Thermosensory predictive coding underpins an illusion of pain

The human brain has a remarkable ability to learn and update its beliefs about the world. Here, we investigate how thermosensory learning shapes our subjective experience of temperature and the misperception of pain in response to harmless thermal stimuli. Through computational modeling, we demonstrate that the brain uses a probabilistic predictive coding scheme to update beliefs about temperature changes based on their uncertainty. We find that these expectations directly modulate the perception of pain in the thermal grill illusion. Quantitative microstructural brain imaging further revealed that individual variability in computational parameters related to uncertainty-driven learning and decision-making is reflected in the microstructure of brain regions such as the precuneus, posterior cingulate gyrus, cerebellum, as well as basal ganglia and brainstem. These findings provide a framework to understand how the brain infers pain from innocuous thermal inputs, with important implications for the etiology of thermosensory symptoms under chronic pain conditions.

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Publication Details

Journal
Science Advances
Published
2025-03-12
DOI
https://doi.org/10.1126/sciadv.adq0261
Citations
7
Primary Topic
Pain Mechanisms and Treatments
Type
article
Field-Weighted Citation Impact
6.99

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Thermosensory predictive coding underpins an illusion of pain

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Thermosensory predictive coding underpins an illusion of pain

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article en
7 citations

Abstract

The human brain has a remarkable ability to learn and update its beliefs about the world. Here, we investigate how thermosensory learning shapes our subjective experience of temperature and the misperception of pain in response to harmless thermal stimuli. Through computational modeling, we demonstrate that the brain uses a probabilistic predictive coding scheme to update beliefs about temperature changes based on their uncertainty. We find that these expectations directly modulate the perception of pain in the thermal grill illusion. Quantitative microstructural brain imaging further revealed that individual variability in computational parameters related to uncertainty-driven learning and decision-making is reflected in the microstructure of brain regions such as the precuneus, posterior cingulate gyrus, cerebellum, as well as basal ganglia and brainstem. These findings provide a framework to understand how the brain infers pain from innocuous thermal inputs, with important implications for the etiology of thermosensory symptoms under chronic pain conditions.

Science AdvancesVol. 11(11)
Aarhus University (DK), University of Cambridge (GB), Aalborg University Hospital (DK), Aarhus University Hospital (DK), Danish Pain Research Center (DK), UCLouvain (BE)
Aarhus Universitet, Aarhus Universitets Forskningsfond, Lundbeckfonden, H. Lundbeck A/S
Peace, Justice and strong institutions
Openalex Percentile: Top 3%
Pain Mechanisms and Treatments
6.99
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