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2017 ; 114
(46
): 12309-12314
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Endosomal signaling of the receptor for calcitonin gene-related peptide mediates
pain transmission
#MMPMID29087309
Yarwood RE
; Imlach WL
; Lieu T
; Veldhuis NA
; Jensen DD
; Klein Herenbrink C
; Aurelio L
; Cai Z
; Christie MJ
; Poole DP
; Porter CJH
; McLean P
; Hicks GA
; Geppetti P
; Halls ML
; Canals M
; Bunnett NW
Proc Natl Acad Sci U S A
2017[Nov]; 114
(46
): 12309-12314
PMID29087309
show ga
G protein-coupled receptors (GPCRs) are considered to function primarily at the
plasma membrane, where they interact with extracellular ligands and couple to G
proteins that transmit intracellular signals. Consequently, therapeutic drugs are
designed to target GPCRs at the plasma membrane. Activated GPCRs undergo
clathrin-dependent endocytosis. Whether GPCRs in endosomes control
pathophysiological processes in vivo and are therapeutic targets remains
uncertain. We investigated the contribution of endosomal signaling of the
calcitonin receptor-like receptor (CLR) to pain transmission. Calcitonin
gene-related peptide (CGRP) stimulated CLR endocytosis and activated protein
kinase C (PKC) in the cytosol and extracellular signal regulated kinase (ERK) in
the cytosol and nucleus. Inhibitors of clathrin and dynamin prevented CLR
endocytosis and activation of cytosolic PKC and nuclear ERK, which derive from
endosomal CLR. A cholestanol-conjugated antagonist, CGRP(8-37), accumulated in
CLR-containing endosomes and selectively inhibited CLR signaling in endosomes.
CGRP caused sustained excitation of neurons in slices of rat spinal cord.
Inhibitors of dynamin, ERK, and PKC suppressed persistent neuronal excitation.
CGRP(8-37)-cholestanol, but not unconjugated CGRP(8-37), prevented sustained
neuronal excitation. When injected intrathecally to mice, CGRP(8-37)-cholestanol
inhibited nociceptive responses to intraplantar injection of capsaicin, formalin,
or complete Freund's adjuvant more effectively than unconjugated CGRP(8-37) Our
results show that CLR signals from endosomes to control pain transmission and
identify CLR in endosomes as a therapeutic target for pain. Thus, GPCRs function
not only at the plasma membrane but also in endosomes to control complex
processes in vivo. Endosomal GPCRs are a drug target that deserve further
attention.