Fig. 4. Possible mechanisms by which spinal nerve ligation alters GABAergic modulations of Aδ- and C-fiber–mediated nociceptive input. (A ) In normal unijured state, there is a profound, most likely presynaptic GABAergic inhibitory tone on the Aδ-fiber–evoked responses and a less pronounced presynaptic inhibition also on the C-fiber–mediated responses. These are not altered in neuropathy. (B ) On the basis of the present findings, we propose enhanced GABAergic control of the polysynaptic C-fiber pathway after nerve injury. (C ) There are also likely to be GABAergic inhibitory interneurons synapsing with the projection neuron. The possible afferent drive on to the GABA neurons is omitted for clarity.

Fig. 4. Possible mechanisms by which spinal nerve ligation alters GABAergic modulations of Aδ- and C-fiber–mediated nociceptive input. (A ) In normal unijured state, there is a profound, most likely presynaptic GABAergic inhibitory tone on the Aδ-fiber–evoked responses and a less pronounced presynaptic inhibition also on the C-fiber–mediated responses. These are not altered in neuropathy. (B ) On the basis of the present findings, we propose enhanced GABAergic control of the polysynaptic C-fiber pathway after nerve injury. (C ) There are also likely to be GABAergic inhibitory interneurons synapsing with the projection neuron. The possible afferent drive on to the GABA neurons is omitted for clarity.

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