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Endogenous palmitoylethanolamide (PEA) has a key role in pain modulation. Central or peripheral PEA can reduce nociceptive behavior, but no study has yet reported a descending inhibitory effect on the neuronal nociceptive activity of Aδ- and C-fibers. This study shows that intracisternal PEA inhibits the peripheral nociceptive responses of dorsal horn wide dynamic range cells (i.e., inhibition of Aδ- and C-fibers), an effect blocked by spinal methiothepin. These results suggest that a descending analgesic mechanism mediated by the serotonergic system could be activated by central PEA.

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Abimael González-Hernández, Guadalupe Martínez-Lorenzana, Javier Rodríguez-Jiménez, Gerardo Rojas-Piloni, Miguel Condés-Lara. Intracisternal injection of palmitoylethanolamide inhibits the peripheral nociceptive evoked responses of dorsal horn wide dynamic range neurons. Journal of neural transmission (Vienna, Austria : 1996). 2015 Mar;122(3):369-74

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PMID: 24919882

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