Bradykinin produces pain hypersensitivity by potentiating spinal cord glutamatergic synaptic transmission

J Neurosci. 2005 Aug 31;25(35):7986-92. doi: 10.1523/JNEUROSCI.2393-05.2005.

Abstract

Bradykinin, an inflammatory mediator, sensitizes nociceptor peripheral terminals reducing pain threshold. We now show that the B2 kinin receptor is expressed in rat dorsal horn neurons and that bradykinin, a B2-specific agonist, augments AMPA- and NMDA-induced, and primary afferent-evoked EPSCs, and increases the frequency and amplitude of miniature EPSCs in superficial dorsal horn neurons in vitro. Administration of bradykinin to the spinal cord in vivo produces, moreover, an NMDA-dependent hyperalgesia. We also demonstrate that nociceptive inputs result in the production of bradykinin in the spinal cord and that an intrathecal B2-selective antagonist suppresses behavioral manifestations of central sensitization, an activity-dependent increase in glutamatergic synaptic efficacy. Primary afferent-evoked central sensitization is, in addition, reduced in B2 receptor knock-out mice. We conclude that bradykinin is released in the spinal cord in response to nociceptor inputs and acts as a synaptic neuromodulator, potentiating glutamatergic synaptic transmission to produce pain hypersensitivity.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Bradykinin / pharmacology*
  • Bradykinin / physiology
  • Drug Synergism
  • Glutamic Acid / physiology
  • Hyperalgesia / chemically induced*
  • Hyperalgesia / physiopathology
  • In Vitro Techniques
  • Mice
  • Mice, Knockout
  • N-Methylaspartate / pharmacology*
  • N-Methylaspartate / physiology
  • Pain / chemically induced
  • Pain / physiopathology
  • Rats
  • Rats, Sprague-Dawley
  • Receptor, Bradykinin B2 / agonists
  • Receptor, Bradykinin B2 / physiology
  • Spinal Cord / drug effects*
  • Spinal Cord / physiology
  • Synaptic Transmission / drug effects
  • Synaptic Transmission / physiology*
  • alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid / pharmacology*

Substances

  • Receptor, Bradykinin B2
  • Glutamic Acid
  • N-Methylaspartate
  • alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid
  • Bradykinin