Functional peripheral and central vagal neural circuits of interoception inhibiting pain
Interoception is the sense of the physiological condition of the body, and is critical for maintaining homeostasis
and regulating cognitive and emotional processes. The neural processing of interoception can be regulated by
electrical stimulation of the vagus nerve, which led to an FDA-approved therapy for seizure and depression.
Interestingly, vagal stimulation also modulates intractable chronic pain in patients. However, the road to
improving chronic pain management through the regulation of interoceptive inputs is blocked by our ignorance
of the neurobiological mechanisms whereby vagal activity modulates chronic pain, posing a significant hurdle.
To overcome this hurdle, we will focus on the neural mechanisms of vagal modulation in a mouse model of
inflammation in temporomandibular joint (TMJ), a surrogate model of temporomandibular disorders (TMD). TMD
is a prevalent form of chronic pain that often occurs as a comorbidity with other chronic pain conditions, such as
migraine and fibromyalgia. Since chronic pain involves a wide range of neural processes ranging from peripheral
nociception to affective and cognitive processing in the brain, it is possible that interoceptive inputs regulate pain
pathways through multiple peripheral and central mechanisms. Vagal stimulation was suggested to inhibit
transmission of pain signals at spinal cord through the regulation of descending pain modulatory pathways.
Considering the high comorbidity of chronic pain and affective disorders, such as anxiety or depression, vagal
inputs likely modulate pain through regulation of brain regions involved in emotional regulation. Furthermore,
pain is driven by nociceptive processing by pain-sensing nerves at peripheral tissues, but vagal regulation of
nociception in the periphery has not been reported. Here, our objective is to determine functional neural
mechanisms by which interoception inhibits pain. Our central hypothesis is that vagal interoceptive circuits
intersect with peripheral and central nociceptive pathways to inhibit pain from TMJ. We will test this hypothesis
in the following specific aims.