Evidence map›Paper›PMID 40023166›Full record

ArticleNeuron2025

Differential modification of ascending spinal outputs in acute and chronic pain states.

David A Yarmolinsky, Xiangsunze Zeng, Natalie MacKinnon-Booth, Caitlin A Greene, Chloe Kim, Yu-Ting Cheng, Bruna Lenfers Turnes, Clifford J Woolf

Abstract read
In one paragraph

Article in Neuron, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Glial cells in neuropathic pain.Physiological reviews · 2026
    Review
  2. Article
  3. Article
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  7. Review
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  9. Article
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  12. Mechanism-based nonopioid analgesic targets.The Journal of clinical investigation · 2025
    Review
  13. Article
  14. Nrxn3 reduces myofascial nociceptive pain.Neurobiology of pain (Cambridge, Mass.)
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

David A YarmolinskyF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Xiangsunze ZengF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Natalie MacKinnon-BoothF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Caitlin A GreeneF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Chloe KimF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Yu-Ting ChengF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Bruna Lenfers TurnesF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA.
Clifford J WoolfF.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, MA 02115, USA; Department of Neurobiology, Harvard Medical School, Boston, MA 02115, USA. Electronic address: clifford.woolf@childrens.harvard.edu.

Funding

Viral ModuleP30EY012196 · NEI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ZHIGANG HE · 1998 to 2026
$21.3M
Unravelling Mechanisms and Novel Therapeutic Targets for Peripheral Neuropathy and Neuropathic Pain (Diversity Supplement)R35NS105076 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI WOOLF, CLIFFORD J · 2018 to 2025
$9.5M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
Spinal Cord Nociceptive Circuits that Deliver Outputs to the Brain to Initiate PainR01AT011447 · NCCIH · HARVARD MEDICAL SCHOOL · PI DRUGOWITSCH, JAN, GINTY, DAVID D · 2020 to 2024
$5.3M
Defining the generators of spontaneous trigeminal painK99DE028360 · NIDCR · BOSTON CHILDREN'S HOSPITAL · PI YARMOLINSKY, DAVID AVRAHM · 2018 to 2020
$305k
NCCIH NIH HHS R01 AT011447NEI NIH HHS P30 EY012196NICHD NIH HHS P50 HD105351NIDCR NIH HHS K99 DE028360NINDS NIH HHS R35 NS105076
6 · The paper itself

Abstract

Pain hypersensitivity arises from the induction of plasticity in peripheral and spinal somatosensory neurons, which modifies nociceptive input to the brain, altering pain perception. We applied longitudinal calcium imaging of spinal dorsal projection neurons to determine whether and how the representation of somatosensory stimuli in the anterolateral tract, the principal pathway transmitting nociceptive signals to the brain, changes between distinct pain states. In healthy mice, we identified stable outputs selective for cooling or warming and a neuronal ensemble activated by noxious thermal and mechanical stimuli. Induction of acute peripheral sensitization by topical capsaicin transiently re-tuned nociceptive output neurons to encode low-intensity stimuli. In contrast, peripheral nerve injury resulted in a persistent suppression of innocuous spinal outputs coupled with persistent activation of a normally silent population of high-threshold neurons. These results demonstrate differential modulation of spinal outputs to the brain during nociceptive and neuropathic pain states.

Indexed as

Acute PainChronic PainNeuralgiaSpinal CordAnimalsCapsaicinMaleMiceMice, Inbred C57BLNeuronsNociceptorsPeripheral Nerve InjuriesCapsaicinanterolateral tractdorsal horndorsal root ganglianeuropathic painplasticityspinal cord

Identifiers

PMID40023166
PMCPMC12005971

What OpenQuestion holds

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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.