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Depolarization induces nociceptor sensitization by CaV1.2-mediated PKA-II activation
Journal article   Peer reviewed

Depolarization induces nociceptor sensitization by CaV1.2-mediated PKA-II activation

Jörg Isensee, Marianne van Cann, Patrick Despang, Dioneia Araldi, Katharina Moeller, Jonas Petersen, Achim Schmidtko, Jan Matthes, Jon D. Levine and Tim Hucho
The Journal of cell biology, Vol.220(10), e202002083
10/04/2021
DOI: 10.1083/jcb.202002083
PMID: 34431981
url
https://doi.org/10.1083/jcb.202002083View
Published (Version of record) Open Access

Abstract

Isensee et al. describe a peripheral mechanism by which excitation of nociceptive sensory neurons leads to pain hypersensitivity. Depolarization of nociceptors results in cAMP-independent activation of type II protein kinase A (PKA-II) by calcium influx through CaV1.2 channels, which in turn modulates calcium channel activity. Depolarization drives neuronal plasticity. However, whether depolarization drives sensitization of peripheral nociceptive neurons remains elusive. By high-content screening (HCS) microscopy, we revealed that depolarization of cultured sensory neurons rapidly activates protein kinase A type II (PKA-II) in nociceptors by calcium influx through CaV1.2 channels. This effect was modulated by calpains but insensitive to inhibitors of cAMP formation, including opioids. In turn, PKA-II phosphorylated Ser1928 in the distal C terminus of CaV1.2, thereby increasing channel gating, whereas dephosphorylation of Ser1928 involved the phosphatase calcineurin. Patch-clamp and behavioral experiments confirmed that depolarization leads to calcium- and PKA-dependent sensitization of calcium currents ex vivo and local peripheral hyperalgesia in the skin in vivo. Our data suggest a local activity-driven feed-forward mechanism that selectively translates strong depolarization into further activity and thereby facilitates hypersensitivity of nociceptor terminals by a mechanism inaccessible to opioids.
Cell Signaling Neuroscience

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