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Publication : Heat-resistant action potentials require TTX-resistant sodium channels Na<sub>V</sub>1.8 and Na<sub>V</sub>1.9.

First Author  Touska F Year  2018
Journal  J Gen Physiol Volume  150
Issue  8 Pages  1125-1144
PubMed ID  29970412 Mgi Jnum  J:321796
Mgi Id  MGI:6834401 Doi  10.1085/jgp.201711786
Citation  Touska F, et al. (2018) Heat-resistant action potentials require TTX-resistant sodium channels NaV1.8 and NaV1.9. J Gen Physiol 150(8):1125-1144
abstractText  Damage-sensing nociceptors in the skin provide an indispensable protective function thanks to their specialized ability to detect and transmit hot temperatures that would block or inflict irreversible damage in other mammalian neurons. Here we show that the exceptional capacity of skin C-fiber nociceptors to encode noxiously hot temperatures depends on two tetrodotoxin (TTX)-resistant sodium channel alpha-subunits: NaV1.8 and NaV1.9. We demonstrate that NaV1.9, which is commonly considered an amplifier of subthreshold depolarizations at 20 degrees C, undergoes a large gain of function when temperatures rise to the pain threshold. We also show that this gain of function renders NaV1.9 capable of generating action potentials with a clear inflection point and positive overshoot. In the skin, heat-resistant nociceptors appear as two distinct types with unique and possibly specialized features: one is blocked by TTX and relies on NaV1.9, and the second type is insensitive to TTX and composed of both NaV1.8 and NaV1.9. Independent of rapidly gated TTX-sensitive NaV channels that form the action potential at pain threshold, NaV1.8 is required in all heat-resistant nociceptors to encode temperatures higher than approximately 46 degrees C, whereas NaV1.9 is crucial for shaping the action potential upstroke and keeping the NaV1.8 voltage threshold within reach.
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