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Publication : The α2δ-1-NMDA Receptor Complex Is Critically Involved in Neuropathic Pain Development and Gabapentin Therapeutic Actions.

First Author  Chen J Year  2018
Journal  Cell Rep Volume  22
Issue  9 Pages  2307-2321
PubMed ID  29490268 Mgi Jnum  J:271306
Mgi Id  MGI:6279134 Doi  10.1016/j.celrep.2018.02.021
Citation  Chen J, et al. (2018) The alpha2delta-1-NMDA Receptor Complex Is Critically Involved in Neuropathic Pain Development and Gabapentin Therapeutic Actions. Cell Rep 22(9):2307-2321
abstractText  alpha2delta-1, commonly known as a voltage-activated Ca(2+) channel subunit, is a binding site of gabapentinoids used to treat neuropathic pain and epilepsy. However, it is unclear how alpha2delta-1 contributes to neuropathic pain and gabapentinoid actions. Here, we show that Cacna2d1 overexpression potentiates presynaptic and postsynaptic NMDAR activity of spinal dorsal horn neurons to cause pain hypersensitivity. Conversely, Cacna2d1 knockdown or ablation normalizes synaptic NMDAR activity increased by nerve injury. alpha2delta-1 forms a heteromeric complex with NMDARs in rodent and human spinal cords. The alpha2delta-1-NMDAR interaction predominantly occurs through the C terminus of alpha2delta-1 and promotes surface trafficking and synaptic targeting of NMDARs. Gabapentin or an alpha2delta-1 C terminus-interfering peptide normalizes NMDAR synaptic targeting and activity increased by nerve injury. Thus, alpha2delta-1 is an NMDAR-interacting protein that increases NMDAR synaptic delivery in neuropathic pain. Gabapentinoids reduce neuropathic pain by inhibiting forward trafficking of alpha2delta-1-NMDAR complexes.
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