Contribution of dorsal horn CGRP-expressing interneurons to mechanical sensitivity

Autor: Marilyn Steyert, Mollie Bernstein, Ida J. Llewellyn-Smith, Julia Kuhn, Katherine A. Hamel, Alexander Etlin, Mahsa Sadeghi, Line S Löken, Madison Jewell, Joao M. Braz, Allan I. Basbaum
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Mechanotransduction
Mouse
Stimulation
Neurodegenerative
Inbred C57BL
Mechanotransduction
Cellular

Transgenic
neuroscience
Mice
0302 clinical medicine
touch
Peripheral Nerve Injuries
2.1 Biological and endogenous factors
pain
CGRP
Aetiology
Biology (General)
education.field_of_study
Behavior
Animal

General Neuroscience
Pain Research
General Medicine
Posterior Horn Cells
mechanical sensitivity
medicine.anatomical_structure
Hyperalgesia
Neurological
Peripheral nerve injury
Medicine
Chronic Pain
medicine.symptom
Proto-Oncogene Proteins c-fos
Research Article
Pain Threshold
QH301-705.5
Calcitonin Gene-Related Peptide
Science
Population
Mice
Transgenic

Calcitonin gene-related peptide
Biology
General Biochemistry
Genetics and Molecular Biology

03 medical and health sciences
Spinal Cord Dorsal Horn
Physical Stimulation
medicine
Noxious stimulus
Animals
education
mouse
Behavior
General Immunology and Microbiology
interneurons
Animal
Neurosciences
spinal cord
Neural Inhibition
Nerve injury
Spinal cord
Mice
Inbred C57BL

Disease Models
Animal

030104 developmental biology
nervous system
Disease Models
Vesicular Glutamate Transport Protein 1
Cellular
Biochemistry and Cell Biology
Neuroscience
030217 neurology & neurosurgery
Zdroj: eLife, Vol 10 (2021)
eLife
Popis: Primary sensory neurons are generally considered the only source of dorsal horn calcitonin gene-related peptide (CGRP), a neuropeptide critical to the transmission of pain messages. Using a tamoxifen-inducible CalcaCreER transgenic mouse, here we identified a distinct population of CGRP-expressing excitatory interneurons in lamina III of the spinal cord dorsal horn and trigeminal nucleus caudalis. These interneurons have spine-laden, dorsally directed, dendrites, and ventrally directed axons. As under resting conditions, CGRP interneurons are under tonic inhibitory control, neither innocuous nor noxious stimulation provoked significant Fos expression in these neurons. However, synchronous, electrical non-nociceptive Aβ primary afferent stimulation of dorsal roots depolarized the CGRP interneurons, consistent with their receipt of a VGLUT1 innervation. On the other hand, chemogenetic activation of the neurons produced a mechanical hypersensitivity in response to von Frey stimulation, whereas their caspase-mediated ablation led to mechanical hyposensitivity. Finally, after partial peripheral nerve injury, innocuous stimulation (brush) induced significant Fos expression in the CGRP interneurons. These findings suggest that CGRP interneurons become hyperexcitable and contribute either to ascending circuits originating in deep dorsal horn or to the reflex circuits in baseline conditions, but not in the setting of nerve injury.
eLife digest The ability to sense pain is critical to our survival. Normally, pain is provoked by intense heat or cold temperatures, strong force or a chemical stimulus, for example, capsaicin, the pain-provoking substance in chili peppers. However, if nerve fibers in the arms or legs are damaged, pain can occur in response to touch or pressure stimuli that are normally painless. This hypersensitivity is called mechanical allodynia. A protein called calcitonin gene-related peptide, or CGRP, has been implicated in mechanical allodynia and other chronic pain conditions, such as migraine. CGRP is found in, and released from, the neurons that receive and transmit pain messages from tissues, such as skin and muscles, to the spinal cord. However, only a few distinct groups of CGRP-expressing neurons have been identified and it is unclear if these nerve cells also contribute to mechanical allodynia. To investigate this, Löken et al. genetically engineered mice so that all nerve cells containing CGRP produced red fluorescent light when illuminated with a laser. This included a previously unexplored group of CGRP-expressing neurons found in a part of the spinal cord that is known to receive information about non-painful stimuli. Using neuroanatomical methods, Löken et al. monitored the activity of these neurons in response to various stimuli, before and after a partial nerve injury. This partial injury was induced via a surgery that cut off a few, but not all, branches of a key leg nerve. The experiments showed that in their normal state, the CGRP-expressing neurons hardly responded to mechanical stimulation. In fact, it was difficult to establish what they normally respond to. However, after a nerve injury, brushing the mice’s skin evoked significant activity in these cells. Moreover, when these CGRP cells were artificially stimulated, the stimulation induced hypersensitivity to mechanical stimuli, even when the mice had no nerve damage. These results suggest that this group of neurons, which are normally suppressed, can become hyperexcitable and contribute to the development of mechanical allodynia. In summary, Löken et al. have identified a group of nerve cells in the spinal cord that process mechanical information and contribute to touch-evoked pain. Future studies will identify the nerve circuits that are targeted by CGRP released from these nerve cells. These circuits represent a new therapeutic target for managing chronic pain conditions related to nerve damage, specifically mechanical allodynia, which is the most common complaint of patients with chronic pain.
Databáze: OpenAIRE