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Why a soft touch can hurt.

机译:为什么轻柔的触摸会伤害人。

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摘要

The neurophysiological literature on nodceptive neurons with ascending projections from the spinal cord has been riven for almost 40 years by a dogmatic controversy: many investigators professed that pain is subserved by so-called 'wide dynamic range' (WDR) neurons that respond to both low- and high-threshold cutaneous stimuli, whereas others preferred cells with nociceptive-specific (NS) response properties (reviewed in: Craig, 2003). WDR proponents claimed that such cells fulfilled the once popular (but now discredited: Inui et al. 2006) 'gate control theory' and that they could easily explain the allodynia commonly described by neuropathic pain patients (that is, pain elicited by low-threshold contact, as in sunburn). On the other hand, proponents of NS neurons claimed that such cells could serve as labelled lines' that required no central integration to signal pain.
机译:关于脊髓的递增投射的结节性神经元的神经生理学文献已被教条式的争论推翻了近40年:许多研究者认为疼痛是由所谓的“宽动态范围”(WDR)神经元来维持的,该神经元对两种低反应都做出反应-和高阈值的皮肤刺激,而其他人更喜欢具有伤害性特异性(NS)响应特性的细胞(综述:Craig,2003年)。 WDR的支持者声称这种细胞满足了曾经流行的(但现在已声名狼藉:Inui等人,2006)的“门控制理论”,并且它们可以轻松地解释神经性疼痛患者通常描述的异常性疼痛(即低阈值引起的疼痛)。接触,如晒伤)。另一方面,NS神经元的支持者声称这种细胞可以用作标记细胞系,不需要中央整合就可以发出疼痛信号。

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