A novel technique to study the brain's response to pain: proton magnetic resonance spectroscopy

Neuroimage. 2005 Jun;26(2):642-6. doi: 10.1016/j.neuroimage.2005.02.001.

Abstract

Glutamate, a major excitatory neurotransmitter, has been implicated as an important mediator in the neurotransmission, potentiation, and negative affect associated with pain. We present results showing that a painful stimulus elicits a dynamic increase in glutamate (9.3% from baseline) concentrations in the anterior cingulate cortex, detectable using proton Magnetic Resonance Spectroscopy ((1)H-MRS). Increases in glutamine levels were also seen, which correlate strongly with the subjective level of pain experienced by participants (r(2) = 0.58, P < 0.01). These novel findings are the first time a dynamic change in glutamate and glutamine levels from baseline in response to an external stimuli has been measured in a single proton MRS scanning session. As such, this report demonstrates the efficacy of (1)H-MRS as a non-invasive tool for the study of neural responses to pain in vivo. The paradigm used in this study demonstrates that dynamic glutamate/glutamine changes due to stimulation are measurable by proton MRS, and could provide a means of testing novel pharmaceutical agents and other treatments for chronic pain.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Brain / pathology*
  • Brain / physiopathology
  • Brain Chemistry / physiology
  • Cold Temperature
  • Female
  • Glutamic Acid / physiology
  • Glutamine / physiology
  • Humans
  • Image Interpretation, Computer-Assisted
  • Magnetic Resonance Imaging
  • Male
  • Pain / pathology*
  • Pain / physiopathology
  • Pain Measurement
  • Pressure
  • Protons
  • Synaptic Transmission / physiology

Substances

  • Protons
  • Glutamine
  • Glutamic Acid