A 'nociceptor' is a
sensory receptor that sends signals that cause the perception of
pain in response to potentially damaging stimulus. Nociceptors are the
nerve endings responsible for
nociception, one of the two types of persistent pain (the other,
neuropathic pain, occurs when nerves in the
central or
peripheral nervous system are not functioning properly). When they are activated, nociceptors can trigger a
reflex.
Location
Nociceptors are sensory
neurons that are found in external
tissues such as
skin,
cornea and
mucosa as well as in internal organs, such as the
muscle,
joint,
bladder and
gut. The cell bodies of these neurons are located in either the
dorsal root ganglia or the
trigeminal ganglia.
Types and functions
There are several types of nociceptors and they are classified according to the stimulus modalities to which they respond: i.e. thermal, mechanical or chemical. Some nociceptors respond to more than one of these modalities and are consequently designated polymodal. Other nociceptors respond to none of these modalities (although they may respond to stimulation under conditions of inflammation) and have thereby earned the more poetic title of sleeping or silent nociceptors (Kandel et al, 2000). Thermal nociceptors are activated by noxious heat or cold, temperatures above 45°C and below 5°C (Kandel et al, 2000). Mechanical nociceptors respond to excess pressure or mechanical deformation. Polymodal nociceptors respond to damaging stimuli of a chemical, thermal, or mechanical nature (Kandel et al, 2000). Nociceptors may have either
Aδ fiber axons or more slowly conducting
C fiber axons. Thus, pain often comes in two phases, the first mediated by the fast-conducting Aδ fibers and the second part due to C fibers. Silent nociceptors do not usually fire
action potentials, though they are much more likely to do so in the presence of
inflammation or damaging chemicals (Kandel et al, 2000). Together these nociceptors allow the organism to feel pain in response to damaging pressure, excessive heat, excessive cold and a range of chemicals, the majority of which are damaging to the tissue surrounding the nociceptor.
Pathway
Afferent nociceptive fibers (those that send information ''to'', rather than ''from'' the brain) travel back to the
spinal cord where they form synapses in its
dorsal horn. The
cells in the dorsal horn are divided into physiologically distinct layers called laminae. Different fiber types form
synapses in different layers. Aδ fibers form synapses in laminae I and V,
C fibers connect with neurons in lamina II,
Aβ fibers connect with lamina IV. Information is then sent from the spinal cord to the
thalamus and the
cerebral cortex in the brain.
See also
★
Pain and nociception
★
TRPC ion channel
★
Capsaicin from
chili pepper
★
Piperidine from
black pepper
References
★ Kandel E.R., Schwartz, J.H., Jessell, T.M. (2000) ''Principles of Neural Science'', 4th ed., pp.472-479. New York: McGraw-Hill. ISBN 0838580343