Figure 4.
Supraspinal mechanisms of capsaicin-induced analgesia. Subdermal injection of capsaicin produces analgesia by modulating dopaminergic pathway in the NAc (1) [96], opioid pathway in the hippocampus (2) [98], and GABAergic activity in the RVM (3) [96,97]. In addition, vlPAG injection of capsaicin activates endocannabinoid pathway (4) [99], and dPAG by modulating glutamate signaling pathway (5) [100]. Intrathecal injection of capsaicin depletes substance P and also produces analgesia (6) [101,102,103]. DRG: dorsal root ganglion; NAc: nucleus accumbens; Hyp: hippocampus; RVM: rostral ventromedial medulla; PAG: periaqueductal gray; vlPAG: ventrolateral periaqueductal gray; dPAG: dorsal periaqueductal gray;