Evidence map›Paper›PMID 36223767›Full record

ArticleNeuron2022

Spinal cord retinoic acid receptor signaling gates mechanical hypersensitivity in neuropathic pain.

Bing Cao, Gregory Scherrer, Lu Chen

Open access · greenAbstract read
In one paragraph

Article in Neuron, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 49 citations in OpenAlex.

  1. Review
  2. Glial cells in neuropathic pain.Physiological reviews · 2026
    Review
  3. Retinoic acid in health and disease.Signal transduction and targeted therapy · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Neuropathic Pain-Like Responses in a Chronic CNS Injury Model Are Mediated by Corticospinal-Targeted Spinal Interneurons.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Establishment of a Magnetically Controlled Scalable Nerve Injury Model.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  17. Article
  18. Parvalbumin gates chronic pain through the modulation of firing patterns in inhibitory neurons.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Bing CaoDepartment of Neurosurgery, Wu Tsai Neuroscience Institute, Stanford University School of Medicine, Stanford, CA 94305, USA.
Gregory ScherrerDepartment of Cell Biology and Physiology, UNC Neuroscience Center, Department of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Lu ChenDepartment of Neurosurgery, Wu Tsai Neuroscience Institute, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: luchen1@stanford.edu.
Neurosciences Institute · USStanford University · USUniversity of North Carolina at Chapel Hill · US

Funding

Role of synaptotagmins and neurexin ligands in homeostatic synaptic plasticityP50MH086403 · NIMH · STANFORD UNIVERSITY · PI MALENKA, ROBERT C · 2009 to 2019
$18.4M
Project 3P50HD104458 · NICHD · EMORY UNIVERSITY · PI BASSELL, GARY J · 2020 to 2024
$8.1M
Developmental Pathophysiology of Synapses in a Mouse Model of Fragile X SyndromeR01HD084215 · NICHD · STANFORD UNIVERSITY · PI CHEN, LU · 2014 to 2018
$3.3M
A molecular investigation of retinoic acid-dependent homeostatic synaptic plasticityR01NS115660 · NINDS · STANFORD UNIVERSITY · PI CHEN, LU · 2020 to 2024
$2.9M
Amygdala mechanisms of pain aversionR01NS106301 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SCHERRER, GREGORY · 2018 to 2022
$1.3M
NICHD NIH HHS P50 HD104458NICHD NIH HHS R01 HD084215NIMH NIH HHS P50 MH086403NINDS NIH HHS R01 NS106301NINDS NIH HHS R01 NS115660
6 · The paper itself

Abstract

Central sensitization caused by spinal disinhibition is a key mechanism of mechanical allodynia in neuropathic pain. However, the molecular mechanisms underlying spinal disinhibition after nerve injury remain unclear. Here, we show in mice that spared nerve injury (SNI), which induces mechanical hypersensitivity and neuropathic pain, triggers homeostatic reduction of inhibitory outputs from dorsal horn parvalbumin-positive (PV+) interneurons onto both primary afferent terminals and excitatory interneurons. The reduction in inhibitory outputs drives hyperactivation of the spinal cord nociceptive pathway, causing mechanical hypersensitivity. We identified the retinoic acid receptor RARα, a central regulator of homeostatic plasticity, as the key molecular mediator for this synaptic disinhibition. Deletion of RARα in spinal PV+ neurons or application of an RARα antagonist in the spinal cord prevented the development of SNI-induced mechanical hypersensitivity. Our results identify RARα as a crucial molecular effector for neuropathic pain and a potential target for its treatment.

Indexed as

NeuralgiaSpinal CordAnimalsHyperalgesiaMiceNeuronsReceptors, Retinoic AcidSpinal Cord Dorsal HornReceptors, Retinoic Acidhomeostatic synaptic plasticityneuropathic painparvalbumin neuronsretinoic acid receptorsynaptic disinhibition

Identifiers

PMID36223767
PMCPMC9789181
OpenAlexW4304196429

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.