PMID- 27296621 OWN - NLM STAT- MEDLINE DCOM- 20161226 LR - 20220331 IS - 1744-8069 (Electronic) IS - 1744-8069 (Linking) VI - 12 DP - 2016 TI - Intact subepidermal nerve fibers mediate mechanical hypersensitivity via the activation of protein kinase C gamma in spared nerve injury. LID - 10.1177/1744806916656189 [doi] LID - 1744806916656189 AB - BACKGROUND: Spared nerve injury is an important neuropathic pain model for investigating the role of intact primary afferents in the skin on pain hypersensitivity. However, potential cellular mechanisms remain poorly understood. In phosphoinositide-3 kinase pathway, pyruvate dehydrogenase kinase 1 (PDK1) participates in the regulation of neuronal plasticity for central sensitization. The downstream cascades of PDK1 include: (1) protein kinase C gamma (PKCg) controls the trafficking and phosphorylation of ionotropic glutamate receptor; (2) protein kinase B (Akt)/the mammalian target of rapamycin (mTOR) signaling is responsible for local protein synthesis. Under these statements, we therefore hypothesized that an increase of PKCg activation and mTOR-dependent PKCg synthesis in intact primary afferents after SNI might contribute to pain hypersensitivity. RESULTS: The variants of spared nerve injury were performed in Sprague-Dawley rats by transecting any two of the three branches of the sciatic nerve, leaving only one branch intact. Following SNIt (spared tibial branch), mechanical hyperalgesia and mechanical allodynia, but not thermal hyperalgesia, were significantly induced. In the first footpad, normal epidermal innervations were verified by the protein gene product 9.5 (PGP9.5)- and growth-associated protein 43 (GAP43)-immunoreactive (IR) intraepidermal nerve fibers (IENFs) densities. Furthermore, the rapid increases of phospho-PKCg- and phosphomTOR-IR subepidermal nerve fibers (SENFs) areas were distinct gathered from the results of PGP9.5-, GAP43-, and neurofilament 200 (NF200)-IR SENFs areas. The efficacy of PKC inhibitor (GF 109203X) or mTOR complex 1 inhibitor (rapamycin) for attenuating mechanical hyperalgesia and mechanical allodynia by intraplantar injection was dose-dependent. CONCLUSIONS: From results obtained in this study, we strongly recommend that the intact SENFs persistently increase PKCg activation and mTOR-dependent PKCg synthesis participate in the initiation and maintenance of mechanical hypersensitivity in spared nerve injury, which represents as a novel insight into the therapeutic strategy of pain in the periphery. FAU - Ko, Miau-Hwa AU - Ko MH FAU - Yang, Ming-Ling AU - Yang ML FAU - Youn, Su-Chung AU - Youn SC FAU - Lan, Chyn-Tair AU - Lan CT FAU - Tseng, To-Jung AU - Tseng TJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160613 PL - United States TA - Mol Pain JT - Molecular pain JID - 101242662 RN - EC 2.7.1.- (protein kinase C gamma) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.13 (Protein Kinase C) SB - IM MH - Animals MH - Behavior, Animal MH - Dermis/pathology MH - Enzyme Activation MH - Epidermis/*innervation/surgery MH - Hyperalgesia/*enzymology/*pathology MH - Male MH - Merkel Cells/pathology MH - Nerve Fibers/*pathology MH - Pain/complications/pathology MH - Protein Kinase C/*metabolism MH - Rats, Sprague-Dawley MH - Sciatic Nerve/*enzymology/*injuries/pathology MH - TOR Serine-Threonine Kinases/metabolism PMC - PMC4956387 EDAT- 2016/06/15 06:00 MHDA- 2016/12/27 06:00 PMCR- 2016/06/13 CRDT- 2016/06/15 06:00 PHST- 2016/06/15 06:00 [entrez] PHST- 2016/06/15 06:00 [pubmed] PHST- 2016/12/27 06:00 [medline] PHST- 2016/06/13 00:00 [pmc-release] AID - 12/0/1744806916656189 [pii] AID - 10.1177_1744806916656189 [pii] AID - 10.1177/1744806916656189 [doi] PST - epublish SO - Mol Pain. 2016 Jun 13;12:1744806916656189. doi: 10.1177/1744806916656189. Print 2016.