1. The Role of Cation-Dependent Chloride Transporters in Neuropathic Pain Following Spinal Cord Injury
- Author
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Jack H. Cain, Daniel K. Resnick, Sharad Rajpal, Christopher Baggott, Dandan Sun, Bradley Allcock, Samuel W. Cramer, Gurwattan S. Miranpuri, and Jessica Tilghman
- Subjects
Male ,Sodium-Potassium-Chloride Symporters ,Pain ,Pharmacology ,Rats, Sprague-Dawley ,Cellular and Molecular Neuroscience ,Sodium Potassium Chloride Symporter Inhibitors ,lcsh:Pathology ,medicine ,Animals ,Solute Carrier Family 12, Member 2 ,Spinal cord injury ,Bumetanide ,Spinal Cord Injuries ,Symporters ,business.industry ,Research ,medicine.disease ,Spinal cord ,Rats ,Anesthesiology and Pain Medicine ,Nociception ,medicine.anatomical_structure ,Spinal Cord ,Hyperalgesia ,Symporter ,Neuropathic pain ,Molecular Medicine ,medicine.symptom ,business ,Cotransporter ,Neuroscience ,Homeostasis ,lcsh:RB1-214 - Abstract
Background: Altered Cl− homeostasis and GABAergic function are associated with nociceptive input hypersensitivity. This study investigated the role of two major intracellular Cl− regulatory proteins, Na+-K+-Cl− cotransporter 1 (NKCC1) and K+-Cl− cotransporter 2 (KCC2), in neuropathic pain following spinal cord injury (SCI). Results: Sprague-Dawley rats underwent a contusive SCI at T9 using the MASCIS impactor. The rats developed hyperalgesia between days 21 and 42 post-SCI. Thermal hyperalgesia (TH) was determined by a decrease in hindpaw thermal withdrawal latency time (WLT) between days 21 and 42 post-SCI. Rats with TH were then treated with either vehicle (saline containing 0.25% NaOH) or NKCC1 inhibitor bumetanide (BU, 30 mg/kg, i.p.) in vehicle. TH was then re-measured at 1 h post-injection. Administration of BU significantly increased the mean WLT in rats (p < 0.05). The group administered with the vehicle alone showed no anti-hyperalgesic effects. Moreover, an increase in NKCC1 protein expression occurred in the lesion epicenter of the spinal cord during day 2–14 post-SCI and peaked on day 14 post-SCI (p < 0.05). Concurrently, a down-regulation of KCC2 protein was detected during day 2–14 post-SCI. The rats with TH exhibited a sustained loss of KCC2 protein during post-SCI days 21–42. No significant changes of these proteins were detected in the rostral region of the spinal cord. Conclusion: Taken together, expression of NKCC1 and KCC2 proteins was differentially altered following SCI. The anti-hyperalgesic effect of NKCC1 inhibition suggests that normal or elevated NKCC1 function and loss of KCC2 function play a role in the development and maintenance of SCI-induced neuropathic pain.
- Published
- 2008