Glucocorticoid regulation of ATP release from spinal astrocytes underlies diurnal exacerbation of neuropathic mechanical allodynia

Nat Commun. 2016 Oct 14:7:13102. doi: 10.1038/ncomms13102.

Abstract

Diurnal variations in pain hypersensitivity are common in chronic pain disorders, but the underlying mechanisms are enigmatic. Here, we report that mechanical pain hypersensitivity in sciatic nerve-injured mice shows pronounced diurnal alterations, which critically depend on diurnal variations in glucocorticoids from the adrenal glands. Diurnal enhancement of pain hypersensitivity is mediated by glucocorticoid-induced enhancement of the extracellular release of ATP in the spinal cord, which stimulates purinergic receptors on microglia in the dorsal horn. We identify serum- and glucocorticoid-inducible kinase-1 (SGK-1) as the key molecule responsible for the glucocorticoid-enhanced release of ATP from astrocytes. SGK-1 protein levels in spinal astrocytes are increased in response to glucocorticoid stimuli and enhanced ATP release by opening the pannexin-1 hemichannels. Our findings reveal an unappreciated circadian machinery affecting pain hypersensitivity caused by peripheral nerve injury, thus opening up novel approaches to the management of chronic pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphate / metabolism*
  • Adrenalectomy
  • Animals
  • Animals, Newborn
  • Astrocytes / cytology
  • Astrocytes / drug effects*
  • Astrocytes / metabolism
  • Cells, Cultured
  • Circadian Rhythm
  • Corticosterone / blood
  • Corticosterone / pharmacology
  • Gene Expression Profiling
  • Glucocorticoids / blood
  • Glucocorticoids / pharmacology*
  • Hyperalgesia / physiopathology
  • Immediate-Early Proteins / genetics
  • Immediate-Early Proteins / metabolism
  • Ligation
  • Male
  • Mice, Inbred ICR
  • Neuralgia / physiopathology
  • Protein Serine-Threonine Kinases / genetics
  • Protein Serine-Threonine Kinases / metabolism
  • Sciatic Nerve / surgery
  • Spinal Cord / cytology
  • Spinal Cord / drug effects*
  • Spinal Cord / metabolism

Substances

  • Glucocorticoids
  • Immediate-Early Proteins
  • Adenosine Triphosphate
  • Protein Serine-Threonine Kinases
  • serum-glucocorticoid regulated kinase
  • Corticosterone