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      The mechanosensitive ion channel Piezo2 mediates sensitivity to mechanical pain in mice

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          Abstract

          The brush of a feather or a pinprick are perceived as distinct sensations because they are detected by discrete cutaneous sensory neurons. Inflammation or nerve injury can disrupt this sensory coding and result in maladaptive pain states, including mechanical allodynia, the development of pain in response to innocuous touch. However, the molecular mechanisms underlying the alteration of mechanical sensitization are poorly understood. In mice and humans, loss of mechanically activated PIEZO2 channels results in the inability to sense discriminative touch. However, the role of Piezo2 in acute and sensitized mechanical pain is not well defined. Here, we show that optogenetic activation of Piezo2-expressing sensory neurons induces nociception in mice. Mice that lack Piezo2 in caudal sensory neurons have impaired nocifensive responses to mechanical stimuli. Consistently, Ex vivo recordings in skin-nerve preparations from these mice show diminished Aδ-nociceptor and C-fiber firing in response to mechanical stimulations. Punctate and dynamic allodynia in response to capsaicin-induced inflammation and spared nerve injury was absent in P iezo2-deficient mice. These results indicate that Piezo2 mediates inflammation- and nerve injury-induced sensitized mechanical pain, and suggest that targeting PIEZO2 might be an effective strategy for treating mechanical allodynia.

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          Piezo2 ion channels mediate mechanical allodynia in mice

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          Most cited references24

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          Nociceptors: the sensors of the pain pathway.

          Specialized peripheral sensory neurons known as nociceptors alert us to potentially damaging stimuli at the skin by detecting extremes in temperature and pressure and injury-related chemicals, and transducing these stimuli into long-ranging electrical signals that are relayed to higher brain centers. The activation of functionally distinct cutaneous nociceptor populations and the processing of information they convey provide a rich diversity of pain qualities. Current work in this field is providing researchers with a more thorough understanding of nociceptor cell biology at molecular and systems levels and insight that will allow the targeted design of novel pain therapeutics.
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            Mechanisms of neuropathic pain.

            Neuropathic pain refers to pain that originates from pathology of the nervous system. Diabetes, infection (herpes zoster), nerve compression, nerve trauma, "channelopathies," and autoimmune disease are examples of diseases that may cause neuropathic pain. The development of both animal models and newer pharmacological strategies has led to an explosion of interest in the underlying mechanisms. Neuropathic pain reflects both peripheral and central sensitization mechanisms. Abnormal signals arise not only from injured axons but also from the intact nociceptors that share the innervation territory of the injured nerve. This review focuses on how both human studies and animal models are helping to elucidate the mechanisms underlying these surprisingly common disorders. The rapid gain in knowledge about abnormal signaling promises breakthroughs in the treatment of these often debilitating disorders.
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              Nociceptors--noxious stimulus detectors.

              In order to deal effectively with danger, it is imperative to know about it. This is what nociceptors do--these primary sensory neurons are specialized to detect intense stimuli and represent, therefore, the first line of defense against any potentially threatening or damaging environmental inputs. By sensing noxious stimuli and contributing to the necessary reactions to avoid them--rapid withdrawal and the experience of an intensely unpleasant or painful sensation, nociceptors are essential for the maintenance of the body's integrity. Although nociceptive pain is clearly an adaptive alarm system, persistent pain is maladaptive, essentially an ongoing false alarm. Here, we highlight the genesis of nociceptors during development and the intrinsic properties of nociceptors that enable them to transduce, conduct, and transmit nociceptive information and also discuss how their phenotypic plasticity contributes to clinical pain.
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                Author and article information

                Journal
                101505086
                36963
                Sci Transl Med
                Sci Transl Med
                Science translational medicine
                1946-6234
                1946-6242
                16 July 2019
                10 October 2018
                26 August 2019
                : 10
                : 462
                : eaat9897
                Affiliations
                [1 ]Howard Hughes Medical Institute, Department of Neuroscience, The Scripps Research Institute, La Jolla, California 92037, USA.
                [2 ]Department of Neuroscience, Max-Delbrück Center for Molecular Medicine, Robert-Rössle Straße 10, Berlin 13125, Germany.
                [3 ]Excellence Cluster Neurocure, Charité Universitätsmedizin, Berlin 13125, Germany
                Author notes

                Author contributions: A.P. and S.E.M. designed experiments. M.C.L, S.E.M., and A.G.F. performed and analyzed behavioral experiments. S.E.M. and W.T.K. performed the blink reflex assay. I.D. performed optogenetic experiments. F.S. and J.K. performed and analyzed ex vivo skin nerve preparation experiments with input from G.R.L. K.L.M. performed RNA scope experiments. S.E.M. and A.E.D. performed and analyzed in vitro electrophysiological experiments. S.E.M. and A.P. wrote the manuscript with input from all authors.

                [* ]Corresponding author: Ardem Patapoutian, Howard Hughes Medical Institute, Department of Neuroscience, The Scripps Research Institute, La Jolla, California 92037, USA. ardem@ 123456scripps.edu
                Article
                PMC6709986 PMC6709986 6709986 nihpa1035739
                10.1126/scitranslmed.aat9897
                6709986
                30305457
                ea87126d-12c7-4379-901c-660c7b6bf373
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