College of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
Research Institute of Acupuncture and Moxibustion, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
Commun Biol. 2024 Apr 13;7(1):457. doi: 10.1038/s42003-024-06148-y.
Visceral hypersensitivity, a common clinical manifestation of irritable bowel syndrome, may contribute to the development of chronic visceral pain, which is a major challenge for both patients and health providers. Neural circuits in the brain encode, store, and transfer pain information across brain regions. In this review, we focus on the anterior cingulate cortex and paraventricular nucleus of the hypothalamus to highlight the progress in identifying the neural circuits involved in visceral pain. We also discuss several neural circuit mechanisms and emphasize the importance of cross-species, multiangle approaches and the identification of specific neurons in determining the neural circuits that control visceral pain.
内脏敏感性是肠易激综合征的一种常见临床表现,可能导致慢性内脏疼痛的发展,这对患者和医疗保健提供者都是一个重大挑战。大脑中的神经回路对疼痛信息进行编码、存储和在脑区之间传递。在这篇综述中,我们重点关注扣带回前部和下丘脑室旁核,以突出确定内脏疼痛相关神经回路方面的进展。我们还讨论了几种神经回路机制,并强调了跨物种、多角度方法的重要性以及确定控制内脏疼痛的神经回路的特定神经元的重要性。