Artemin growth factor increases nicotinic cholinergic receptor subunit expression and activity in nociceptive sensory neurons
© Albers et al.; licensee BioMed Central Ltd. 2014
Received: 5 February 2014
Accepted: 8 May 2014
Published: 22 May 2014
Artemin (Artn), a member of the glial cell line-derived growth factor (GDNF) family, supports the development and function of a subpopulation of peptidergic, TRPV1-positive sensory neurons. Artn (enovin, neublastin) is elevated in inflamed tissue and its injection in skin causes transient thermal hyperalgesia. A genome wide expression analysis of trigeminal ganglia of mice that overexpress Artn in the skin (ART-OE mice) showed elevation in nicotinic acetylcholine receptor (nAChR) subunits, suggesting these ion channels contribute to Artn-induced sensitivity. Here we have used gene expression, immunolabeling, patch clamp electrophysiology and behavioral testing assays to investigate the link between Artn, nicotinic subunit expression and thermal hypersensitivity.
Reverse transcriptase-PCR validation showed increased levels of mRNAs encoding the nAChR subunits α3 (13.3-fold), β3 (4-fold) and β4 (7.7-fold) in trigeminal ganglia and α3 (4-fold) and β4 (2.8-fold) in dorsal root ganglia (DRG) of ART-OE mice. Sensory ganglia of ART-OE mice had increased immunoreactivity for nAChRα3 and exhibited increased overlap in labeling with GFRα3-positive neurons. Patch clamp analysis of back-labeled cutaneous afferents showed that while the majority of nicotine-evoked currents in DRG neurons had biophysical and pharmacological properties of α7-subunit containing nAChRs, the Artn-induced increase in α3 and β4 subunits resulted in functional channels. Behavioral analysis of ART-OE and wildtype mice showed that Artn-induced thermal hyperalgesia can be blocked by mecamylamine or hexamethonium. Complete Freund’s adjuvant (CFA) inflammation of paw skin, which causes an increase in Artn in the skin, also increased the level of nAChR mRNAs in DRG. Finally, the increase in nAChRs transcription was not dependent on the Artn-induced increase in TRPV1 or TRPA1 in ART-OE mice since nAChRs were elevated in ganglia of TRPV1/TRPA1 double knockout mice.
These findings suggest that Artn regulates the expression and composition of nAChRs in GFRα3 nociceptors and that these changes contribute to the thermal hypersensitivity that develops in response to Artn injection and perhaps to inflammation.
The prolonged release and activation of cellular signaling pathways by growth factors and cytokines contributes to the sensitization of primary afferents that transmit pain . The neurotrophic factors, nerve growth factor (NGF) and artemin (Artn), may have a particularly important role in this process. Receptors for each of these growth factors, where Artn binds the receptors GFRα3 and Ret and NGF binds the receptors p75 and trkA, are expressed by a subset of peptidergic, TRPV1-positive C-fibers. GFRα3/trkA afferents comprise 20-25% of the trigeminal and dorsal root ganglia (DRG), are small to medium in size, are heat responsive and terminate in spinal cord lamina 1 [2, 3]. Approximately 80% of these fibers are CGRP positive and nearly all (95-99%) express the algogenic receptors TRPV1 and TRPA1.
Artn expression is elevated in several inflammatory conditions, which include pancreatic disease, atopic dermatitis and following UV-irradiation of the skin [4, 5]. In rodents, experimentally induced inflammation of the skin increases the level of Artn mRNA and this increase parallels the time course of thermal hyperalgesia [6, 7]. Other studies have shown that injection of anti-Artn antibodies provides a partial reversal of complete Freund’s adjuvant (CFA)-induced mechanical hypersensitivity . In addition, cultured DRG neurons grown in the presence of Artn exhibit enhanced capsaicin-evoked Ca2+ influx and release of CGRP . Finally, mice that overexpress Artn in skin keratinocytes (ART-OE mice) and wildtype (WT) mice injected with Artn exhibit increased sensitivity to chemical (capsaicin/mustard oil) and thermal stimuli. These behavioral changes likely reflect, at least in part, enhanced expression of TRPV1 and TRPA1 in the DRG of these mice [6, 9, 10].
To better understand how Artn affects sensory neuron properties and its role in inflammatory conditions, we carried out transcriptional profiling of trigeminal ganglia of the Artn overexpressing mice. Interestingly, a significant increase in the nicotinic acetylcholine receptor (nAChR) subunit genes Chrnα3, Chrnβ3, and Chrnβ4 was found, suggesting nAChR’s contribute to changes in sensitivity exhibited by these mice. Nicotinic AChRs are excitatory, pentameric ion channels expressed throughout the central and peripheral nervous system that are activated by acetylcholine . The presence of nAChR subunits in sensory neurons has been well documented by binding, expression and functional assays [12–15]. Electrophysiological and anatomical evidence also place nAChRs primarily in capsaicin-sensitive, peptidergic Aδ and C fiber afferents [15, 16], suggesting a role for these channels in nociceptive signaling [17, 18]. Consistent with such a role, application of acetylcholine (ACh), nicotine or other cholinergic agonists applied to the skin, arterial, tongue, nasal or ocular surfaces elicits burning pain [19–24].
Here we show that enhancing the level of skin-derived Artn increases the expression and activity of nAChRs in cutaneous neurons and that CFA-induced tissue inflammation does so as well. In addition, peripheral administration of nAChR antagonists was found to attenuate Artn-induced thermal hypersensitivity in ART-OE mice and mice acutely injected with Artn, suggesting both short- and long-term consequences of Artn signaling on cholinergic activity. These findings suggest a new mechanism for the regulation of noxious sensation that links elevation of growth factors with enhanced signaling in the nicotinic cholinergic system.
Artn increases nAChR subunit expression in sensory ganglia
Expression of nAChR subunits in ART-OE trigeminal (TG) and lumbar DRG
Fold change microrarray
Fold change RT-PCR
0.92, 0.96, 1.01
3.13, 3.2, 2.06
Genetic knockout of Artn/GFRα3 signaling reduces nAChR expression
nAChR subunit and TRP ion channel mRNA level is reduced in sensory ganglia of Artn and GFRα3 knockout mice
Mouse strain/gene assayed
Fold change trigeminal
Fold change DRG
Neurturin signaling also changes nAChR subunit transcription
To determine if other growth factors over-expressed in the skin alter nAChR expression we assayed the relative level of nAChR mRNAs in TG and DRG of mice that overexpress the neurotrophin NT3 (NT3-OE)  or neurturin (Nrtn-OE) . NT3-OE ganglia showed no change in either α3 or β3 (not shown) whereas ganglia of Nrtn-OE mice had increased α3 (1.37-fold), α6 (1.54-fold) and β2 (1.27-fold) and decreased β4 (1.48-fold) and α5 (1.39-fold) (n = 3-4 per group, p < 0.05). Thus, Nrtn also increased α3 but showed changes in several other subunits that are distinct from those caused by Artn.
Artn overexpression in skin causes functional changes in nAChRs in cutaneous afferents
Properties of nicotinic responder neurons from WT (n = 6) and ART-OE (n = 7) mice defined by IB4 lectin binding, size and capsaicin sensitivity
nAChR antagonists block Artn-induced thermal hyperalgesia
Because mecamylamine can cross the blood brain barrier and has been shown to block TRPA1 channel activity  we determined if hexamethonium, a peripherally restricted (at low concentration) nAChR antagonist, also blocks Artn-induced thermal sensitivity. Pre-injection of hexamethonium in footpad skin 30 minutes prior to Artn injection significantly inhibited Artn-induced heat hypersensitivity for up to 5 h (Figure 5C). Thus, blocking nAChR signaling inhibits behavioral thermal hypersensitivity caused by Artn injection into the skin.
Peripheral inflammation increases nAChR α3 and β4 gene expression in DRG
Increased nAChR expression by Artn is independent of TRPV1 or TRPA1 activity
Artn-induced changes in nAChR subunit transcription occur in the absence of TRPV1 and TRPA1 activity
ART-OE x TRPV1−/−/TRPA1−/−
In this study we report that Artn, a growth factor that is elevated in inflamed tissue, increases nAChR subunit transcription in a subunit specific manner. This increase correlated with functional changes in nAChR response properties in DRG neurons and contributed to Artn-induced thermal hypersensitivity. Changes in nAChR subunit expression and nicotine-evoked current primarily affected the peptidergic, GFRα3-positive DRG neuron subpopulation, which is consistent with findings of Flores and colleagues , who showed using in situ hybridization that α3 and β4 are co-expressed in medium-diameter neurons. This observation is also consistent with Spies et al.  who reported small- to medium-sized neurons express the α3 nAChR subunit. In addition, since ~95% of GFRα3 neurons are TRPV1-positive, the overlap in GFRα3/nAChRα3 labeling is consistent with work of Dussor et al. , who showed overlap of TRPV1 and nAChRα3 mRNAs, and studies of Roberts et al., and Rau et al., who used patch clamp analysis of isolated neurons to show functional overlap of nAChR and TRPV1 activity [15, 16].
Functional analysis of cutaneous DRG neurons from wildtype and ART-OE mice revealed three populations of neurons based on their response to nicotine: those with no current (at least to nicotine < 300 μM), and those exhibiting either a fast or slow current. The fast current had biophysical properties consistent with those of α7-subunit containing nAChRs while properties of the slow current were comparable to α3/β4-subunit containing nAChRs . With the exception of the observation that fast currents were blocked by two TRPA1 antagonists, the pharmacological sensitivity of the fast and slow currents were consistent with those of α7- and α3/β4-subunit containing nAChRs, respectively: fast currents were blocked by the α7-selective antagonist MLA and slow currents were activated by the α3/β4 agonist cytisine. Consistent with the changes in subunit expression, the percentage of neurons from ART-OE and WT mice with a fast current was equivalent, whereas slow currents were significantly more prevalent among neurons from ART-OE mice (9 of 89 neurons) compared to WT mice (1 of 74 neurons).
The distribution of fast and slow currents was also consistent with their expression in neurons that express GFRα3: both current types were found only in IB4-negative neurons. This observation raises the possibility that changes in nAChR gene expression are directly regulated by Artn activation of GFRα3 signaling pathways. While another possibility is that this shift reflects increased survival of neurons exhibiting slow current in ART-OE ganglia, our preliminary data from rat suggesting that there is an increase in the proportion of neurons with slow current in the presence of persistent inflammation argues against this possibility .
Changes in nAChR subunit expression also were measured in ganglia of Nrtn-OE mice. Although there was some overlap in the pattern of subunit expression, Nrtn caused a change in nAChRs distinct from that detected in ganglia of ART-OE mice. This suggests that signaling pathways activated downstream of each GFRα receptor can modulate changes in nAChR expression. Furthermore, there is evidence that other growth factors regulate nAChR subunit expression: neuregulin 1 signaling through the ErbB kinase receptor increases nAChRs in developing skeletal muscle  and increases α3 and β4 mRNA in pelvic ganglion neurons . In addition, cultured PC12 cells treated with NGF exhibit increased nicotinic current density and mRNAs that encode nAChRs α3, α5, α7 β2, β4 . With respect to NGF, it is of interest to note that most GFRα3-positive neurons express receptors for NGF, a well-characterized inflammatory mediator. This co-responsiveness is likely to have functional significance; in previous studies we showed a synergistic interaction between Artn and NGF, where a single injection of each factor produced a transient (24 h) heat hyperalgesia but coinjection of Artn and NGF produced hyperalgesia that lasted for more than 6 days . That both NGF and Artn can increase in inflamed tissue and both can modulate nAChR expression suggests the complex interplay between these factors that leads to long-term activation of the GFRα3-positive population could involve changes in cholinergic signaling.
For Artn, identifying which of the numerous GFR signaling cascades such as src, PKA, PLC and MAPKs  that could potentially influence nAChR gene transcription will require further study. Nevertheless, the fact that heterogeneity in nAChR subunit composition is largely responsible for heterogeneity in nAChR signaling suggests the subpopulation-specific expression of nAChRs could contribute to the unique functional properties exhibited by GFR- and trk-positive neuronal subtypes [10, 30, 41].
That mecamylamine and hexamethonium reduce thermal sensitivity in ART-OE mice and WT mice injected with Artn, suggest that nAChR activity contributes to thermal sensitivity. Preliminary data suggest ACh levels are elevated in CFA inflamed skin (at 3 d post CFA injection a 1.46-fold increase in ACh was measured in inflamed skin relative to skin of naïve mice (CFA 8.9 μg/ml vs. naive 4.7 μg/ml supernatant; n = 3 CFA mice and 2 naïve mice)). ACh is also elevated in human skin conditions such as atopic dermatitis . The increase in ACh raises the possibility that endogenous ACh could contribute to persistent depolarization of nociceptive afferents. Persistent depolarization would require the slowly inactivating α3β4-type channels increased by Artn and could account for the increased sensitivity to thermal stimuli . While the fast currents should also contribute to activation of nociceptive afferents, the persistent α3β4-type channels are also likely to contribute to the aversive responses elicited by ACh, nicotine and other cholinergic agonists applied to the skin, arterial, tongue, nasal, or ocular surfaces [21–24]. Consistent with the suggestion that nicotine can generate a persistent depolarizing drive in nociceptive afferents, in a rat skin-saphenous nerve preparation, nicotine not only induced a dose-dependent activation of C-fibers, but sensitized them to heat stimulation . Such a mechanism could also account for the well established link between smoking and the severity of chronic pain conditions, such as lower back pain , diabetic neuropathy [45, 46], fibromyalgia and pancreatitis . The presence of nAChRs on peptidergic afferents also suggests that these channels contribute to the regulation of the efferent function of these afferents, e.g., transdermal iontophoresis of ACh in humans causes flare by neuropeptide release which can be blocked by hexamethonium .
Previous studies of ART-OE mice have shown elevation of TRPV1 and TRPA1 mRNAs in GFRα3-neurons and behavioral sensitivity to their respective agonists, capsaicin and mustard oil. Because functional interactions between TRPV1, TRPA1 and nAChR channels are reported in DRG neurons [31, 49, 50], we explored a possible interaction between the increase in nAChR subunits and TRP gene expression using ART-OE x TRPV1−/−/TRPA1−/− hybrid mice. Results show that even in the absence of functional TRPV1 and TRPA1, Artn overexpression in skin increased transcription of mRNAs encoding α3 and β4 to levels equivalent to those in ART-OE mice. Therefore, the elevation in nAChRs is not a compensatory response to the increase in TRPV1 and TRPA1 in GFRα3 neurons and suggests a more direct role for Artn in nAChR regulation.
While we have focused on the role of peripheral nAChRs in the present study, changes in receptor density or function at central afferent terminals may also occur. In contrast to the pronociceptive role for nAChR signaling in peripheral terminals, the majority of studies using systemic or intrathecal delivery of nAChR agonists show spinal nAChR activation is antinociceptive [11, 51–53]. Antinociception may result from changes in neurotransmitter release at presynaptic terminals and/or activation of descending noradrenergic and serotonergic systems [54, 55]. Our behavioral and pharmacological data does not rule out the possibility of altered spinal presynaptic or descending signaling in response to long-term changes in Artn level in the periphery. Indeed, repeated injection of Artn was reported to block hyperalgesia and normalize neurochemical changes related to nerve injury in a rat model . In addition, Artn (neublastin) is currently in Phase 2 clinical trial for treatment of sciatica-related pain . In this preliminary study, some subjects reported a higher reduction in pain compared to placebo treated subjects. However, several subjects also reported mild to moderate adverse events that included headache, feeling hot, generalized pruritus and burning sensations. These events may result from the known effects of Artn on TRPV1 and TRPA1 expression and perhaps, as indicated by results of this study, on nAChR signaling as well.
In chronic inflammatory conditions, increased expression of growth factors such as Artn is thought to alter gene expression and functional properties of sensory afferents. These changes can lead to increased neuron excitability that results in hypersensitivity. In mice that overexpress Artn in the skin, a significant increase in mRNAs encoding nAChR subunits α3, β3 and β4 and changes in nicotinic response properties in cutaneous afferents were observed. Thermal sensitivity evoked by Artn overexpression or by acute injection of Artn into footpad skin could be blocked by peripheral delivery of nicotinic antagonists. These findings indicate that the rise in Artn expression in inflamed tissue may regulate in a subunit specific manner, the expression of nAChR genes in primary afferents. This change in expression may contribute to changes in afferent properties that lead to hypersensitivity commonly associated with chronic inflammation.
Male and female artemin overexpresser (ART-OE) transgenic mice (described in Elitt et al. ) and strain and age-matched control littermates were used in these studies. ART-OE mice express a transgene in which the K14-keratin promoter drives expression of Artn in keratinocytes of the skin and oral cavity epithelium. For the CFA and Artn injection studies, 8–10 wk-old male, C57BL/6 J mice (Jackson Laboratories, Bar Harbor, ME) were used. Animals were housed in an American Association for the Accreditation of Laboratory Animal Care-accredited facility in a temperature and humidity controlled room on a 12 h light/12 h dark cycle with food and water provided ad libitum. Procedures were carried out in accordance with the guidelines of the University of Pittsburgh Institutional Animal Care and Use Committee.
Chemicals and drugs
Rat Artn was generously provided by Biogen Idec (Weston, MA). Allyl isothiocyanate (AITC), capsaicin (CAP), cytisine, HC-030031, nicotine, hexamethonium, mecamylamine, methyllycaconitine (MLA) were purchased from Sigma-Aldrich (St. Louis, MO). Compound A-967079 was a generously supplied by AbbVie (North Chicago, IL). Artn was dissolved in saline at 200 ng/ml and 20 μl injected into footpad skin. For in vivo use mecamylamine and hexamethonium were dissolved in saline and 10 μl injected in footpad skin at 1 mg/kg body weight. These doses were chosen based on previous studies [6, 58, 59]. For in vitro studies mecamylamine was used at 50 μM and nicotine was used at concentrations between 1 μM and 3 mM. The α7 nAChR subunit antagonist MLA was dissolved in saline and used at a concentration of 20 nM. The TRPA1 antagonist HC-030031 was dissolved in DMSO at a concentration of 10 mM and diluted in bath solution to a final concentration of 10 μM based on results of prior studies . The α3β4 nAChR subunit agonist cytisine was dissolved in normal bath solution and applied at a concentration of 100 μM . The TRPV1 selective agonist capsaicin was dissolved in ethanol at a concentration of 10 mM and diluted in bath solution to a final concentration of 500 nM .
Genome wide expression analysis
Mouse WG-6 Expression BeadChips (Illumina, San Diego, CA) were used to compare genes expressed in trigeminal ganglia of wildtype (C3HB6 hybrids) and ART-OE mice (n = 3 per group). In vitro transcription labeling, hybridization and data analysis was carried out by the University of Pittsburgh Genomics and Proteomics Core Laboratories (http://www.genetics.pitt.edu/).
Reverse transcriptase real time PCR analysis
List of PCR primers used in this study
Primer pair (5′→3′)
Overlap of GFRα3 receptor and nAChRα3 expression in trigeminal ganglia of WT and ART-OE mice was detected using immunolabeling with tyramide signal amplification (Perkin Elmer, Waltham, MA). Ganglia from animals (n = 3 mice per group) perfused with 4% paraformaldehyde (PFA) made in 0.1 M phosphate buffer (PB) were post-fixed 2 h in 4% PFA at room temperature (RT). Ganglia were cryoprotected in 25% sucrose in 0.1 M PB overnight at 4°C, embedded in OCT compound (ThermoFisher Scientific) and sectioned at 20 μm thickness on a cryostat. Sections were washed in PB and incubated in rabbit anti-nAChRα3 (1:100, Santa Cruz Biotechnology, CA) in phosphate buffered saline (PBS) and 0.25% Triton X-100 at RT. Incubation times ranged from 8 h to overnight. Sections were washed, treated with 0.01% hydrogen peroxide solution in PBS for 30 min, washed and incubated 1 h at RT in horse radish peroxidase conjugated donkey anti-rabbit IgG (1:1000; Jackson ImmunoResearch, West Grove, PA). Sections were washed, incubated in rhodamine-conjugated AMP reagent (diluted 1:50 with kit reagent) for 10–20 minutes. Sections were then washed, incubated in goat anti-GFRα3 (R&D Systems, CA) 6 h-18 h, washed and then incubated in donkey anti-goat Cy2 (1:500; Jackson ImmunoResearch). Sections were washed, coverslipped in antifade solution (90% glycerol containing n-propyl gallate; see http://www.jacksonimmuno.com/technical/anti-fade.asp) and images captured using a digital camera attached to a Leica DM4000B fluorescence microscope (Leica, Wetzlar, Germany). Images captured from 5 non-overlapping sections of ganglia from 3 WT and 3 ART-OE mice were analyzed to determine the percentage of GFRα3-positive neurons that also exhibited staining for nAChRα3. All tissue processing, antibody labeling, image capture and processing were done in parallel. Statistical analysis of the data were done using Student’s t test with significance set at p < 0.05.
Behavioral measures were made using a plantar testing apparatus (IITC, Woodland Hills, CA) in a blinded manner in the University of Pittsburgh Rodent Behavior Analysis Core. Animals were acclimatized for 1 h in the thermal testing apparatus for 2 days prior to testing. At 30 min following Artn or drug injection animals were placed individually in a small plexiglass enclosure with a glass floor. A focused light beam was applied to the plantar surface of the back feet. The mean of three measures of withdrawal latencies was determined at each timepoint tested. Data were analyzed using GraphPad Prism 4 software (San Diego, CA) and are presented as the mean ± SEM. Statistical analyses for differences over time in multiple groups were performed using two-way ANOVA followed by the Holm-Sidak post hoc test with significance set at p < 0.05.
Mice were anesthetized with isoflurane and 20 μl of complete Freund’s adjuvant (CFA) emulsion was injected into the plantar surface of the hindpaw. All mice showed substantial edema after CFA injection. At day 0, 1 d and 3 d post-injection mice were deeply anesthetized and perfused transcardially with cold 0.9% saline. Paw skin and L3-L5 DRG were collected on dry ice and immediately processed for RNA isolation using Trizol reagent and RNeasy columns (Qiagen Inc., Valencia, CA), respectively. RNA was reconstituted in RNase-free water and processed for real time-PCR analysis.
Patch clamp electrophysiology
DRG neurons that innervate the hind paw glabrous skin of WT and ART-OE mice were retrogradely labeled with 1,1′-Dioctadecyl-3,3,3′,3′-tetramethylindocarbocyanine perchlorate (DiI). L4 and L5 DRGs were enzymatically treated, mechanically dissociated and cultured as in . Neurons were analyzed at 2–24 hours after dissociation. Voltage-clamp data were acquired with conventional whole cell patch clamp techniques with an Axopatch 200B amplifier (Molecular Devices, Sunnyvale CA) controlled with a PC running pClamp Software (V 10.3, Molecular Devices). Current traces were sampled at 5–10 kHz and filtered at 1–2 kHz. Patch electrodes were pulled from borosilicate glass (WPI, Sarasota FL) on a horizontal puller (Sutter Inst. Novato CA), and were 2–3 MΩ when filled with an electrode solution containing (in mM): K-methanesulfonate 110, KCl 30, NaCl 5, CaCl2 1, MgCl2 2, HEPES 10, EGTA 11, Mg-ATP 2, Li-GTP 1; pH 7.2 (adjusted with Tris-base), 310 mOsm (adjusted with sucrose). Currents were recorded in a bath solution containing (in mM): KCl 3, NaCl 130, CaCl2 2.5, MgCl2 0.6, HEPES 10, glucose 10; pH 7.4 (adjusted with Tris-base), 325 mOsm (adjusted with sucrose). The junction potential associated with all test solutions was measured and were all less than 5 mV, and therefore, junction potential was not corrected. Series resistance compensation was >80%. Whole-cell capacitance and series resistance were compensated with amplifier circuitry. Neurons were held at −60 mV and nicotine, cytisine, CAP and AITC were applied with a piezo- driven perfusion system (Warner Instruments, Hamden CT). Subpopulations of DRG neurons were defined by cell body size, binding of the plant lectin IB4 and responsiveness to CAP.
Current data were analyzed with pClamp software in combination with SigmaPlot (Systat, Chicago, IL). Current density was determined by dividing peak-evoked current by membrane capacitance (as determined with a 5 mV voltage step prior to compensation). Concentration-response data were fitted with a Hill equation to generate estimates of peak current (efficacy), the concentration 50% of peak (EC50, potency), as well as the Hill coefficient.
Measure of acetylcholine
Footpad skin from C57BL/6 J mice injected 3 days prior with complete Freund’s adjuvant was immediately homogenized in PBS using a polytron (Kinematica AG). Equivalent amounts of supernatant (based on initial tissue weight) were assayed using the Amplex Red Acetylcholine/Acetlycholinesterase assay kit (Life Technologies, Molecular Probes). Fluorescence intensity was measured using a multiwell fluorescent plate reader (Gemini XPS; Molecular Devices, Sunnyvale, CA; excitation wavelength 560 nm and emission 590 nm) and μg/ml calculated using a standard curve.
We gratefully acknowledged the excellent technical assistance of Christopher Sullivan and Pamela Cornuet. This work was supported by NINDS grant #NS033730 to KMA.
- Gold MS, Gebhart GF: Nociceptor sensitization in pain pathogenesis. Nat Med 2010, 16: 1248–1257. 10.1038/nm.2235PubMedView ArticleGoogle Scholar
- Forrest SL, Keast JR: Expression of receptors for glial cell line-derived neurotrophic factor family ligands in sacral spinal cord reveals separate targets of pelvic afferent fibers. J Comp Neurol 2008, 506: 989–1002. 10.1002/cne.21535PubMed CentralPubMedView ArticleGoogle Scholar
- Orozco OE, Walus L, Sah DW, Pepinsky RB, Sanicola M: GFRalpha3 is expressed predominantly in nociceptive sensory neurons. Eur J Neurosci 2001, 13: 2177–2182. 10.1046/j.0953-816x.2001.01596.xPubMedView ArticleGoogle Scholar
- Weinkauf B, Rukwied R, Quiding H, Dahllund L, Johansson P, Schmelz M: Local gene expression changes after UV-irradiation of human skin. PLoS One 2012, 7: e39411. 10.1371/journal.pone.0039411PubMed CentralPubMedView ArticleGoogle Scholar
- Murota H, Izumi M, Abd El-Latif MI, Nishioka M, Terao M, Tani M, Matsui S, Sano S, Katayama I: Artemin causes hypersensitivity to warm sensation, mimicking warmth-provoked pruritus in atopic dermatitis. J Allergy Clin Immunol 2012, 130: 671–682. e674 10.1016/j.jaci.2012.05.027PubMedView ArticleGoogle Scholar
- Malin SA, Molliver DC, Koerber HR, Cornuet P, Frye R, Albers KM, Davis BM: Glial cell line-derived neurotrophic factor family members sensitize nociceptors in vitro and produce thermal hyperalgesia in vivo. J Neurosci 2006, 26: 8588–8599. 10.1523/JNEUROSCI.1726-06.2006PubMedView ArticleGoogle Scholar
- Thornton P, Hatcher JP, Robinson I, Sargent B, Franzen B, Martino G, Kitching L, Glover CP, Anderson D, Forsmo-Bruce H, Low CP, Cusdin F, Dosanijh B, Williams W, Steffen AC, Thommpson S, Eklund M, Lloyd C, Chessell I, Hughes J: Artemin-GFRalpha3 interactions partially contribute to acute inflammatory hypersensitivity. Neurosci Lett 2013, 545: 23–28.PubMedView ArticleGoogle Scholar
- Schmutzler BS, Roy S, Hingtgen CM: Glial cell line-derived neurotrophic factor family ligands enhance capsaicin-stimulated release of calcitonin gene-related peptide from sensory neurons. Neuroscience 2009, 161: 148–156. 10.1016/j.neuroscience.2009.03.006PubMed CentralPubMedView ArticleGoogle Scholar
- Elitt CM, Malin SA, Koerber HR, Davis BM, Albers KM: Overexpression of artemin in the tongue increases expression of TRPV1 and TRPA1 in trigeminal afferents and causes oral sensitivity to capsaicin and mustard oil. Brain Res 2008, 1230: 80–90.PubMed CentralPubMedView ArticleGoogle Scholar
- Elitt CM, McIlwrath SL, Lawson JJ, Malin SA, Molliver DC, Cornuet PK, Koerber HR, Davis BM, Albers KM: Artemin overexpression in skin enhances expression of TRPV1 and TRPA1 in cutaneous sensory neurons and leads to behavioral sensitivity to heat and cold. J Neurosci 2006, 26: 8578–8587. 10.1523/JNEUROSCI.2185-06.2006PubMedView ArticleGoogle Scholar
- Hurst R, Rollema H, Bertrand D: Nicotinic acetylcholine receptors: from basic science to therapeutics. Pharmacol Ther 2013, 137: 22–54. 10.1016/j.pharmthera.2012.08.012PubMedView ArticleGoogle Scholar
- Dussor GO, Leong AS, Gracia NB, Kilo S, Price TJ, Hargreaves KM, Flores CM: Potentiation of evoked calcitonin gene-related peptide release from oral mucosa: a potential basis for the pro-inflammatory effects of nicotine. Eur J Neurosci 2003, 18: 2515–2526. 10.1046/j.1460-9568.2003.02935.xPubMed CentralPubMedView ArticleGoogle Scholar
- Flores CM: The promise and pitfalls of a nicotinic cholinergic approach to pain management. Pain 2000, 88: 1–6. 10.1016/S0304-3959(00)00389-4PubMedView ArticleGoogle Scholar
- Flores CM, DeCamp RM, Kilo S, Rogers SW, Hargreaves KM: Neuronal nicotinic receptor expression in sensory neurons of the rat trigeminal ganglion: demonstration of alpha3beta4, a novel subtype in the mammalian nervous system. J Neurosci 1996, 16: 7892–7901.PubMedGoogle Scholar
- Rau KK, Johnson RD, Cooper BY: Nicotinic AChR in subclassified capsaicin-sensitive and -insensitive nociceptors of the rat DRG. J Neurophysiol 2005, 93: 1358–1371.PubMedView ArticleGoogle Scholar
- Roberts RG, Stevenson JE, Westerman RA, Pennefather J: Nicotinic acetylcholine receptors on capsaicin-sensitive nerves. Neuroreport 1995, 6: 1578–1582. 10.1097/00001756-199507310-00028PubMedView ArticleGoogle Scholar
- Steen KH, Reeh PW: Actions of cholinergic agonists and antagonists on sensory nerve endings in rat skin, in vitro. J Neurophysiol 1993, 70: 397–405.PubMedGoogle Scholar
- Wang Y, Erickson RP, Simon SA: Selectivity of lingual nerve fibers to chemical stimuli. J Gen Physiol 1993, 101: 843–866. 10.1085/jgp.101.6.843PubMedView ArticleGoogle Scholar
- Jancso N, Jancso-Gabor A, Takats I: Pain and inflammation induced by nicotine, acetylcholine and structurally related compounds and their prevention by desensitizing agents. Acta Physiol Acad Sci Hung 1961, 19: 113–132.PubMedGoogle Scholar
- Jancso N, Jancso-Gabor A, Szolcsanyi J: Direct evidence for neurogenic inflammation and its prevention by denervation and by pretreatment with capsaicin. Br J Pharmacol Chemother 1967, 31: 138–151. 10.1111/j.1476-5381.1967.tb01984.xPubMed CentralPubMedView ArticleGoogle Scholar
- Dessirier JM, O'Mahony M, Carstens E: Oral irritant effects of nicotine. Psychophysical evidence for decreased sensation following repeated application of and lack of cross-desensitization to capsaicin. Ann N Y Acad Sci 1998, 855: 828–830. 10.1111/j.1749-6632.1998.tb10669.xPubMedView ArticleGoogle Scholar
- Grando SA, Kist DA, Qi M, Dahl MV: Human keratinocytes synthesize, secrete, and degrade acetylcholine. J Invest Dermatol 1993, 101: 32–36. 10.1111/1523-1747.ep12358588PubMedView ArticleGoogle Scholar
- Schmelz M, Schmidt R, Weidner C, Hilliges M, Torebjork HE, Handwerker HO: Chemical response pattern of different classes of C-nociceptors to pruritogens and algogens. J Neurophysiol 2003, 89: 2441–2448. 10.1152/jn.01139.2002PubMedView ArticleGoogle Scholar
- Carstens E, Kuenzler N, Handwerker HO: Activation of neurons in rat trigeminal subnucleus caudalis by different irritant chemicals applied to oral or ocular mucosa. J Neurophysiol 1998, 80: 465–492.PubMedGoogle Scholar
- Peterziel H, Paech T, Strelau J, Unsicker K, Krieglstein K: Specificity in the crosstalk of TGFbeta/GDNF family members is determined by distinct GFR alpha receptors. J Neurochem 2007, 103: 2491–2504. 10.1111/j.1471-4159.2007.04962.xPubMedView ArticleGoogle Scholar
- Baloh RH, Gorodinsky A, Golden JP, Tansey MG, Keck CL, Popescu NC, Johnson EM Jr, Milbrandt J: GFRalpha3 is an orphan member of the GDNF/neurturin/persephin receptor family. Proc Natl Acad Sci U S A 1998, 95: 5801–5806. 10.1073/pnas.95.10.5801PubMed CentralPubMedView ArticleGoogle Scholar
- Baloh RH, Tansey MG, Lampe PA, Fahrner TJ, Enomoto H, Simburger KS, Leitner ML, Araki T, Johnson EM Jr, Milbrandt J: Artemin, a novel member of the GDNF ligand family, supports peripheral and central neurons and signals through the GFRalpha3-RET receptor complex. Neuron 1998, 21: 1291–1302. 10.1016/S0896-6273(00)80649-2PubMedView ArticleGoogle Scholar
- Enomoto H: Regulation of neural development by glial cell line-derived neurotrophic factor family ligands. Anat Sci Int 2005, 80: 42–52. 10.1111/j.1447-073x.2005.00099.xPubMedView ArticleGoogle Scholar
- Albers KM, Perrone TN, Goodness TP, Jones ME, Green MA, Davis BM: Cutaneous overexpression of NT-3 increases sensory and sympathetic neuron number and enhances touch dome and hair follicle innervation. J Cell Biol 1996, 134: 487–497. 10.1083/jcb.134.2.487PubMedView ArticleGoogle Scholar
- Wang T, Jing X, Schwartz ES, Molliver DC, DeBerry JJ, Albers KM, Davis BM: Neurturin Overexpression in Skin Enhances Expression of TRPM8 in Cutaneous Sensory Neurons and Leads to Behavioral Sensitivity to Cold and Menthol. J Neurosci 2012. In pressGoogle Scholar
- Talavera K, Gees M, Karashima Y, Meseguer VM, Vanoirbeek JA, Damann N, Everaerts W, Benoit M, Janssens A, Vennekens R, Viana F, Nemery B, Nilius B, Voets T: Nicotine activates the chemosensory cation channel TRPA1. Nat Neurosci 2009, 12: 1293–1299. 10.1038/nn.2379PubMedView ArticleGoogle Scholar
- Zoli M, Lena C, Picciotto MR, Changeux JP: Identification of four classes of brain nicotinic receptors using beta2 mutant mice. J Neurosci 1998, 18: 4461–4472.PubMedGoogle Scholar
- Michelmore S, Croskery K, Nozulak J, Hoyer D, Longato R, Weber A, Bouhelal R, Feuerbach D: Study of the calcium dynamics of the human alpha4beta2, alpha3beta4 and alpha1beta1gammadelta nicotinic acetylcholine receptors. Naunyn Schmiedebergs Arch Pharmacol 2002, 366: 235–245. 10.1007/s00210-002-0589-zPubMedView ArticleGoogle Scholar
- Spies M, Lips KS, Kurzen H, Kummer W, Haberberger RV: Nicotinic acetylcholine receptors containing subunits alpha3 and alpha5 in rat nociceptive dorsal root ganglion neurons. J Mol Neurosci 2006, 30: 55–56. 10.1385/JMN:30:1:55PubMedView ArticleGoogle Scholar
- Albuquerque EX, Pereira EF, Castro NG, Alkondon M, Reinhardt S, Schroder H, Maelicke A: Nicotinic receptor function in the mammalian central nervous system. Ann N Y Acad Sci 1995, 757: 48–72. 10.1111/j.1749-6632.1995.tb17464.xPubMedView ArticleGoogle Scholar
- Zhang XL, Gold MS, Albers KM: Persistent inflammation is associated with an increase of nicotine evoked current in cutaneous nociceptive DRG neurons from the adult rat. Program No. 179.08 pp. Online. Neuroscience Meeting Planner. New Orleans, LA: Society for Neuroscience; 2012.Google Scholar
- Martinou JC, Falls DL, Fischbach GD, Merlie JP: Acetylcholine receptor-inducing activity stimulates expression of the epsilon-subunit gene of the muscle acetylcholine receptor. Proc Natl Acad Sci U S A 1991, 88: 7669–7673. 10.1073/pnas.88.17.7669PubMed CentralPubMedView ArticleGoogle Scholar
- Kim HG, Lee CK, Cho SM, Whang K, Cha BH, Shin JH, Song KH, Jeong SW: Neuregulin 1 up-regulates the expression of nicotinic acetylcholine receptors through the ErbB2/ErbB3-PI3K-MAPK signaling cascade in adult autonomic ganglion neurons. J Neurochem 2013, 124: 502–513. 10.1111/jnc.12109PubMedView ArticleGoogle Scholar
- Henderson LP, Gdovin MJ, Liu C, Gardner PD, Maue RA: Nerve growth factor increases nicotinic ACh receptor gene expression and current density in wild-type and protein kinase A-deficient PC12 cells. J Neurosci 1994, 14: 1153–1163.PubMedGoogle Scholar
- Airaksinen MS, Saarma M: The GDNF family: signalling, biological functions and therapeutic value. Nat Rev Neurosci 2002, 3: 383–394. 10.1038/nrn812PubMedView ArticleGoogle Scholar
- Stucky CL, Rossi J, Airaksinen MS, Lewin GR: GFR alpha2/neurturin signalling regulates noxious heat transduction in isolectin B4-binding mouse sensory neurons. J Physiol 2002, 545: 43–50. 10.1113/jphysiol.2002.027656PubMed CentralPubMedView ArticleGoogle Scholar
- Wessler I, Reinheimer T, Kilbinger H, Bittinger F, Kirkpatrick CJ, Saloga J, Knop J: Increased acetylcholine levels in skin biopsies of patients with atopic dermatitis. Life Sci 2003, 72: 2169–2172. 10.1016/S0024-3205(03)00079-1PubMedView ArticleGoogle Scholar
- Bernardini N, Sauer SK, Haberberger R, Fischer MJ, Reeh PW: Excitatory nicotinic and desensitizing muscarinic (M2) effects on C-nociceptors in isolated rat skin. J Neurosci 2001, 21: 3295–3302.PubMedGoogle Scholar
- Thomas E, Silman AJ, Croft PR, Papageorgiou AC, Jayson MI, Macfarlane GJ: Predicting who develops chronic low back pain in primary care: a prospective study. BMJ 1999, 318: 1662–1667. 10.1136/bmj.318.7199.1662PubMed CentralPubMedView ArticleGoogle Scholar
- Eliasson B: Cigarette smoking and diabetes. Prog Cardiovasc Dis 2003, 45: 405–413. 10.1016/S0033-0620(03)80004-XPubMedView ArticleGoogle Scholar
- Yunus MB, Arslan S, Aldag JC: Relationship between fibromyalgia features and smoking. Scand J Rheumatol 2002, 31: 301–305. 10.1080/030097402760375214PubMedView ArticleGoogle Scholar
- Hart AR, Kennedy H, Harvey I: Pancreatic cancer: a review of the evidence on causation. Clin Gastroenterol Hepatol 2008, 6: 275–282. 10.1016/j.cgh.2007.12.041PubMedView ArticleGoogle Scholar
- Benarroch EE, Low PA: The acetylcholine-induced flare response in evaluation of small fiber dysfunction. Ann Neurol 1991, 29: 590–595. 10.1002/ana.410290604PubMedView ArticleGoogle Scholar
- Liu L, Zhu W, Zhang ZS, Yang T, Grant A, Oxford G, Simon SA: Nicotine inhibits voltage-dependent sodium channels and sensitizes vanilloid receptors. J Neurophysiol 2004, 91: 1482–1491. 10.1152/jn.00922.2003PubMedView ArticleGoogle Scholar
- Liu L, Simon SA: Capsaicin and nicotine both activate a subset of rat trigeminal ganglion neurons. Am J Physiol 1996, 270: C1807-C1814.PubMedGoogle Scholar
- Gao B, Hierl M, Clarkin K, Juan T, Nguyen H, Valk M, Deng H, Guo W, Lehto SG, Matson D, McDermott JS, Knop J, Gaida K, Cao L, Waldon D, Albrecht BK, Boezio AA, Copeland KW, Harmange JC, Springer SK, Malmberg AB, McDonough SI: Pharmacological effects of nonselective and subtype-selective nicotinic acetylcholine receptor agonists in animal models of persistent pain. Pain 2010, 149: 33–49. 10.1016/j.pain.2010.01.007PubMedView ArticleGoogle Scholar
- Vincler M: Neuronal nicotinic receptors as targets for novel analgesics. Expert Opin Investig Drugs 2005, 14: 1191–1198. 10.1517/135437188.8.131.521PubMedView ArticleGoogle Scholar
- Umana IC, Daniele CA, McGehee DS: Neuronal nicotinic receptors as analgesic targets: it’s a winding road. Biochem Pharmacol 2013, 86: 1208–1214. 10.1016/j.bcp.2013.08.001PubMed CentralPubMedView ArticleGoogle Scholar
- Iwamoto ET, Marion L: Adrenergic, serotonergic and cholinergic components of nicotinic antinociception in rats. J Pharmacol Exp Ther 1993, 265: 777–789.PubMedGoogle Scholar
- Khan IM, Buerkle H, Taylor P, Yaksh TL: Nociceptive and antinociceptive responses to intrathecally administered nicotinic agonists. Neuropharmacology 1998, 37: 1515–1525. 10.1016/S0028-3908(98)00143-9PubMedView ArticleGoogle Scholar
- Gardell LR, Wang R, Ehrenfels C, Ossipov MH, Rossomando AJ, Miller S, Buckley C, Cai AK, Tse A, Foley SF, Gong B, Walus L, Carmillo P, Worley D, Huang C, Engber T, Pepinsky B, Cate RL, Vanderah TW, Lai J, Sah DW, Porreca F: Multiple actions of systemic artemin in experimental neuropathy. Nat Med 2003, 9: 1383–1389. 10.1038/nm944PubMedView ArticleGoogle Scholar
- Okkerse P, Hay J, Groeneveld G, Bersage E, Tang T, Galluppi G, Aycardi E: A randomized, blinded, placebo-controlled, multiple ascending dose study of the safety, pharmacokinetics, and efficacy of neublastin in subjects with sciatica. Toronto, Canada: 4th international Congress on Neuropathic Pain; 2013.Google Scholar
- Hama A, Menzaghi F: Antagonist of nicotinic acetylcholine receptors (nAChR) enhances formalin-induced nociception in rats: tonic role of nAChRs in the control of pain following injury. Brain Res 2001, 888: 102–106. 10.1016/S0006-8993(00)03022-5PubMedView ArticleGoogle Scholar
- Medhurst SJ, Hatcher JP, Hille CJ, Bingham S, Clayton NM, Billinton A, Chessell IP: Activation of the alpha7-nicotinic acetylcholine receptor reverses complete freund adjuvant-induced mechanical hyperalgesia in the rat via a central site of action. J Pain 2008, 9: 580–587. 10.1016/j.jpain.2008.01.336PubMedView ArticleGoogle Scholar
- Vilceanu D, Stucky CL: TRPA1 mediates mechanical currents in the plasma membrane of mouse sensory neurons. PLoS One 2010, 5: e12177. 10.1371/journal.pone.0012177PubMed CentralPubMedView ArticleGoogle Scholar
- Zhang J, Xiao Y, Abdrakhmanova G, Wang W, Cleemann L, Kellar KJ, Morad M: Activation and Ca2+ permeation of stably transfected alpha3/beta4 neuronal nicotinic acetylcholine receptor. Mol Pharmacol 1999, 55: 970–981.PubMedGoogle Scholar
- Lopshire JC, Nicol GD: Activation and recovery of the PGE2-mediated sensitization of the capsaicin response in rat sensory neurons. J Neurophysiol 1997, 78: 3154–3164.PubMedGoogle Scholar
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