A neural circuit for comorbid depressive symptoms in chronic pain

Nat Neurosci. 2019 Oct;22(10):1649-1658. doi: 10.1038/s41593-019-0468-2. Epub 2019 Aug 26.

Abstract

Comorbid depressive symptoms (CDS) in chronic pain are a common health problem, but the neural circuit mechanisms underlying these symptoms remain unclear. Here we identify a novel pathway involving 5-hydroxytryptamine (5-HT) projections from the dorsal raphe nucleus (5-HTDRN) to somatostatin (SOM)-expressing and non-SOM interneurons in the central nucleus of the amygdala (CeA). The SOMCeA neurons project directly to the lateral habenula, an area known involved in depression. Inhibition of the 5-HTDRN→SOMCeA pathway produced depression-like behavior in a male mouse model of chronic pain. Activation of this pathway using pharmacological or optogenetic approaches reduced depression-like behavior in these mice. Human functional magnetic resonance imaging data showed that compared to healthy controls, functional connectivity between the CeA-containing centromedial amygdala and the DRN was reduced in patients with CDS but not in patients in chronic pain without depression. These findings indicate that a novel 5-HTDRN→SOMCeA→lateral habenula pathway may mediate at least some aspects of CDS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amygdala / diagnostic imaging
  • Amygdala / pathology
  • Animals
  • Behavior, Animal
  • Chronic Pain / complications
  • Chronic Pain / diagnostic imaging
  • Chronic Pain / pathology*
  • Depression / complications
  • Depression / diagnostic imaging
  • Depression / pathology*
  • Dorsal Raphe Nucleus / diagnostic imaging
  • Dorsal Raphe Nucleus / pathology
  • Female
  • Habenula / diagnostic imaging
  • Habenula / pathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neural Pathways / diagnostic imaging
  • Neural Pathways / pathology*
  • Neuralgia / diagnostic imaging
  • Neuralgia / pathology
  • Optogenetics
  • Serotonin / metabolism
  • Somatostatin / metabolism

Substances

  • SST protein, human
  • Serotonin
  • Somatostatin