Sawyer CM, Iodi Carstens M, Simons CT, Slack J, McCluskey TS, Furrer S, Carstens E. Activation of lumbar spinal wide-dynamic range neurons by a sanshool derivative. J Neurophysiol 101: 1742-1748, 2009. First published January 21, 2009 doi:10.1152/jn.91311.2008. The enigmatic sensation of tingle involves the activation of primary sensory neurons by hydroxy-␣-sanshool, a tingly agent in Szechuan peppers, by inhibiting two-pore potassium channels. Central mechanisms mediating tingle sensation are unknown. We investigated whether a stable derivative of sanshool-isobutylalkenyl amide (IBA)-excites wide-dynamic range (WDR) spinal neurons that participate in transmission of chemesthetic information from the skin. In anesthetized rats, the majority of WDR and low-threshold units responded to intradermal injection of IBA in a dose-related manner over a Ͼ5-min time course and exhibited tachyphylaxis at higher concentrations (1 and 10%). Almost all WDR and low-threshold units additionally responded to the pungent agents mustard oil (allyl isothiocyanate) and/or capsaicin, prompting reclassification of the low-threshold cells as WDR. The results are discussed in terms of the functional role of WDR neurons in mediating tingle sensation.
I N T R O D U C T I O NSzechuan pepper (sansho) from the plant genus Xanthoxylum piperitum is used as a spice because of the unique tingling paresthetic and numbing sensations imparted by the primary active chemical, hydroxy-␣-sanshool. The southern prickly ash (Xanthoxylum clava-herculis), indigenous to the southern United States, is called the "toothache tree" because of anesthetic properties of its bark (Jacobsen 1948). The tingling, buzzing, cooling, and numbing sensations elicited by hydroxy-␣-sanshool differ from the burning sensation elicited by capsaicin, the pungent chemical in chili peppers (Bryant and Mezine 1999; Sugai et al. 2005a,b;Yang 2008), suggesting that sanshool activates a different population of sensory receptors than does capsaicin, which acts via TRPV1 receptors expressed in the nerve endings of polymodal nociceptors. Hydroxy-␣-sanshool was shown to increase spontaneous firing in cool-sensitive fibers and to elicit responses in mechanosensitive fibers, cold nociceptors, and mechanically insensitive fibers recorded in rat lingual nerve (Bryant and Mezine 1999), suggesting that sanshool activates a variety of sensory receptors. It was recently reported that hydroxy-␣-sanshool excites cells expressing TRPV1 or TRPA1 (Koo et al. 2007), which are associated with nociception (Dhaka et al. 2006), although sanshool was reported to be much less effective than capsaicin in activating cells expressing TRPV1 receptors (Sugai et al. 2005a). A very recent study reported that hydroxy-␣-sanshool activates small-diameter sensory neurons expressing TRPV1 receptors (but not TRPA1), as well as large-diameter sensory neurons expressing TrkC, by inhibiting anesthetic-sensitive two-pore K ϩ channel subtypes KCNK3, KCNK9, and KCNK18 (Bautista et al. 2008). The available data suggest that san...