Mesocortical dopamine system modulates mechanical nociceptive responses recorded in the rat prefrontal cortex
© Sogabe et al.; licensee BioMed Central Ltd. 2013
Received: 28 December 2012
Accepted: 28 June 2013
Published: 2 July 2013
Psychological conditions affect pain responses in the human anterior cingulate cortex (ACC) according to brain imaging analysis. The rodent prefrontal cortex (PFC) including cingulate areas is also related to the affective dimension of pain. We previously reported PFC nociceptive responses inhibited by inputs from the amygdala, such as with dopamine (DA) D2 receptor (D2R) blockers, to show decreased effect on amygdala projections. In this study, we examined whether direct projections from the ventral tegmental area (VTA) to the PFC affect nociceptive responses in the PFC.
High frequency stimulation (HFS, 50 Hz, 30 s) delivered to the VTA produced long-lasting suppression (LLS) of nociceptive responses in the rat PFC including cingulate and prelimbic areas. Nociceptive responses evoked by mechanical pressure stimulation (2 s duration at 500 g constant force) applied to the tails of urethane-anesthetized rats were recorded using extracellular unit recording methods in the PFC. HFS delivered to the VTA, which has been reported to increase DA concentrations in the PFC, significantly suppressed nociceptive responses. The LLS of nociceptive responses persisted for about 30 minutes and recovered to the control level within 60 min after HFS. We also demonstrated local microinjection of a selective D2 agonist of DA receptors to induce LLS of mechanical nociceptive responses, while a D2 but not a D1 antagonist impaired the LLS evoked by HFS. In contrast, DA depletion by a 6-hydroxydopamine injection or a low concentration of DA induced by a κ-opiate receptor agonist injected into the VTA had minimal effect on nociceptive responses in the PFC.
HFS delivered to VTA inhibited nociceptive responses for a long period in PFC. DA D2R activation mediated by local D2 agonist injection also induced LLS of mechanical nociceptive responses. The mesocortical DA system may modify PFC nociceptive responses via D2 activity.
KeywordsACC PFC Dopamine D2R Pain Parkinson disease VTA
Psychological conditions like attention  and hypnotic effects  exert powerful influences on human pain sensations. The anterior cingulate cortex (ACC) has crucial roles in conscious perception of pain but not the sensory discriminative aspect of pain . Noxious stimulation applied to peripheral tissues evoked nociceptive responses in rabbit and rodent cingulate and prelimbic areas [4, 5], lesions of which impaired place avoidance test responses while pain behavior on the formalin test was normal . The human ACC and the rodent prefrontal cortex (PFC) receiving inputs from the amygdala are involved in emotional processing . In our previous study , nociceptive responses of the PFC were inhibited by inputs from the amygdala. We also found that a dopamine (DA) D2 receptor (D2R) blocker impaired the inhibition induced by amygdala stimulation. Direct dopaminergic projections from the ventral tegmental area (VTA) to the PFC are responsible for modulatory effects on nociceptive responses , suggesting that the mesocortical DA system modulates pain responses in the PFC.
Recent studies have explored how DA modulates pain perception . Systemic administration of DA antagonists were reported to alter nociceptive responses . Symptoms of pain in Parkinson disease (PD) imply that DA levels in the brain affect pain sensations. In clinical reports on PD, patients frequently complain of neuropathic or central pain before motor disorders [12–14]. These clinical reports indicate that the brain DA level modifies pain sensations. In animal studies, microinjections of DA into the ACC reduced autotomy scores in a sciatic neurotomy model . Behavioral in vivo studies of pain have demonstrated that DA depletion induces significant changes in thresholds for noxious stimuli [16, 17]. Six-hydroxydopamine (6-OHDA) lesions in the VTA induced hyperalgesia in acute and chronic pain models . We determined whether lower DA concentration changes in the VTA induced by 6-OHDA lesions alter nociceptive responses in the PFC. We also examined effects of a κ-opiate receptor agonist injected into VTA on nociceptive responses. Dopaminergic projections from VTA have two main target areas, PFC and the nucleus accumbens. A κ-opiate receptor agonist injected into VTA inhibited only DA neurons projecting to PFC and reduced DA level in PFC .
The rodent PFC receives DA projections from the VTA. The present study demonstrated VTA-PFC projections to directly affect nociceptive responses recorded in the PFC. VTA projections terminated at synapses within the soma, dendritic shafts, and spines of pyramidal cells in layers II to V of the PFC [20, 21], while nociceptive information was transmitted through the medial pain pathways from the periphery to the PFC [5, 22]. The crucial roles of DA in PFC function were discussed in the review by Seamans . The mesocortical DA pathways from the VTA have modifying effects on cognition  in the PFC. The VTA-PFC pathways may affect activities of the medial pain pathways, of which the PFC is the center. We analyzed the effects of dopaminergic inputs from the VTA to the prelimbic and cingulate areas on nociceptive responses in the PFC. We also clarified which of the DA receptor subtypes is related to the modulatory effects on nociceptive responses in the PFC.
Mechanical noxious stimulation induced nociceptive responses in the PFC
HFS delivered to the VTA decreased nociceptive responses in the PFC
High frequency stimulation (HFS, 50 Hz, 30 s) delivered to the VTA impaired PFC nociceptive responses evoked by mechanical stimulation applied to the rat tail (11 units/9 rats) (Figure 1B). Durations of nociceptive responses were 3.00 ± 0.46 s pre-HFS, and 0.82 ± 0.33 s (36.9 ± 14.5% of pre-HFS) at 10 min (p<0.01), 1.05 ± 0.29 s (40.4 ± 12.7%) at 30 min (p<0.01) and 2.55 ± 0.60 s (91.0 ± 19.3%) at 60 min post-HFS (Figure 1C). Frequencies of discharge were 5.43 ± 1.00 pre-HFS, and 2.06 ± 0.78 (38.8 ± 12.3% of pre-HFS) at 10 min (p<0.01), 2.71 ± 1.01 (51.4 ± 16.8%) at 30 min and 4.34 ± 1.03 (93.3 ± 25.1%) at 60 min post-HFS (Figure 1D). Long-lasting suppression (LLS) of nociceptive responses appeared within 10 min and persisted for 30 min after HFS. Nociceptive responses recovered to pre-HFS levels in 60 min. HFS delivered to the VTA clearly inhibited nociceptive responses in the rat PFC.
D2R antagonist blocked the depression of nociceptive responses
D1R antagonist had no effect on nociceptive responses in the PFC
D2R agonist decreased nociceptive responses in PFC
κ-opiate receptor agonist microinjection into the VTA
DA depletion had no effect on nociceptive responses in the PFC
DA depletion was established by apomorphine tests three weeks after 6-OHDA injection into the medial forebrain bundle (MFB). In apomorphine test-positive animals, background ECoG showed low voltage fast waves, as described in a previous report . However, nociceptive responses were normally evoked by mechanical stimulation delivered to the tail. There was no difference in mean nociceptive responses between the control (n=8) and 6-OHDA groups (n=10) (4.51 ± 0.49 s and 3.93 ± 0.68 s, respectively) (Figure 5B).
Our study examined whether the mesocortical DA system directly affects nociceptive responses in the PFC. HFS delivered to the VTA inhibited nociceptive responses recorded in the PFC. Basically, the DA concentration in the PFC, which receives direct inputs from the VTA [20, 21], is tonically maintained by activities of dopaminergic neurons in the VTA. HFS delivered to the VTA  and activation of VTA neurons by N-methyl-D-aspartate (NMDA)  increase the extracellular DA concentration, thereby producing inhibitory effects on PFC neurons . Higher DA concentrations induced by HFS may produce inhibition of nociceptive responses in the PFC. The inhibition, which was induced by a HFS of a moderate intensity, persisted for 60 min. In PFC slice studies, bath application of DA strongly modulated long-term depression of glutamatergic synapses . Our previous in vivo study  indicated that DA modulated LLS induced by glutamate receptor activation. Burst stimulation of VTA increased DA release in PFC, which induced plasticity of PFC neurons . DA release by HFS delivered to VTA may induce plastic changes in glutamatergic synapses to receive nociceptive inputs from peripheral tissue.
In contrast, DA depletion induced by 6-OHDA  or a decrease in the DA concentration induced by κ-opiate application  had no effect on nociceptive responses in the PFC. DA depletion by 6-OHDA increased the low amplitude and high frequency components in background ECoG, as reported previously . Decreased tonic DA release suppressed D2-mediated activities followed by augmentation of PFC neuron activities . These reports indicate that a low level of DA affects spontaneous activities of PFC neurons, but effects on evoked responses remain unclear. Our results and those of a previous report  demonstrated a low DA concentration in the PFC to impair plastic changes but not normal nociceptive responses.
In the rodent PFC, local application of DA reportedly induced spike activities, while a D2R antagonist impaired suppression of spontaneous discharges [28, 33, 34]. Our results from HFS to the VTA and local injection of a D2R agonist indicate D2R activation to be responsible for the LLS of nociceptive responses induced by HFS of the VTA. A D1R antagonist, however, had minimal effects on nociceptive responses, as reported by Godbout . DA D1R and D2R are found on both pre- and post-synaptic pyramidal neurons in the PFC [35–37]. D1R activating adenylate cyclase through interactions with G-proteins (Gs)  enhanced the NMDA current , which induced long-term potentiation (LTP) in the PFC . A question is why HFS did not evoke excitatory effects via D1Rs activities. More D1Rs are expressed on gamma-aminobutyric acid (GABA) neurons than on pyramidal cells in the PFC , suggesting that D1R activities evoked by HFS did not consistently induce excitatory responses. Another possibility is that DA D1R produces an inverted-U shaped response, indicating a higher dose to be associated with somewhat lower performance [42, 43]. The DA concentrations induced by HFS of the VTA may evoke DA D2- but not DA D1-mediated activities in PFC neurons.
The PFC receives numerous projections from several areas involved in complex higher brain functions. The medial pain pathways extend from the periphery to the PFC [5, 22] and direct projections from the VTA terminate in the PFC. Both inputs converged in the same areas (Additional file 1) where unit discharges were recorded in this study. Projections from the amygdala and hippocampus also terminate in the PFC and thereby change pain responses [8, 44]. These areas are related to emotion and memory, suggesting that the PFC unifies affectional information and pain. According to human brain imaging analyses, the strength of conscious pain, which is related to psychological condition, reflects activities of the PFC . DA modified synaptic plasticity [8, 46] and prolonged DA-mediated modulation biases the long-term processing dynamics of PFC networks .
Mechanical noxious stimulation applied peripherally evoked nociceptive discharges in the PFC. HFS delivered to the VTA inhibited persistently nociceptive responses recorded in the PFC. This long lasting inhibition was decreased by a DA D2R antagonist. In addition, a D2R agonist alone produced inhibition of nociceptive responses. The DA system (VTA-PFC projections) exerts modulatory effects on pain responses recorded in the PFC. The mesocortical DA system may affect complex pain cognition.
Materials and methods
Adult male Wistar rats (270-350 g; Sankyo Laboratory Co., Tokyo, Japan) were used in all experiments. The rats were housed under controlled temperature (25°C) and humidity (40-50%) conditions with a 12-h light/dark cycle, and had free access to food and water. Experiments conformed to guidelines issued by the National Institutes of Health for Laboratory Animals and all procedures were approved by the Animal Experimental Committee of Tokyo Women’s Medical University. Efforts were made to minimize the number of animals used and their suffering. All rats were anesthetized with a single injection of urethane (1.5 g/kg, i.p.) and mounted in a stereotaxic instrument (Narishige, Tokyo, Japan) for the acute experiments.
Mechanical pressure was applied to the tail (1.0-2.0 cm distal to the body) employing a mechanical stimulator (DPS-270; DIA Medical System Co., Tokyo, Japan), using a probe with a circular contact area with a 1 mm-in-diameter tip. Mechanical stimuli were delivered every 90 s at constant force with a feedback system. Stimulus intensity in this experiment was 500 gf with a 0.1 s rising (and decreasing) time to maximum force and a 2 s hold time. The nociceptive stimulus intensity of 300 gf has been shown to be adequate  to induce C-fiber mediated activity in peripheral nerves . These mechanical stimulus conditions induced stabile nociceptive responses lasting more than two hours under the same anesthetic levels. (For details, refer to our previous reports [5, 8]).
Local application of drugs
A cannula (0.18 mm inside diameter, Teflon) with a stainless recording electrode (TF205-074, Unique Medical Co., Tokyo, Japan) was stereotaxically positioned in the left PFC or VTA. The cannula was connected by polyethylene tubing (30 cm length) to a 25 μl syringe (Hamilton, NV, USA). The drug was microinjected by means of a syringe pump at a rate of 1 μl/min (55-1111; Harvard Apparatus Co., MA, USA). All drugs were dissolved in 0.9% saline. The following barrel concentrations were used: 5 μM/5 μl sulpiride (D2R antagonist; Sigma, St. Louis, MO, USA), 5 μM/5 μl quinpirole (D2R agonist; Sigma), 100 nM/6 μl SCH23390 (D1R antagonist; Sigma), 100 μM/5 μl U-50488 (κ-opiate receptor agonist; Sigma). Sulpiride, SCH23390 and quinpirole were locally injected into the PFC. A κ-opiate receptor agonist, U-50488, was injected into the VTA to decrease DA concentrations .
HFS applied to the VTA
In these experiments, tungsten needle microelectrodes (impedance 8-12 MΩ; FHC) were positioned in the VTA. Stereotactic coordinates of the VTA were 4.5-5.5 mm posterior and 0.3-0.8 mm lateral to the Bregma. The perpendicular depths of the recording sites were between 7.5 and 8.5 mm from the dorsal cortical surface (Figure 6A(b)). Electrical HFS (50 Hz, 250 μA, 100μs square pluses, for 30 s) was applied to the VTA to increase DA concentrations in the PFC .
Depletion of DA
Rats were anesthetized with Nembutal (50 mg/kg i.p.). Then, five μl of 6-OHDA HCl (2 mg in 1ml of saline containing 0.1% ascorbic acid; Sigma) were injected into the left MFB through a cannula with a microinjection pump at a rate of 20 μl/hr, and the cannula was left in place for 10 min after the completion of pumping. Stereotactic coordinates of the MFB were 4.5 mm posterior and 1.1 mm lateral to the Bregma. The perpendicular depths of the recording sites were 8.2 mm from the dorsal cortical surface. At the end of injection, the cannula was removed and the skull skin was sutured. We assessed motor disturbance 3 weeks after 6-OHDA injection by circling behavior (LE 902/Rp Container; Panlabs.I., Barcelona, Spain) with apomorphine (1 mg/kg i.p.) administration. The same acute experimental procedures as described above (Recording and stimulating electrodes) were carried out after DA depletion had been established. Nociceptive discharges were recorded in the PFC of the side ipsilateral to 6-OHDA injection. Apomorphine induced rotational asymmetry was not observed in the intact group (Pre-6-OHDA treatment) serving as the control. Before the 6-OHDA injections, we performed apomorphine tests (1 mg/kg i.p.) to avoid spontaneous DA abnormalities.
Unit recording locations
The locations of units were marked with a positive electric current lesion (direct current, 100 μA for 15 s). At the end of each experiment, the animals were perfused with normal saline and 4% paraformaldehyde. After overnight post-fixation, the brains were sectioned (50 μm) and stained with Cresyl Violet solution to examine the recording sites under light microscopy.
A single unit spike was discriminated on the basis of the height and width of each unit from a multi-unit recording obtained (scatter plotting Figure 6B(b) left) and the same single units were determined from clusterized discharges with pattern matching (Figure 6B(b) right). Software LabChart 7.0 (AD Instruments Co., Tokyo, Japan) was used for unit discharge analysis. The spike histogram was analyzed using single spikes during a 22s period (10s before stimulation and 10s after stimulation, Figure 6B(c)). Each bin of histograms consists of spikes during a 1 s period. The durations of responses exceeding double the mean spontaneous discharges on the histogram were assessed as the response durations (Figure 6B(c)). Significant differences in discharges evoked by mechanical stimuli were assessed with the nonparametric paired-test (Wilcoxon) to compare pre- and post- stimulation values. Data are expressed as means ± standard errors (S.E.). A probability level of <0.05 was considered significant.
Anterior cingulate cortex
Cingulate cortex area 1
High frequency stimulation
Medial forebrain bundle
Parkinson disease, PFC, prefrontal cortex
Specific high threshold
Ventral tegmental area.
This work was supported by a Grant-in Aid Scientific Research (KAKENHI 23590722).
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