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Published on: March 28, 2025
Optogenetic and chemogenetic strategies for sustained inhibition of pain
Shrivats M Iyer1, Sam Vesuna1, Charu Ramakrishnan1
1Bioengineering, Stanford University, Stanford, CA 94305, USA.
Abstract:
Spatially targeted, genetically-specific strategies for sustained inhibition of nociceptors may help transform pain science and clinical management. Previous optogenetic strategies to inhibit pain have required constant illumination, and chemogenetic approaches in the periphery have not been shown to inhibit pain. Here, we show that the step-function inhibitory channelrhodopsin, SwiChR, can be used to persistently inhibit pain for long periods of time through infrequent transdermally delivered light pulses, reducing required light exposure by >98% and resolving a long-standing limitation in optogenetic inhibition. We demonstrate that the viral expression of the hM4D receptor in small-diameter primary afferent nociceptor enables chemogenetic inhibition of mechanical and thermal nociception thresholds. Finally, we develop optoPAIN, an optogenetic platform to non-invasively assess changes in pain sensitivity, and use this technique to examine pharmacological and chemogenetic inhibition of pain.
Insights
New optogenetic and chemogenetic methods offer sustained pain inhibition. These strategies reduce light exposure and enable non-invasive pain assessment, transforming pain management.
Area of Science:
- Neuroscience
- Pain Management
- Optogenetics
- Chemogenetics
Background:
- Sustained inhibition of nociceptors is crucial for pain management.
- Previous optogenetic methods required constant illumination, limiting clinical application.
- Peripheral chemogenetic approaches have not demonstrated pain inhibition.
Purpose of the Study:
- To develop novel strategies for sustained, spatially targeted, and genetically-specific inhibition of nociceptors.
- To overcome limitations of existing optogenetic and chemogenetic pain control methods.
- To establish a platform for non-invasive pain sensitivity assessment.
Main Methods:
- Utilized the step-function inhibitory channelrhodopsin, SwiChR, for sustained optogenetic inhibition.
- Employed infrequent, transdermally delivered light pulses to reduce light exposure.
- Demonstrated chemogenetic inhibition using viral expression of the hM4D receptor in nociceptors.
- Developed optoPAIN, an optogenetic platform for non-invasive pain assessment.
Main Results:
- SwiChR enabled persistent pain inhibition with >98% reduction in light exposure.
- Chemogenetic inhibition of mechanical and thermal nociception thresholds was achieved.
- OptoPAIN successfully assessed pharmacological and chemogenetic inhibition of pain.
Conclusions:
- Infrequent light stimulation with SwiChR offers a practical approach for long-term optogenetic pain inhibition.
- Chemogenetics provides a viable method for inhibiting nociception in primary afferent neurons.
- The optoPAIN platform facilitates non-invasive evaluation of pain modulation strategies.
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