Staaf Susanne, Oerther Sandra, Lucas Guilherme, Mattsson Jan P, Ernfors Patrik
Department of Bioscience, AstraZeneca R&D Mölndal, 431 83 Mölndal, Sweden.
Pain. 2009 Jul;144(1-2):187-99. doi: 10.1016/j.pain.2009.04.013. Epub 2009 May 15.
Neuropathic pain is a chronic disease resulting from dysfunction of the nervous system often due to peripheral nerve injury. Hypersensitivity to sensory stimuli (mechanical, thermal or chemical) is a common source of pain in patients and ion channels involved in detecting these stimuli are possible candidates for inducing and/or maintaining the pain. Transient receptor potential (TRP) channels expressed on nociceptors respond to different sensory stimuli and a few of them have been studied previously in the models of neuropathic pain. Using real-time PCR for quantification of all known TRP channels we identified several TRP channels, which have not been associated with nociception or neuropathic pain before, to be expressed in the DRG and to be differentially regulated after spared nerve injury (SNI). Of all TRP channel members, TRPML3 showed the most dramatic change in animals exhibiting neuropathic pain behaviour compared to control animals. In situ hybridisation showed a widespread increase of expression in neurons of small, medium and large cell sizes, indicating expression in multiple subtypes. Co-localisation of TRPML3 with CGRP, NF200 and IB4 staining confirmed a broad subtype distribution. Expression studies during development showed that TRPML3 is an embryonic channel that is induced upon nerve injury in three different nerve injury models investigated. Thus, the current results link for the first time a re-expression of TRPML3 with the development of neuropathic pain conditions. In addition, decreased mRNA levels after SNI were seen for TRPM6, TRPM8, TRPV1, TRPA1, TRPC3, TRPC4 and TRPC5.
神经病理性疼痛是一种慢性疾病,通常由外周神经损伤导致神经系统功能障碍引起。对感觉刺激(机械性、热性或化学性)过敏是患者疼痛的常见来源,而参与检测这些刺激的离子通道可能是诱发和/或维持疼痛的候选因素。伤害性感受器上表达的瞬时受体电位(TRP)通道对不同的感觉刺激有反应,其中一些此前已在神经病理性疼痛模型中得到研究。我们使用实时定量PCR对所有已知的TRP通道进行定量分析,确定了几个此前未与伤害感受或神经病理性疼痛相关的TRP通道,它们在背根神经节(DRG)中表达,并且在 spared nerve injury(SNI)后受到差异调节。在所有TRP通道成员中,与对照动物相比,TRPML3在表现出神经病理性疼痛行为的动物中变化最为显著。原位杂交显示,在小、中、大细胞大小的神经元中,其表达普遍增加,表明在多种亚型中均有表达。TRPML3与降钙素基因相关肽(CGRP)、神经丝蛋白200(NF200)和IB4染色的共定位证实了其广泛的亚型分布。发育过程中的表达研究表明,TRPML3是一种胚胎通道,在所研究的三种不同神经损伤模型中,它在神经损伤后被诱导表达。因此,目前的结果首次将TRPML3的重新表达与神经病理性疼痛状态的发展联系起来。此外,在SNI后,TRPM6、TRPM8、TRPV1、TRPA1、TRPC3、TRPC4和TRPC5的mRNA水平下降。