An insular cortical circuit required for itch sensation and aversion.

Curr Biol

Neuroscience Program, Guangdong Provincial Key Laboratory of Brain Function and Disease, Zhongshan School of Medicine and the Fifth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China; Advanced Medical Technology Center, the First Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China; Key Laboratory of Human Microbiome and Chronic Diseases (Sun Yat-sen University), Ministry of Education, Guangzhou 510655, China. Electronic address:

Published: April 2024

AI Article Synopsis

  • Itch has both feelings and sensory parts that make each other worse, but scientists are still figuring out how the brain handles both.
  • A specific brain area called the anterior insular cortex (AIC) gets activated when something causes itching, and this can make us feel bad and intensify the itch.
  • The study shows that there is a path in the brain (AIC → dBNST) that connects the feeling of itch and the bad emotions it brings, helping us understand how the brain processes these sensations together.

Article Abstract

Itch encompasses both sensory and emotional dimensions, with the two dimensions reciprocally exacerbating each other. However, whether a shared neural circuit mechanism governs both dimensions remains elusive. Here, we report that the anterior insular cortex (AIC) is activated by both histamine-dependent and -independent itch stimuli. The activation of AIC elicits aversive emotion and exacerbates pruritogen-induced itch sensation and aversion. Mechanistically, AIC excitatory neurons project to the GABAergic neurons in the dorsal bed nucleus of the stria terminalis (dBNST). Manipulating the activity of the AIC → dBNST pathway affects both itch sensation and itch-induced aversion. Our study discovers the shared neural circuit (AIC → dBNST pathway) underlying the itch sensation and aversion, highlights the critical role of the AIC as a central hub for the itch processing, and provides a framework to understand the neural mechanisms underlying the sensation and emotion interaction.

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Source
http://dx.doi.org/10.1016/j.cub.2024.02.060DOI Listing

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