title: GABAergic inhibition regulated pain sensitization through STEP61 signaling in spinal dorsal horn of mice.
abstract: BACKGROUND
  The reduction of γ-aminobutyric acid (GABA) type A receptor-mediated inhibition has long been implicated in spinal sensitization of nociceptive responses. However, it is largely unknown which signaling cascades in spinal dorsal horn neurons are initiated by the reduced inhibition to trigger pain hypersensitivity.
  
  
  METHODS
  GABAergic inhibition was manipulated by intrathecal application of GABA type A receptor antagonist bicuculline in intact mice or by GABA type A receptor agonist muscimol in complete Freund's adjuvant-injected mice. Immunoblotting, coimmunoprecipitation, immunohistochemistry, and behavioral tests were used to explore the signaling pathways downstream of the altered GABAergic tone.
  
  
  RESULTS
  The study data revealed that the 61-kD isoform of striatal-enriched protein phosphatase (STEP61) was a key molecule that relayed the signals from GABAergic neurotransmission. The authors found that STEP61 was highly expressed in dorsal horn neurons. Under physiological conditions, STEP61 tonically interacted with and negatively controlled the activities of extracellular signal-regulated kinase and Src-family protein tyrosine kinases member Fyn, two critical kinases involved in spinal sensitization. Once GABAergic inhibition was impaired, STEP61 interaction with its substrates was substantially disturbed, allowing for activation of extracellular signal-regulated kinase and Fyn (n = 4 to 6). The hyperactivities of extracellular signal-regulated kinase and Fyn, along with STEP61 dysregulation, caused the tyrosine phosphorylation and synaptic accumulation of GluN2B subunit-containing N-methyl-D-aspartate subtype of glutamate receptors (n = 6), leading to GluN2B receptor-dependent pain hypersensitivity. Overexpression of wild-type STEP61 to resume its enzymatic activity significantly blocked the mechanical allodynia evoked by bicuculline and more importantly, alleviated chronic inflammatory pain (n = 6 in each group).
  
  
  CONCLUSIONS
  These data identified STEP61 as a key intermediary for GABAergic inhibition to regulate pain sensitization.
authors.affiliation: From the Department of Molecular Pharmacology, School of Pharmacy, Lanzhou University, Lanzhou, Gansu, People's Republic of China.
authors.forename: Lu
authors.initials: L
authors.lastname: Li
authors.forename: Lei
authors.initials: L
authors.lastname: Shi
authors.forename: Ying-Ming
authors.initials: YM
authors.lastname: Xu
authors.forename: Xian
authors.initials: X
authors.lastname: Yang
authors.forename: Zhan-Wei
authors.initials: ZW
authors.lastname: Suo
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Hu
mesh_terms: D000818:Animals; D058787:GABA-A Receptor Antagonists / Q000008:administration & dosage*; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D009433:Neural Inhibition / Q000187:drug effects / Q000502:physiology*; D010146:Pain / Q000188:drug therapy / Q000378:metabolism*; D017027:Protein Tyrosine Phosphatases / Q000096:biosynthesis*; D011963:Receptors, GABA-A / Q000502:physiology*; D015398:Signal Transduction / Q000187:drug effects / Q000502:physiology; D066148:Spinal Cord Dorsal Horn / Q000187:drug effects / Q000378:metabolism*
chemical_list: D058787:GABA-A Receptor Antagonists; D011963:Receptors, GABA-A; D017027:Protein Tyrosine Phosphatases; C000591055:striatal-enriched tyrosine phosphatase 61, mouse