Phosphorylation state-dependent modulation of spinal glycine receptors alleviates inflammatory pain

• Published in: The Journal of clinical investigation Vol. 126; no. 7; pp. 2547 - 2560
• Main Authors: Acuña, Mario A, Yévenes, Gonzalo E, Ralvenius, William T, Benke, Dietmar, Di Lio, Alessandra, Lara, Cesar O, Muñoz, Braulio, Burgos, Carlos F, Moraga-Cid, Gustavo, Corringer, Pierre-Jean, Zeilhofer, Hanns Ulrich
• Format: Journal Article
• Language: English
• Published: United States American Society for Clinical Investigation 01.07.2016
• Subjects: Allosteric Site; Analysis; Animals; Care and treatment; Cognitive science; Female; Glycine; HEK293 Cells; Humans; Hyperalgesia - metabolism; Inflammation - metabolism; Inflammation Mediators - metabolism; Life Sciences; Male; Mice; Mice, Inbred C57BL; Mice, Transgenic; Models, Molecular; Neurons; Neuroscience; Pain; Pain Management - methods; Phenols - chemistry; Phenylalanine - chemistry; Phosphorylation; Physiological aspects; Protein Conformation; Receptors, Glycine - metabolism; Recombinant Proteins - chemistry; Spinal Cord - metabolism; United States
• ISSN: 0021-9738; 1558-8238
• DOI: 10.1172/JCI83817

Diminished inhibitory neurotransmission in the superficial dorsal horn of the spinal cord is thought to contribute to chronic pain. In inflammatory pain, reductions in synaptic inhibition occur partially through prostaglandin E2- (PGE2-) and PKA-dependent phosphorylation of a specific subtype of glycine receptors (GlyRs) that contain α3 subunits. Here, we demonstrated that 2,6-di-tert-butylphenol (2,6-DTBP), a nonanesthetic propofol derivative, reverses inflammation-mediated disinhibition through a specific interaction with heteromeric αβGlyRs containing phosphorylated α3 subunits. We expressed mutant GlyRs in HEK293T cells, and electrophysiological analyses of these receptors showed that 2,6-DTBP interacted with a conserved phenylalanine residue in the membrane-associated stretch between transmembrane regions 3 and 4 of the GlyR α3 subunit. In native murine spinal cord tissue, 2,6-DTBP modulated synaptic, presumably αβ heteromeric, GlyRs only after priming with PGE2. This observation is consistent with results obtained from molecular modeling of the α-β subunit interface and suggests that in α3βGlyRs, the binding site is accessible to 2,6-DTBP only after PKA-dependent phosphorylation. In murine models of inflammatory pain, 2,6-DTBP reduced inflammatory hyperalgesia in an α3GlyR-dependent manner. Together, our data thus establish that selective potentiation of GlyR function is a promising strategy against chronic inflammatory pain and that, to our knowledge, 2,6-DTBP has a unique pharmacological profile that favors an interaction with GlyRs that have been primed by peripheral inflammation.