Researchers have identified a specialized
multisynaptic circuit loop that specifically drives
chronic mechanical pain while remaining inactive during normal, protective sensation. This neural pathway originates in the
spinal cord, ascends through the
thalamus to the
primary somatosensory cortex, and returns to the spinal cord via the
lateral superior colliculus and
OPRM1+ neurons in the medulla. Experiments using mouse models of
nerve injury and inflammation demonstrate that silencing any node in this loop can eliminate
mechanical hypersensitivity and restore normal pain thresholds. Conversely, repetitive activation of this circuit in healthy subjects is sufficient to induce
persistent pain states and associated
anxiety-like behaviors. These findings distinguish the mechanisms of
chronic pain from acute nociception, offering precise
cellular targets for therapeutic intervention. Consequently, targeting this specific brain-spinal cord loop may allow for the treatment of
chronic suffering without impairing the body's essential ability to detect immediate physical threats.
References:
- Wang Q, Lee J H, Nachtrab G, et al. Deconstruction of a spino-brain–spinal cord circuit that drives chronic pain[J]. Nature, 2026: 1-10.