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Interactions of peripheral endothelin-1 and nerve growth factor as contributors to persistent cutaneous pain
A Khodorova1, Y Zhang, G Nicol
1Pain Research Center, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. gstrichartz@partners.org.
Abstract:
Endothelin-1 (ET-1) and Nerve Growth Factor (NGF) are proteins, released from cancer-ridden tissues, which cause spontaneous pain and hypersensitivity to noxious stimuli. Here we examined the electrophysiological and behavioral effects of these two agents for evidence of their interactions. Individual small-medium cultured DRG sensory neurons responded to both ET-1 (50 nM, n=6) and NGF (100 ng/ml, n=4), with increased numbers of action potentials and decreased slow K(+) currents; pre-exposure to ET-1 potentiated NGF´s actions, but not vice versa. Behaviorally, single intraplantar (i.pl.) injection of low doses of ET-1 (20 pmol) or NGF (100 ng), did not increase hindpaw tactile or thermal sensitivity, but their simultaneous injections sensitized the paw to both modalities. Daily i.pl. injections of low ET-1 doses in male rats caused tactile sensitization after 21 days, and enabled further tactile and thermal sensitization from low dose NGF, in ipsilateral and contralateral hindpaws. Single injections of 100 ng NGF, without changing the paw's tactile sensitivity by itself, acutely sensitized the ipsilateral paw to subsequent injections of low ET-1. The sensitization from repeated low ET-1 dosing and the cross-sensitization between NGF and ET-1 were both significantly greater in female than in male rats. These findings reveal a synergistic interaction between cutaneously administered low doses of NGF and ET-1, which could contribute to cancer-related pain.
Insights
Endothelin-1 (ET-1) and Nerve Growth Factor (NGF) interact synergistically, contributing to cancer pain. ET-1 potentiates NGF
Area of Science:
- Neuroscience
- Pain Research
- Molecular Biology
Background:
- Cancer-related pain involves proteins like Endothelin-1 (ET-1) and Nerve Growth Factor (NGF).
- These proteins, released from tumors, induce pain and hypersensitivity.
- Understanding their interaction is crucial for pain management.
Purpose of the Study:
- To investigate the electrophysiological and behavioral interactions between ET-1 and NGF.
- To determine if ET-1 and NGF exhibit synergistic effects in pain sensitization.
- To explore sex-based differences in the interaction between ET-1 and NGF.
Main Methods:
- Cultured dorsal root ganglion (DRG) sensory neurons were used to assess electrophysiological responses to ET-1 and NGF.
- Behavioral assays in rats measured tactile and thermal sensitivity following intraplantar injections of ET-1 and NGF.
- Repeated low-dose injections and single injections were administered to evaluate sensitization and cross-sensitization.
Main Results:
- ET-1 pre-exposure potentiated NGF's effects on DRG neurons, but not vice versa.
- Simultaneous low-dose injections of ET-1 and NGF sensitized hindpaws to tactile and thermal stimuli.
- Repeated ET-1 administration induced sensitization, enhanced by NGF, with greater effects observed in female rats.
Conclusions:
- A synergistic interaction exists between low-dose ET-1 and NGF when administered cutaneously.
- This interaction, particularly the cross-sensitization, may significantly contribute to cancer-related pain.
- Sex differences in sensitization suggest distinct mechanisms or responses in male and female rats.
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