Presynaptic α2-GABAA receptors in primary afferent depolarization and spinal pain control

R Witschi, P Punnakkal, J Paul, JS Walczak… - Journal of …, 2011 - Soc Neuroscience
R Witschi, P Punnakkal, J Paul, JS Walczak, F Cervero, JM Fritschy, R Kuner, R Keist…
Journal of Neuroscience, 2011Soc Neuroscience
Spinal dorsal horn GABAA receptors are found both postsynaptically on central neurons and
presynaptically on axons and/or terminals of primary sensory neurons, where they mediate
primary afferent depolarization (PAD) and presynaptic inhibition. Both phenomena have
been studied extensively on a cellular level, but their role in sensory processing in vivo has
remained elusive, due to inherent difficulties to selectively interfere with presynaptic
receptors. Here, we address the contribution of a major subpopulation of GABAA receptors …
Spinal dorsal horn GABAA receptors are found both postsynaptically on central neurons and presynaptically on axons and/or terminals of primary sensory neurons, where they mediate primary afferent depolarization (PAD) and presynaptic inhibition. Both phenomena have been studied extensively on a cellular level, but their role in sensory processing in vivo has remained elusive, due to inherent difficulties to selectively interfere with presynaptic receptors. Here, we address the contribution of a major subpopulation of GABAA receptors (those containing the α2 subunit) to spinal pain control in mice lacking α2-GABAA receptors specifically in primary nociceptors (sns-α2−/− mice). sns-α2−/− mice exhibited GABAA receptor currents and dorsal root potentials of normal amplitude in vitro, and normal response thresholds to thermal and mechanical stimulation in vivo, and developed normal inflammatory and neuropathic pain sensitization. However, the positive allosteric GABAA receptor modulator diazepam (DZP) had almost completely lost its potentiating effect on PAD and presynaptic inhibition in vitro and a major part of its spinal antihyperalgesic action against inflammatory hyperalgesia in vivo. Our results thus show that part of the antihyperalgesic action of spinally applied DZP occurs through facilitated activation of GABAA receptors residing on primary nociceptors.
Soc Neuroscience