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J Neurophysiol (January 10, 2007). doi:10.1152/jn.01125.2006
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01125.2006v1
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Submitted on October 23, 2006
Accepted on January 2, 2007

Psychophysical evidence for long-term potentiation of C-fiber and A&dgr;-fiber pathways in humans by analysis of pain descriptors

Niels Hansen1, 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: thoklein{at}uni-mainz.de.

Long term potentiation of human pain perception (nociceptive LTP) to single electrical test stimuli was induced by high frequency stimulation (HFS) of cutaneous nociceptive afferents. Numerical pain ratings and a list of sensory pain descriptors disclosed the same magnitude of nociceptive LTP (23 % increase for >60 min, p<0.001), whereas affective pain descriptors were not significantly enhanced. Factor analysis of the sensory pain descriptors showed that facilitation was restricted to two factors characterized by hot and burning (+41 %) and piercing and stinging (+21 %, both p<0.01), whereas a factor represented by throbbing and beating was not significantly increased (+9 %, p=0.47). The increased perception of the burning pain quality for more than one hour after HFS is interpreted as a LTP-like facilitation of the conditioned cutaneous C-fiber pathway. Additionally, the increase of the stinging pain quality supplied evidence for facilitation of a sharpness-sensitive A{delta}-fiber pathway.







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