Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0184567 (acute pain)
 3,962 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Corticotropin-releasing factor (CRF) was implicated as being a major contributor to the neurochemically mediated central regulation of stress response; however, an increasing body of evidence suggests that, besides CRF, other members of this neuropeptide family, such as urocortin (Ucn), may also play a role in modifying the efferent components of immune, endocrine, and behavioral responses to stress. Ucn's distribution in the rat brain has been demonstrated, with the most abundant Ucn-immunoreactive perikarya present in the Edinger-Westphal nucleus (E-WN). Acute pain and immobilization stresses recruit E-WN neurons, however, the activation pattern of E-WN Ucn neurons in response to various acute systemic and neurogenic challenges has not been compared in a single study. We therefore combined quantitative Fos imaging as a marker for neuronal activation with urocortin immunohistochemistry to visualize neurons induced by intravenous lipopolysaccharide (LPS; 100 microg/kg), ether inhalation, restraint, hyperosmotic (1.5 M NaCl i.p.), and hypotensive hemorrhage challenges. Neurons in the E-WN responded with the strongest Fos induction to LPS, but ether and restraint stress also resulted in massive Fos immunoreactivity 2 hours after stress. Unexpectedly, hyperosmotic and hypotensive hemorrhage stresses did not induce urocortinergic perikarya in this brain area 2 hours poststress. This challenge-specific recruitment of E-WN neurons was independent of stress-induced adrenal response. The biological significance and the stress-specific activation of E-WN urocortinergic neurons will be discussed.
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PMID:Urocortinergic neurons respond in a differentiated manner to various acute stressors in the Edinger-Westphal nucleus in the rat. 1551 30

It has been hypothesized that corticotropin-releasing factor (CRF) and its related neuropeptide urocortin 1 (Ucn1) play different roles in the initiation and adaptive phases of the stress response, which implies different temporal dynamics of these neuropeptides in response to stressors. We have tested the hypothesis that acute pain stress (APS) differentially changes the dynamics of CRF expression in the paraventricular nucleus of the hypothalamus (PVN), oval subdivision of the bed nucleus of the stria terminalis (BSTov) and central amygdala (CeA), and the dynamics of Ucn1 expression in the midbrain non-preganglionic Edinger-Westphal nucleus (npEW). Thirty minutes after APS, induced by a formalin injection into the left hind paw, PVN, BSTov, CeA and npEW all showed a peak in cFos mRNA expression that was followed by a robust increase in cFos protein-immunoreactivity, indicating a rapid increase in (immediate early) gene expression in all four brain nuclei. CRF-dynamics, however, were affected by APS in a brain nucleus-specific way: in the PVN, CRF-immunoreactivity was minimal at 60 min after APS and concomitant with a marked increase in plasma corticosterone, whereas in the BSTov not CRF peptide but CRF mRNA peaked at 60 min, and in the CeA a surge of CRF peptide occurred as late as 240 min. The npEW differed from the other centers, as Ucn1 mRNA and Ucn1 peptide peaked at 120 min. These results support our hypothesis that each of the four brain centers responds to APS with CRF/Ucn1 dynamics that are specific as to nature and timing. In particular, we propose that CRF in the PVN plays a major role in the initiation phase, whereas Ucn1 in the npEW may act in the later, termination phase of the adaptation response to APS.
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PMID:Differential responses of corticotropin-releasing factor and urocortin 1 to acute pain stress in the rat brain. 2146 63

Neuropathic pain is often accompanied by stress, anxiety and depression. Although there is evidence for involvement of corticotropin-releasing factor (CRF), the detailed neuronal basis of these pain-related mood alterations is unknown. This study shows that peripheral mononeuropathy was accompanied by changes in limbic forebrain CRF, but did not lead to changes in the functioning of the hypothalamo-pituitary-adrenal axis and the midbrain Edinger-Westphal centrally projecting (EWcp) neuron population, which play main roles in the organism's response to acute pain. Twenty-four days after chronic constriction injury (CCI) of the rat sciatic nerve, the oval bed nucleus of the stria terminalis (BSTov) contained substantially more Crf mRNA as did the central amygdala (CeA), which, in addition, possessed more CRF. In contrast, Crf mRNA and CRF contents of the hypothalamic paraventricular nucleus (PVN) were unaffected by CCI. Similarly, EWcp neurons, producing the CRF family member urocortin 1 (Ucn1) and constitutively activated by various stressors including acute pain, did not show an effect of CCI on Ucn1 mRNA or Ucn1. Also, the immediate early gene products cFos and deltaFosB in the EWcp were unaffected by CCI. These results indicate that neuropathic pain does not act via the HPA-axis or the EWcp, but includes a main role of Crf in the limbic system, which is in clear contrast to stressors like acute and chronic pain, which primarily act on the PVN and the EWcp.
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PMID:Experimental neuropathy increases limbic forebrain CRF. 2168 87

Urocortin, a member of the corticotropin releasing factor (CRF) peptide family, has a 45%sequence identity to CRF. Urocortin is ten-times more potent than CRF in increasing CAMP in cells expressing the CRF, receptor, therefore it was postulated to be an endogenous ligand for this receptor. Urocortin possesses the biological activity of CRF, and by activating the CRF(2) receptors, it can directly affect autonomic functions and play an important role in modifying the efferent components of endocrine, immune and behavioral responses to stress.Although urocortin's distribution in the rat brain has been described, with the most abundant urocortin-ir perikarya present in the Edinger-Westphal nucleus (E-WN), little is known about the physiological significance of brain urocortin. Since immediate early gene expression is seen in several midbrain regions, such as in the E-WN, following acute stress, we hypothesized that acute pain stress can result in the activation of the urocortinergic neurons in the E-WN.Fos immunoreactivity, the protein product of the immediate early gene c-fos, was used as a marker of cellular activity. Double-label immunohistochemical and double label immunofluorescence techniques were used in an acute pain stress model to reveal the colocalization of Fos-immunopositivity with urocortin-immunoreactivity (ir) within the E-WN.Our results showed that acute pain stress resulted in the activation of urocortin-ir neurons in the E-WN, peaking at 4 h after acute pain stress, based on the colocalization of Fos-ir with urocortin-ir, and the upregulation of urocortin mRNA transcripts in the E-WN. Based on these results, we suggest that the E-WN is a brain area that shows sustained activation by a painful stressor.
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PMID:The activation of urocortin immunoreactive neurons in the Einger-Westphal nucleus following stress in rats. 2243 29