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The ERK 1 and 2 pathway in the nervous system: from basic aspects to possible clinical applications in pain and
1Institute of Histology and Embryology, Faculty of Medicine and IBMC, University of Porto, Portugal. ccruz@med.up.pt
Abstract:
The extracellular signal-regulated kinases 1 and 2 (ERK) cascade, member of the mitogen-activated protein kinases superfamily of signalling pathways, is one of the best characterized pathways as many protein interactions and phosphorylation events have been systematically studied. Traditionally, ERK are associated with the regulation of proliferation and differentiation as well as survival of various cell types. Their activity is controlled by phosphorylation on specific aminoacidic residues, which is induced by a variety of external cues, including growth-promoting factors.In the nervous system, ERK phosphorylation is induced by binding of neurotrophins to their specific tyrosine kinase receptors or by neuronal activity leading to glutamate release and binding to its ionotropic and metabotropic receptors. Some studies have provided evidence of its importance in neuroplastic events. In particular, ERK phosphorylation in the spinal cord was shown to be nociceptive-specific and its upregulation, occurring in cases of chronic inflammatory and neuropathic pain, seems to be of the utmost importance to behavioural changes observed in those conditions. In fact, experiments using specific inhibitors of ERK phosphorylation have proved that ERK directly contributes to allodynia and hyperalgesia caused by spinal cord injury or chronic pain. Additionally, spinal ERK phosphorylation regulates the micturition reflex in experimental models of bladder inflammation and chronic spinal cord transection.In this review we will address the main findings that suggest that ERK might be a future therapeutic target to treat pain and other complications arising from chronic pain or neuronal injury.
Insights
Extracellular signal-regulated kinases (ERK) are crucial in the nervous system, particularly in pain pathways. Inhibiting ERK phosphorylation shows promise for treating chronic pain and neuronal injury complications.
Area of Science:
- Neuroscience
- Molecular Biology
- Pharmacology
Background:
- The extracellular signal-regulated kinases (ERK) cascade is a well-studied signaling pathway involved in cell proliferation, differentiation, and survival.
- ERK activity is regulated by phosphorylation, triggered by external stimuli like growth factors, neurotrophins, and neuronal activity.
- In the nervous system, ERK phosphorylation is implicated in neuroplasticity and pain signaling.
Purpose of the Study:
- To review the role of ERK phosphorylation in the spinal cord concerning pain and neuronal injury.
- To explore the potential of ERK as a therapeutic target for pain management and recovery from neuronal damage.
Main Methods:
- Literature review of studies investigating ERK phosphorylation in the nervous system.
- Analysis of experimental data using ERK inhibitors in pain models.
Main Results:
- Spinal ERK phosphorylation is nociceptive-specific and upregulated in chronic inflammatory and neuropathic pain conditions.
- Inhibition of ERK phosphorylation alleviates allodynia and hyperalgesia in experimental pain models.
- Spinal ERK phosphorylation influences the micturition reflex in models of bladder inflammation and spinal cord injury.
Conclusions:
- ERK signaling plays a significant role in spinal cord pain mechanisms and associated behavioral changes.
- Targeting ERK phosphorylation presents a potential therapeutic strategy for managing chronic pain and complications of neuronal injury.
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