Spontaneous activity in peripheral sensory nerves: a systematic review
File(s)
Author(s)
Type
Journal Article
Abstract
In the peripheral nervous system, spontaneous activity in sensory neurons is considered to be one of the 2 main drivers of chronic pain states, alongside neuronal sensitization. Despite this, the precise nature and timing of this spontaneous activity in neuropathic pain is not well-established. Here, we have performed a systematic search and data extraction of existing electrophysiological literature to shed light on which fibre types have been shown to maintain spontaneous activity and over what time frame. We examined both in vivo recordings of preclinical models of neuropathic pain, as well as microneurography recordings in humans. Our analyses reveal that there is broad agreement on the presence of spontaneous activity in neuropathic pain conditions, even months after injury or years after onset of neuropathic symptoms in humans. However, because of the highly specialised nature of the electrophysiological methods used to measure spontaneous activity, there is also a high degree of variability and uncertainty around these results. Specifically, there are very few directly controlled experiments, with less directly comparable data between human and animals. Given that spontaneous peripheral neuron activity is considered to be a key mechanistic feature of chronic pain conditions, it may be beneficial to conduct further experiments in this space.
Date Issued
2024-05
Date Acceptance
2023-09-23
Citation
Pain, 2024, 165 (5), pp.983-996
ISSN
0304-3959
Publisher
Lippincott, Williams & Wilkins
Start Page
983
End Page
996
Journal / Book Title
Pain
Volume
165
Issue
5
Copyright Statement
Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf
of the International Association for the Study of Pain. This is an open access article
distributed under the Creative Commons Attribution License 4.0 (CCBY), which
permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
of the International Association for the Study of Pain. This is an open access article
distributed under the Creative Commons Attribution License 4.0 (CCBY), which
permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/37991272
Subjects
Animals
Chronic Disease
Chronic Pain
Humans
Neuralgia
Peripheral Nerves
Peripheral Nervous System
Sensory Receptor Cells
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2023-11-22