Presynaptic GABAergic inhibition regulated by BDNF contributes to neuropathic pain induction.

Presynaptic GABAergic inhibition regulated by BDNF contributes to neuropathic pain induction.
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DOI:
10.1038/ncomms6331
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发表时间:
2014-10-30
影响因子:
16.6
通讯作者:
Hu, Jing
Hu, Jing
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Chen, Jeremy Tsung-chieh;Guo, Da;Campanelli, Dario;Frattini, Flavia;Mayer, Florian;Zhou, Luming;Kuner, Rohini;Heppenstall, Paul A.;Knipper, Marlies;Hu, Jing

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The gate control theory proposes the importance of both pre- and post-synaptic inhibition in processing pain signal in the spinal cord. However, although postsynaptic disinhibition caused by brain-derived neurotrophic factor (BDNF) has been proved as a crucial mechanism underlying neuropathic pain, the function of presynaptic inhibition in acute and neuropathic pain remains elusive. Here we show that a transient shift in the reversal potential (EGABA) together with a decline in the conductance of presynaptic GABAA receptor result in a reduction of presynaptic inhibition after nerve injury. BDNF mimics, whereas blockade of BDNF signalling reverses, the alteration in GABAA receptor function and the neuropathic pain syndrome. Finally, genetic disruption of presynaptic inhibition leads to spontaneous development of behavioural hypersensitivity, which cannot be further sensitized by nerve lesions or BDNF. Our results reveal a novel effect of BDNF on presynaptic GABAergic inhibition after nerve injury and may represent new strategy for treating neuropathic pain. Disinhibition of neural activity in the spinal cord is implicated in neuropathic pain. Chen et al. show that disinhibition of neural activity arises from a shift in reversal potential of GABA and a decrease in the conductance of presynaptic GABA, which are both regulated by brain-derived neurotrophic factor.
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