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Publication : Central Mechanisms Mediating Thrombospondin-4-induced Pain States.

First Author  Park J Year  2016
Journal  J Biol Chem Volume  291
Issue  25 Pages  13335-48
PubMed ID  27129212 Mgi Jnum  J:235023
Mgi Id  MGI:5792630 Doi  10.1074/jbc.M116.723478
Citation  Park J, et al. (2016) Central Mechanisms Mediating Thrombospondin-4-induced Pain States. J Biol Chem 291(25):13335-48
abstractText  Peripheral nerve injury induces increased expression of thrombospondin-4 (TSP4) in spinal cord and dorsal root ganglia that contributes to neuropathic pain states through unknown mechanisms. Here, we test the hypothesis that TSP4 activates its receptor, the voltage-gated calcium channel Cavalpha2delta1 subunit (Cavalpha2delta1), on sensory afferent terminals in dorsal spinal cord to promote excitatory synaptogenesis and central sensitization that contribute to neuropathic pain states. We show that there is a direct molecular interaction between TSP4 and Cavalpha2delta1 in the spinal cord in vivo and that TSP4/Cavalpha2delta1-dependent processes lead to increased behavioral sensitivities to stimuli. In dorsal spinal cord, TSP4/Cavalpha2delta1-dependent processes lead to increased frequency of miniature and amplitude of evoked excitatory post-synaptic currents in second-order neurons as well as increased VGlut2- and PSD95-positive puncta, indicative of increased excitatory synapses. Blockade of TSP4/Cavalpha2delta1-dependent processes with Cavalpha2delta1 ligand gabapentin or genetic Cavalpha2delta1 knockdown blocks TSP4 induced nociception and its pathological correlates. Conversely, TSP4 antibodies or genetic ablation blocks nociception and changes in synaptic transmission in mice overexpressing Cavalpha2delta1 Importantly, TSP4/Cavalpha2delta1-dependent processes also lead to similar behavioral and pathological changes in a neuropathic pain model of peripheral nerve injury. Thus, a TSP4/Cavalpha2delta1-dependent pathway activated by TSP4 or peripheral nerve injury promotes exaggerated presynaptic excitatory input and evoked sensory neuron hyperexcitability and excitatory synaptogenesis, which together lead to central sensitization and pain state development.
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