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Spinal AMPA receptors: Amenable players in central sensitization for chronic pain therapy?

Kopach, O; Voitenko, N; (2021) Spinal AMPA receptors: Amenable players in central sensitization for chronic pain therapy? Channels , 15 (1) pp. 284-297. 10.1080/19336950.2021.1885836. Green open access

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Abstract

The activity-dependent trafficking of AMPA receptors (AMPAR) mediates synaptic strength and plasticity, while the perturbed trafficking of the receptors of different subunit compositions has been linked to memory impairment and to causing neuropathology. In the spinal cord, nociceptive-induced changes in AMPAR trafficking determine the central sensitization of the dorsal horn (DH): changes in AMPAR subunit composition compromise the balance between synaptic excitation and inhibition, rendering interneurons hyperexcitable to afferent inputs, and promoting Ca2+ influx into the DH neurons, thereby amplifying neuronal hyperexcitability. The DH circuits become over-excitable and carry out aberrant sensory processing; this causes an increase in pain sensation in central sensory pathways, giving rise to chronic pain syndrome. Current knowledge of the contribution of spinal AMPAR to the cellular mechanisms relating to chronic pain provides opportunities for developing target-based therapies for chronic pain intervention.

Type: Article
Title: Spinal AMPA receptors: Amenable players in central sensitization for chronic pain therapy?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/19336950.2021.1885836
Publisher version: https://doi.org/10.1080/19336950.2021.1885836
Language: English
Additional information: Copyright © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: AMPA receptors, AMPAR trafficking, GluA1-4 subunits, the dorsal horn (DH) of the spinal cord, sensory DH neurons, nociceptive circuits, chronic pain
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10124869
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