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The Journal of Neuroscience, February 15, 2003, 23(4):1169
Neuronal Hyperpolarization-Activated Pacemaker Channels Drive
Neuropathic Pain
Sandra R.
Chaplan,
Hong-Qing
Guo,
Doo Hyun
Lee,
Lin
Luo,
Changlu
Liu,
Chester
Kuei,
Alexander A.
Velumian,
Matthew P.
Butler,
Sean M.
Brown, and
Adrienne E.
Dubin
Neuroscience, Johnson & Johnson Pharmaceutical Research and
Development, San Diego, California 92121
Neuropathic pain is a common and often incapacitating clinical
problem for which little useful therapy is presently available. Painful
peripheral neuropathies can have many etiologies, among which are
trauma, viral infections, exposure to radiation or chemotherapy, and
metabolic or autoimmune diseases. Sufferers generally experience both
pain at rest and exaggerated, painful sensitivity to light touch.
Spontaneous firing of injured nerves is believed to play a critical
role in the induction and maintenance of neuropathic pain syndromes.
Using a well characterized nerve ligation model in the rat, we
demonstrate that hyperpolarization-activated, cyclic nucleotide-modulated (HCN) "pacemaker" channels play a previously unrecognized role in both touch-related pain and spontaneous neuronal discharge originating in the damaged dorsal root ganglion. HCN channels, particularly HCN1, are abundantly expressed in rat primary afferent somata. Nerve injury markedly increases pacemaker currents in
large-diameter dorsal root ganglion neurons and results in pacemaker-driven spontaneous action potentials in the ligated nerve.
Pharmacological blockade of HCN activity using the specific inhibitor
ZD7288 reverses abnormal hypersensitivity to light touch and decreases
the firing frequency of ectopic discharges originating in A and A
fibers by 90 and 40%, respectively, without conduction blockade. These
findings suggest novel insights into the molecular basis of pain and
the possibility of new, specific, effective pharmacological therapies.
Key words:
neuropathic pain; ectopic discharge; dorsal root
ganglion; HCN channel; pacemaker channel; spinal nerve ligation; Ih
Copyright © 2003 Society for Neuroscience 0270-6474/03/2341169-10$05.00/0
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