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After inflammation in one paw, how do sensitivity and avoidance meet?

Frontiers in neuroscience · 2026-04-10

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Frontiers in neuroscience · Research frontiers

After inflammation in one paw, how do sensitivity and avoidance meet?

Anteromedial thalamic input to anterior cingulate recruits CRH-labeled cells, linking mechanical sensitivity and anxiety-like behavior after inflammation in male mice.

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Inflammation in one paw changes more than the paw itself. Mice withdraw more readily from mechanical stimuli and explore open areas less. How does tissue inflammation alter both sensory responses and behavioral choices? A Frontiers in Neuroscience study examines anteromedial thalamus, or AM, and anterior cingulate cortex, or ACC. AM is familiar from memory circuitry, while ACC participates in pain- and emotion-related processing. AM input reaches CRH-labeled ACC cells, and manipulating this route changes both behavioral dimensions after inflammation.

KEY FINDING

Strengthening AM–ACC input induces mechanical sensitivity and open-area avoidance; concurrent inhibition of CRH-labeled ACC cells attenuates both changes.

Contents · 7 sections

Paw inflammation changes exploration too

CFA inflammation in the left hind paw produces swelling and increased withdrawal to two von Frey forces over the following week, without the same significant change on the right. Open-field center and elevated-plus-maze open-arm time decrease, while total distance does not significantly change. The mice remain mobile but change where they explore.

Withdrawal and open-space exploration describe sensory responsiveness and anxiety-related behavior. Their co-occurrence prompts a search for shared central components: a population influencing both could help explain how inflammation affects more than local sensitivity.

This distinction matters: reduced overall movement could also reduce center time. Here, distance does not significantly change while open-area exploration decreases, allowing attention to the relationship between exploration choices and mechanical responses.

Original figure 1Mechanical sensitivity and open-space exploration after CFA
Mechanical sensitivity and open-space exploration after CFA
Original Figure 1: CFA timeline, paw photographs, bilateral withdrawal responses, open field and elevated plus maze. Mechanical responses increase on the injected side and open-area exploration decreases without significant total-distance change.
Source: Zhao Q et al. · Frontiers in neuroscience · CC BY
Original figure and English caption ↗

A cortical population becomes more responsive

After inflammation, ACC CRH/c-Fos colabeling increases, and CRH-labeled cells show stronger calcium responses to glutamate in slices. The population displays both activity-marker changes and altered input responsiveness. Direct manipulation then tests its behavioral contribution.

Repeated activation in healthy mice increases withdrawal and reduces open-area exploration. Inhibition in CFA mice shifts both measures oppositely, without significant distance changes. The day-seven comparison at 0.4 grams is nonsignificant. Population activity influences the phenotype without identical improvement at every time and force.

Original figure 3Bidirectional manipulation of ACC CRH-labeled cells
Bidirectional manipulation of ACC CRH-labeled cells
Original Figure 3: CRH-promoter targeting and expression, with activation in naïve and inhibition in CFA conditions. Mechanical and open-area measures change, while total-distance measures show no significant differences.
Source: Zhao Q et al. · Frontiers in neuroscience · CC BY
Original figure and English caption ↗

Signals from AM reach CRH-labeled cells

Where does input to these ACC cells originate? Forward and reverse tracing connects AM with ACC. Transsynaptic labeling finds CRH in approximately 62% of ACC cells receiving the labeled AM input. The thalamic route reaches a cortical population already implicated in behavior.

After AM activation in vivo, slice recordings show increased evoked firing and depolarized resting potential in CRH-labeled ACC cells, while rheobase changes are nonsignificant. Altering upstream activity changes downstream output readiness, linking anatomy with cellular responsiveness.

Original figure 4AM input and ACC cellular excitability
AM input and ACC cellular excitability
Original Figure 4: Retrograde, anterograde and transsynaptic labeling, CRH coexpression among labeled receivers, and ACC slice recordings after AM activation. Firing and resting potential change significantly; rheobase does not.
Source: Zhao Q et al. · Frontiers in neuroscience · CC BY
Original figure and English caption ↗

A memory-circuit node also contributes after inflammation

AM is familiar from the memory-related Papez circuit, yet it also changes after inflammation. CFA increases its slice calcium response to glutamate. Activating CaMKIIα-labeled AM cells increases withdrawal and avoidance in healthy mice; inhibition attenuates both in CFA mice. The day-seven 0.4-gram comparison remains nonsignificant.

Ablating this AM population before inflammation also attenuates later CFA-related changes. Prior cell removal and reversible activity manipulation provide complementary evidence about model development and behavior. A region’s familiar functional label does not exhaust its roles across bodily states.

Original figure 7AM population activity and both behavioral dimensions
AM population activity and both behavioral dimensions
Original Figure 7: Chemogenetic activation and inhibition of CaMKIIα-labeled AM cells. Activation increases withdrawal and avoidance in naïve conditions; inhibition attenuates them after CFA, with no significant locomotor-distance differences.
Source: Zhao Q et al. · Frontiers in neuroscience · CC BY
Original figure and English caption ↗

Terminal manipulation changes behavior

Manipulating AM terminals within ACC produces corresponding effects. Activation increases withdrawal in healthy mice and reduces open-area exploration after repeated intervention; inhibition improves these measures in CFA mice. Mechanical testing examines immediate light effects, while exploration follows multiday intervention. The cortical input has functional influence in both settings.

Original figure 8Optical manipulation of AM–ACC terminals
Optical manipulation of AM–ACC terminals
Original Figure 8: AM ChR2/eNpHR expression, ACC fiber positioning and behavior. Activation and inhibition are tested in naïve and CFA backgrounds, respectively; the figure distinguishes mechanical-testing and repeated-exposure schedules.
Source: Zhao Q et al. · Frontiers in neuroscience · CC BY
Original figure and English caption ↗

Do downstream cells matter during input activation?

A final experiment combines upstream activation with downstream inhibition. Activating AM–ACC terminals while suppressing CRH-labeled ACC cells lowers withdrawal and increases center and open-arm time relative to input activation alone, without significant distance changes. Partial reversal of anxiety-related changes shows that this cortical population carries part of the input’s effect.

Original figure 9Upstream activation with downstream inhibition
Upstream activation with downstream inhibition
Original Figure 9: Activation of AM terminals combined with ACC CRH-labeled-cell inhibition attenuates increased withdrawal and open-area avoidance relative to activation alone, without significant distance changes.
Source: Zhao Q et al. · Frontiers in neuroscience · CC BY
Original figure and English caption ↗

Two behaviors share part of a central route

In the male CFA model, AM input and CRH-labeled ACC cells connect mechanical sensitivity and open-area avoidance through a shared route. Persistent bodily disturbance relates not only to local sensory responses but also to thalamocortical organization. One input and its downstream population can influence both behavioral dimensions.

Publication details

Zhao Q, Lu C, Si T, Li Z, Ren X, Zhao L, Zhang Y, Zhang J, Zhao S, Zang W, Cao J.
CRH neurons in the AM-ACC circuit drive chronic pain and anxiety comorbidity
Frontiers in neuroscience · 2026-04-10
DOI: 10.3389/fnins.2026.1809769