Spinal dynorphin and neuropathic pain

Josephine Lai, Ruizhong Wang, Frank Porreca

Research output: Chapter in Book/Report/Conference proceedingChapter


The endogenous neuropeptides dynorphins are proteolytic products of prodynorphin which are characterized by their high affinity for opioid receptors. Dynorphin A is widely distributed in the CNS and in the spinal cord is found predominantly in neurons of laminae I/II and V. Intrathecal dynorphin A displays predominantly non-opioid activities which can be reversed by NMDA antagonists as well as by bradykinin B2 receptor antagonists. The levels of spinal dynorphin expression can be easily perturbed; elevated levels of dynorphin A in the spinal cord are essential for the expression of chronic pain. Descending modulatory pain pathways from the rostral ventromedial medulla contribute to dynorphin up-regulation and the maintenance of neuropathic pain. Recovery from neuropathic pain may depend not only on recovery from the peripheral injury but also on reversing the injury-induced adaptive changes to the central nervous system such as dynorphin up-regulation.

Original languageEnglish (US)
Title of host publicationSynaptic Plasticity in Pain
PublisherSpringer New York
Number of pages14
ISBN (Electronic)9781441902269
ISBN (Print)9781441902252
StatePublished - Jan 1 2009

ASJC Scopus subject areas

  • Medicine(all)
  • Neuroscience(all)

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    Lai, J., Wang, R., & Porreca, F. (2009). Spinal dynorphin and neuropathic pain. In Synaptic Plasticity in Pain (pp. 353-366). Springer New York. https://doi.org/10.1007/978-1-4419-0226-9_16