RT Journal Article SR Electronic T1 Sensory Neuropathy Attributable to Loss of Bcl-w JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 1624 OP 1634 DO 10.1523/JNEUROSCI.3347-10.2011 VO 31 IS 5 A1 Stephanie L. Courchesne A1 Christoph Karch A1 Maria F. Pazyra-Murphy A1 Rosalind A. Segal YR 2011 UL http://www.jneurosci.org/content/31/5/1624.abstract AB Small fiber sensory neuropathy is a common disorder in which progressive degeneration of small-diameter nociceptors causes decreased sensitivity to thermal stimuli and painful sensations in the extremities. In the majority of patients, the cause of small fiber sensory neuropathy is unknown, and treatment options are limited. Here, we show that Bcl-w (Bcl-2l2) is required for the viability of small fiber nociceptive sensory neurons. Bcl-w−/− mice demonstrate an adult-onset progressive decline in thermosensation and a decrease in nociceptor innervation of the epidermis. This denervation occurs without cell body loss, indicating that lack of Bcl-w results in a primary axonopathy. Consistent with this phenotype, we show that Bcl-w, in contrast to the closely related Bcl-2 and Bcl-xL, is enriched in axons of sensory neurons and that Bcl-w prevents the dying back of axons. Bcl-w−/− sensory neurons exhibit mitochondrial abnormalities, including alterations in axonal mitochondrial size, axonal mitochondrial membrane potential, and cellular ATP levels. Collectively, these data establish bcl-w−/− mice as an animal model of small fiber sensory neuropathy and provide new insight regarding the role of Bcl-w and of mitochondria in preventing axonal degeneration.