Mechanical hyperalgesia is a common and potentially disabling complication of many inflammatory and neuropathic conditions. Activation of the enzyme PKCε in primary afferent nociceptors is a major mechanism that underlies mechanical hyperalgesia, but the PKCε substrates involved downstream are not known. Here, we report that in a proteomic screen we identified the Na V 1.8 sodium channel, which is selectively expressed in nociceptors, as a PKCε substrate. PKCε-mediated phosphorylation increased Na V 1.8 currents, lowered the threshold voltage for activation, and produced a depolarizing shift in inactivation in wild-type -but not in PKCε-null -sensory neurons. PKCε phosphorylated Na V 1.8 at S1452, and alanine substitution at this site blocked PKCε modulation of channel properties. Moreover, a specific PKCε activator peptide, ψεRACK, produced mechanical hyperalgesia in wild-type mice but not in Scn10a -/-mice, which lack Na V 1.8 channels. These studies demonstrate that Na V 1.8 is an important, direct substrate of PKCε that mediates PKCε-dependent mechanical hyperalgesia.
IntroductionTissue damage, inflammation, and neuropathic disorders often produce hyperalgesia, a state of increased sensitivity to painful stimuli. Sensitization of primary afferent nociceptors by inflammatory mediators or by nerve damage produces hyperalgesia, a major clinical problem. One well-established, important regulator of both inflammatory and neuropathic nociceptor sensitization is the ε isoform of PKC (PKCε). PKCε is activated by bradykinin and contributes to bradykinin-mediated sensitization of nociceptors to heat (1). PKCε also mediates mechanical hyperalgesia induced by epinephrine, NGF, or carrageenan and visceral inflammatory pain evoked by intraperitoneal administration of acetic acid (2). In addition, PKCε is a critical mediator of mechanical hyperalgesia in a priming model of chronic pain induced by carrageenan or a selective peptide activator of PKCε, ψεRACK (3), and of mechanical hyperalgesia in rodent models of alcoholic (4), diabetic (5), and vincristine neuropathy (6). The polymodal receptor channel transient receptor potential vanilloid 1 (TRPV1) is a PKCε substrate that contributes to thermal hyperalgesia (7,8), but the peripheral substrates involved in PKCε-induced mechanical hyperalgesia are not known. Identifying these substrates is of clinical interest since mechanical hyperalgesia is very common and can be a disabling feature, particularly in neuropathic pain syndromes.In this study, we used a chemical genetics approach (9) to specifically detect direct protein substrates of PKCε in dorsal root ganglion (DRG) cells and found that the tetrodotoxin-resistant (TTX-R) sodium channel Na V 1.8 is a PKCε substrate. Na V 1.8 channels are selectively expressed in peripheral sensory neurons of neonatal and adult DRG and trigeminal ganglia (10-12). Studies with Scn10a -/-mice, Na V 1.8 inhibitors, antisense oligonucleotides, and