Institute of Physiology and Pathophysiology, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany.
Department of Medicine 1, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany.
Glia. 2019 May;67(5):999-1012. doi: 10.1002/glia.23585. Epub 2019 Jan 13.
Pruritus is a common and disabling symptom in patients with hepatobiliary disorders, particularly in those with cholestatic features. Serum levels of lysophosphatidic acid (LPA) and its forming enzyme autotaxin were increased in patients suffering from hepatic pruritus, correlated with itch severity and response to treatment. Here we show that in a culture of dorsal root ganglia LPA 18:1 surprisingly activated a large fraction of satellite glia cells, and responses to LPA 18:1 correlated inversely with responses to neuronal expressed transient receptor potential channels. LPA 18:1 caused only a marginal activation of heterologously expressed TRPV1, and responses in dorsal root ganglion cultures from TRPV1-deficient mice were similar to controls. LPA 18:1 desensitized subsequent responsiveness to chloroquine and TGR5 agonist INT-777. The LPA 18:1-induced increase in cytoplasmatic calcium stems from the endoplasmatic reticulum. LPA receptor expression in dorsal root ganglia and Schwann cells, LPAR1 immunohistochemistry, and pharmacological results indicate a signaling pathway through LPA receptor 1. Peripheral rat Schwann cells, which are of glial lineage as the satellite glia cells, were also responsive to LPA 18:1. Summarizing, LPA 18:1 primarily activates rather glial cells than neurons, which may subsequently modulate neuronal responsiveness and sensory sensations such as itch and pain.
瘙痒是肝胆疾病患者常见且使人致残的症状,尤其在有胆汁淤积特征的患者中。患有肝瘙痒的患者血清中溶血磷脂酸(LPA)及其形成酶自分泌酶的水平升高,与瘙痒严重程度和治疗反应相关。在这里,我们发现,在背根神经节培养物中,LPA18:1 出人意料地激活了相当一部分卫星胶质细胞,而对 LPA18:1 的反应与对神经元表达的瞬时受体电位通道的反应呈负相关。LPA18:1 仅对异源表达的 TRPV1 产生轻微激活,并且 TRPV1 缺陷型小鼠背根神经节培养物中的反应与对照相似。LPA18:1 使随后对氯喹和 TGR5 激动剂 INT-777 的反应脱敏。LPA18:1 引起的细胞质钙离子增加源于内质网。背根神经节和施万细胞中的 LPA 受体表达、LPAR1 免疫组织化学和药理学结果表明,这是一种通过 LPA 受体 1 的信号通路。周围大鼠施万细胞(与卫星胶质细胞一样属于神经胶质谱系)也对 LPA18:1 有反应。总之,LPA18:1 主要激活胶质细胞而不是神经元,这可能随后调节神经元的反应性和感觉,如瘙痒和疼痛。