Abstract
The advantage of locally applied anesthetics is that they are not associated with the many adverse effects, including addiction liability, of systemically administered analgesics. This therapeutic approach has two inherent pitfalls: specificity and a short duration of action. Here, we identified nociceptor endocytosis as a promising target for local, specific, and long-lasting treatment of inflammatory pain. We observed preferential expression of AP2α2, an α-subunit isoform of the AP2 complex, within CGRP+/IB4- nociceptors in rodents and in CGRP+ dorsal root ganglion neurons from a human donor. We utilized genetic and pharmacological approaches to inhibit nociceptor endocytosis demonstrating its role in the development and maintenance of acute and chronic inflammatory pain. One-time injection of an AP2 inhibitor peptide significantly reduced acute and chronic pain-like behaviors and provided prolonged analgesia. We evidenced sexually dimorphic recovery responses to this pharmacological approach highlighting the importance of sex differences in pain development and response to analgesics.
© 2021. The Author(s).
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Adaptor Protein Complex 2 / antagonists & inhibitors
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Adaptor Protein Complex 2 / genetics
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Adaptor Protein Complex 2 / metabolism
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Adaptor Protein Complex alpha Subunits / antagonists & inhibitors
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Adaptor Protein Complex alpha Subunits / genetics
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Adaptor Protein Complex alpha Subunits / metabolism
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Animals
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Calcitonin Gene-Related Peptide / metabolism*
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Chronic Pain / drug therapy*
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Chronic Pain / metabolism
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Chronic Pain / physiopathology
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Endocytosis / drug effects*
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Epidermis / innervation
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Female
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Ganglia, Spinal / metabolism
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Humans
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Inflammation
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Male
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Mice
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Neurons, Afferent / drug effects
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Neurons, Afferent / metabolism
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Nociceptors / drug effects*
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Nociceptors / metabolism
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Nociceptors / physiology
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Peptides / administration & dosage
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Peptides / metabolism
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Peptides / pharmacology
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RNA, Small Interfering / administration & dosage
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RNA, Small Interfering / genetics
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RNA, Small Interfering / pharmacology
Substances
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Adaptor Protein Complex 2
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Adaptor Protein Complex alpha Subunits
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Peptides
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RNA, Small Interfering
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adaptor protein complex 2, alpha 2 subunit
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Calcitonin Gene-Related Peptide