PMID- 29635030 OWN - NLM STAT- MEDLINE DCOM- 20190923 LR - 20200306 IS - 1095-9564 (Electronic) IS - 1074-7427 (Print) IS - 1074-7427 (Linking) VI - 154 DP - 2018 Oct TI - Metaplasticity within the spinal cord: Evidence brain-derived neurotrophic factor (BDNF), tumor necrosis factor (TNF), and alterations in GABA function (ionic plasticity) modulate pain and the capacity to learn. PG - 121-135 LID - S1074-7427(18)30092-3 [pii] LID - 10.1016/j.nlm.2018.04.007 [doi] AB - Evidence is reviewed that behavioral training and neural injury can engage metaplastic processes that regulate adaptive potential. This issue is explored within a model system that examines how training affects the capacity to learn within the lower (lumbosacral) spinal cord. Response-contingent (controllable) stimulation applied caudal to a spinal transection induces a behavioral modification indicative of learning. This behavioral change is not observed in animals that receive stimulation in an uncontrollable manner. Exposure to uncontrollable stimulation also engages a process that disables spinal learning for 24-48 h. Controllable stimulation has the opposite effect; it engages a process that enables learning and prevents/reverses the learning deficit induced by uncontrollable stimulation. These observations suggest that a learning episode can impact the capacity to learn in future situations, providing an example of behavioral metaplasticity. The protective/restorative effect of controllable stimulation has been linked to an up-regulation of brain-derived neurotrophic factor (BDNF). The disruption of learning has been linked to the sensitization of pain (nociceptive) circuits, which is enabled by a reduction in GABA-dependent inhibition. After spinal cord injury (SCI), the co-transporter (KCC2) that regulates the outward flow of Cl(-) is down-regulated. This causes the intracellular concentration of Cl(-) to increase, reducing (and potentially reversing) the inward flow of Cl(-) through the GABA-A receptor. The shift in GABA function (ionic plasticity) increases neural excitability caudal to injury and sets the stage for nociceptive sensitization. The injury-induced shift in KCC2 is related to the loss of descending serotonergic (5HT) fibers that regulate plasticity within the spinal cord dorsal horn through the 5HT-1A receptor. Evidence is presented that these alterations in spinal plasticity impact pain in a brain-dependent task (place conditioning). The findings suggest that ionic plasticity can affect learning potential, shifting a neural circuit from dampened/hard-wired to excitable/plastic. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Grau, James W AU - Grau JW AD - Behavioral and Cellular Neuroscience, Department of Psychology, Texas A&M University, College Station, TX 77843-4235, USA. Electronic address: j-grau@tamu.edu. FAU - Huang, Yung-Jen AU - Huang YJ AD - Behavioral and Cellular Neuroscience, Department of Psychology, Texas A&M University, College Station, TX 77843-4235, USA. LA - eng GR - R01 NS041548/NS/NINDS NIH HHS/United States GR - R21 NS091723/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20180407 PL - United States TA - Neurobiol Learn Mem JT - Neurobiology of learning and memory JID - 9508166 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Tumor Necrosis Factor-alpha) RN - 56-12-2 (gamma-Aminobutyric Acid) SB - IM MH - Animals MH - Brain-Derived Neurotrophic Factor/*physiology MH - Humans MH - Learning/*physiology MH - Models, Neurological MH - *Neuronal Plasticity MH - Neurons/physiology MH - Nociception/physiology MH - Pain/*physiopathology MH - Spinal Cord/*physiology MH - Tumor Necrosis Factor-alpha/*physiology MH - gamma-Aminobutyric Acid/*physiology PMC - PMC6139037 MID - NIHMS958918 OTO - NOTNLM OT - BDNF OT - Central sensitization OT - Instrumental conditioning OT - KCC2 OT - Spinal cord injury OT - TNF EDAT- 2018/04/11 06:00 MHDA- 2019/09/24 06:00 PMCR- 2019/10/01 CRDT- 2018/04/11 06:00 PHST- 2017/10/11 00:00 [received] PHST- 2018/03/01 00:00 [revised] PHST- 2018/04/06 00:00 [accepted] PHST- 2018/04/11 06:00 [pubmed] PHST- 2019/09/24 06:00 [medline] PHST- 2018/04/11 06:00 [entrez] PHST- 2019/10/01 00:00 [pmc-release] AID - S1074-7427(18)30092-3 [pii] AID - 10.1016/j.nlm.2018.04.007 [doi] PST - ppublish SO - Neurobiol Learn Mem. 2018 Oct;154:121-135. doi: 10.1016/j.nlm.2018.04.007. Epub 2018 Apr 7.