Institute of Neuroscience, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Eur J Pain. 2022 Nov;26(10):2238-2256. doi: 10.1002/ejp.2038. Epub 2022 Sep 19.
Kv4 channels are key components controlling neuronal excitability at membrane potentials below action potential thresholds. It remains elusive whether Kv4.1 participates in pain regulation.
We raised a Kv4.1 antibody to map Kv4.1 neurons in the superficial dorsal horn of the spinal cord and dorsal root ganglion (DRG) of rats. Behavioural, biochemical and immunohistochemical methods were used to examine whether the activity of Kv4.1 neurons or Kv4.1 expression level is altered after peripheral nerve injury.
In lamina I of the spinal cord, Kv4.1 immunoreactivity (IR) was detected in neurokinin-1 receptor positive (NK1R) projection neurons (the secondary nociceptive neurons) and NK1R excitatory interneurons. Kv4.1, KChIP2 and DPP10 were co-expressed in these neurons. Peripheral nerve injury evoked by lumbar spinal nerve ligation (SNL) immediately induced phosphorylated extracellular regulated protein kinase (pERK, an indicator of enhanced neuronal activity) in lamina I Kv4.1 neurons and lamina II Kv4.2/Kv4.3 neurons of the spinal cord. Furthermore, Kv4.1 appeared in 59.9% of DRG neurons with variable sizes. Kv4.1 mRNA and protein levels in DRG neurons were gradually decreased after SNL. Following intrathecal injection of Kv4.1 antisense oligodeoxynucleotide (ASO) into naive rats, Kv4.1 protein level was reduced in the DRG, and mechanical but not thermal hypersensitivity was induced.
Kv4.1 appears in the secondary nociceptive neurons, and peripheral nerve injury increases the activity of these neurons. Kv4.1 expression in DRG neurons (including half of the nociceptors) is gradually reduced after peripheral nerve injury, and knockdown of Kv4.1 in DRG neurons induces pain. Thus, Kv4.1 participates in pain regulation.
Based on the expression of Kv4.1 and Kv4.3 in the nociceptors, Kv4.1 in the secondary nociceptive neurons, Kv4.1 in spinal lamina I excitatory interneurons that regulate the activity of the secondary nociceptive neurons, as well as Kv4.2 and Kv4.3 in spinal lamina II excitatory interneurons that also regulate the activity of the secondary nociceptive neurons, developing Kv4 activators or genetic manipulation to increase Kv4 channel activity in these pain-related Kv4 neurons will be useful in future pain therapeutics.
Kv4 通道是控制动作电位阈值以下神经元兴奋性的关键组成部分。Kv4.1 是否参与疼痛调节仍不清楚。
我们制备了 Kv4.1 抗体,以绘制大鼠脊髓背角浅层和背根神经节(DRG)中 Kv4.1 神经元图谱。采用行为学、生化和免疫组织化学方法,观察外周神经损伤后 Kv4.1 神经元的活性或 Kv4.1 表达水平是否发生改变。
在脊髓 I 层,神经激肽-1 受体阳性(NK1R)投射神经元(二级伤害感受神经元)和 NK1R 兴奋性中间神经元中检测到 Kv4.1 免疫反应性(IR)。Kv4.1、KChIP2 和 DPP10 共同表达于这些神经元中。腰脊神经结扎(SNL)引起的外周神经损伤立即诱导脊髓 I 层 Kv4.1 神经元和 II 层 Kv4.2/Kv4.3 神经元中磷酸化细胞外调节蛋白激酶(pERK,神经元活性增强的指标)的磷酸化。此外,Kv4.1 出现在大小不等的 59.9%的 DRG 神经元中。SNL 后,DRG 神经元的 Kv4.1mRNA 和蛋白水平逐渐降低。在鞘内注射 Kv4.1 反义寡核苷酸(ASO)进入正常大鼠后,DRG 中的 Kv4.1 蛋白水平降低,并诱导机械但不热痛敏。
Kv4.1 出现在二级伤害感受神经元中,外周神经损伤增加了这些神经元的活性。外周神经损伤后,DRG 神经元中 Kv4.1 的表达逐渐减少,而 DRG 神经元中 Kv4.1 的敲低则会引起疼痛。因此,Kv4.1 参与疼痛调节。
基于伤害感受器中 Kv4.1 和 Kv4.3 的表达、二级伤害感受神经元中的 Kv4.1、调节二级伤害感受神经元活性的脊髓 I 层兴奋性中间神经元中的 Kv4.1、以及也调节二级伤害感受神经元活性的脊髓 II 层兴奋性中间神经元中的 Kv4.2 和 Kv4.3,开发 Kv4 激活剂或遗传操作以增加这些与疼痛相关的 Kv4 神经元中的 Kv4 通道活性,将有助于未来的疼痛治疗。