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. 2025 Feb 27;18:414–431. doi: 10.1016/j.ibneur.2025.02.015

Table 2.

the mechanism of cerebral nuclei in comorbidity.

Encephalic region comorbidity State Mechanism Ref
Amygdala Amygdala pain-anxiety 1. decreased global DNA methylation, 2. increased the NMDAR (p-GluN2B, GluN2B, GluN2A, PSD95, Synaptophysin) expressions, 3. increased the AMPAR (GluA1 p-GluA1), 4. increased the microglia activation, 5. increased the proinflammatory mediators (TNF-a, IL−1b) and NF-κB signaling pathway (p65, pIκBa) 58, 35
CeA pain-anxiety 1. increased the frequency and the amplitude of mEPSC, 2. increased the GABAergic neurons (increased the PKCδ、SOM neurons). 46, 68
BLA pain-anxiety 1. increased CPEB1 expression, 2. shown in Fig10c 8, 16, 19, 25, 31, 33, 65
pain-depression increased the c-Fos expression 65
ACC ACC pain-anxiety 1. activated the calcium homeostasis moduLator 2 (Calhm2) in pyramidal neurons, 2. shown in the Fig10b 22, 28, 34, 43, 44, 48, 50, 52, 59
rACC pain-anxiety
  • 1.

    increased the neurons activity, 2. increased NMDAR expression (p-GLuN1, p-GluN2A, p-Glun2B)

54
hippocampus hippocampus pain-anxiety increased the BDNF level 14
pain-cognition
  • 1.

    increased the IL−1β levels, 2. apoptosis and necroptosis (increased the caspace8, caspsae−3, and Rip3 proteins)

57
pain-depression inhibited the PI3K/Akt signaling pathway (decreased of p-PI3K, PI3K, p-Akt, Akt proteins) →neuronal apoptosis (decreased Bcl−2 expression, increased Bax expression) 71
dorsal hippocampus pain-cognition increased the endogenous PPAR ligands (PEA and OEA) levels 41
vDG、dDG pain-anxiety decreased the BDNF levels 8
dDG pain-cognition impaired the neurogenesis
vCA1 pain-anxiety pyramidal neurons showed inhibitory responses 67
mPFC pain-cognition 1. increased the dendritic spine density on pyramidal neurons in the mPFC of male mice but not in female mice, 2. increased the dendritic spine density on interneurons in the mPFC of male and female mice, 3. CFA injection decreased the expression of the glutamate transporter VGlut1 on the soma of mPFC neurons. 56
pain-anxiety increased the c-Fos expression 62
vmPFC pain-anxiety enhanced AMPAR trafficking and synaptic transmission 61
PL pain-anxiety decreased the excitatory neurons 15
BNST pain-anxiety increased the c-Fos expression 62
LC pain-anxiety increased the c-Fos expression 39
pain-cognition
thalamus pain-anxiety increased the NR2B expression 51
NAc pain-depression increased the GluA1 expression 17
PAG pain-depression, pain-anxiety increased the c-Fos expression 65
RVM