Abstract
Detection and adaptation to cold temperature is crucial to survival. Cold sensing in the innocuous range of cold (>10–15 °C) in the mammalian peripheral nervous system is thought to rely primarily on transient receptor potential (TRP) ion channels, most notably the menthol receptor, TRPM8. Here we report that TRP cation channel, subfamily C member 5 (TRPC5), but not TRPC1/TRPC5 heteromeric channels, are highly cold sensitive in the temperature range 37–25 °C. We found that TRPC5 is present in mouse and human sensory neurons of dorsal root ganglia, a substantial number of peripheral nerves including intraepithelial endings, and in the dorsal lamina of the spinal cord that receives sensory input from the skin, consistent with a potential TRPC5 function as an innocuous cold transducer in nociceptive and thermosensory nerve endings. Although deletion of TRPC5 in 129S1/SvImJ mice resulted in no temperature-sensitive behavioral changes, TRPM8 and/or other menthol-sensitive channels appear to underpin a much larger component of noxious cold sensing after TRPC5 deletion and a shift in mechanosensitive C-fiber subtypes. These findings demonstrate that highly cold-sensitive TRPC5 channels are a molecular component for detection and regional adaptation to cold temperatures in the peripheral nervous system that is distinct from noxious cold sensing.
Keywords: pain, single-fiber, thermo-transient receptor potential, nociception, temperature sensing
Nociceptors and thermoreceptive neurons, such as cold and heat receptors, innervate the skin and deep tissues. The cell bodies of sensory nerve endings are clustered in ganglia located in the vertebral column and cranium. Their projections extend to the skin where they arborize in terminals embedded between keratinocytes. Although nociceptors are polymodal and respond to stimuli (cold, heat, pressure, and noxious chemicals) that are capable of producing tissue damage and pain (1), cold receptors are unimodal and specialized to detect cool and cold temperatures (2). Transient receptor potential (TRP) ion channels are principal transducers of thermal stimuli that depolarize nerve terminals to the action potential threshold. Action potentials then relay the sensory information to integrative centers in the spinal cord and brain.
All proteins are temperature sensitive, but most ion channels exhibit two- to threefold increases in gating with a 10 °C change in temperature (Q10 = 2–3). Certain ion channels exhibit dramatic temperature sensitivity in gating over physiologically relevant ranges (Q10 = 10–30). Mammalian ion channels with such high Q10 values include particular two-pore K+ channels (3), the voltage-gated proton channel (4), transient receptor potential cation channel subfamily V members 1–3 (TRPV1–3) (5–7), transient receptor potential menthol receptor 8 (TRPM8) (8), and in some reports, TRP cation channel subfamily A member 1 (TRPA1) (9, 10). There is no a priori requirement for cold encoding by high Q10 channels—action potential firing rates are affected perforce by temperature, even if driven solely by conventional NaV and KV channels—but high Q10 channels are likely suspects in encoding temperature changes. Although TRPM8 (a menthol receptor) is generally considered the primary cold sensor for innocuous cold (11–13), and TRPA1 participates in noxious cold sensing (9, 10) (14), many cold-sensitive neurons lack TRPM8 as well as TRPA1 (15).
Results
TRPC5 Is Potentiated by Cooling.
We conducted a search for cold sensitivity across the canonical TRP channel subfamily (TRPC) (16). TRPC channels were expressed heterologously in HEK293 cells stably expressing the muscarinic type 1 receptor (HM1-HEK293), and whole-cell currents were recorded in response to cold stimulation. As for many other TRP channels (17), TRPC5 is constitutively active at ambient temperature in heterologous expression systems, is sensitive to internal Ca2+, and is potentiated by phospholipase C (PLC)-coupled receptor activation (18). Surprisingly, we found that TRPC5 current (ITRPC5) increased as temperature cooled below 37 °C, peaking around 25 °C at negative membrane potentials. Cold-induced activation of TRPC5 current was potentiated by activation of Gq-linked HM1 via carbachol as well as by PLC activation via extracellular lanthanum (La3+). The cold-activated current was constant over a large range of physiologically relevant membrane potentials (−40 to −80 mV). Ca2+-imaging experiments confirmed a cold-induced increase in intracellular Ca2+ following PLC activation only in TRPC5-transfected HM1 cells (Fig. 1 A–H).
Unlike TRPM8, which inactivates over time at a constant temperature (19), TRPC5 does not inactivate significantly in persistent colder temperatures. Also, unlike TRPM8, TRPC5 is not activated by menthol in our heterologous expression system (Fig. S1) and thus can be separated easily from TRPM8. As we have shown previously, TRPC1 can heteromerize with TRPC5 and, although also potentiated by La3+ and PLC activation, the current–voltage (I–V) curves are quite distinct (20). In addition, TRPC1/C5 heteromers are confined to the cell body, whereas TRPC5 homomers are transported down neurite processes to growth cones and nerve terminals where they can be exposed to changes in temperature (20–22). In contrast to TRPC5 homomeric channels, cooling did not enhance TRPC1/5 heteromeric current (Fig. 1I), and thus we focused on TRPC5 homomeric channels.
TRPC5 in Peripheral Nerves, Dorsal Root Ganglion, and the Spinal Cord Dorsal Horn.
We applied previously characterized antibodies (Table S1) to tissue sections and confirmed the presence of TRPC5 in murine dorsal root ganglion (DRG) neurons (Fig. 2A), consistent with previous reports (23). We confirmed the presence of TRPC5 in DRG lysates via Western blot and assessed the specificity of reactions via staining of TRPC5−/− tissues (Fig. 2A, Inset). Size–frequency distribution demonstrated that the majority of TRPC5+ neurons are small- to medium-sized, but, clearly, TRPC5 also was present in large-diameter neurons (Fig. 2B). We also isolated mRNA from lysates of dissociated DRG neurons and detected TRPC5 transcripts (24). TRPC5 also is present in human tissues, and immunolabeling demonstrated that TRPC5 is expressed in intraepithelial nerve endings within the human skin (Fig. 2C). Although regionally variable, the dorsum of the hand and the proximal forearm are innervated densely with these fibers. In peripheral nerves, ∼34% of fibers in the proximal incoming processes of L5 are positive for TRPC5 (Fig. 2D). This proportion, and the colocalization of ∼15% of fibers with TRPM8, indicates distinct fiber populations. In human DRGs, size–frequency distribution of TRPC5 positivity was similar to that observed in the mouse (∼30% of DRGs). Double-labeling experiments with TRPC5 and TRPM8 also indicated distinct populations (Fig. 2E, Inset); however, colocalization studies in humans are limited by lipofuscin autofluorescence (25). In the human spinal cord, TRPC5 was most dense in the outer parts of the dorsal horn, corresponding to regions I–III of the superficial laminae (Fig. 2F). Thus, the distribution of TRPC5 in the examined levels of the human and mouse peripheral sensory systems is typical of proteins involved in temperature sensing and nociception, suggesting a potential role for TRPC5 in the perception of cold and/or cold pain. Therefore, we analyzed the functional role of TRPC5 in murine sensory neurons.
Characterization of Thermally Sensitive TRPs in DRG Neurons from WT and TRPC5−/− Mice.
Sensory ganglia from TRPC5-deficient mice appeared structurally normal (Fig. 2 A and B), and the proportion of cells stained with antibodies to neurofilament 200 (NF200) protein (a marker of A-fiber sensory neurons) and peripherin (present in most nociceptive neurons) was not significantly different than in WT neurons (Fig. 3A). Similarly, the proportion of neurons containing calcitonin gene-related peptide (CGRP), important in setting heat thresholds of sensory neurons (26), and of nonpeptidergic neuronal cell bodies [labeled with isolectin B4 (IB4)] was unchanged (Fig. 3A). Immunophenotyping of WT and TRPC5−/− DRGs showed similar proportions of TRPV1+ neurons; however, TRPM8+ neurons were reduced by almost half (Fig. 3 A and B and Table S2). To test whether the reduction of TRPM8 protein is related to transcript levels, we determined mRNA levels for TRPM8, TRPV1, and TRPA1 in DRG lysates but found no significant difference between WT and TRPC5−/− mice. Conversely, TRPC5, TRPV1, and TRPA1 mRNA levels were unchanged from WT in TRPM8−/− mice. In conjunction with previously documented TRPM8 in peripheral endings (11) and TRPC5 outgrowth to neurites (20–22), our findings suggest that TRPM8 and TRPC5 might function primarily in peripheral terminals rather than in cell bodies.
In initial behavioral tests of 129S1/SvImJ TRPC5−/− mice, we found that acute pain thresholds for heat, mechanical threshold, sensitivity to noxious cold pain, and temperature preference behavior as well as behavior in a temperature gradient were all normal (Fig. S2). Similarly, neither acetone- nor icilin-induced writhing behavior exhibited measurable differences. We conclude that, like TRPM8, TRPC5 is not required for noxious cold sensing. The negative results on the temperature gradient preference test do not rule out TRPC5 function for sensing changes in the 37–25 °C range, because currently the understanding of the cause-and-effect relationship between sensory stimuli and behavioral responses is limited (27). Thus, we set out to investigate temperature sensing in the peripheral nervous system.
In patch clamp studies of cultured sensory ganglia or dissociated DRG neurons, we were unable to detect cold-activated ITRPC5, suggesting that TRPC5 channels are down-regulated in culture, are present only in cold-insensitive C1/C5 heteromultimers, or are confined to nerve terminals. To determine whether cold sensitivity was intact in these isolated neurons, we also used ratiometric Ca2+ imaging of dissociated cultured DRG from WT and TRPC5−/− mice. When isolated neurons were cooled from 30 °C to 10 °C, intracellular Ca2+ increased in 16% of cells. Consistent with some prior studies (15), we found that 8% of the whole neuron population and 40% of the cold-sensitive cells were sensitive to menthol. In DRG neurons isolated from TRPC5−/− mice, ∼70% of cold-sensitive cells were lost, and the fraction of cold-sensitive cells was reduced to ∼4.6 ± 0.9% in TRPC5−/− mice (n = 8) compared with 16.0 ± 1.7% in WT mice (n = 7). These results indicate that the total number of cold-sensitive neurons and functional expression of TRPM8 were reduced in TRPC5−/− cultured DRG neurons. Despite the striking reduction, the fraction of cold-sensitive neurons that demonstrate menthol sensitivity was maintained (TRPC5−/−: 50% vs. WT: 40%; Fig. 3C). In contrast, the proportion of neurons expressing functional TRPV1 was similar in cells isolated from TRPC5−/− and WT mice (∼30%), and TRPA1 was reduced only slightly (TRPC5−/−: 30% vs. WT: 40%; Fig. 3D and Table S3). Thus, dissociated neurons in culture have altered TRPM8 and TRPC5 function but maintain sensitivity to stimuli in the noxious cold range (10–15 °C). We presume that most noxious cold sensitivity is encoded via ion channels other than TRPM8 or TRPC5.
Skin-Nerve Recordings of WT and TRPC5−/− Mice.
The dearth of reliable assays to quantify protein levels of ion channels in peripheral nerve terminals in the skin led us to assay their function in skin-nerve preparations. We compared the functional properties of C-fiber responses to cold in TRPC5−/− and TRPM8−/− mice (11, 13, 28). Skin-nerve preparations allow stimulation of isolated receptive fields of single C- and Aδ-fibers in mouse skin while recording propagated action potentials extracellularly (29, 30). Extensive prior work in mammals established three types of cold-sensitive afferent fibers: mechanosensitive C-fibers (nociceptors, C-mechano; CM), cold receptors (C-cold; CC), and mechanosensitive Aδ-fibers (Aδ-nociceptors) (31–37). In the mouse, CM-fibers can be subdivided further into two cold-sensitive subclasses, the cold nociceptors (C-mechano cold, CMC) and the multimodal cold nociceptors (C-mechano-cold-heat, CMCH) (29). In primates, CMC- and CMCH-fibers are believed to relay information to the brain that is perceived as painful cold, whereas CC-fibers are likely associated with innocuous cold (33, 35).
We compared responses of C-fiber nociceptors to cooling of the receptive fields from 30 to ∼10 °C. TRPC5−/− mice had a lower proportion of CMCH-fibers (<2% compared with 10% in WT mice), which appeared to be replaced by hypersensitive CMC-fibers. Specifically, CMC-fibers in TRPC5−/− mice displayed a fourfold increase in response magnitude with threefold higher peak discharge rates (Fig. 4 A–D). In TRPC5−/− mice, 84% of CMC-fibers were sensitive to menthol compared with 38% in WT (Fig. 4 E–G and Fig. S3). In both WT and TRPC5−/− mice, the menthol-sensitive population of cold nociceptors contributed the majority of action potentials to the combined cold response. Significantly, this proportion increased from ∼70% in WT to 95% in the TRPC5−/− fibers (Fig. 4 F and G). A small but significant shift of the median mechanical (Von Frey) threshold to lower values accompanied these changes (Fig. S4 A and B). However, other characteristics of CM-fibers, such as heat sensitivity and conduction velocity, remained unchanged. We interpret these data to mean that loss of TRPC5 leads to plastic changes in the response properties of CMC-fibers, most likely because of adaptation of TRPM8 or other menthol-sensitive channels and a subsequent shift in mechanosensitive C-fiber subtypes.
To test whether genetic ablation of TRPC5 results in up-regulation of TRPM8, we examined mRNA levels of pooled peripheral nerves, DRG, and trigeminal ganglia and quantified TRPM8-positive peripheral fibers by immunohistochemistry. No significant difference between WT and TRPM8−/− mice (n > 8) was found, although there was a trend toward increased numbers of TRPM8-positive fibers in TRPC5−/− mice (average fibers per high-power field, WT: 2.7 ± 0.4 vs. TRPC5−/−: 3.4 ± 0.4; t test; P = 0.059). For comparison, we examined TRPM8−/− mice and found a complete lack of CMC-fibers accompanied by increased numbers of heat-sensitive C-fibers (CMH) (Fig. 4H). A significant shift of the median mechanical (Von Frey) threshold to higher values accompanied these changes (Fig. S4 C and D). In TRPM8−/− mice, CMCH-fibers appear at normal ratios (Table S4) and may be responsible for noxious cold sensing in the absence of TRPM8. Together, these findings suggest that noxious cold sensation does not require TRPC5 and that noxious cold sensation in TRPM8−/− mice is maintained by a shift from CMC- to CMCH-fibers (Fig. 4H and Table S4).
We also examined the rare unimodal cold receptors, CC (2), that frequency-encode temperature and show phasic activity upon cooling and rapid adaptation to warming (33). CC-fibers were characterized recently in the mouse cornea (35), are menthol sensitive, and exhibit 20-fold larger responses than CMC-fibers. CC-fibers in the cornea of TRPM8−/− mice are menthol insensitive (35), and we found no difference in CC-fiber characteristics between WT and TRPC5−/−mice (Fig. S5). However, a significant fraction of CC-fibers was able to encode noxious cold-stimuli (Fig. S5G).
Finally, we assessed cold-sensitive Aδ-fibers and found an overall reduction in cold-induced action potentials, from 21% in WT to 9% in TRPC5−/− mice, whereas the menthol-sensitive fraction was maintained in both genotypes (Fig. 4 I and J and Fig. S6). A similar reduction of cold-sensitive Aδ-fibers has been documented in TRPM8−/− mice (11). Note, however, that the pattern of encoding cold stimulus intensity in murine Aδ-fibers is different from that in primates, and the significance of alterations in this fiber type is currently unknown (33, 37).
Discussion
The most surprising finding of this study is that TRPC5 monomeric channels have high gating sensitivity to cooling in the range from 37–25 °C. As expected, this effect is strongly potentiated by Gq-linked G protein-coupled receptors. Interestingly, TRPC1/C5 heteromeric channels did not display strong cold sensitivity. Exceptionally high temperature sensitivities in ion channel gating likely result from large changes in molar heat capacity, but these changes can be accounted for by relatively few residues within a domain or distributed throughout the protein. One likely scenario is that hydrophobic residues exposed to water during gating of TRPC5 are made inaccessible when TRPC5 forms a complex with TRPC1.
The ability to occlude TRPC5 cold sensitivity by multimerization is an interesting adaptation and is unlike previous paradigms in TRP-channel temperature-sensing biology. TRPC1/TRPC5 heteromers presumably are confined to cell bodies, whereas TRPC5 is targeted to distal processes (20–22). Thus, TRPC5, which is highly sensitive to mild cooling, is expected to increase depolarization in distal processes but not in cell bodies. This targeting may confine the neuronal response to cooling to the periphery, leading to increased intracellular calcium in these processes. The findings presented here suggest that these changes are not sensed by the central nervous system in ways leading to appreciable changes in behavior. However, they may lead to changes in neurite outgrowth, local vascular perfusion, or other cellular adaptation such as up-regulation of other channel types.
We emphasize the distinction between avoidance behavior to noxious cold and thermal preference behavior from other biological adaptations. Although temperature sensing is such a common experience that we tend to attribute temperature changes to conscious recognition, all biological processes are temperature dependent, and most are not reported to the nervous system. In this context, we postulate that the heightened sensitivity of TRPC5 to cooling is used for other adaptations, such as localized metabolic changes, vascular changes, retraction of neurites, or initiation of transcriptional programs. Our findings suggest that TRPC5 activation may be potentiated by PLC-coupled receptors, such as growth factors, as well as by Gq-linked receptors. Indeed, in reptiles and mammals long-term exposure to various temperatures results in impressive long-lasting adaptive changes in the firing properties of innocuous thermosensors (38, 39). Another explanation would be that deleting TRPC5 results in compensatory replacement by functionally overlapping cold transducers (e.g., TRPM8). Increased functional availability of TRPM8 then may account for the avoidance of cold temperatures by TRPC5−/− mice. Reminiscent of our findings in TRPC5−/− mice, the compensatory replacement of functionally related tetrodotoxin-sensitive ion channels in Nav1.8-deficient mice (40) partially restored the loss of Nav1.8 function in the null-mutant nerve endings but not in their cultured DRG neurons (30, 41). In both cases, the result is protection from cold via functionally overlapping but molecularly independent cold-detection mechanisms.
In summary, we found that innocuous cold-responsive TRPC5 is present in approximately one-third of mouse sensory neurons as well as in a substantial number of human peripheral nerves. In agreement with previous work demonstrating targeting of TRPC5 to neurites (21), we failed to measure TRPC5 currents in isolated neurons lacking neurites. Given that DRG neurons are pseudounipolar and that propagation of cell soma action potential is not required for transmission from the periphery to the spinal cord, we hypothesized that most TRPC5 homomeric channels are targeted to nerve terminals that are inaccessible to direct recording. To determine whether this idea is functionally relevant, we conducted behavioral tests and found no differences between WT and TRPC5−/− mice in various temperature-sensing assays, suggesting a role for TRPC5 that is distinct from noxious cold sensing. However, several limitations apply to our results. First, it is not clear whether cold-induced activation of TRPC5 contributes directly to propagation of action potentials along the sensory pathway. Second, we used 129S1/SvImJ mice in these studies, and this strain may be inferior to C57BL/6 mice in behavioral assays (42, 43). It has been noted that there are temperature-sensing differences between mouse strains (44, 45), and we cannot generalize our results to other strains or species.
Despite these limitations, we found that loss of TRPC5 resulted in significant adaptive responses. In isolated neurons, these changes resulted in a significant drop in the percentage of cold-sensitive (both menthol-sensitive and methol-insensitive) DRG neurons and TRPM8 detected by antibody. Interestingly the fraction of cold-sensitive neurons demonstrating menthol sensitivity was maintained, and loss of TRPC5 did not result in changes in CGRP, IB4, NF200, peripherin, or TRPV1 protein. Paradoxically, in intact animals, TRPM8 and/or other menthol-sensitive channels appear to underpin a much larger component of noxious cold sensing after TRPC5 deletion, resulting in a subsequent shift in mechanosensitive C-fiber subtypes. In future experiments, it will be important to examine changes in nerve terminals, including axon outgrowth and guidance, blood flow, tissue architecture near nerve endings, and responses to both growth factors and Gq-linked receptors in TRPC5−/− mice to understand the specific role of TRPC5 in the innocuous range of cold temperature (37–25 °C) that evidently is distinct from noxious cold sensing.
Materials and Methods
Animals and Behavioral Assays.
Mice were housed in a 12-h light-dark cycle at room temperature, and experiments were performed under the policies of the International Association for the Study of Pain and approved by the Animal Resources of Children's Hospital Boston facility. Standard sensory assays included paw flick, cold plate, von Frey thresholds, and temperature choice assays. Behavioral studies were carried out with paired littermates while blind to genotype or (for temperature preference behavior) were videotaped and analyzed by automated detection software. See SI Materials and Methods for details.
DRG Neuronal Cultures and Ca2+ Measurements.
Calcium imaging/patch clamp recordings were made using DRGs from all spinal levels after ∼15–18 h in culture. For calcium imaging, DRGs were loaded with Fura2-AM (Invitrogen) dissolved in TNB medium (for 60–70 min) followed by a 15-min wash in TNB medium. Cells were considered menthol- (250 μM), capsaicin- (10 μM), or allyl-isothiocyanate- (100 μM) responsive when Ca2+ increased >25% above baseline. Cells were considered cold-sensitive when Ca2+ increased >15% above baseline (apparent Ca2+ fluorescence decreased in cold-insensitive cells during cold stimulation by 5–10%).
Patch Clamp Recordings.
The extracellular solution contained (in mM): 140 NaCl, 5 KCl, 2 CaCl2, 1 MgCl2, 10 Hepes, and 10 glucose (adjusted to pH 7.4 with NaOH). The pipette (intracellular) solution contained (in mM): 120 CsMES, 10 Cs4-BAPTA, 10 Hepes, 2 MgATP, 0.4 Na2GTP, 0.47 MgCl2, and 3.26 CaCl2. Whole-cell recordings were acquired at 5 kHz and were low-pass filtered (eight-pole Bessel) at 2 kHz. Temperature coefficients (Q10) were estimated by plotting log (I/Imax) vs. temperature. Statistical data are presented as mean ± SEM; Student's t test was calculated, and P < 0.05 was considered statistically significant.
Single Nerve Fiber Electrophysiology.
The isolated skin saphenous nerve preparation and single-fiber recording technique was used (29, 30) on male littermates of WT and TRPC5−/− mice (n = 32) weighing 20–32 g and on 129S1/SvImJ mice (n = 17; Jackson Labs). TRPM8−/− mice were from Ajay Dhaka and Ardem Patapoutian (Department of Cell Biology, The Scripps Research Institute, La Jolla, CA). Recordings were performed from male mice (n = 10) backcrossed on N5 (F1-F2) generations to C57BL/6 background and from corresponding male littermates (n = 11).
Immunohistochemistry.
Cryostat- or paraffin-embedded sections of 3- to 8-μM thickness were prepared from fresh-frozen or paraformaldehyde-fixed (4%) tissues, respectively. Quantification of labeled cells was assessed blinded to genotype and according to previously published protocols (46, 47).
Supplementary Material
Acknowledgments
We thank B. Desai, P. Reeh, and J. N. Wood for discussions, D. Julius and J. Siemens for TRPM8-deficient tissue samples, and H. Xu who first noted that TRPC5 current decreases upon warming. We also thank A. Watson, V. Layton, J. Hardges, O. Crisp, B. Henderson, K. Selle, D. Leahart, K. Keith, and R. Brown for histotechnical assistance and G. Krapivinsky, B. Zhou, J. Li, and C. Tyler for assistance with immunohistochemistry. This work was funded by National Institutes of Health Grant R01 MH090293-01. The Mental Retardation and Developmental Disabilities Research Center Molecular Genetics Core Facility at Children's Hospital Boston is supported by National Institutes of Health Grant P30-HD18655. K.Z. was supported by German Research Council Grant DFG Zi1172/1-1.
Footnotes
The authors declare no conflict of interest.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1115387108/-/DCSupplemental.
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