The human operculo-insular cortex is pain-preferentially but not pain-exclusively activated by trigeminal and olfactory stimuli

PLoS One. 2012;7(4):e34798. doi: 10.1371/journal.pone.0034798. Epub 2012 Apr 5.

Abstract

Increasing evidence about the central nervous representation of pain in the brain suggests that the operculo-insular cortex is a crucial part of the pain matrix. The pain-specificity of a brain region may be tested by administering nociceptive stimuli while controlling for unspecific activations by administering non-nociceptive stimuli. We applied this paradigm to nasal chemosensation, delivering trigeminal or olfactory stimuli, to verify the pain-specificity of the operculo-insular cortex. In detail, brain activations due to intranasal stimulation induced by non-nociceptive olfactory stimuli of hydrogen sulfide (5 ppm) or vanillin (0.8 ppm) were used to mask brain activations due to somatosensory, clearly nociceptive trigeminal stimulations with gaseous carbon dioxide (75% v/v). Functional magnetic resonance (fMRI) images were recorded from 12 healthy volunteers in a 3T head scanner during stimulus administration using an event-related design. We found that significantly more activations following nociceptive than non-nociceptive stimuli were localized bilaterally in two restricted clusters in the brain containing the primary and secondary somatosensory areas and the insular cortices consistent with the operculo-insular cortex. However, these activations completely disappeared when eliminating activations associated with the administration of olfactory stimuli, which were small but measurable. While the present experiments verify that the operculo-insular cortex plays a role in the processing of nociceptive input, they also show that it is not a pain-exclusive brain region and allow, in the experimental context, for the interpretation that the operculo-insular cortex splay a major role in the detection of and responding to salient events, whether or not these events are nociceptive or painful.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Benzaldehydes / pharmacology
  • Brain Mapping / methods
  • Carbon Dioxide / pharmacology
  • Female
  • Humans
  • Hydrogen Sulfide / pharmacology
  • Magnetic Resonance Imaging / methods
  • Male
  • Odorants
  • Olfactory Perception / physiology*
  • Pain / physiopathology*
  • Somatosensory Cortex / physiopathology*
  • Trigeminal Nerve / physiopathology*
  • Young Adult

Substances

  • Benzaldehydes
  • Carbon Dioxide
  • vanillin
  • Hydrogen Sulfide