The focus of my recent research includes the study of the neural mechanism of acute and chronic pain. The general strategy used in our lab is to identify behavior phenotype by observation, and to correlate morphological and functional changes in the nervous system.
For the study of chronic pain, our lab is presently concentrating on neuropathic pain models of the rodents. Two types of models are used, one for sciatica and one for trigeminal pain. The three cardinal symptoms of the neuropathic pain patients are spontaneous pain, abnormal pain response to light stimuli (allodynia), and enhanced pain response to light pain (hyperalgesia). We use rodent neuropathic pain models to observe these three types of behaviors first. Next we used MRI and PET imaging techniques to search for forebrain areas that show activity changes correlate with neuropathic pain behaviors. This is complemented by chronic electrophysiological recording experiments to track the brain activity changes longitudinally. In addition, treatments, such as drugs and electrical stimulations, are used to alleviate the symptoms and at the same time, correlate with brain activity changes.
Starting from 2016, we begin a new project probing the peripheral changes of primary afferent fibers after nerve injuries, such as compression and intoxication by chemotherapy and diabetes mellitus. Structure changes of the free nerve endings and first synapse in the spinal cord are quantified with advanced two-photon and harmonic generation microscopic methodologies. These dynamic changes are correlated with pain behavioral changes. Our goals are to identify key neural changes related to pain function. These changes may be used as biomarkers for diagnosis and treatment.
1. Lin WY, WH Chu, HH Chao, WZ Sun, CT Yen (2019) Longitudinal FDG-PET scan study of brain changes in mice with cancer-induced bone pain and after morphine analgesia. Molecular Pain 15
2. Chao HH, Chen JH, CT Yen (2018) Plasticity changes in forebrain activity and functional connectivity during neuropathic pain development in rats with sciatic spared nerve injury. Molecular Brain 11 : 55
3. Yen CT and Lu PL (2013) Thalamus and pain. Acta Anaesthesiologica Taiwanica 51: 73- 80. Invited Review
4. Tseng WT, Tsai ML, Iwata K, CT Yen (2012) Long-term changes in trigeminal ganglionic and thalamic neuronal activities following inferior alveolar nerve transection in behaving rats. J. Neuroscience 32: 16051- 16063
5. Yang PF, Chen DY, Hu JW, Chen JH, CT Yen (2011) Functional tracing of medial nociceptive pathways using activity-dependent manganese-enhanced MRI. Pain 152: 194- 203
6. Kuo CC, Chiou RJ, Liang KC, CT Yen (2009) Differential involvement of anterior cingulate and primary sensorimotor cortices in sensory and affective functions of pain. J. Neurophysiol. 101: 1201-1210.