21 lactate shuttle, protein kinase C, monocarboxylate transporter, glycogenolysis 22 23 Abbreviations used: artificial cerebrospinal fluid (ACSF), adenylate cyclase (AC), 24 astrocyte-neuron lactate shuttle (ANLS), central nervous system (CNS), glial fibrillary 25 acidic protein (GFAP), intrathecal (i.t.), maxadilan (Max), monocarboxylate transporter 26 (MCT), pituitary adenylate cyclase-activating polypeptide (PACAP), protein kinase A 27 (PKA), protein kinase C (PKC), phorbol 12-myristate 13-acetate (PMA), glycogen 28 phosphorylase (PYGB), vasoactive intestinal polypeptide (VIP) 29 30 3 Abstract Previously, we showed that spinal pituitary adenylate cyclase-activating 31 polypeptide (PACAP)/PAC1 receptor signaling triggers long-lasting pain behaviors 32 through astroglial activation. Since astrocyte-neuron lactate shuttle (ANLS) could be 33 essential for long-term synaptic facilitation, we aimed to elucidate a possible 34 involvement of spinal ANLS in the development of the PACAP/PAC1 receptor-induced 35 pain behaviors. A single intrathecal administration of PACAP induced short-term 36 spontaneous aversive behaviors, followed by long-lasting mechanical allodynia. These 37 pain behaviors were inhibited by DAB, an inhibitor of glycogenolysis, and this 38 inhibition was reversed by simultaneous L-lactate application. In the cultured spinal 39 astrocytes, the PACAP-evoked glycogenolysis and lactate secretion were inhibited by a 40 protein kinase C (PKC) inhibitor, and the PKC inhibitor attenuated the PACAP-induced 41 pain behaviors. Finally, an inhibitor for the monocarboxylate transporters blocked the 42 lactate secretion from the spinal astrocytes and inhibited the PACAP-induced pain 43 behaviors. These results suggested that PAC1 receptor-PKC-ANLS signaling is 44 involved in the PACAP-induced pain behaviors.45 46 64 5 neurotransmitters evoke the ANLS activation during any forms of neuronal plasticity. 65 66Pituitary adenylate cyclase-activating polypeptide (PACAP) was originally isolated 67 from ovine hypothalamic extracts based on its ability to stimulate adenylate cyclase in 68 rat anterior pituitary cell cultures (Miyata et al., 1989; Miyata et al., 1990). In normal 69 state, PACAP specific receptor, PAC1 receptor, is particularly abundant in central 70 nervous system (CNS) including spinal dorsal horn (Dickinson et al., 1999; Jongsma et 71 al., 2000; Sakashita et al., 2001; Vaudry et al., 2009; Yokai et al., 2016), where 72 PACAP-immunoreactive fibers are also considerably localized (Moller et al., 1993; 73 Dun et al., 1996a; Dun et al., 1996b; Narita et al., 1996), and PACAP 74 mRNA/immunoreactivity in rat dorsal root ganglia is markedly upregulated in 75 peripheral nerve injury or inflammation (Zhang et al., 1995; Zhang et al., 1998; 76 Jongsma et al., 2003; Mabuchi et al., 2004). These observations coupled with other 77 lines of evidence propose that PACAP/PAC1 receptor system could play an important 78 role in the modulation of spinal nociceptive transmission.79 80 We have previously demonstrated in mice t...