RT Journal Article T1 Pain and depression comorbidity causes asymmetric plasticity in the locus coeruleus neurons. A1 Llorca-Torralba, Meritxell A1 Camarena-Delgado, Carmen A1 Suarez-Pereira, Irene A1 Bravo, Lidia A1 Mariscal, Patricia A1 Garcia-Partida, Jose Antonio A1 Lopez-Martin, Carolina A1 Wei, Hong A1 Pertovaara, Antti A1 Mico, Juan Antonio A1 Berrocoso, Esther K1 Anterior cingulate cortex K1 Depression K1 Locus coeruleus K1 Neuropathic pain K1 Spinal cord AB There is strong comorbidity between chronic pain and depression, although the neural circuits and mechanisms underlying this association remain unclear. By combining immunohistochemistry, tracing studies and western blotting, with the use of different DREADDS (designer receptor exclusively activated by designer drugs) and behavioural approaches in a rat model of neuropathic pain (chronic constriction injury), we explore how this comorbidity arises. To this end, we evaluated the time-dependent plasticity of noradrenergic locus coeruleus neurons relative to the site of injury: ipsilateral (LCipsi) or contralateral (LCcontra) locus coeruleus at three different time points: short (2 days), mid (7 days) and long term (30-35 days from nerve injury). Nerve injury led to sensorial hypersensitivity from the onset of injury, whereas depressive-like behaviour was only evident following long-term pain. Global chemogenetic blockade of the LCipsi system alone increased short-term pain sensitivity while the blockade of the LCipsi or LCcontra relieved pain-induced depression. The asymmetric contribution of locus coeruleus modules was also evident as neuropathy develops. Hence, chemogenetic blockade of the LCipsi→spinal cord projection, increased pain-related behaviours in the short term. However, this lateralized circuit is not universal as the bilateral chemogenetic inactivation of the locus coeruleus-rostral anterior cingulate cortex pathway or the intra-rostral anterior cingulate cortex antagonism of alpha1- and alpha2-adrenoreceptors reversed long-term pain-induced depression. Furthermore, chemogenetic locus coeruleus to spinal cord activation, mainly through LCipsi, reduced sensorial hypersensitivity irrespective of the time post-injury. Our results indicate that asymmetric activation of specific locus coeruleus modules promotes early restorative analgesia, as well as late depressive-like behaviour in chronic pain and depression comorbidity. PB Oxford University Press YR 2022 FD 2022-01-12 LK http://hdl.handle.net/10668/19727 UL http://hdl.handle.net/10668/19727 LA en NO Llorca-Torralba M, Camarena-Delgado C, Suárez-Pereira I, Bravo L, Mariscal P, Garcia-Partida JA, et al. Pain and depression comorbidity causes asymmetric plasticity in the locus coeruleus neurons. Brain. 2022 Mar 29;145(1):154-167 DS RISalud RD Apr 7, 2025