First, you have to know that in your
skin, you have sensory neurons, more specifically
nociceptor neurons.
Sensory neurons have receptors that
react when temperature increases (like a burn).
Activated by the heat, cationic channels open themselves and let pass Ca2+ cations.
There is a depolarization of the
membrane and an action potential is created.
The action potential propagates along sensory neuron axon until sensory ganglia. These
ganglia are located on each side of the spinal cord. That’s where we find the cell bodies
of the nociceptor neurons. (fig. 1)
Then, the
action potential goes into the posterior gray columns of the spinal cord. It is
relayed to another neuron by the first synapse of pain transmission.
The
message is relayed to a projection neuron which goes from the spinal cord to
the brain. This transmission is regulated by interneurons
which can increase or decrease it. (fig. 1)
Projection
neurons can use two different ways of fibers to go up to the brain:
- By the first pathway, they go up straight to the thalamus, second synapse, and then to the cortex.
- By the second way, axons project to the parabrachial nucleus, where they establish new synapses. This nucleus send projections to the thalamus, but also to the hypothalamus.
The first pathway leads to a sensory
discriminative perception of pain. The second pathway regulates the autonomic nervous system, through the hypothalamus, which leads to an unconscious response,
beyond one's control. The heartbeat are an example. (fig. 2)
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