Last data updates: 06 January 2011 Wang, J.Y., Zhang, H.T., Han, J.S., Chang, J.Y., Woodward, D.J. and Luo, F. (2004), Differential modulation of nociceptive neural responses in medial and lateral pain pathways by peripheral electrical stimulation: a multichannel recording study. Brain Research, 1014 (1-2), 197-208. Document type: Article Language: English Cited references: 66 Time cited: 11 Times self cited: 6 Abstract: It is well accepted that peripheral electrical stimulation (PES) can produce an analgesic effect in patients with acute and chronic pain. However, the neural basis underlying stimulation-induced analgesia remains unclear. In the present study, we examined the pain-related neural activity modified by peripheral stimulation in rats. The stimulation frequency of pulses applied to needle electrodes in the hindlimb was 2 Hz alternating with 100 Hz, with 0.6 ins pulse width for 2 Hz and 0.2 ins for 100 Hz. The intensity of the stimulation was increased stepwise from I to 3 mA with each 1-mA step lasting for 10 min. The nociceptive neural and behavioral responses were examined immediately after the termination of stimulation. Using a multiple-channel recording technique, we simultaneously recorded the activity of many single neurons located in the primary somatosensory and anterior cingulate cortex (ACC), as well as the ventral posterior and medial dorsal thalamus in behaving rats. Our results showed that peripheral electrical stimulation significantly reduced the nociceptive responses in ventroposterior thalamus and somatosensory cortex, indicating an inhibition of nociceptive processing. In contrast, the analgesic stimulation produced a significant increase in mediodorsal thalamus while a less significant decrease in cingulate cortex, reflecting a complicated effect associated with combined antinociceptive activation and nociceptive suppression. These results support the idea that peripheral electrical stimulation can ultimately alter the pain perception by specifically inhibiting the nociceptive transmission in the sensory pathway while mobilizing the antinociceptive action in the affective pathway, thus to produce pain relief. (C) 2004 Elsevier B.V. All rights reserved. Author Keywords: antinociception; descending inhibition; microelectrode; pain; rat Keywords Plus: Positron-Emission-Tomography; Opioid Analgesic Requirement; Anterior Cingulate Cortex; Low-Back-Pain; Periaqueductal Gray; Nerve-Stimulation; Different Frequencies; Human-Brain; Acupoint Stimulation; Somatosensory Cortex Reprint Address: Luo, F (reprint author), Peking Univ, Hlth Sci Ctr, Neurosci Res Inst, 38 Xue Yuan Rd, Beijing 100083, Peoples R China Addresses: 1. Peking Univ, Hlth Sci Ctr, Neurosci Res Inst, Beijing 100083, Peoples R China 2. Peking Univ, Hlth Sci Ctr, Dept Neurobiol, Beijing 100083, Peoples R China 3. 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