PMID- 24184018 OWN - NLM STAT- MEDLINE DCOM- 20140130 LR - 20211021 IS - 1090-2430 (Electronic) IS - 0014-4886 (Print) IS - 0014-4886 (Linking) VI - 250 DP - 2013 Dec TI - Endogenous PI3K/Akt and NMDAR act independently in the regulation of CREB activity in lumbosacral spinal cord in cystitis. PG - 366-75 LID - 10.1016/j.expneurol.2013.10.015 [doi] AB - The integral interaction of signaling components in the regulation of visceral inflammation-induced central sensitization in the spinal cord has not been well studied. Here we report that phosphoinositide 3-kinase (PI3K)-dependent Akt activation and N-methyl-d-aspartic acid receptor (NMDAR) in lumbosacral spinal cord independently regulate the activation of cAMP response element-binding protein (CREB) in vivo in a rat visceral pain model of cystitis induced by intraperitoneal injection of cyclophosphamide (CYP). We demonstrate that suppression of endogenous PI3K/Akt activity with a potent PI3K inhibitor LY294002 reverses CYP-induced phosphorylation of CREB, however, it has no effect on CYP-induced phosphorylation of NR1 at Ser(897) and Ser(896); conversely, inhibition of NMDAR in vivo with MK801 fails to block CYP-induced Akt activation but significantly attenuates CYP-induced CREB phosphorylation in lumbosacral spinal cord. This novel interrelationship of PI3K/Akt, NMDAR, and CREB activation in lumbosacral spinal cord is further confirmed in an ex vivo spinal slice culture system exposed to an excitatory neurotransmitter calcitonin gene-related peptide (CGRP). Consistently we found that CGRP-triggered CREB activation can be blocked by both PI3K inhibitor LY294002 and NMDAR antagonists MK801 and D-AP5. However, CGRP-triggered Akt activation cannot be blocked by MK801 or D-AP5; vice versa, LY294002 pretreatment that suppresses the Akt activity fails to reverse CGRP-elicited NR1 phosphorylation. These results suggest that PI3K/Akt and NMDAR independently regulate spinal plasticity in visceral pain model, and target of a single pathway is necessary but not sufficient in treatment of visceral hypersensitivity. CI - (c) 2013. FAU - Kay, Jarren C AU - Kay JC AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Xia, Chun-Mei AU - Xia CM AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Liu, Miao AU - Liu M AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Shen, Shanwei AU - Shen S AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Yu, Sharon J AU - Yu SJ AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Chung, Chulwon AU - Chung C AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. FAU - Qiao, Li-Ya AU - Qiao LY AD - Department of Physiology and Biophysics, Virginia Commonwealth University School of Medicine, Richmond, Virginia. LA - eng GR - R01 DK077917/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20131030 PL - United States TA - Exp Neurol JT - Experimental neurology JID - 0370712 RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Blotting, Western MH - Central Nervous System Sensitization/*physiology MH - Cyclic AMP Response Element-Binding Protein/*metabolism MH - Cystitis/*metabolism/physiopathology MH - Disease Models, Animal MH - Immunohistochemistry MH - Lumbosacral Region MH - Male MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Phosphorylation MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Receptors, N-Methyl-D-Aspartate/*metabolism MH - Signal Transduction/physiology MH - Spinal Cord/*metabolism PMC - PMC3878196 MID - NIHMS536515 OTO - NOTNLM OT - Akt OT - CREB OT - Central sensitization OT - NMDAR OT - Spinal cord EDAT- 2013/11/05 06:00 MHDA- 2014/01/31 06:00 PMCR- 2014/12/01 CRDT- 2013/11/05 06:00 PHST- 2013/06/21 00:00 [received] PHST- 2013/10/15 00:00 [revised] PHST- 2013/10/22 00:00 [accepted] PHST- 2013/11/05 06:00 [entrez] PHST- 2013/11/05 06:00 [pubmed] PHST- 2014/01/31 06:00 [medline] PHST- 2014/12/01 00:00 [pmc-release] AID - 10.1016/j.expneurol.2013.10.015 [doi] PST - ppublish SO - Exp Neurol. 2013 Dec;250:366-75. doi: 10.1016/j.expneurol.2013.10.015. Epub 2013 Oct 30.