immunostaining or whole cell patch experimental procedures.

Anterograde labeling for Pha-L

The procedures for anterograde tracer phaseolus vulgaris leucoagglutinin (Pha-L; Vector Laboratories, Burlingame, CA) injection were essentially the same as described by our group previously [69]. Briefly, The anesthetic mouse was fixed on a stereotaxic frame and Pha-L was iontophoretically injected into unilateral deep layers of the ACC according to the atlas of the mouse brain (0.98 mm anterior to Bregma, 0.35 mm lateral to the midline and 1.8 mm deep from cerebral surface). Pha-L was dissolved in a mixture of 0.05 M Tris–HCl buffer and 0.5 M KCl (pH 7.6) to a final concentration of 2.5% (W/V). The driving current (positive, 3–5 μA, 7 s on/off) was delivered for 25 min. After injection, the surgical wounds were carefully sutured. Mice were allowed to survive for approximately 2 weeks before perfusion. To examine the Pha-L injection site and the distribution of anterogradely Pha-L-labeled fibers and terminals in the spinal cord, coronal sections containing ACC and sagittal sections containing spinal cord of cervical enlargement were incubated overnight with primary antibody goat-anti-Pha-L (1:500, Vector Laboratories, Burlingame, CA) in the 5 mM sodium phosphate (pH 7.4)-buffered 0.9% saline (PBS) containing 0.3% Triton X-100, 0.12% lambda-carrageenan, 0.02% sodium azide and 1% donkey serum. On the following day, the sections were incubated in the same dilution solution containing biotinylated anti-goat IgG (Vector Laboratories, 1:200) for 4 hours. They were then incubated in an ABC complex (Vector Laboratories, 1:200) for another 90 min. Subsequently, the sections were treated with 50 mM Tris–HCl buffer (pH 7.5) solution that containing 0.02% diaminobenzidine (DAB), 0.015% H2O2 and 0.04% NiCl2 to intensify DAB-based reaction for 5–15 min. After the reaction, the sections were mounted onto gelatin-coated glass slides, dehydrated and coverslipped. To better reveal the site of ACC, sections containing injection site were further counterstained with Nissl staining. Sections were observed under a light microscope (AH-3; Olympus, Tokyo, Japan).

Anterograde labeling for lentivirus-assistant rabies virus

Virus preparation

To assist the rabies virus–mediated specific labeling of ACC neurons, a lentivirus plasmid expressing TVA and mkate2 was constructed by sub-clone the fusion fragment TVA:2A:mkate2 into the plasmid FUGW (Addgene 14883). This plasmids Lenti-TVA-mKate was packaged in 293-T cells by co-transfection with pMDL g/p RRE and pMD2.G. At 48 and 72 hours post transfection, the supernatant was collected and concentrated into 1000-fold through high speed concentration [70]. The final titer of the Lenti-TVA-mKate is 3×107 infecting unit per milliliter.

The rabies virus (RV) and the cell lines for rabies propagation and tittering were kindly supplied by Callaway, E. M and prepared in our laboratory as previously described [40]. Briefly, RV-G pseudo typed SAD19-ΔG-mcherry was propagated in B7GG cells, and the supernatant was harvested with a titer of 105 infecting units/ml. To produce the EnvA-pseudotyped rabies, a Bhk-Enva cell was infected with filtered (0.45 μm, Millipore) RV-G-SAD19-ΔG-mcherry (EnvA-RV-mcherry). At six hours post infection, the Bhk-Enva cell were digested with 0.25% trypsin(Hyclone)to eliminate the contamination of RV-G pseudo typed rabies. During harvest of EnvA-RV-mcherry, the filtered supernatant was 2000–3000 fold concentrated through two cycles of high speed concentration as previous described [71]. The concentrated aliquots were tittered in 293 t-tva800 cell line. The final titer of EnvA-RV-mcherry was 2x108 infecting units per milliliter. All aliquots were stored at -80°C.

Virus anterograde tracing

Virus tracing works were performed in a BSL II animal facility. To label the ACC neurons, we first micro-injected 200 nl of the VSV-G pseudotyped Lenti-TVA-mKate into unilateral deep layers of the ACC as same as the Pha-L injection site. Four days post the infection of lentivirus, 400 nl of the EnvA-RV-mcherry was microinjected into the ACC. One week after rabies infection, mice were deeply anesthetized and transcardially perfused. Coronal brain slices containing the ACC and sagittal spinal slices containing cervical enlargement were cut with a thickness of 40 μm and collected serially. For immunohistochemistry of the spinal sections, the free-floating sections were washed in 0.1 M phosphate buffered saline (PBS) solution for 3 × 5 min, followed by an incubation with 10% normal goat serum in PBS solution for 1–1.5 hour. Sections were then incubated overnight in a rabbit polyclonal anti-RFP (Abcam, ab62341, 1:500) followed with an FITC conjugated anti-rabbit serum (1:200) for 4 hour at 4°C.

For fluorescent imaging of the brain sections labeled by rabies virus or immunostained spinal sections, the sections were washed with PBS, and wet mounted directly on Vecta-Shield mounting medium (brain sections were counterstained with DAPI), sealed with nail polish, imaged with an upright fluorescence confocal microscopy (Leica TCS SP8).

Immunohistochemistry for Fos and FG

Seven days after making the nerve injury model, mice were anaesthetized and perfused with 0.1 mol/L PBS (pH 7.2–7.4) via the ascending aorta followed by 4% paraformaldehyde in 0.1 M PB (pH 7.4). The spinal cord and brain were then removed, and cryoprotected in 0.1 M PB containing 30% sucrose overnight at 4°C. Transverse sections (30 μm thickness) of spinal cord and brain samples were cut on a freezing microtome and collected serially and seperated as three sets of sections. Sections containing cervical spinal cord and ventral striatum were collected for injection sites imaging.

One set of sections containing ACC was used for Fos and FG immunostaining according to our previous works [21, 72]. In brief, sections were sequentially incubated with the following solutions: (1) PBS solution of 3% bovine serum, 0.3% Triton X-100 (PBS-TX) containing mouse antisera against Fos (1:500, ab11959, Abcam) and rabbit antisera against FG (1:500, AB153, Millipore) for 2 days at 4°C, (2) an Alexa-594 conjugated anti-mouse (1:200, Invitrogen) and Alexa-488 conjugated anti-rabbit (1:200, Invitrogen) antibody in PBS-TX for 24 hrs at 4°C. Sections were then rinsed in PBS, mounted onto glass slides, air dried, cover-slipped with a mixture of 50% (v/v) glycerin and 2.5% (w/v) triethylene diamine in 0.01 M PBS. The signals were visualized under confocal microscope (FV-1000; Olympus, Tokyo, Japan) under appropriate filter for Alexa-488 (excitation 495 nm; emission 519 nm) and Alexa -594 (excitation 590 nm; emission 617 nm). For obsevation of the FG/Fos neurons, a careful focusing through the thickness of all sections determined that the immunolabeling had penetrated the whole thickness of the sections and only the neuronal cell bodies with obvious light emission were counted. Since the light from some positive neurons might be too weak to detect, the numbers of Fos-ir neurons and/or FG labeled neurons in Tables 1 and 2 should be regarded as representing the minimum of the real positive neurons in the sections. In addition, to avoid possible double counting of positive neurons the sections were carefully moved across the stage and analyzed from left to right.

One set of sections containing ACC was used for FG immunostaining and Nissl counterstaining. Sections were sequentially induced with (1) rabbit antisera against FG (1:500) for 2 days at 4°C, (2) biotin conjugated goat anti-rabbit antibody (1:200, Millipore) for 24 hrs at 4°C, (3) ABC elite kit (1:100) for 2 hrs. Finally, the sections were reacted with 0.05 M Tris–HCl buffer (pH 7.6) containing 0.04% DAB (Dojin) and 0.003% H2O2 for visualizing FG-like immunoreactive neurons. Then the sections were mounted onto gelatin-coated glass slides and processed for standard Nissl staining.

Another set of sections were used for control staining. The primary antibodies were omitted or replaced with normal rabbit/mouse serum and the other procedures were the same as those for the first 2 sets of sections in all groups. No staining was observed on brain sections when the primary antibody was omitted or replaced from the protocol.

Whole-cell patch-clamp recordings

Coronal brain slices (300 μm) at the level of the ACC were prepared using standard methods1,9,11. Slices were transferred to a submerged recovery chamber containing oxygenated (95% O2 and 5% CO2) ACSF (124 mM NaCl, 4.4 mM KCl, 2 mM CaCl2, 1 mM MgSO4, 25 mM NaHCO3, 1 mM NaH2PO4, and 10 mM glucose) at room temperature for at least 1 hr and then heated up to 32°C for recording. Evoked EPSCs were recorded from layer V neurons in randomly selected sides of the ACC, with an Axon 200B amplifier, and the stimulations were delivered by a bipolar tungsten stimulating electrode placed in layer II/III of the ACC. AMPA receptor-mediated EPSCs were induced by repetitive stimulations at 0.02 Hz, and neurons were voltage-clamped at -60 mV in the presence of AP5 (50 μM). The recording pipettes (3–5 MΩ) were filled with a solution containing (in mM) 112 Cs-Gluconate, 5 TEA-Cl, 3.7 NaCl, 0.2 EGTA, 10 HEPES, 2MgATP, 0.3 Na3GTP and 5 QX-314 (adjusted to PH 7.2 with CsOH, 290 mOsmol). 0.1 mM spermine was included into the solution when recording AMPA I-V curve. Picrotoxin (100 μM) and AP5 (50 μM) was always present to block γ-aminobutyric acid (A) (GABAA) and NMDA receptor mediated synaptic currents in all experiments. To test the miniature EPSC, tetrodotoxin (1 mM) was added into the ACSF. The initial access resistance was 15–30 MΩ, and it was monitored throughout the experiment. Data were discarded if the access resistance changed >15% during experiment. Data were filtered at 1 kHz, and digitized at 10 kHz.

For recording ACC-spinal cord or ACC-ventral striatum projecting neurons, the ACC sections were observed under FV-1000 confocal microscope under proper filters for DiI (excitation 549 nm; emission 565 nm) or Alexa-488 Dextran Amine. In some cases, Alexa-488 or Alexa-594 was introduced into the recording solution for dual-labeling of the DiI or Dextran retrograde labeled neurons, respectively.

Statistical analyses

All experiments were carried out as blind to genotype and the conditions of the experiments. Data were collected and processed randomly, and no data points were excluded. No statistical methods were used to predetermine sample sizes, but our sample sizes were similar to those reported in previous publications. Statistical comparisons were made using the unpaired, paired t-test, or two-way ANOVA (Tukey test was used for post hoc comparison). The normal distribution and the variation within each group of data was verified by using Sigmaplot 11.0 software before applying statistical comparison. Analyzed numbers (n) for each set of experiments are indicated in the corresponding figure legends or main text sections. The examples shown in each figure are representative and were reproducible at least three times for each set of experiments. All data were presented as the Mean ± S.E.M. In all cases, p < 0.05 was considered statistically significant.

Abbreviations

ACC:

Anterior cingulate cortex

ACSF:

Artificial cerebrospinal fluid

AMPA:

α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid

APs:

Action potentials

CPN:

Common peroneal nerve

EPSCs:

Excitatory postsynaptic currents

FG:

Fluoro-Gold

GABA:

Gamma-aminobutyric acid

I-O:

Input-output

LTP:

Long term potentiation

NMDA:

N-Methyl-D-aspartate

PAG:

Periaqueductal grey

PBS:

Phosphate buffered saline

PKA:

Protein kinase A

PKC:

Protein kinase C

RV:

Abies virus

RVM:

Rostral medical medulla

SC:

Spinal cord

TBS:

Theta-burst stimulation

Thal:

Thalamus

VS:

Ventral striatum.

References

  1. Costigan M, Scholz J, Woolf CJ: Neuropathic pain: a maladaptive response of the nervous system to damage. Annu Rev Neurosci 2009, 32: 1–32. 10.1146/annurev.neuro.051508.135531

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  2. Fields H: State-dependent opioid control of pain. Nat Rev Neurosci 2004, 5: 565–575.

    Article  CAS  PubMed  Google Scholar 

  3. Zhuo M: Cortical excitation and chronic pain. Trends Neurosci 2008, 31: 199–207. 10.1016/j.tins.2008.01.003

    Article  CAS  PubMed  Google Scholar 

  4. Zhuo M: Long-term potentiation in the anterior cingulate cortex and chronic pain. Philos Trans R Soc Lond B Biol Sci 2013, 369: 20130146. 10.1098/rstb.2013.0146

    Article  PubMed  Google Scholar 

  5. Bliss TV, Collingridge GL: A synaptic model of memory: long-term potentiation in the hippocampus. Nature 1993, 361: 31–39. 10.1038/361031a0

    Article  CAS  PubMed  Google Scholar 

  6. Bliss TV, Cooke SF: Long-term potentiation and long-term depression: a clinical perspective. Clinics (Sao Paulo) 2011,66(Suppl 1):3–17.

    Article  Google Scholar 

  7. Kandel ER: The molecular biology of memory storage: a dialogue between genes and synapses. Science 2001, 294: 1030–1038. 10.1126/science.1067020

    Article  CAS  PubMed  Google Scholar 

  8. Nicoll RA, Malenka RC: Contrasting properties of two forms of long-term potentiation in the hippocampus. Nature 1995, 377: 115–118. 10.1038/377115a0

    Article  CAS  PubMed  Google Scholar 

  9. Ikeda H, Stark J, Fischer H, Wagner M, Drdla R, Jager T, Sandkuhler J: Synaptic amplifier of inflammatory pain in the spinal dorsal horn. Science 2006, 312: 1659–1662. 10.1126/science.1127233

    Article  CAS  PubMed  Google Scholar 

  10. Sandkuhler J: Understanding LTP in pain pathways. Mol Pain 2007, 3: 9. 10.1186/1744-8069-3-9

    Article  PubMed Central  PubMed  Google Scholar 

  11. Zhuo M: Central plasticity in pathological pain. Novartis Found Symp 2004, 261: 132–145. discussion 145–154

    Article  CAS  PubMed  Google Scholar 

  12. Zhuo M: A synaptic model for pain: long-term potentiation in the anterior cingulate cortex. Mol Cells 2007, 23: 259–271.

    CAS  PubMed  Google Scholar 

  13. Bush G, Luu P, Posner MI: Cognitive and emotional influences in anterior cingulate cortex. Trends Cogn Sci 2000, 4: 215–222. 10.1016/S1364-6613(00)01483-2

    Article  PubMed  Google Scholar 

  14. Johansen JP, Fields HL: Glutamatergic activation of anterior cingulate cortex produces an aversive teaching signal. Nat Neurosci 2004, 7: 398–403. 10.1038/nn1207

    Article  CAS  PubMed  Google Scholar 

  15. Tang J, Ko S, Ding HK, Qiu CS, Calejesan AA, Zhuo M: Pavlovian fear memory induced by activation in the anterior cingulate cortex. Mol Pain 2005, 1: 6. 10.1186/1744-8069-1-6

    Article  PubMed Central  PubMed  Google Scholar 

  16. Vogt BA: Pain and emotion interactions in subregions of the cingulate gyrus. Nat Rev Neurosci 2005, 6: 533–544.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Hutchison WD, Davis KD, Lozano AM, Tasker RR, Dostrovsky JO: Pain-related neurons in the human cingulate cortex. Nat Neurosci 1999, 2: 403–405. 10.1038/8065

    Article  CAS  PubMed  Google Scholar 

  18. Koga K, Li X, Chen T, Steenland HW, Descalzi G, Zhuo M: In vivo whole-cell patch-clamp recording of sensory synaptic responses of cingulate pyramidal neurons to noxious mechanical stimuli in adult mice. Mol Pain 2010, 6: 62. 10.1186/1744-8069-6-62

    Article  PubMed Central  PubMed  Google Scholar 

  19. Koyama T, Kato K, Tanaka YZ, Mikami A: Anterior cingulate activity during pain-avoidance and reward tasks in monkeys. Neurosci Res 2001, 39: 421–430. 10.1016/S0168-0102(01)00197-3

    Article  CAS  PubMed  Google Scholar 

  20. Kuo CC, Chiou RJ, Liang KC, Yen CT: Differential involvement of the anterior cingulate and primary sensorimotor cortices in sensory and affective functions of pain. J Neurophysiol 2009, 101: 1201–1210. 10.1152/jn.90347.2008

    Article  PubMed  Google Scholar 

  21. Li XY, Ko HG, Chen T, Descalzi G, Koga K, Wang H, Kim SS, Shang Y, Kwak C, Park SW, Shim J, Lee K, Collingridge GL, Kaang BK, Zhuo M: Alleviating neuropathic pain hypersensitivity by inhibiting PKMzeta in the anterior cingulate cortex. Science 2010, 330: 1400–1404. 10.1126/science.1191792

    Article  CAS  PubMed  Google Scholar 

  22. Xu H, Wu LJ, Wang H, Zhang X, Vadakkan KI, Kim SS, Steenland HW, Zhuo M: Presynaptic and postsynaptic amplifications of neuropathic pain in the anterior cingulate cortex. J Neurosci 2008, 28: 7445–7453. 10.1523/JNEUROSCI.1812-08.2008

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Zhao MG, Ko SW, Wu LJ, Toyoda H, Xu H, Quan J, Li J, Jia Y, Ren M, Xu ZC, Zhuo M: Enhanced presynaptic neurotransmitter release in the anterior cingulate cortex of mice with chronic pain. J Neurosci 2006, 26: 8923–8930. 10.1523/JNEUROSCI.2103-06.2006

    Article  CAS  PubMed  Google Scholar 

  24. Wang H, Xu H, Wu LJ, Kim SS, Chen T, Koga K, Descalzi G, Gong B, Vadakkan KI, Zhang X, Kaang BK, Zhuo M: Identification of an adenylyl cyclase inhibitor for treating neuropathic and inflammatory pain. Sci Transl Med 2011, 3: 65ra63.

    Google Scholar 

  25. Wu LJ, Toyoda H, Zhao MG, Lee YS, Tang J, Ko SW, Jia YH, Shum FW, Zerbinatti CV, Bu G, Wei F, Xu TL, Muglia LJ, Chen ZF, Auberson YP, Kaang BK, Zhuo M: Upregulation of forebrain NMDA NR2B receptors contributes to behavioral sensitization after inflammation. J Neurosci 2005, 25: 11107–11116. 10.1523/JNEUROSCI.1678-05.2005

    Article  CAS  PubMed  Google Scholar 

  26. Gebhart GF: Descending modulation of pain. Neurosci Biobehav Rev 2004, 27: 729–737. 10.1016/j.neubiorev.2003.11.008

    Article  CAS  PubMed  Google Scholar 

  27. Porreca F, Ossipov MH, Gebhart GF: Chronic pain and medullary descending facilitation. Trends Neurosci 2002, 25: 319–325. 10.1016/S0166-2236(02)02157-4

    Article  CAS  PubMed  Google Scholar 

  28. Zhuo M, Gebhart GF: Characterization of descending inhibition and facilitation from the nuclei reticularis gigantocellularis and gigantocellularis pars alpha in the rat. Pain 1990, 42: 337–350. 10.1016/0304-3959(90)91147-B

    Article  CAS  PubMed  Google Scholar 

  29. Zhuo M, Gebhart GF: Characterization of descending facilitation and inhibition of spinal nociceptive transmission from the nuclei reticularis gigantocellularis and gigantocellularis pars alpha in the rat. J Neurophysiol 1992, 67: 1599–1614.

    CAS  PubMed  Google Scholar 

  30. Zhuo M, Gebhart GF: Biphasic modulation of spinal nociceptive transmission from the medullary raphe nuclei in the rat. J Neurophysiol 1997, 78: 746–758.

    CAS  PubMed  Google Scholar 

  31. Zhuo M, Gebhart GF: Modulation of noxious and non-noxious spinal mechanical transmission from the rostral medial medulla in the rat. J Neurophysiol 2002, 88: 2928–2941. 10.1152/jn.00005.2002

    Article  CAS  PubMed  Google Scholar 

  32. Calejesan AA, Kim SJ, Zhuo M: Descending facilitatory modulation of a behavioral nociceptive response by stimulation in the adult rat anterior cingulate cortex. Eur J Pain 2000, 4: 83–96. 10.1053/eujp.1999.0158

    Article  CAS  PubMed  Google Scholar 

  33. Gabbott PL, Warner TA, Jays PR, Salway P, Busby SJ: Prefrontal cortex in the rat: projections to subcortical autonomic, motor, and limbic centers. J Comp Neurol 2005, 492: 145–177. 10.1002/cne.20738

    Article  PubMed  Google Scholar 

  34. Galea MP, Darian-Smith I: Multiple corticospinal neuron populations in the macaque monkey are specified by their unique cortical origins, spinal terminations, and connections. Cereb Cortex 1994, 4: 166–194. 10.1093/cercor/4.2.166

    Article  CAS  PubMed  Google Scholar 

  35. Cho HJ, Basbaum AI: Arborization of single axons of the spinal dorsolateral funiculus to the contralateral superficial dorsal horn. Brain Res 1989, 477: 344–349. 10.1016/0006-8993(89)91425-X

    Article  CAS  PubMed  Google Scholar 

  36. Cliffer KD, Burstein R, Giesler GJ Jr: Distributions of spinothalamic, spinohypothalamic, and spinotelencephalic fibers revealed by anterograde transport of PHA-L in rats. J Neurosci 1991, 11: 852–868.

    CAS  PubMed  Google Scholar 

  37. Raju DV, Smith Y: Anterograde axonal tract tracing. Curr Protoc Neurosci 2006, 1.14: 1–11.

    Google Scholar 

  38. Carpentier DC, Vevis K, Trabalza A, Georgiadis C, Ellison SM, Asfahani RI, Mazarakis ND: Enhanced pseudotyping efficiency of HIV-1 lentiviral vectors by a rabies/vesicular stomatitis virus chimeric envelope glycoprotein. Gene Ther 2012, 19: 761–774. 10.1038/gt.2011.124

    Article  CAS  PubMed  Google Scholar 

  39. Wall NR, Wickersham IR, Cetin A, De La Parra M, Callaway EM: Monosynaptic circuit tracing in vivo through Cre-dependent targeting and complementation of modified rabies virus. Proc Natl Acad Sci USA 2010, 107: 21848–21853. 10.1073/pnas.1011756107

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  40. Wickersham IR, Lyon DC, Barnard RJ, Mori T, Finke S, Conzelmann KK, Young JA, Callaway EM: Monosynaptic restriction of transsynaptic tracing from single, genetically targeted neurons. Neuron 2007, 53: 639–647. 10.1016/j.neuron.2007.01.033

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  41. Wei F, Qiu CS, Kim SJ, Muglia L, Maas JW, Pineda VV, Xu HM, Chen ZF, Storm DR, Muglia LJ, Zhuo M: Genetic elimination of behavioral sensitization in mice lacking calmodulin-stimulated adenylyl cyclases. Neuron 2002, 36: 713–726. 10.1016/S0896-6273(02)01019-X

    Article  CAS  PubMed  Google Scholar 

  42. Haber SN, Knutson B: The reward circuit: linking primate anatomy and human imaging. Neuropsychopharmacology 2010, 35: 4–26. 10.1038/npp.2009.129

    Article  PubMed Central  PubMed  Google Scholar 

  43. Malenka RC: Synaptic plasticity and AMPA receptor trafficking. Ann N Y Acad Sci 2003, 1003: 1–11. 10.1196/annals.1300.001

    Article  CAS  PubMed  Google Scholar 

  44. Clem RL, Barth A: Pathway-specific trafficking of native AMPARs by in vivo experience. Neuron 2006, 49: 663–670. 10.1016/j.neuron.2006.01.019

    Article  CAS  PubMed  Google Scholar 

  45. Clem RL, Huganir RL: Calcium-permeable AMPA receptor dynamics mediate fear memory erasure. Science 2010, 330: 1108–1112. 10.1126/science.1195298

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  46. Gu JG, Albuquerque C, Lee CJ, MacDermott AB: Synaptic strengthening through activation of Ca2 + -permeable AMPA receptors. Nature 1996, 381: 793–796. 10.1038/381793a0

    Article  CAS  PubMed  Google Scholar 

  47. Hu H, Real E, Takamiya K, Kang MG, Ledoux J, Huganir RL, Malinow R: Emotion enhances learning via norepinephrine regulation of AMPA-receptor trafficking. Cell 2007, 131: 160–173. 10.1016/j.cell.2007.09.017

    Article  CAS  PubMed  Google Scholar 

  48. Lee HK, Takamiya K, Han JS, Man H, Kim CH, Rumbaugh G, Yu S, Ding L, He C, Petralia RS, Wenthold RJ, Gallagher M, Huganir RL: Phosphorylation of the AMPA receptor GluR1 subunit is required for synaptic plasticity and retention of spatial memory. Cell 2003, 112: 631–643. 10.1016/S0092-8674(03)00122-3

    Article  CAS  PubMed  Google Scholar 

  49. Shibata H: Efferent projections from the anterior thalamic nuclei to the cingulate cortex in the rat. J Comp Neurol 1993, 330: 533–542. 10.1002/cne.903300409

    Article  CAS  PubMed  Google Scholar 

  50. Shyu BC, Sikes RW, Vogt LJ, Vogt BA: Nociceptive processing by anterior cingulate pyramidal neurons. J Neurophysiol 2010, 103: 3287–3301. 10.1152/jn.00024.2010

    Article  PubMed Central  PubMed  Google Scholar 

  51. Wu LJ, Li X, Chen T, Ren M, Zhuo M: Characterization of intracortical synaptic connections in the mouse anterior cingulate cortex using dual patch clamp recording. Mol Brain 2009, 2: 32. 10.1186/1756-6606-2-32

    Article  PubMed Central  PubMed  Google Scholar 

  52. Barth AL, Gerkin RC, Dean KL: Alteration of neuronal firing properties after in vivo experience in a FosGFP transgenic mouse. J Neurosci 2004, 24: 6466–6475. 10.1523/JNEUROSCI.4737-03.2004

    Article  CAS  PubMed  Google Scholar 

  53. Clem RL, Celikel T, Barth AL: Ongoing in vivo experience triggers synaptic metaplasticity in the neocortex. Science 2008, 319: 101–104. 10.1126/science.1143808

    Article  CAS  PubMed  Google Scholar 

  54. Bredt DS, Nicoll RA: AMPA receptor trafficking at excitatory synapses. Neuron 2003, 40: 361–379. 10.1016/S0896-6273(03)00640-8

    Article  CAS  PubMed  Google Scholar 

  55. Shi S, Hayashi Y, Esteban JA, Malinow R: Subunit-specific rules governing AMPA receptor trafficking to synapses in hippocampal pyramidal neurons. Cell 2001, 105: 331–343. 10.1016/S0092-8674(01)00321-X

    Article  CAS  PubMed  Google Scholar 

  56. Toyoda H, Wu LJ, Zhao MG, Xu H, Zhuo M: Time-dependent postsynaptic AMPA GluR1 receptor recruitment in the cingulate synaptic potentiation. Dev Neurobiol 2007, 67: 498–509. 10.1002/dneu.20380

    Article  CAS  PubMed  Google Scholar 

  57. Toyoda H, Zhao MG, Ulzhofer B, Wu LJ, Xu H, Seeburg PH, Sprengel R, Kuner R, Zhuo M: Roles of the AMPA receptor subunit GluA1 but not GluA2 in synaptic potentiation and activation of ERK in the anterior cingulate cortex. Mol Pain 2009, 5: 46. 10.1186/1744-8069-5-46

    Article  PubMed Central  PubMed  Google Scholar 

  58. Liauw J, Wu LJ, Zhuo M: Calcium-stimulated adenylyl cyclases required for long-term potentiation in the anterior cingulate cortex. J Neurophysiol 2005, 94: 878–882. 10.1152/jn.01205.2004

    Article  CAS  PubMed  Google Scholar 

  59. Urban MO, Gebhart GF: Supraspinal contributions to hyperalgesia. Proc Natl Acad Sci USA 1999, 96: 7687–7692. 10.1073/pnas.96.14.7687

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  60. Malinow R, Malenka RC: AMPA receptor trafficking and synaptic plasticity. Annu Rev Neurosci 2002, 25: 103–126. 10.1146/annurev.neuro.25.112701.142758

    Article  CAS  PubMed  Google Scholar 

  61. Wei F, Dubner R, Zou S, Ren K, Bai G, Wei D, Guo W: Molecular depletion of descending serotonin unmasks its novel facilitatory role in the development of persistent pain. J Neurosci 2010, 30: 8624–8636. 10.1523/JNEUROSCI.5389-09.2010

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  62. Bee LA, Dickenson AH: Descending facilitation from the brainstem determines behavioural and neuronal hypersensitivity following nerve injury and efficacy of pregabalin. Pain 2008, 140: 209–223. 10.1016/j.pain.2008.08.008

    Article  CAS  PubMed  Google Scholar 

  63. Svensson CI, Tran TK, Fitzsimmons B, Yaksh TL, Hua XY: Descending serotonergic facilitation of spinal ERK activation and pain behavior. FEBS Lett 2006, 580: 6629–6634. 10.1016/j.febslet.2006.11.012

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  64. Kerchner GA, Wilding TJ, Li P, Zhuo M, Huettner JE: Presynaptic kainate receptors regulate spinal sensory transmission. J Neurosci 2001, 21: 59–66.

    CAS  PubMed  Google Scholar 

  65. Li P, Wilding TJ, Kim SJ, Calejesan AA, Huettner JE, Zhuo M: Kainate-receptor-mediated sensory synaptic transmission in mammalian spinal cord. Nature 1999, 397: 161–164. 10.1038/16469

    Article  CAS  PubMed  Google Scholar 

  66. Li P, Zhuo M: Silent glutamatergic synapses and nociception in mammalian spinal cord. Nature 1998, 393: 695–698. 10.1038/31496

    Article  CAS  PubMed  Google Scholar 

  67. Chen T, Hui R, Wang XL, Zhang T, Dong YX, Li YQ: Origins of endomorphin-immunoreactive fibers and terminals in different columns of the periaqueductal gray in the rat. J Comp Neurol 2008, 509: 72–87. 10.1002/cne.21728

    Article  PubMed  Google Scholar 

  68. Hui R, Wang W, Chen T, Lu BC, Li H, Zhang T, Wu SX, Li YQ: Origins of endomorphin-2 immunopositive fibers and terminals in the spinal dorsal horn of the rat. Neuroscience 2010, 169: 422–430. 10.1016/j.neuroscience.2010.05.006

    Article  CAS  PubMed  Google Scholar 

  69. Li YQ, Takada M, Kaneko T, Mizuno N: Premotor neurons for trigeminal motor nucleus neurons innervating the jaw-closing and jaw-opening muscles: differential distribution in the lower brainstem of the rat. J Comp Neurol 1995, 356: 563–579. 10.1002/cne.903560407

    Article  CAS  PubMed  Google Scholar 

  70. Dull T, Zufferey R, Kelly M, Mandel RJ, Nguyen M, Trono D, Naldini L: A third-generation lentivirus vector with a conditional packaging system. J Virol 1998, 72: 8463–8471.

    CAS  PubMed Central  PubMed  Google Scholar 

  71. Osakada F, Callaway EM: Design and generation of recombinant rabies virus vectors. Nat Protocol 2013, 8: 1583–1601. 10.1038/nprot.2013.094

    Article  Google Scholar 

  72. Chen T, Hui R, Dong YX, Li YQ, Mizuno N: Endomorphin 1- and endomorphin 2-like immunoreactive neurons in the hypothalamus send axons to the parabrachial nucleus in the rat. Neurosci Lett 2004, 357: 139–142. 10.1016/j.neulet.2003.12.079

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank Ed Callaway for providing rabies viruses and cell line. We would also like to thank Jin Zhu for the construction of the plasmid Lenti -TVA-mKate, Xin Pan and Jia Jiang for preparing the Lenti-TVA-mKate, and Ting Ding for preparing of EnvA-RV-mcherry. This work was supported by grants from the EJLB-CIHR Michael Smith Chair in Neurosciences and Mental Health, Canada Research Chair, CIHR258523, The Azrieli Foundation and Brain Canada and NSEC Discovery grant 402555 (M. Z.). M. Z. and Y.-Q. L. are also supported by the Major International Joint Research Project from NSFC (31010103909). T. C. is supported by the NSFC (31371126). T. C. and K. K. are supported by the postdoctoral fellowships from CIHR-FXRFC.

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Correspondence to Yun-Qing Li or Min Zhuo.

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Authors’ contributions

TC, YQL, and MZ designed the experiments. TC and KK performed the in vitro electrophysiological experiments. TC, SQ, JW, FW and LSZ carried out the immunostaining experiments. ZJZ, XBH, XQ, FQX and JH did the virus anterograde tracing experiments. RH provided the GluA1 phosphorylation site mutant mice and revised the manuscript. TC and MZ wrote the manuscript. All authors discussed the manuscript. All authors read and approved the final manuscript.

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Chen, T., Koga, K., Descalzi, G. et al. Postsynaptic potentiation of corticospinal projecting neurons in the anterior cingulate cortex after nerve injury. Mol Pain 10, 33 (2014). https://doi.org/10.1186/1744-8069-10-33

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