Zappia Katherine J, Garrison Sheldon R, Hillery Cheryl A, Stucky Cheryl L
Department of Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee, WI, USA Department of Pediatrics and Children's Research Institute, Division of Hematology/Oncology, Medical College of Wisconsin, Milwaukee, WI, USA Blood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA.
Pain. 2014 Dec;155(12):2476-2485. doi: 10.1016/j.pain.2014.05.030. Epub 2014 Jun 3.
Sickle cell disease (SCD) is associated with acute vaso-occlusive crises that trigger painful episodes and frequently involves ongoing, chronic pain. In addition, both humans and mice with SCD experience heightened cold sensitivity. However, studies have not addressed the mechanism(s) underlying the cold sensitization or its progression with age. Here we measured thermotaxis behavior in young and aged mice with severe SCD. Sickle mice had a marked increase in cold sensitivity measured by a cold preference test. Furthermore, cold hypersensitivity worsened with advanced age. We assessed whether enhanced peripheral input contributes to the chronic cold pain behavior by recording from C fibers, many of which are cold sensitive, in skin-nerve preparations. We observed that C fibers from sickle mice displayed a shift to warmer (more sensitive) cold detection thresholds. To address mechanisms underlying the cold sensitization in primary afferent neurons, we quantified mRNA expression levels for ion channels thought to be involved in cold detection. These included the transient receptor potential melastatin 8 (Trpm8) and transient receptor potential ankyrin 1 (Trpa1) channels, as well as the 2-pore domain potassium channels, TREK-1 (Kcnk2), TREK-2 (Kcnk10), and TRAAK (Kcnk4). Surprisingly, transcript expression levels of all of these channels were comparable between sickle and control mice. We further examined transcript expression of 83 additional pain-related genes, and found increased mRNA levels for endothelin 1 and tachykinin receptor 1. These factors may contribute to hypersensitivity in sickle mice at both the afferent and behavioral levels.
镰状细胞病(SCD)与引发疼痛发作的急性血管阻塞性危机相关,并且常常涉及持续的慢性疼痛。此外,患有SCD的人类和小鼠均表现出对寒冷的敏感性增强。然而,此前的研究尚未探讨寒冷敏感性增强的潜在机制或其随年龄的变化情况。在此,我们测量了患有严重SCD的年轻和老年小鼠的趋温行为。通过冷偏好测试发现,镰状小鼠的寒冷敏感性显著增加。此外,随着年龄增长,冷超敏反应会加剧。我们通过记录皮肤神经制剂中许多对寒冷敏感的C纤维,评估增强的外周输入是否会导致慢性冷痛行为。我们观察到,镰状小鼠的C纤维向更温暖(更敏感)的冷检测阈值转变。为了探究初级传入神经元中冷敏化的潜在机制,我们对被认为参与冷检测的离子通道的mRNA表达水平进行了定量分析。这些离子通道包括瞬时受体电位香草酸亚型8(Trpm8)、瞬时受体电位锚蛋白1(Trpa1)通道,以及双孔域钾通道TREK-1(Kcnk2)、TREK-2(Kcnk10)和TRAAK(Kcnk4)。令人惊讶的是,镰状小鼠和对照小鼠之间所有这些通道的转录本表达水平相当。我们进一步检测了另外83个与疼痛相关基因的转录本表达,发现内皮素1和速激肽受体1的mRNA水平升高。这些因素可能在传入和行为水平上导致镰状小鼠的超敏反应。
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