Effect of acute stimulation on Fos expression in spinal neurons in the presence of persisting C-fiber activity

Expression of the inducible transcription factor c-Fos has been examined in the lumbar spinal cord following noxious chemical stimulation (injection of 2% formalin) of the ankles or the ventral skin of the hindpaws of either normal rats, or monoarthritic rats during the chronic phase of the disease. In normal animals the basal expression of c-Fos was low. One day after induction of monoarthritis by an intra-articular injection of killed Mycobacterium butyricum (in complete Freund's adjuvant) there were numerous c-Fos labelled cells in the ipsilateral dorsal horn, and bilaterally in lamina VIII and in other areas of the ventral horn. Four weeks after induction of the arthritis, although marked inflammation of the ankle was still present, all the expression of c-Fos had returned to the basal levels. One hour after formalin stimulation of the ankle or hindpaw skin of normal rats expression of c-Fos was observed throughout the ipsilateral, but not contralateral dorsal hem. Formalin stimulation of the inflamed ankle in four-week arthritic rats induced a 3-to-6 fold increase in c-Fos expression in the ipsilateral dorsal horn compared to formalin stimulation of the ankle in normal rats. In addition, c-Fos expression was induced in the contralateral deep, but not superficial laminae, at a density similar to that produced ipsilaterally by formalin stimulation of the ankle of normal rats. Formalin stimulation of the contralateral ankle in monoarthritic rats (i.e. the non-inflamed ankle) induced an ipsilateral expression of c-Fos which was similar to that observed after stimulation of the arthritic ankle. This stimulation of the normal ankle also resulted in an expression of c-Fos in the contralateral deep, but not superficial laminae, that was similar to that induced ipsilaterally by stimulation of the arthritic ankle. Finally, formalin stimulation of the hindpaw skin (which was not inflamed) of the arthritic limb induced the same number of c-Fos labelled cells in the superficial laminae as did formalin stimulation of the skin of normal rats; but in the deep laminae there was a 1.6-fold increase in the number of labelled cells. These different observations show that the down-regulation of c-Fos expression observed in chronic monoarthritis is in fact associated with a sensitization and an extension of the field of its expression in response to an acute nociceptive stimulation.