Title
A PET [18F]altanserin study of 5-HT2A receptor binding in the human brain and responses to painful heat stimulation.
Abstract
There is a large body of evidence that serotonin [5-hydroxytryptamine (5-HT)] plays an important role in the transmission and regulation of pain. Here we used positron emission tomography (PET) to study the relationship between baseline 5-HT2A binding in the brain and responses to noxious heat stimulation in a group of young healthy volunteers. Twenty-one healthy subjects underwent PET scanning with the 5-HT2A antagonist, [18F]altanserin. In addition, participants underwent a battery of pain tests using noxious heat stimulation to assess pain threshold, pain tolerance and response to short-lasting phasic and long-lasting (7-minute) tonic painful stimulation. Significant positive correlations were found between tonic pain ratings and [18F]altanserin binding in orbitofrontal (r=0.66; p=0.005), medial inferior frontal (r=0.60; p=0.014), primary sensory–motor (r=0.61; p=0.012) and posterior cingulate (r=0.63; p=0.009) cortices. In contrast, measures of regional [18F]altanserin binding did not correlate with pain threshold, pain tolerance, or suprathreshold phasic pain responses. These data suggest that cortical 5-HT2A receptor availability co-varies with responses to tonic pain. The correlation between [18F]altanserin binding in prefrontal cortex and tonic pain suggests a possible role of this brain region in the modulation and/or cognitive-evaluative appreciation of pain.
Year
DOI
Venue
2009
10.1016/j.neuroimage.2008.10.011
NeuroImage
Keywords
Field
DocType
receptor binding,pain threshold
Tonic (music),Threshold of pain,Internal medicine,Prefrontal cortex,Anesthesia,Psychology,Pain tolerance,Human brain,Altanserin,Posterior cingulate,Endocrinology,Stimulation
Journal
Volume
Issue
ISSN
44
3
1053-8119
Citations 
PageRank 
References 
2
0.51
2
Authors
7
Name
Order
Citations
PageRank
R Kupers1435.47
Vibe G Frokjaer2145.32
Arne Naert320.84
Rune Christensen420.51
Esben Budtz-Joergensen541.27
Henrik Kehlet620.84
Gitte M. Knudsen78917.15