Do Rorb/calretinin interneurons (CR islet cells) gate spinal nociceptive inputs?

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Nerve fibres that enter the spinal cord (primary afferent fibres) carry various types of sensory information. Some of these fibres (nociceptors) respond to tissue-damaging stimuli that are normally perceived as pain. Although nociceptors are found in tissues throughout the body, one particular class, known as C-MrgD afferents, exclusively supplies the skin. Selective destruction of the C-MrgD afferents in mice leads to reduced pain behaviour following mechanical stimuli, but not hot or cold stimuli. This suggests that these afferents are required for the normal perception of mechanical pain. Primary afferent fibres activate a variety of nerve cells in the spinal cord. Most of these cells are interneurons, which give rise to local circuits that process and modify the incoming sensory information before it is conveyed to the brain for conscious perception. Around a third of these interneurons release chemical messengers (neurotransmitters) that reduce the activity of other nerve cells, and therefore have an inhibitory function. These inhibitory interneurons use two basic mechanisms: postsynaptic and presynaptic inhibition. Postsynaptic inhibition involves suppressing activity of nearby nerve cells, while presynaptic inhibition operates directly on the incoming sensory nerve fibres by reducing their ability to activate their target cells. This has the advantage of providing a highly selective inhibition of specific types of sensory information. Presynaptic inhibition is known to operate on C-MrgD afferents, and this will presumably suppress pain. Until recently nothing was known about the inhibitory interneurons responsible for this, but we have now identified a population of cells that presynaptically inhibit the C-MrgD afferents. These cells can be recognised because they contain two proteins: calretinin (CR) and Rorb. These proteins are only co-localised in this population, and because of their morphology we have called them CR islet cells. These findings are important because they provide a way of investigating the role of presynaptic inhibition of nociceptors in pain mechanisms.In this project, we will use a multi-disciplinary approach to test a set of hypotheses concerning the CR islet cells. We will use genetically altered mice in which specific populations of nerve cells are labelled with fluorescent markers and/or contain proteins that allow their functions to be manipulated, either by application of light pulses or through the administration of highly selective drugs. We will initially carry out physiological studies to test the hypothesis that the CR islet cells are the major source of presynaptic inhibition of the C-MrgD afferents and that they can block the transmission of activity evoked by these afferents in spinal cord nerve cells. We know that the C-MrgD afferents are not the only target for the CR islet cells, and we will therefore test whether they also inhibit excitatory nerve cells that are activated by these afferents. If so, this would allow the CR islet cells to generate a powerful inhibition of the transmission of pain information from nociceptive primary afferents to the projection cells that convey this information to the brain, and represent the main output for spinal cord pain circuits. Finally, we will use genetically altered mice to activate the CR islet cells selectively in vivo. We predict that this will alleviate the hypersensitivity to mechanical stimuli that occurs in pathological pain states, and we will use behavioural testing in standard models of inflammatory and nerve injury-evoked pain to determine whether this is the case.These experiments will greatly improve our understanding of the nerve circuits in the spinal cord that are responsible for controlling pain. This information is important in the search for new drugs to treat pain, and also for future studies to investigate changes in the spinal cord that underlie chronic pain states.