[HTML][HTML] β-arrestin-2 regulates NMDA receptor function in spinal lamina II neurons and duration of persistent pain

G Chen, RG Xie, YJ Gao, ZZ Xu, LX Zhao… - Nature …, 2016 - nature.com
G Chen, RG Xie, YJ Gao, ZZ Xu, LX Zhao, S Bang, T Berta, CK Park, M Lay, W Chen, RR Ji
Nature Communications, 2016nature.com
Mechanisms of acute pain transition to chronic pain are not fully understood. Here we
demonstrate an active role of β-arrestin 2 (Arrb2) in regulating spinal cord NMDA receptor
(NMDAR) function and the duration of pain. Intrathecal injection of the mu-opioid receptor
agonist [D-Ala2, NMe-Phe4, Gly-ol5]-enkephalin produces paradoxical behavioural
responses: early-phase analgesia and late-phase mechanical allodynia which requires
NMDAR; both phases are prolonged in Arrb2 knockout (KO) mice. Spinal administration of …
Abstract
Mechanisms of acute pain transition to chronic pain are not fully understood. Here we demonstrate an active role of β-arrestin 2 (Arrb2) in regulating spinal cord NMDA receptor (NMDAR) function and the duration of pain. Intrathecal injection of the mu-opioid receptor agonist [D-Ala2, NMe-Phe4, Gly-ol5]-enkephalin produces paradoxical behavioural responses: early-phase analgesia and late-phase mechanical allodynia which requires NMDAR; both phases are prolonged in Arrb2 knockout (KO) mice. Spinal administration of NMDA induces GluN2B-dependent mechanical allodynia, which is prolonged in Arrb2-KO mice and conditional KO mice lacking Arrb2 in presynaptic terminals expressing Nav1.8. Loss of Arrb2 also results in prolongation of inflammatory pain and neuropathic pain and enhancement of GluN2B-mediated NMDA currents in spinal lamina IIo not lamina I neurons. Finally, spinal over-expression of Arrb2 reverses chronic neuropathic pain after nerve injury. Thus, spinal Arrb2 may serve as an intracellular gate for acute to chronic pain transition via desensitization of NMDAR.
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