Noradrenergic neurons in the locus coeruleus contribute to neuropathic pain.

Current theories of neuropathic hypersensitivity include an imbalance of supraspinal inhibition and facilitation. Our overall hypothesis is that the locus coeruleus (LC), classically interpreted as a source of pain inhibition, may paradoxically result in facilitation after tibial and common peroneal nerve transection (spared sural nerve injury--SNI). We first tested the hypothesis that non-noxious tactile hind paw stimulation of the spared sural innervation territory increases neuronal activity in the LC in male rats. We observed a bilateral increase in the stimulus-evoked expression of transcription factors Fos and phosphorylated CREB (pCREB) in LC after SNI but not sham surgery; these markers of neuronal activity correlated with the intensity of tactile allodynia. We next tested the hypothesis that noradrenergic neurons contribute to the development of neuropathic pain. To selectively destroy these neurons, we delivered antidopamine-beta-hydroxylase saporin (anti-DbetaH-saporin) into the i.c.v. space 2 weeks before SNI. We found that anti-DbetaH-saporin, but not an IgG-saporin control, reduced behavioral signs of tactile allodynia, mechanical hyperalgesia, and cold allodynia from 3 to 28 days. after SNI. Our final experiment tested the hypothesis that the LC contributes to the maintenance of neuropathic pain. We performed SNI, waited 2 weeks for maximal allodynia and hyperalgesia to develop, and then administered the local anesthetic lidocaine (4%) directly into the LC parenchyma. Lidocaine reduced all behavioral signs of neuropathic pain in a reversible manner, suggesting that the LC contributes to pain facilitation. We conclude that, in addition to its well-known inhibition of acute and inflammatory pain, the LC facilitates the development and maintenance of neuropathic pain in the SNI model. Further studies are needed to determine the facilitatory pathways emanating from the LC.

Hippocampal CREB1 but not CREB2 is decreased in aged rats with spatial memory impairments.

Recent evidence has shown that abnormal signal transduction is related to non-pathological memory impairment among aged subjects. Members of the CREB family of transcription factors contain enhancers (i.e., CREB1) and repressors (i.e., CREB2) of transcription and interact with numerous signaling proteins to mediate the transition from short-term to long-term memory. In this study, quantitative Western blotting was used to determine the levels of CREB1 and CREB2 in homogenates from hippocampi of individual 6- and 24-month-old male Long-Evans rats trained first on a place-learning task in the Morris water maze, then on a transfer task. Based on spatial memory performance, aged rats were characterized into two groups; aged-unimpaired rats (AU) had scores within the range of the young (Y) and aged-impaired rats (AI) fell outside of that range. Overall, CREB1 protein was significantly lower in aged rats in comparison with young rats. Aposteriori analysis showed that this difference was due to a significant decrease in CREB1 levels among aged-impaired rats, whereas aged-unimpaired rats had CREB1 levels comparable to young rats. There was no significant change in levels of CREB2 protein between young and aged rats. These results show that the dysregulation of CREB1 protein may contribute to the spatial memory deficits observed among some aged subjects.