The NAv1.7 blocker protoxin II reduces burn injury-induced spinal nociceptive processing
File(s)10.1007%2Fs00109-017-1599-0.pdf (2.94 MB)
Published version
Author(s)
Type
Journal Article
Abstract
Controlling pain in burn-injured patients poses a major clinical challenge. Recent findings suggest that reducing the activity of the voltage-gated sodium channel Nav1.7 in primary sensory neurons could provide improved pain control in burn-injured patients. Here, we report that partial thickness scalding-type burn injury on the rat paw upregulates Nav1.7 expression in primary sensory neurons 3 h following injury. The injury also induces upregulation in phosphorylated cyclic adenosine monophosphate response element-binding protein (p-CREB), a marker for nociceptive activation in primary sensory neurons. The upregulation in p-CREB occurs mainly in Nav1.7-immunopositive neurons and exhibits a peak at 5 min and, following a decline at 30 min, a gradual increase from 1 h post-injury. The Nav1.7 blocker protoxin II (ProTxII) or morphine injected intraperitoneally 15 min before or after the injury significantly reduces burn injury-induced spinal upregulation in phosphorylated serine 10 in histone H3 and phosphorylated extracellular signal-regulated kinase 1/2, which are both markers for spinal nociceptive processing. Further, ProTxII significantly reduces the frequency of spontaneous excitatory post-synaptic currents in spinal dorsal horn neurons following burn injury. Together, these findings indicate that using Nav1.7 blockers should be considered to control pain in burn injury.
Date Issued
2017-10-23
Date Acceptance
2017-09-18
Citation
Journal of Molecular Medicine, 2017, 96 (1), pp.75-84
ISSN
0946-2716
Publisher
Springer Verlag
Start Page
75
End Page
84
Journal / Book Title
Journal of Molecular Medicine
Volume
96
Issue
1
Copyright Statement
©The Author(s) 2017. This article is an open access publication
License URL
Sponsor
Chelsea & Westminster Health Charity
Grant Number
Capacity Building Project
Subjects
Pain
Primary sensory neuron
Spinal cord
p-ERK1/2
p-S10H3
0304 Medicinal And Biomolecular Chemistry
Immunology
Publication Status
Published online