Tonic excitation by astrocytic GABA causes neuropathic pain by augmenting neuronal activity and glucose metabolism

Autor: Yeon Ha Ju, Jongwook Cho, Ji-Young Park, Hyunjin Kim, Eun-Bin Hong, Ki Duk Park, C. Justin Lee, Euiheon Chung, Hyoung-Ihl Kim, Min-Ho Nam
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Experimental and Molecular Medicine, Vol 56, Iss 5, Pp 1193-1205 (2024)
Druh dokumentu: article
ISSN: 2092-6413
DOI: 10.1038/s12276-024-01232-z
Popis: Abstract Neuropathic pain is a debilitating condition caused by the hyperexcitability of spinal dorsal horn neurons and is often characterized by allodynia. Although neuron-independent mechanisms of hyperexcitability have been investigated, the contribution of astrocyte-neuron interactions remains unclear. Here, we show evidence of reactive astrocytes and their excessive GABA release in the spinal dorsal horn, which paradoxically leads to the tonic excitation of neighboring neurons in a neuropathic pain model. Using multiple electrophysiological methods, we demonstrated that neuronal hyperexcitability is attributed to both increased astrocytic GABA synthesis via monoamine oxidase B (MAOB) and the depolarized reversal potential of GABA-mediated currents (EGABA) via the downregulation of the neuronal K+/Cl− cotransporter KCC2. Furthermore, longitudinal 2-deoxy-2-[18F]-fluoro-D-glucose microPET imaging demonstrated increased regional glucose metabolism in the ipsilateral dorsal horn, reflecting neuronal hyperexcitability. Importantly, inhibiting MAOB restored the entire astrocytic GABA-mediated cascade and abrogated the increased glucose metabolism and mechanical allodynia. Overall, astrocytic GABA-mediated tonic excitation is critical for neuronal hyperexcitability, leading to mechanical allodynia and neuropathic pain.
Databáze: Directory of Open Access Journals