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J Neurophysiol (October 4, 2006). doi:10.1152/jn.00755.2006
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Submitted on July 21, 2006
Accepted on October 2, 2006

A perceptual correlate of nociceptive long-term potentiation (LTP) in humans shares the time course of early-LTP (LTP1).

Thomas Klein1, Walter Magerl1, and Rolf-Detlef Treede1*

1 Institute of Physiology and Pathophysiology, Johannes Gutenberg-University, Mainz, Germany

* To whom correspondence should be addressed. E-mail: treede{at}uni-mainz.de.

As in neocortex and hippocampus, neurons in the dorsal horn of the spinal cord develop long-term potentiation of synaptic efficacy (LTP) upon high-frequency stimulation (HFS) of their afferent input, but how long LTP lasts in this nociceptive relay nucleus has not yet been addressed. We now studied neurogenic hyperalgesia, a perceptual correlate of nociceptive LTP, in 13 healthy subjects, following HFS (5 x 1s at 100Hz) of superficial cutaneous afferents. HFS led to a mean upward shift of the stimulus-response function for pinprick-evoked pain (punctate mechanical hyperalgesia) in all subjects by a factor of 2.5 (p<0.001) that lasted undiminished for the initial one-hour observation period. Follow-up tests until the next day revealed that this type of neurogenic hyperalgesia decayed with a t1/2 of 3.3h (99% CI: 3.1-3.5h), and disappeared completely within 25.4h (99% CI: 20.4-31.6h). Touch-evoked pain (dynamic mechanical allodynia) developed in 8/13 subjects, decayed with a t1/2 of 2.9h from the maximum and disappeared within 9.3h. These findings suggest that a single HFS session induces nociceptive LTP in healthy subjects that corresponds to early-LTP (LTP1), implying primarily posttranslational mechanisms for this type of plasticity of human pain perception.




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