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    Area of Science:

    • Neuroscience
    • Gastroenterology
    • Pain Research

    Background:

    • Proteases and histamine are elevated in irritable bowel syndrome (IBS) patients, sensitizing colonic pain receptors.
    • These factors contribute to the visceral pain characteristic of IBS.

    Purpose of the Study:

    • To investigate if protease-activated receptor-2 (PAR 2) cleavage and sustained endosomal signaling amplify histamine receptor (HR) activity.
    • To determine the role of this amplification in causing the recurrent pain of IBS.

    Main Methods:

    • Coexpression of PAR 2 and histamine H 1 receptor (H 1 R) in nociceptors was examined using RNAscope in situ hybridization.
    • Electrophysiological assays and biophysical measurements assessed nociceptor sensitization and receptor activity.

    Main Results:

    • PAR 2 and H 1 R were found in human and mouse nociceptors.
    • Fecal supernatants from IBS patients increased colonic nociceptor sensitivity, blocked by PAR 2 or HR antagonists.
    • Combined trypsin and histamine mimicked IBS patient fecal supernatant effects, causing nociceptor hyperexcitability, particularly when PAR 2 was pre-activated.

    Conclusions:

    • Persistent endosomal PAR 2 signaling amplifies and sustains histamine receptor activity.
    • This sustained signaling is a major contributor to the colonic pain associated with IBS.