Erasing injury-related cortical synaptic potentiation as a new treatment for chronic pain

J Mol Med (Berl). 2011 Sep;89(9):847-55. doi: 10.1007/s00109-011-0768-9. Epub 2011 May 17.

Abstract

Synaptic plasticity in the spinal cord and the cortex is believed to be important for the amplification of painful information in chronic pain conditions. The investigation of molecular mechanism responsible for maintaining injury-related plastic changes, such as through the study of long-term potentiation in these structures, provides potential novel targets for designing new medicine for chronic pain. Recent studies using integrative neurobiological approaches demonstrate that protein kinase M zeta (PKMζ) maintains pain-induced persistent changes in the anterior cingulate cortex (ACC), and inhibiting PKMζ by ζ-pseudosubstrate inhibitory peptide produces analgesic effects in animal models of chronic pain. We propose that targeting PKMζ, or its up- or downstream signaling proteins, in the ACC may provide novel clinical treatment for chronic pain.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Chronic Pain / drug therapy
  • Chronic Pain / metabolism*
  • Gyrus Cinguli / injuries
  • Gyrus Cinguli / metabolism*
  • Humans
  • Long-Term Potentiation / drug effects
  • Protein Kinase C / antagonists & inhibitors
  • Protein Kinase C / metabolism
  • Protein Kinase Inhibitors / pharmacology
  • Receptors, AMPA / metabolism
  • Synapses / drug effects
  • Synapses / metabolism
  • Synaptic Potentials* / drug effects
  • Synaptic Transmission / drug effects

Substances

  • Protein Kinase Inhibitors
  • Receptors, AMPA
  • Protein Kinase C