Evidence map›Paper›PMID 41635478›Full record

ArticlePain reports2026

Coding of mechanical pain by myelinated and unmyelinated nociceptors in human hairy skin.

Otmane Bouchatta, Oumie Thorell, Andrew G Marshall, Merat Rezaei, Ahmed Barakat, Sarah McIntyre, Gregory J Gerling, David A Mahns, Håkan Olausson, Saad S Nagi

Abstract read
In one paragraph

Article in Pain reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Otmane BouchattaDepartment of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-1639-0600
Oumie ThorellDepartment of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.
Andrew G MarshallInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.
Merat RezaeiDepartment of Systems and Information Engineering, School of Engineering and Applied Science, University of Virginia, Charlottesville, VA, USA.
Ahmed BarakatDepartment of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.
Sarah McIntyreDepartment of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.
Gregory J GerlingDepartment of Systems and Information Engineering, School of Engineering and Applied Science, University of Virginia, Charlottesville, VA, USA.
David A MahnsSchool of Medicine, Western Sydney University, Australia.
Håkan OlaussonDepartment of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.
Saad S NagiDepartment of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In humans, cutaneous Aβ afferents are traditionally linked to discriminative touch, while pain is attributed to Aδ and C fibers. However, we previously identified thickly myelinated high-threshold mechanoreceptors (Aβ-HTMRs) that encode noxious skin indentations and evoke painful percepts when selectively activated. These afferents also display finely grained receptive fields and resilience to fatigue during sustained stimulation. Objectives: To characterize the tuning properties of A-HTMRs under controlled mechanical stimulation and compare them with C-HTMRs. Methods: We used a robotic stimulation system capable of delivering precise skin indentations across a wide force range (20-1000 mN). Single-unit axonal recordings (microneurography) were obtained from cutaneous afferents of the radial nerve in awake healthy participants. Both low- and high-threshold mechanoreceptors were recorded. Results: Among 39 recorded mechanoreceptive afferents, HTMRs were distinguished by high mechanical thresholds and lack of response to soft brushing, with conduction velocities in the Aβ- and C-fiber ranges. Both A- and C-HTMRs exhibited force-dependent increases in spike count and firing rate, with A-HTMRs showing significantly stronger responses. Principal component analysis revealed distinct separation between A- and C-HTMRs, driven by A-HTMRs' robust high-force responses. Psychophysical testing indicated painful stimuli were often described as "sharp," and selective intraneural microstimulation of a single A-HTMR evoked localized "sharp-stinging" pain projected to its receptive field. Conclusion: Robot-controlled stimulation confirmed both A- and C-HTMRs' role in encoding painful mechanical stimuli. The fast conduction, high firing rates, fine receptive fields, and fatigue resilience of A-HTMRs suggest a specialized nociceptive system capable of conveying rich spatial-temporal information, potentially contributing to protective behaviors.

Indexed as

A fiberMechanoreceptorMicroneurographyNeural codingNociceptorPain

Identifiers

PMID41635478
PMCPMC12863872

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.