›› 2019, Vol. 39 ›› Issue (1): 95-.doi: 10.3969/j.issn.1674-8115.2019.01.018

• Review • Previous Articles     Next Articles

Role of On-cells and Off-cells in the rostral ventromedial medulla in pain modulation

WANG Ruo-xi, JIANG Tao, JIAO Ying-fu, GAO Po, YANG Li-qun, YU Wei-feng   

  1. Anesthesiology Department, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2019-01-28 Published:2019-02-27
  • Supported by:
    National Natural Science Foundation of China, 81571048, 81771185; Medical Science and Technology Project of Health and Family Planning Commission of Pudong,Shanghai, PW2015D-3

Abstract: The rostral ventromedial medulla is one of the key structures in descending pain modulation system. It receives inputs the thalamus, the periaqueductal gray, and parabrachial nucleus, and sends descending projections through the dorsolateral funiculus and ventrolateral funiculus to the spinal dorsal horns. The rostral ventromedial medulla is thought to be the final relay in descending modulation of pain. The neurons in this region can be classified into On-cells, Off-cells and Neutral cells according to the changes in the firing activity before tail flick. This review mainly focuses on pain modulation functions and potential analgesia mechanisms of On-cells and Off-cells.

Key words: rostral ventromedial medulla, On-cell, Off-cell, opioid receptor, pain

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