A novel human pain insensitivity disorder caused by a point mutation in ZFHX2.

Chronic pain is a major global public health issue causing a severe impact on both the quality of life for sufferers and the wider economy. Despite the significant clinical burden, little progress has been made in terms of therapeutic development. A unique approach to identifying new human-validated analgesic drug targets is to study rare families with inherited pain insensitivity. Here we have analysed an otherwise normal family where six affected individuals display a pain insensitive phenotype that is characterized by hyposensitivity to noxious heat and painless bone fractures. This autosomal dominant disorder is found in three generations and is not associated with a peripheral neuropathy. A novel point mutation in ZFHX2, encoding a putative transcription factor expressed in small diameter sensory neurons, was identified by whole exome sequencing that segregates with the pain insensitivity. The mutation is predicted to change an evolutionarily highly conserved arginine residue 1913 to a lysine within a homeodomain. Bacterial artificial chromosome (BAC) transgenic mice bearing the orthologous murine p.R1907K mutation, as well as Zfhx2 null mutant mice, have significant deficits in pain sensitivity. Gene expression analyses in dorsal root ganglia from mutant and wild-type mice show altered expression of genes implicated in peripheral pain mechanisms. The ZFHX2 variant and downstream regulated genes associated with a human pain-insensitive phenotype are therefore potential novel targets for the development of new analgesic drugs.awx326media15680039660001.

The consequences of COVID-19 on social interactions: an online study on face covering.

The COVID-19 pandemic has dramatically changed the nature of our social interactions. In order to understand how protective equipment and distancing measures influence the ability to comprehend others' emotions and, thus, to effectively interact with others, we carried out an online study across the Italian population during the first pandemic peak. Participants were shown static facial expressions (Angry, Happy and Neutral) covered by a sanitary mask or by a scarf. They were asked to evaluate the expressed emotions as well as to assess the degree to which one would adopt physical and social distancing measures for each stimulus. Results demonstrate that, despite the covering of the lower-face, participants correctly recognized the facial expressions of emotions with a polarizing effect on emotional valence ratings found in females. Noticeably, while females' ratings for physical and social distancing were driven by the emotional content of the stimuli, males were influenced by the "covered" condition. The results also show the impact of the pandemic on anxiety and fear experienced by participants. Taken together, our results offer novel insights on the impact of the COVID-19 pandemic on social interactions, providing a deeper understanding of the way people react to different kinds of protective face covering.

How context influences the interpretation of facial expressions: a source localization high-density EEG study on the "Kuleshov effect".

Few studies have explored the specificities of contextual modulations of the processing of facial expressions at a neuronal level. This study fills this gap by employing an original paradigm, based on a version of the filmic "Kuleshov effect". High-density EEG was recorded while participants watched film sequences consisting of three shots: the close-up of a target person's neutral face (Face_1), the scene that the target person was looking at (happy, fearful, or neutral), and another close-up of the same target person's neutral face (Face_2). The participants' task was to rate both valence and arousal, and subsequently to categorize the target person's emotional state. The results indicate that despite a significant behavioural 'context' effect, the electrophysiological indexes still indicate that the face is evaluated as neutral. Specifically, Face_2 elicited a high amplitude N170 when preceded by neutral contexts, and a high amplitude Late Positive Potential (LPP) when preceded by emotional contexts, thus showing sensitivity to the evaluative congruence (N170) and incongruence (LPP) between context and Face_2. The LPP activity was mainly underpinned by brain regions involved in facial expressions and emotion recognition processing. Our results shed new light on temporal and neural correlates of context-sensitivity in the interpretation of facial expressions.