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An NPY Y1 receptor antagonist unmasks latent sensitization and reveals the contribution of protein kinase A and Epac to chronic inflammatory pain.
Fu, Weisi; Nelson, Tyler S; Santos, Diogo F; Doolen, Suzanne; Gutierrez, Javier J P; Ye, Na; Zhou, Jia; K Taylor, Bradley.
Afiliación
  • Fu W; Department of Physiology, University of Kentucky Medical Center, Lexington, KY, United States.
  • Nelson TS; Department of Anesthesiology and Perioperative Medicine, Pittsburgh Center for Pain Research, and Pittsburgh Project to End Opioid Misuse, University of Pittsburgh, Pittsburgh, PA, United States.
  • Santos DF; Center for Neuroscience, University of Pittsburgh, Pittsburgh, PA, United States.
  • Doolen S; Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, PA, United States.
  • Gutierrez JJP; Department of Anesthesiology and Perioperative Medicine, Pittsburgh Center for Pain Research, and Pittsburgh Project to End Opioid Misuse, University of Pittsburgh, Pittsburgh, PA, United States.
  • Ye N; Department of Anesthesiology and Perioperative Medicine, Pittsburgh Center for Pain Research, and Pittsburgh Project to End Opioid Misuse, University of Pittsburgh, Pittsburgh, PA, United States.
  • Zhou J; Department of Anesthesiology and Perioperative Medicine, Pittsburgh Center for Pain Research, and Pittsburgh Project to End Opioid Misuse, University of Pittsburgh, Pittsburgh, PA, United States.
  • K Taylor B; Department of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX, United States.
Pain ; 160(8): 1754-1765, 2019 08.
Article en En | MEDLINE | ID: mdl-31335645
Peripheral inflammation produces a long-lasting latent sensitization of spinal nociceptive neurons, that is, masked by tonic inhibitory controls. We explored mechanisms of latent sensitization with an established four-step approach: (1) induction of inflammation; (2) allow pain hypersensitivity to resolve; (3) interrogate latent sensitization with a channel blocker, mutant mouse, or receptor antagonist; and (4) disrupt compensatory inhibition with a receptor antagonist so as to reinstate pain hypersensitivity. We found that the neuropeptide Y Y1 receptor antagonist BIBO3304 reinstated pain hypersensitivity, indicative of an unmasking of latent sensitization. BIBO3304-evoked reinstatement was not observed in AC1 knockout mice and was prevented with intrathecal co-administration of a pharmacological blocker to the N-methyl-D-aspartate receptor (NMDAR), adenylyl cyclase type 1 (AC1), protein kinase A (PKA), transient receptor potential cation channel A1 (TRPA1), channel V1 (TRPV1), or exchange protein activated by cAMP (Epac1 or Epac2). A PKA activator evoked both pain reinstatement and touch-evoked pERK expression in dorsal horn; the former was prevented with intrathecal co-administration of a TRPA1 or TRPV1 blocker. An Epac activator also evoked pain reinstatement and pERK expression. We conclude that PKA and Epac are sufficient to maintain long-lasting latent sensitization of dorsal horn neurons that is kept in remission by the NPY-Y1 receptor system. Furthermore, we have identified and characterized 2 novel molecular signaling pathways in the dorsal horn that drive latent sensitization in the setting of chronic inflammatory pain: NMDAR→AC1→PKA→TRPA1/V1 and NMDAR→AC1→Epac1/2. New treatments for chronic inflammatory pain might either increase endogenous NPY analgesia or inhibit AC1, PKA, or Epac.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arginina / Receptores de Neuropéptido Y / Proteínas Quinasas Dependientes de AMP Cíclico / Factores de Intercambio de Guanina Nucleótido / Dolor Crónico / Hiperalgesia / Inflamación Tipo de estudio: Prognostic_studies Límite: Animals Idioma: En Revista: Pain Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arginina / Receptores de Neuropéptido Y / Proteínas Quinasas Dependientes de AMP Cíclico / Factores de Intercambio de Guanina Nucleótido / Dolor Crónico / Hiperalgesia / Inflamación Tipo de estudio: Prognostic_studies Límite: Animals Idioma: En Revista: Pain Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos