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Publication : Presynaptic alpha2-GABAA receptors in primary afferent depolarization and spinal pain control.

First Author  Witschi R Year  2011
Journal  J Neurosci Volume  31
Issue  22 Pages  8134-42
PubMed ID  21632935 Mgi Jnum  J:173378
Mgi Id  MGI:5013973 Doi  10.1523/JNEUROSCI.6328-10.2011
Citation  Witschi R, et al. (2011) Presynaptic {alpha}2-GABAA Receptors in Primary Afferent Depolarization and Spinal Pain Control. J Neurosci 31(22):8134-8142
abstractText  Spinal dorsal horn GABA(A) receptors are found both postsynaptically on central neurons and presynaptically on axons and/or terminals of primary sensory neurons, where they mediate primary afferent depolarization (PAD) and presynaptic inhibition. Both phenomena have been studied extensively on a cellular level, but their role in sensory processing in vivo has remained elusive, due to inherent difficulties to selectively interfere with presynaptic receptors. Here, we address the contribution of a major subpopulation of GABA(A) receptors (those containing the alpha2 subunit) to spinal pain control in mice lacking alpha2-GABA(A) receptors specifically in primary nociceptors (sns-alpha2(-/-) mice). sns-alpha2(-/-) mice exhibited GABA(A) receptor currents and dorsal root potentials of normal amplitude in vitro, and normal response thresholds to thermal and mechanical stimulation in vivo, and developed normal inflammatory and neuropathic pain sensitization. However, the positive allosteric GABA(A) receptor modulator diazepam (DZP) had almost completely lost its potentiating effect on PAD and presynaptic inhibition in vitro and a major part of its spinal antihyperalgesic action against inflammatory hyperalgesia in vivo. Our results thus show that part of the antihyperalgesic action of spinally applied DZP occurs through facilitated activation of GABA(A) receptors residing on primary nociceptors.
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