Histone lactylation regulates DOCK4 to control heat nociception and supports Dynein-mediated Nav1.7 trafficking

Man-Xiu Xie1, Ren-Chun Lai1, Yi-Bin Xiao2,3

  • 1Department of Anesthesiology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.

Nature Communications
|August 4, 2025
PubMed

Insights

Dedicator of cytokinesis 4 (Dock4) deficiency in sensory neurons enhances heat nociception by altering sodium channel Nav1.7 trafficking. This discovery offers insights into autism-related pain perception.

Area of Science:

  • Neuroscience
  • Pain Research
  • Genetics

Background:

  • Heat nociception relies on thermosensors, but other mechanisms remain unexplored.
  • Autism spectrum disorder (ASD) often involves altered pain perception, with unclear underlying causes.
  • Dedicator of cytokinesis 4 (Dock4) is an autism susceptibility gene implicated in neuronal function.

Purpose of the Study:

  • To investigate the role of Dock4 in heat nociception and its potential link to autism.
  • To elucidate the molecular mechanism by which Dock4 regulates pain perception.

Main Methods:

  • Examined Dock4 levels in dorsal root ganglion (DRG) neurons across pain models.
  • Utilized mouse models with Dock4 deficiency in sensory neurons to assess heat nociception.
  • Investigated the interaction between Dock4, sodium channel Nav1.7, and the motor protein Dynein using biochemical assays.
  • Performed Dock4 knockdown in nonhuman primates to confirm findings in a relevant species.

Main Results:

  • Dock4 levels were decreased in DRG neurons in pain models, linked to histone lactylation.
  • Dock4 deficiency in sensory neurons significantly increased heat nociception in mice.
  • Dock4 acts as an adaptor protein, forming a Dynein/DOCK4/Nav1.7 complex that mediates Nav1.7 trafficking from the membrane to the cytoplasm.
  • Dock4 knockdown in nonhuman primates also enhanced heat nociception.

Conclusions:

  • The Dynein/DOCK4/Nav1.7 complex represents a novel thermosensor-independent pathway regulating heat nociception.
  • Reduced Dock4 expression contributes to heightened heat sensitivity.
  • This mechanism provides crucial insights into the abnormal pain perception observed in autism spectrum disorder.

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