The cellular basis of protease-activated receptor 2-evoked mechanical and affective pain

Shayne N Hassler1, Moeno Kume1, Juliet M Mwirigi1

  • 1School of Behavioral and Brain Sciences and Center for Advanced Pain Studies, University of Texas at Dallas, Dallas, Texas, USA.

JCI Insight
|May 1, 2020
PubMed

Insights

Protease-activated receptor 2 (PAR2) activation causes pain behaviors, primarily mechanical hyperalgesia. This pain is mediated by PAR2 expressed in a specific subset of sensory neurons, not all.

Area of Science:

  • Neuroscience
  • Pain research
  • Molecular biology

Background:

  • Protease-activated receptor 2 (PAR2) is linked to inflammatory and visceral pain.
  • The precise cellular source of PAR2-evoked pain remains unclear, with conflicting data on sensory neuron expression.
  • Existing PAR2 tools lack specificity, potentially interacting with Mas-related GPCRs (Mrg) in sensory neurons.

Purpose of the Study:

  • To elucidate the cellular mechanisms underlying PAR2-evoked pain.
  • To determine if PAR2 expression in sensory neurons is essential for PAR2-mediated pain behaviors.
  • To identify the specific sensory neuron population responsible for PAR2-evoked pain.

Main Methods:

  • Development of a PAR2-conditional knockout mouse model.
  • Specific deletion of PAR2 in sensory neurons using the PirtCre mouse line.
  • Behavioral analysis of PAR2 agonist-evoked pain responses (mechanical and thermal hyperalgesia, facial grimacing) in knockout and control mice.
  • RNA sequencing to assess F2rl1 mRNA expression in sensory neurons.

Main Results:

  • PAR2 agonist-induced mechanical hyperalgesia and facial grimacing were abolished in PAR2-conditional knockout mice lacking PAR2 in sensory neurons.
  • Thermal hyperalgesia was not affected by the absence of PAR2 in sensory neurons.
  • F2rl1 mRNA was detected in approximately 4% of small-diameter sensory neurons, co-expressing Nppb and IL31ra, a population previously linked to itch.
  • Activation of PAR2 in this specific sensory neuron population elicited pain behaviors.

Conclusions:

  • PAR2-dependent mechanical hyperalgesia and facial grimacing originate from sensory neurons projecting to the hind paw.
  • A distinct subpopulation of dorsal root ganglion (DRG) sensory neurons, co-expressing Nppb and IL31ra, mediates PAR2-evoked pain.
  • These findings identify a specific cellular substrate for PAR2-mediated pain, distinct from its previously suggested role in itch.

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