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Brain’s Natural Braking Mechanism Falters in Chronic Pain

A study shows the A-type potassium current that dials down acute pain signals fails to activate in persistent pain, opening a path to targeted therapies.

In acute pain, IA increases — acting like a natural sedative for the pain pathways. Credit: Neuroscience News

Overview

  • Researchers from the Hebrew University of Jerusalem reported in Science Advances that medullary dorsal horn neurons reduce their firing during short-term inflammatory pain.
  • The team identified the A-type potassium current (IA) as the key mechanism that increases in acute pain to curb neuron excitability.
  • In chronic pain models, IA activation is absent and projection neurons become hyperactive, allowing pain signals to continue unabated.
  • The failure of this endogenous braking response highlights a precise molecular target for therapies aimed at restoring the brain’s own pain-regulation systems.
  • Chronic pain affects over 50 million Americans and one in five Australians over 45, demonstrating an urgent need for more effective treatment strategies.