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Peripheral 5-HT3 mediates mirror-image pain by a cross-talk with acid-sensing ion channel 3
Yeu-Shiuan Su1, Hao-Ruei Mei1, Chun-Hung Wang1
1Department of Life Sciences, National Central University, Zhongli District, Taoyuan city, Taiwan.
Abstract:
Mirror-image pain (MIP), which occurs along with complex regional pain syndrome, rheumatoid arthritis and chronic migraine, is characterized by increased pain sensitivity of healthy body regions other than the actual injured or inflamed sites. A high level of peripheral inflammation may activate central or peripheral glia, triggering mirror-image pain. However, which receptors mediate inflammatory signals to contribute glial activation remains unclear. Intraplantarly injecting mice with 5-hydroxytryptamine (5-HT) or acidic buffer (proton) caused only unilateral hyperalgesia, but co-injection of 5-HT/acid induced bilateral hyperalgesia (MIP). Blocking 5-HT3 or acid-sensing ion channel 3 (ASIC3) abolished satellite glial activation, inhibiting MIP. Interestingly, intraplantar administration of a 5-HT3 agonist induced MIP, and 5-HT3-mediated MIP can be reversed by a 5-HT3 antagonist or an ASIC3 blocker. Similar results were found using a ASIC3 agonist. Furthermore, 5-HT3 was observed to co-localize with ASIC3 in DRG neurons; 5-HT3 activation-induced an increase in intracellular calcium that was inhibited by an ASIC3 blocker and vice versa. A cross-talk between 5-HT3 and ASIC3 mediates satellite glial activation, thereby triggering mirror-image pain.
Insights
Mirror-image pain, a condition causing pain sensitivity in uninjured areas, is triggered by the interaction of serotonin 3 (5-HT3) and acid-sensing ion channel 3 (ASIC3) receptors, leading to glial activation.
Area of Science:
- Neuroscience
- Pain Research
- Molecular Biology
Background:
- Mirror-image pain (MIP) involves heightened pain sensitivity in healthy body regions, often accompanying conditions like complex regional pain syndrome.
- Peripheral inflammation is suspected to activate glia, leading to MIP, but the specific receptors involved remain unidentified.
Purpose of the Study:
- To investigate the molecular mechanisms and receptors mediating inflammatory signals that trigger glial activation and mirror-image pain.
- To identify the specific receptors responsible for inflammatory signal transduction leading to glial activation and MIP.
Main Methods:
- Induction of hyperalgesia in mice using intraplantar injections of 5-hydroxytryptamine (5-HT) or acidic buffer, individually and in combination.
- Assessment of MIP by blocking serotonin 3 (5-HT3) and acid-sensing ion channel 3 (ASIC3) receptors, and using agonists/antagonists for these channels.
- Examination of 5-HT3 and ASIC3 co-localization and functional interaction in dorsal root ganglion (DRG) neurons using calcium imaging.
Main Results:
- Co-injection of 5-HT and acid induced bilateral hyperalgesia (MIP), while individual injections caused only unilateral effects.
- Blocking 5-HT3 or ASIC3 receptors abolished satellite glial activation and inhibited MIP.
- Both 5-HT3 and ASIC3 agonists induced MIP, and their effects could be reversed by antagonists of the respective channels or blockers of the other channel.
- 5-HT3 and ASIC3 were found to co-localize in DRG neurons, with functional cross-talk observed in calcium signaling.
Conclusions:
- A cross-talk between 5-HT3 and ASIC3 receptors mediates satellite glial activation, which is a key mechanism triggering mirror-image pain.
- Targeting the interaction between 5-HT3 and ASIC3 may offer a novel therapeutic strategy for managing mirror-image pain.
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