1. Anterior cingulate cortex projections to the dorsal medial striatum underlie insomnia associated with chronic pain.
- Author
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Li, Ya-Dong, Luo, Yan-Jia, Su, Wei-Kun, Ge, Jing, Crowther, Andrew, Chen, Ze-Ka, Wang, Lu, Lazarus, Michael, Liu, Zi-Long, Qu, Wei-Min, and Huang, Zhi-Li
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CINGULATE cortex , *CHRONIC pain , *MEDIUM spiny neurons , *INSOMNIA , *PYRAMIDAL neurons , *NEURAL circuitry , *NEUROPLASTICITY - Abstract
Chronic pain often leads to the development of sleep disturbances. However, the precise neural circuit mechanisms responsible for sleep disorders in chronic pain have remained largely unknown. Here, we present compelling evidence that hyperactivity of pyramidal neurons (PNs) in the anterior cingulate cortex (ACC) drives insomnia in a mouse model of nerve-injury-induced chronic pain. After nerve injury, ACC PNs displayed spontaneous hyperactivity selectively in periods of insomnia. We then show that ACC PNs were both necessary for developing chronic-pain-induced insomnia and sufficient to mimic sleep loss in naive mice. Importantly, combining optogenetics and electrophysiological recordings, we found that the ACC projection to the dorsal medial striatum (DMS) underlies chronic-pain-induced insomnia through enhanced activity and plasticity of ACC-DMS dopamine D1R neuron synapses. Our findings shed light on the pivotal role of ACC PNs in developing chronic-pain-induced sleep disorders. [Display omitted] • ACC pyramidal neurons (PNs) are selectively activated during chronic-pain-induced insomnia • Lesion of ACC PNs abolishes chronic-pain-induced insomnia • Hyperactive ACC PNs control chronic-pain-induced insomnia via the DMS pathway • Enhanced plasticity of ACC PNs to DMS D1R-MSNs mediates insomnia Over 50% of chronic pain patients experience insomnia. Li et al. reveal that heightened activity of anterior cingulate cortex excitatory neurons precisely governs chronic-pain-induced insomnia via the dorsal medial striatum pathway. This effect relies on enhanced plasticity in dopamine D1-receptor-positive medium spiny neurons. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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