Laboratory Research Center, The First Affiliated Hospital of Chongqing Medical University, 1st You Yi Road, Yu Zhong District, Chongqing, 400016, China.
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Headache Pain. 2022 Aug 10;23(1):98. doi: 10.1186/s10194-022-01469-x.
The pathogenesis of chronic migraine remains unresolved. Recent studies have affirmed the contribution of GLUA1-containing AMPA receptors to chronic migraine. The dopamine D2 receptor, a member of G protein-coupled receptor superfamily, has been proven to have an analgesic effect on pathological headaches. The present work investigated the exact role of the dopamine D2 receptor in chronic migraine and its effect on GLUA1-containing AMPA receptor trafficking.
A chronic migraine model was established by repeated inflammatory soup stimulation. Mechanical, periorbital, and thermal pain thresholds were assessed by the application of von Frey filaments and radiant heat. The mRNA and protein expression levels of the dopamine D2 receptor were analyzed by qRT‒PCR and western blotting. Colocalization of the dopamine D2 receptor and the GLUA1-containing AMPAR was observed by immunofluorescence. A dopamine D2 receptor agonist (quinpirole) and antagonist (sulpiride), a PI3K inhibitor (LY294002), a PI3K pathway agonist (740YP), and a GLUA1-containing AMPAR antagonist (NASPM) were administered to confirm the effects of the dopamine D2 receptor, the PI3K pathway and GULA1 on central sensitization and the GLUA1-containing AMPAR trafficking. Transmission electron microscopy and Golgi-Cox staining were applied to assess the impact of the dopamine D2 receptor and PI3K pathway on synaptic morphology. Fluo-4-AM was used to clarify the role of the dopamine D2 receptor and PI3K signaling on neuronal calcium influx. The Src family kinase (SFK) inhibitor PP2 was used to explore the effect of Src kinase on GLUA1-containing AMPAR trafficking and the PI3K signaling pathway.
Inflammatory soup stimulation significantly reduced pain thresholds in rats, accompanied by an increase in PI3K-P110β subunit expression, loss of dopamine receptor D2 expression, and enhanced GLUA1-containing AMPA receptor trafficking in the trigeminal nucleus caudalis (TNC). The dopamine D2 receptor colocalized with the GLUA1-containing AMPA receptor in the TNC; quinpirole, LY294002, and NASPM alleviated pain hypersensitivity and reduced GLUA1-containing AMPA receptor trafficking in chronic migraine rats. Sulpiride aggravated pain hypersensitivity and enhanced GLUA1 trafficking in CM rats. Importantly, the anti-injury and central sensitization-mitigating effects of quinpirole were reversed by 740YP. Both quinpirole and LY294002 inhibited calcium influx to neurons and modulated the synaptic morphology in the TNC. Additional results suggested that DRD2 may regulate PI3K signaling through Src family kinases.
Modulation of GLUA1-containing AMPA receptor trafficking and central sensitization by the dopamine D2 receptor via the PI3K signaling pathway may contribute to the pathogenesis of chronic migraine in rats, and the dopamine D2 receptor could be a valuable candidate for chronic migraine treatment.
慢性偏头痛的发病机制仍未得到解决。最近的研究证实 GLUA1 含 AMPA 受体对慢性偏头痛有贡献。多巴胺 D2 受体是 G 蛋白偶联受体超家族的成员,已被证明对病理性头痛具有镇痛作用。本研究旨在探讨多巴胺 D2 受体在慢性偏头痛中的确切作用及其对 GLUA1 含 AMPA 受体转运的影响。
通过重复炎症汤刺激建立慢性偏头痛模型。通过应用 von Frey 纤维和辐射热评估机械、眶周和热痛阈值。通过 qRT-PCR 和 Western blot 分析多巴胺 D2 受体的 mRNA 和蛋白表达水平。通过免疫荧光观察多巴胺 D2 受体和 GLUA1 含 AMPAR 的共定位。应用多巴胺 D2 受体激动剂(喹吡罗)和拮抗剂(舒必利)、PI3K 抑制剂(LY294002)、PI3K 途径激动剂(740YP)和 GLUA1 含 AMPAR 拮抗剂(NASPM),以确认多巴胺 D2 受体、PI3K 途径和 GLUA1 对中枢敏化和 GLUA1 含 AMPAR 转运的影响。透射电子显微镜和戈尔吉染色用于评估多巴胺 D2 受体和 PI3K 通路对突触形态的影响。Fluo-4-AM 用于阐明多巴胺 D2 受体和 PI3K 信号对神经元钙内流的作用。Src 家族激酶(SFK)抑制剂 PP2 用于探讨 Src 激酶对 GLUA1 含 AMPAR 转运和 PI3K 信号通路的影响。
炎症汤刺激显著降低大鼠的痛阈值,同时 PI3K-P110β 亚基表达增加,多巴胺受体 D2 表达丢失,三叉神经尾核(TNC)中 GLUA1 含 AMPA 受体转运增强。多巴胺 D2 受体与 TNC 中的 GLUA1 含 AMPA 受体共定位;喹吡罗、LY294002 和 NASPM 缓解慢性偏头痛大鼠的痛觉过敏并减少 GLUA1 含 AMPA 受体转运。舒必利加重 CM 大鼠的痛觉过敏并增强 GLUA1 转运。重要的是,740YP 逆转了喹吡罗的抗损伤和中枢敏化作用。喹吡罗和 LY294002 均抑制神经元钙内流并调节 TNC 中的突触形态。进一步的结果表明,DRD2 可能通过 Src 家族激酶调节 PI3K 信号。
多巴胺 D2 受体通过 PI3K 信号通路调节 GLUA1 含 AMPA 受体转运和中枢敏化可能导致大鼠慢性偏头痛的发病机制,多巴胺 D2 受体可能是治疗慢性偏头痛的有价值的候选药物。