
The Devor lab
research on neuropathic pain and pain-free surgery
ABOUT ME
I am most proud of innovative contributions that significantly advanced established research avenues and opened some entirely new ones. These include:
Throughout my scientific career I have contributed to the understanding of the neurobiological basis of chronic pain. My early focus was on neuropathic pain including ectopic hyper-excitability in primary afferent axons and cell somata in the peripheral nervous (PNS) and associated changes in the spinal cord. More recently, I have turned also to investigation of CNS mechanisms involved anesthetic loss-of-consciousness as the basis of pain-free surgery. My laboratory has published extensively in the pain field, PNS and CNS, with work of a notably integrative nature involving neurophysiology, computer simulations, neuroanatomy (light and electron microscopy), genetics, and behavioral models.
The laboratory has produced over 300 publications in the field of pain science. ~30,000 career citations, h-index 86.
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Identification of a critical period for regeneration of severed axons in the olfactory cortex and related patterns of neuroplastic axonal reorganization.
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Among the first research on collateral sprouting in the skin following nerve injury as a mechanisms of recovery of sensory function, in rats and human patients.
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Discovery of neuroplastic reorganization of somatosensory maps in the spinal dorsal horn and cortex following peripheral nerve injury in rodents and cats. Findings later extended by others to primates and humans.
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Research on ectopic discharge in nerve-end neuromas as a fundamental factor in neuropathic pain.
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Demonstration that corticosteroids and anticonvulsants suppress ectopia and hence neuropathic pain.
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Discovery of “sympathetic-sensory coupling" as a factor in neuropathic pain, and its association with sympathetic sprouting in the cut nerve end and associated dorsal root ganglia (DRGs).
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Establishment of the first animal model of chronic neuropathic pain, the “neuroma model” (autotomy) in rats and mice.
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First demonstration of Na+ channel accumulation in severed axons in fish and later in rodents, a key mechanism of hyperexcitability in neuromas.
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Documentation of ephaptic (electrical) crosstalk at nerve injury sites, including ultrastructural correlates, previously only a medical speculation.
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Established that susceptibility to neuropathic pain may be heritable, based on the development of selection-line rat strains; a foundational discovery in the emergence of "Pain Genetics".
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A new approach to defining fundamental pain “types” using correlational analysis across multiple inbred mouse strains.
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Identification of Cacng2 (stargazin) as a susceptibility gene for neuro-pathic pain, among the first known “pain genes”, in animals and man.
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Novel mechanism and potential treatment of osteoarthritic pain based intrinsic subchondral bone innervation and a dental root canal analogy.
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“Ignition Hypothesis” of pain paroxysms in Trigeminal Neuralgia.
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Discovery of chemically-mediated non-ephaptic/ non-synaptic crosstalk among injured afferent axons and DRG somata.
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Discovered neuropathic hyperexcitability in DRG neurons and the role of subthreshold oscillations in DRG ectopia.
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Identification of primary afferent "algoneurons", neurons whose activity evokes the experience of pain (contrasting with "nociceptors", defined by their high-threshold receptive field).
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Found the brainstem MPTA (mesopontine tegmental anesthesia area), a key node in the neuronal network sub-serving brain-state transitioning between wake and unconsciousness induced by GABAergic anesthetics.
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First direct evidence that phantom limb sensation and phantom limb pain (PLP) in human amputees aredriven primarily by DRG ectopia, including a potential therapeutic approach to relieving PLP.
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Novel hypothesis concerning the causes of pain in herpes zoster and postherpetic neuralgia.
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Assembly of evidence suggesting that consciousness may be seated subcortically, perhaps in the brainstem, rather than the cerebral cortex.
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Identified the cellular and molecular targets of GABAergic general anesthetics in the MPTA.
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Honorary member of both the International Association for the Study of Pain (IASP) and the World Insitute of Pain (WIP).
CAREER STAGES and RESEARCH FOCUS
1975
University College London
Postdoctoral Fellow under Prof. Patrick D. Wall, Cerebral Functions Unit
Somatosensory mapping in the cat spinal cord
1970 - 1975
M.I.T., Cambridge Mass.
Ph.D., Department of Brain & Cognitive Sciences
Essential role of pheromones in reproductive behavior in hamsters. Development of olfactory tract projections to the olfactory cortex and reorganization following neonatal and later transection of the olfactory tract.
1975 - present
The Hebrew University of Jerusalem
Institute of Life Sciences
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1975-1977 postdoc under Prof. Patrick D. Wall,
1977-1979 research associate,
1979-1983 senior lecturer,
1983-1988 associate professor,
1988 professor.
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Hyperexcitability after nerve injury and ectopic electrogenesis and spike discharge in neuromas and the dorsal root ganglion (DRG), collateral sprouting in the skin following nerve injury, animal model of chronic neuropathic pain, heritable predisposition to neuropathic pain and pain genetics, nerve injury and regeneration, synaptic plasticity and somatosensory map reorganization in the spinal cord after peripheral nerve injury, receptor-specific substance P agonists, sympathetic-sensory coupling in neuromas and DRG, phantom limb pain, pain paroxysms and cell-to-cell coupling in neuromas and the DRG, trigeminal neuralgia, membrane currents underlying repetitive neural discharge, subthreshold oscillation as drivers of electrogenesis in the DRG, tactile allodynia driven by PNS ectopia and their suppression by dilute lidocaine, mechanisms of GABAergic general anesthesia, dedicated axonal pathways underlying the transition from wakefulness to unconsciousness, evolution of conscious awareness.
1966 - 1970
Princeton University
A.B., Department of Psychology (minor biology)
Motivation and reward: hypothalamic self-stimulation reward, hypothalamic control of hunger-appetite, thirst and nesting.