During a previous study of the nucleus parafascicularis (Pf), cells were recorded in the lateral habenula (HbL) which exhibited response patterns to peripheral noxious stimuli similar to those recorded in the Pf. In order to study the possible role of the habenular complex (Hb) in pain processing, we investigated the effect of electrical stimulation of the Hb on the tail-flick latency. For each series of experiments, the Hb of 15 female rats was implanted unilaterally, with bipolar electrodes, on either the right or left side. A week later, the animals were submitted to measurements of tail-flick latency, every 10 min, for a period of 3 h. The amount of analgesia was estimated by the percentage increase in latency. Five intensities of current (50, 100, 200, 300 and 400 μA) were used for stimulation during 60 s, at 50 Hz and 0.5-ms pulse width. A group of animals were given naloxone i.p. (1 mg/kg) 40 min after Hb stimulation at 200 μA to study the reversibility of the analgesia. A second group had their Hb destroyed by coagulation and the effect on tail-flick latency was checked once a week for 4 weeks. The results of these experiments clearly demonstrate Hb stimulation-induced analgesia, the maximum of which occurs 60–80 min after stimulation and then decreases slowly. The maximal amount of analgesia increases with the intensity of current up to 200 μA, without any behavioral side effects. At 300 μA, the analgesia is not significantly different from the one induced at 200 μA. However at 400 μA, behavioral side effects (fear, escape) appear and the analgesia is weaker. Two-hundred μA appears to be the most efficient current intensity and induces an average of 80% increase in tail-flick latency. The group which was given naloxone exhibited a dramatic and complete reversal of analgesia. The group which had their Hb destroyed did not show any difference from the control group a week after surgery. During the following weeks, both lesioned animals and controls exhibited a habituation-like analgesia, without any significant difference (the index of analgesia was 45.73 ± 23.65% for the lesioned rats and 51.82 ± 29.18% for the controls), which was not naloxone reversible. A review of the literature does not provide an explanation for Hb-induced analgesia. The medial habenula which projects mainly on the interpeduncular nucleus has a very high content in pain-related transmitters such as substance P and enkephalins. The HbL projects on the nucleus raphe dorsalis, which is, within the periaqueductal gray matter, the essential site from which analgesia can be obtained by electrical stimulation36,37. This provides a hypothesis for the mechanism of action which must be investigated by further experiments.
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