Thermal detection thresholds of Aδ- and C-fibre afferents activated by brief CO2 laser pulses applied onto the human hairy skin

PLoS One. 2012;7(4):e35817. doi: 10.1371/journal.pone.0035817. Epub 2012 Apr 25.

Abstract

Brief high-power laser pulses applied onto the hairy skin of the distal end of a limb generate a double sensation related to the activation of Aδ- and C-fibres, referred to as first and second pain. However, neurophysiological and behavioural responses related to the activation of C-fibres can be studied reliably only if the concomitant activation of Aδ-fibres is avoided. Here, using a novel CO(2) laser stimulator able to deliver constant-temperature heat pulses through a feedback regulation of laser power by an online measurement of skin temperature at target site, combined with an adaptive staircase algorithm using reaction-time to distinguish between responses triggered by Aδ- and C-fibre input, we show that it is possible to estimate robustly and independently the thermal detection thresholds of Aδ-fibres (46.9±1.7°C) and C-fibres (39.8±1.7°C). Furthermore, we show that both thresholds are dependent on the skin temperature preceding and/or surrounding the test stimulus, indicating that the Aδ- and C-fibre afferents triggering the behavioural responses to brief laser pulses behave, at least partially, as detectors of a change in skin temperature rather than as pure level detectors. Most importantly, our results show that the difference in threshold between Aδ- and C-fibre afferents activated by brief laser pulses can be exploited to activate C-fibres selectively and reliably, provided that the rise in skin temperature generated by the laser stimulator is well-controlled. Our approach could constitute a tool to explore, in humans, the physiological and pathophysiological mechanisms involved in processing C- and Aδ-fibre input, respectively.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Evoked Potentials, Somatosensory / physiology
  • Evoked Potentials, Somatosensory / radiation effects
  • Female
  • Hot Temperature
  • Humans
  • Lasers, Gas
  • Male
  • Nerve Fibers, Myelinated / physiology*
  • Nerve Fibers, Myelinated / radiation effects
  • Nerve Fibers, Unmyelinated / physiology*
  • Nerve Fibers, Unmyelinated / radiation effects
  • Nociceptors / physiology*
  • Nociceptors / radiation effects
  • Pain Threshold / physiology*
  • Pain Threshold / radiation effects
  • Reaction Time / physiology
  • Reaction Time / radiation effects
  • Skin / radiation effects*
  • Skin Temperature / radiation effects