Abstract
Although the cannabinoid agonists R-(+)-(2,3-dihydro-5-methyl-3-[(4-morpholinyl)methyl]pyrol[1,2,3-de]-1,4-benzoxazin-6-yl)-(1-naphthalenyl) methanone mesylate [WIN 55,212-2 (WIN)] and (R,S)-3-(2-iodo-5-nitrobenzoyl)-1-(1-methyl-2-piperidinylmethyl)-1H-indole (AM1241) exert peripheral antihyperalgesia in inflammatory pain models, the mechanism for cannabinoid-induced inhibition of nociceptive sensory neurons has not been fully studied. Because TRPV1 and TRPA1 channels play important roles in controlling hyperalgesia in inflammatory pain models, we investigated their modulation by WIN and AM1241. The applications of WIN (>5 μm) and AM1241 (>30 μm) inhibit responses of sensory neurons to capsaicin and mustard oil. To determine potential mechanisms for the inhibition, we evaluated cannabinoid effects on nociceptors. WIN and AM1241 excite sensory neurons in a concentration-dependent manner via a nonselective Ca2+-permeable channel. The expression of TRP channels in CHO cells demonstrates that both WIN and AM1241 activate TRPA1 and, by doing so, attenuate capsaicin and mustard oil responses. Using TRPA1-specific small interfering RNA or TRPA1-deficient mice, we show that the TRPA1 channel is a sole target through which WIN and mustard oil activate sensory neurons. In contrast, AM1241 activation of sensory neurons is mediated by TRPA1 and an unknown channel. The knockdown of TRPA1 activity in neurons completely eliminates the desensitizing effects of WIN and AM1241 on capsaicin-activated currents. Furthermore, the WIN- or AM1241-induced inhibition of capsaicin-evoked nocifensive behavior via peripheral actions is reversed in TRPA1 null-mutant mice. Together, this study demonstrates that certain cannabinoids exert their peripheral antinocifensive actions via activation of the TRPA1 channel on sensory neurons.
Keywords: cannabinoid, TRPA1, TRPV1, nociceptor, pain, trigeminal
Introduction
Cannabinoids produce profound supraspinal, spinal, and peripheral antinociception and antihyperalgesia in several acute and chronic pain states (Calignano et al., 1998; Richardson et al., 1998; Rice et al., 2002; Croxford, 2003). Thus, R-(+)-(2,3-dihydro-5-methyl-3-[(4-morpholinyl)methyl]pyrol[1,2,3-de]-1,4-benzoxazin-6-yl)-(1-naphthalenyl) methanone mesylate [WIN 55,212-2 (WIN)] and (R,S)-3-(2-iodo-5-nitrobenzoyl)-1-(1-methyl-2-piperidinylmethyl)-1H-indole (AM1241), belonging to the aminoalkylindole family of cannabinoids, produce peripherally mediated antinociception in acute pain models (Malan et al., 2001; Dogrul et al., 2003) and alleviate hyperalgesia/allodynia induced by capsaicin (CAP) (Johanek et al., 2001; Hohmann et al., 2004), heat (Johanek and Simone, 2004), inflammation (Nackley et al., 2003; Quartilho et al., 2003), and nerve injury (Fox et al., 2001; Ibrahim et al., 2003).
Several mechanisms for the peripheral inhibitory effects of cannabinoids have been suggested. A direct inhibition of nociceptive sensory neurons (i.e., nociceptors) could be mediated via the Gi/o-protein-coupled cannabinoid receptors, CB1 (Matsuda et al., 1990) or/and CB2 (Munro et al., 1993). However, a number of studies have demonstrated that CB1 has little-to-no coexpression with nociceptive markers such as the TRPV1 and calcitonin gene related peptide (CGRP) in native rat dorsal root ganglia (DRGs) (Hohmann and Herkenham, 1999; Bridges et al., 2003) and trigeminal ganglia (TGs) (Price et al., 2003). Appreciable levels of CB2 have also not been detected in sensory ganglia (Price et al., 2003). Other reports indicate that CB1 and CB2 expression could be observed in cultured (Ahluwalia et al., 2000; Ross et al., 2001) as well as native DRG neurons (Amaya et al., 2006; Binzen et al., 2006; Agarwal et al., 2007). Nevertheless, (−)-cis-3-[2-hydroxy-4-(1,1-dimethylheptyl)phenyl]trans-4-(3-hydroxypropyl)cyclohexanol (CP55,940), a dual CB1/CB2 agonist, inhibits the depolarization-evoked increase in intracellular Ca2+ ([Ca2+]i) primarily in non-nociceptive (i.e., large diameter) neurons (Khasabova et al., 2002, 2004). Moreover, depolarization-evoked CGRP release from TG neurons has also not been attenuated by concentrations of WIN capable of activating CB1/CB2 (Price et al., 2004b).
Alternatively, an indirect inhibition of nociceptors could occur through cannabinoid-induced modulation of peripheral non-neuronal cell activities, which play a pivotal role in inflammatory hyperalgesia and neuropathic pain (Woolf et al., 1996; Perkins and Tracey, 2000). Thus, cannabinoids acting via CB2 can prevent mast cell degranulation and neutrophil accumulation (Jaggar et al., 1998; Calignano et al., 2001). Activation of CB2 on keratinocytes can also stimulate release of β-endorphin that produces thermal antinociception (Ibrahim et al., 2005). Activation of the CB1 receptor mediates the inhibition of keratinocytes (Maccarrone et al., 2003) and suppresses secretory responses of mast cells (Samson et al., 2003).
Accumulated data also support the possibility of CB1/CB2-independent peripheral cannabinoid effects (Ralevic and Kendall, 2001; Duncan et al., 2004; Sagar et al., 2004). The potential role of TRPV1 in these actions has been hypothesized (Price et al., 2004a; Sagar et al., 2004). Indeed, certain cannabinoids [i.e., anandamide (AEA), N-(2-chloroethyl)-5Z,8Z,11Z,14Z-eicosatetraenamide (ACEA), N-arachidonoyl-dopamine (NADA), and δ(9)-tetrahydrocannabinol] can elevate [Ca2+]i in nociceptors by gating TRPV1 or TRPA1 channels (Zygmunt et al., 1999; Huang et al., 2002; Jordt et al., 2004; Price et al., 2004a). An elevation of [Ca2+]i can ignite numerous cellular cascades, including induction of Ca2+-dependent kinases and phosphatases. It is well established that these enzymes can be effective modulators of TRPV1 activities by functional desensitization (Docherty et al., 1996; Koplas et al., 1997; Distler et al., 2003; Jung et al., 2004). Thus, one hypothesis is that certain cannabinoids could inhibit nociceptors by activating Ca2+ permeable channels. In the present study, we tested the hypothesis that WIN- and AM1241-induced direct inhibition of nociceptors is mediated by activation of TRPA1.
Materials and Methods
Animals and primary sensory neuron culture.
Breeding colonies for TRPA1 channel, CB1 and CB2 receptor null-mutant mice were provided by Dr. Kevin Kwan (Harvard University, Boston, MA), Dr. Andrea Giuffrida (University of Texas Health Science Center at San Antonio, San Antonio, TX), and The Jackson Laboratory (Bar Harbor, ME), respectively. TRPA1 null-mutant mice were generated on the B6129P1/F2J background. CB1 and CB2 null-mutant mice were generated on the C57BL/6J background.
TG neuronal cultures from adult Sprague Dawley rats, wild-type, or TRPA1 null-mutant B6129P1/F2J mice were established as described previously (Patwardhan et al., 2006b). Sensory neurons were plated at low density on poly-d-lysine/laminin-coated coverslips (Clontech, Palo Alto, CA). Cells were maintained in the presence of 100 ng/ml NGF-7.02S (Harlan, Indianapolis, IN). The culturing times (1–4 d) for the particular experiments are indicated in the figure legends.
Constructs and heterologous expression in Chinese hamster ovary cells.
Expression plasmids of rat TRPV1 (accession no. NM031982) in pcDNA3 (Invitrogen, Carlsbad, CA); mouse TRPA1 (NM177781), mouse TRPV3 (NM145099), rat TRPV4 (NM023970), and mouse TRPM8 (NM134252) all in pcDNA5/FRT (Invitrogen); and rat TRPV2 (NM017207) in pcDNA3.1(+) (Invitrogen) were used. Expression constructs with a visual marker (green fluorescent protein expressing pEGFP-N1 from Clontech) were delivered into Chinese hamster ovary (CHO) cells using PolyFect (Qiagen, Valencia, CA) according to manufacturers' protocols. CHO cells were subjected to experimental procedures within 36–72 h after transfection.
Electrophysiology.
If not otherwise specified, recordings were made in perforated-patch voltage clamp [holding potential (Vh) of −60 mV] configuration at 22–24°C from the somata of neurons (15–40 pF) or CHO cells. Data were acquired and analyzed using an Axopatch 200B amplifier and pCLAMP9.0 software (Molecular Devices, Union City, CA). Recording data were filtered at 0.5–2.5 kHz and sampled at 2–10 kHz depending on current kinetics. Borosilicate pipettes (Sutter, Novato, CA) were polished to resistances of 4–7 MΩ in the perforated-patch pipette solution. Access resistance (Rs) was compensated (40–80%) when appropriate up to the value of 13–18 MΩ. Data were rejected when Rs changed >20% during recording, leak currents were >50 pA, or input resistance was <300 MΩ. Currents were considered positive when their amplitudes were fivefold larger than displayed noise (in root mean square).
Cell diameters were calculated using d = √[100 × Cm/π], where d (in micrometers) is cell diameter and Cm (in picofarads) is membrane capacitance. Concentration–response curves were fitted to the Hill equation I/Imax = 1/[1 + (EC50/C)h], where EC50 is the half-maximal effective concentration, C is the drug concentration, h is the Hill coefficient, and Imax is the maximum current. The fitting with the Hill equation was also used to calculate the half-maximal inhibitory concentrations (IC50) of the cannabinoids. I–V relationships were established at peak currents applying voltage-ramp protocols as described previously (Liu et al., 1997).
Standard external solution (SES) contained the following (in mm): 140 NaCl, 5 KCl, 2 CaCl2, 1 MgCl2, 10 d-glucose, and 10 HEPES, pH 7.4. To determine I–V relationships, Mg2+-free solutions containing the following (in mm): 10 HEPES, 10 d-glucose, 0.0003 TTX (Tocris, Ellisville, MO), and 0.1 verapamil (Tocris), in addition to the stated concentration of Na+ and Ca2+, were used. NMDG (N-methyl-d-glucamine) was used as a Na+ substitute. The pipette solution for the perforated-patch configurations consisted of the following (in mm): 110 K-methanesulfonate, 30 KCl, 1 MgCl2, 10 HEPES, pH 7.3, and 250 μg/ml amphotericin B (Sigma, St. Louis, MO). The standard pipette solution (SIS) for the whole-cell configurations contained the following (in mm): 140 KCl, 1 MgCl2, 1 CaCl2, 10 EGTA, 10 d-glucose, 10 HEPES, 0.2 Na-GTP, and 2.5 Mg-ATP, pH 7.3. In a set of experiments designed to suppress voltage-activated K+ currents, KCl was equimolarly substituted with CsCl. Drugs were applied using a fast, pressure-driven, and computer-controlled eight-channel system (AutoMate Scientific, San Francisco, CA).
Ca2+ imaging in TG neurons and CHO cells.
The Ca2+ imaging experiments were performed in standard solution (i.e., SES) as described previously (Jeske et al., 2006; Patwardhan et al., 2006b). The net changes in Ca2+ influx were calculated by subtracting the basal [Ca2+]i (mean value collected for 60 s before agonist addition) from the peak [Ca2+]i value achieved after exposure to the agonists. Ca2+ increases above 50 nm were considered positive. This minimal threshold criterion was established by application of 0.1% DMSO as a vehicle. Ratiometric data were converted to [Ca2+]i (in micromolar concentration) by using the equation [Ca2+]i = K* (R − Rmin)/(Rmax − R), where R is the 340/380 nm fluorescence ratio. Rmin, Rmax, and K* were measured according to a previously described method (Gamper and Shapiro, 2003).
Ablation of TRPA1 activity in TG neurons with TRPA1-specific small interference RNA.
Double-stranded, HPLC-purified small interference RNA (siRNA) directed against rat TRPA1 (ALab-1, GGAACUGCAUACCAACUU-dTdT) was custom labeled with Alexa Fluor 488 and synthesized by Qiagen (Valencia, CA). Unlabeled siRNA against rat TRPA1 (AA-1, CGATAGCAATATTCTTCTA-dTdT; AB-1, GGATGAACTTCCTACTATA-dTdT) and Drosophila TRPA1 (ADr-1, GCAAUGUCATCGAUAUUCA-dTdT) were synthesized by Dharmacon RNA Technologies (Chicago, IL). Silencer Negative Control no. 1 siRNA was used as the scrambled negative control (Ambion, Austin, TX). The experimental details for siRNA transfection into sensory neurons were previously described (Jeske et al., 2006). The transfection procedure was conducted once (on day 1) for Ca2+ imaging and electrophysiology. Cells were analyzed (i.e., Ca2+ imaging or recording) on days 2–3.
Behavioral assay.
On the day of the experiment, CAP (Fluka, St. Louis, MO) was dissolved in 20% methylpyrrolidinone (MPN) solution, WIN (Tocris; stock prepared in DMSO) was diluted in 20% MPN solution, and AM1241 (stock prepared in 100% MPN) was diluted in 50% MPN solution. All mice were acclimatized for at least 30 min before testing. Appropriate vehicle controls were used for individual experiments. All observers were blinded to treatment allotment.
For experiments evaluating the effect of WIN on CAP-induced behavior, the plantar surface of the right hindpaw of the animals was coinjected with either vehicle plus CAP (0.5 μg) or WIN (2.5 μg) plus CAP (0.5 μg) in 20 μl injection volume. For experiments evaluating the effect of AM1241 on CAP-induced nocifensive behavior, the plantar surface of the right hindpaw of the animal was injected with vehicle or AM1241 (40 μg) in 15 μl injection volume. The animals were then injected with CAP (0.5 μg) in 10 μl injection volume. The time spent by the animal demonstrating grooming and flinching of the injected hindpaw over a 5 min period was collected as a measure of nocifensive behavior (Caterina et al., 2000; Bautista et al., 2006; Kwan et al., 2006).
For experiments evaluating the peripheral action of cannabinoids, the contralateral hindpaw of mice was injected with 20 μl of either vehicle or a cannabinoid, whereas the ipsilateral paw was injected with 20 μl of vehicle, and then (after 15 min) with CAP (0.5 μg). For experiments evaluating the peripheral action of AM1241, the contralateral hindpaw of mice was injected with 15 μl of either vehicle or AM1241 (40 μg), whereas the ipsilateral paw was injected with 15 μl of vehicle, and then (after 15 min) the ipsilateral paw was injected with 10 μl of CAP (0.5 μg).
Data analysis.
For statistical analysis, GraphPad Prism 4.0 (GraphPad, San Diego, CA) was used. The data in the figures are given as mean ± SEM, with the value of n referring to the number of analyzed cells or trials for each group. All experiments were performed at least in triplicate. The significant difference between groups was assessed by one-way ANOVA with Dunnett's multiple-comparison post hoc test. Two conditions were compared using paired or unpaired t test. A difference was accepted as significant when p < 0.05, < 0.01, or < 0.001 and are identified by *, **, and ***, respectively.
Results
WIN and AM1241 inhibit capsaicin and mustard oil responses in TG neurons
A CB1/CB2 dual agonist WIN and a CB2 agonist AM1241 (Ibrahim et al., 2003) were used in the studies because they belong to the family of aminoalkylindole cannabinoids and produce potent peripheral antihyperalgesia in peripheral pain models (Johanek et al., 2001; Malan et al., 2003; Nackley et al., 2003). In a set of experiments, the CB1 agonist ACEA was used as a prototypical TRPV1-activating cannabinoid for comparative purposes (Price et al., 2004a). Because TRPV1 and TRPA1 play a key role in peripheral mechanisms of tissue damage-induced hyperalgesia (Caterina et al., 2000; Obata et al., 2005; Bautista et al., 2006; Kwan et al., 2006), we investigated whether WIN and AM1241 modulated CAP (a TRPV1-specific agonist) (Caterina et al., 1997) and mustard oil (MO) (a TRPA1-specific agonist) (Bandell et al., 2004; Jordt et al., 2004; Bautista et al., 2006) responses in TG neurons.
Perforated-patch voltage-clamp recording of CAP-activated currents (ICAP) from cannabinoid- versus vehicle-treated neurons were compared with avoid interference from progressive reduction of ICAP amplitudes (i.e., tachyphylaxis) caused by successive application of CAP (Koplas et al., 1997). The application of WIN (25 μm) or AM1241 (30 μm) generated responses in 70–80% of CAP-responsive small- to medium-sized neurons (15–40 μm). In neurons responsive to pretreatment with either WIN or AM1241 and subsequent CAP application, an inhibition of ICAP by 45 and 30% was detected (Fig. 1A,C). In contrast, the remaining 20–30% of capsaicin-responsive neurons did not respond to pretreatment with either WIN or AM1241; in this subgroup of cells, there was no detectable change in ICAP by the cannabinoids. In addition, pretreatment with either CAP (0.5 μm) or the TRPV1-specific agonist ACEA (25 μm) (Price et al., 2004a) attenuated subsequent ICAP by ≈50% in nearly all CAP-responsive neurons (Fig. 1A,C). We next tested whether AM1241 and ACEA, like WIN (Patwardhan et al., 2006a), inhibit ICAP in a concentration-dependent manner. Treatment of neurons with the cannabinoids demonstrated that the threshold concentrations for WIN, AM1241, and ACEA to achieve statistically significant inhibition of ICAP were 5, 30, and 10 μm, respectively (Fig. 1B). The IC50 values for WIN, AM1241, and ACEA obtained by fitting with the Hill's equation were 1.1, 6.5, and 1.27 μm, respectively. However, these IC50 values did not generate statistically significant inhibition. In addition to the attenuation of the magnitude of ICAP, the cannabinoids also altered the kinetics of ICAP (Fig. 1C); approximately a fourfold increase in the duration of the 5–95% rise time for ICAP was observed in neurons pretreated with 25–30 μm of the cannabinoids (7.41 ± 1.25 s, n = 16, vs 27.41 ± 1.81 s, n = 42; t test, p < 0.0001). A similar change in ICAP kinetics during capsaicin-induced tachyphylaxis has been reported (Piper et al., 1999). Together, these results demonstrate that pretreatment of sensory neurons with WIN (Patwardhan et al., 2006a) and other cannabinoids dose-dependently inhibit ICAP magnitude and alter the kinetics of ICAP.
Experiments evaluating desensitization of MO-gated currents (IMO) by the cannabinoids were conducted in a same manner. Like ICAP tachyphylaxis in the previous set of the experiments, IMO tachyphylaxis was used as positive control (Brand and Jacquot, 2002; Jacquot et al., 2005; Akopian et al., 2007; Ruparel et al., 2008). IMO was detected in 67% (51 of 76) of small- to medium-sized neurons. A wide cell-to-cell variation in the size of IMO and extent of IMO tachyphylaxis was observed in individual neurons (Fig. 2B). Pretreatment with WIN, AM1241, and ACEA (25–30 μm) reduced the subsequent IMO by 60, 41, and 47%, respectively; the magnitude of these inhibitory effects are comparable with the magnitude of IMO tachyphylaxis (Fig. 2A). However, IMO tachyphylaxis was not apparent in 26.7% (4 of 15) of MO-responsive neurons (Akopian et al., 2007). Similarly, in ≈30% of neurons responsive to either WIN, AM1241, or ACEA, there was no apparent reduction in subsequent IMO magnitude. It is also worth noting that a subset of ACEA-responsive neurons (8 of 24 ACEA-sensitive) did not reveal IMO above noise. Therefore, only neurons that displayed detectable IMO after ACEA pretreatment (i.e., 16 of 24 ACEA-sensitive) were used for additional analysis (Fig. 2A). Lower (i.e., <25 μm) concentrations of the cannabinoids did not induce a statistically significant IMO inhibition, although 10 μm WIN and ACEA showed a trend in IMO suppression (data not shown). Unlike cannabinoid-induced changes in ICAP kinetics, there was no significant difference in the 5–95% rise time of IMO after MO or cannabinoid versus vehicle pretreatment (vehicle treatment, 42.6 ± 8.5 s, n = 16, vs MO/cannabinoid treatment, 45.1 ± 5.2 s, n = 51). Together, our data suggest that the cannabinoid agonists WIN (>5 or 25 μm for IMO) and AM1241 (>30 μm) as well as TRPV1-gating ACEA (>10 or 25 μm for IMO) are able to desensitize/inhibit ICAP and IMO in a concentration-dependent manner in a subset of TG neurons.
WIN and AM1241 activate nonselective Ca2+-permeable channels in TG neurons
We recently demonstrated that inhibition of ICAP by WIN in rat TG sensory neurons was independent of G-protein-coupled receptors, occurred at low micromolar concentrations of WIN (Figs. 1, 2), and was Ca2+ dependent (Patwardhan et al., 2006a). Moreover, the inhibitory concentrations of WIN, AM1241, and ACEA exceed those concentrations required to fully activate metabotropic cannabinoid receptors such as CB1 and CB2 (Malan et al., 2001; Piomelli, 2003). Importantly, the attenuation of ICAP and IMO required activation (i.e., inward current generation) of TG neurons by WIN, AM1241, and ACEA treatments (Figs. 1C, 2B). Therefore, to understand the potential molecular mechanisms of the cannabinoid-induced inhibition of ICAP and IMO in sensory neurons, we sought to characterize the basic properties of WIN and AM1241 responses in TG neurons.
We first used calcium imaging to investigate TG neurons responding to WIN and AM1241 applications. Figure 3A shows that treatment of neurons with inhibitory concentrations of WIN and AM1241 (i.e., 25–30 μm) (Figs. 1A, 2A) evoked a robust accumulation of [Ca2+]i in ∼40–45% of tested neurons. In comparison, MO- and CAP-evoked increases in [Ca2+]i were detected in 49 and 61% of analyzed neurons, respectively (Fig. 3A). WIN and AM1241 responses extensively (75%) coincided in the same neuronal population (Fig. 3B), although occasional AM1241-positive/WIN-negative neurons and vice versa were observed. The subset of AM1241-positive/WIN-negative neurons are primarily large diameter (>50 μm) neurons.
Next, we used whole-cell voltage-clamp recording to characterize the basic properties of WIN- and AM1241-gated currents (IWIN and IAM1241) in TG neurons and to compare them with IACEA features. The application of either agonist at the indicated concentrations (Fig. 3C,D) elicited inward currents in subsets of small- to medium-sized neurons [overall, 143 of 243 (59%) for WIN and 58 of 106 (55%) for AM1241]. In some experiments, recordings were performed with a K-gluconate pipette solution and the results indicated that the IWIN and IAM1241 are cation-selective (data not shown). The generation of IWIN and IAM1241 was restricted to CAP-sensitive neurons. Moreover, ∼80% of tested neurons producing ICAP also generated IWIN or IAM1241. The exposure of neurons to WIN, AM1241, and ACEA produced concentration-dependent current responses that were fitted with the Hill equation. The analysis yielded the following parameters: EC50 (in micromolar concentration) and h for WIN (18; 1.7), AM1241 (48; 1.65), and ACEA (12; 2.0). Maximal currents (Imax) were 365.9 ± 90.9 pA (n = 15) for WIN (50 μm), 347.7 ± 81.9 pA (n = 28) for AM1241 (60 μm), and 1137 ± 215.8 pA (n = 9) for ACEA (100 μm) (Fig. 3D). Figures 1C, 2B, 3C, and 7, B–D, indicate that IWIN and IAM1241 displayed complicated kinetics that neither fitted with exponential functions, nor demonstrated uniform activation curves. Thus, IWIN displayed a slow activation kinetic (5–95% rise time of 45.8 ± 3.0 s, n = 53) sometimes with a delayed rise and little-to-no acute desensitization in the majority of analyzed neurons, whereas IAM1241 tended to be faster as measured by both activating (15.6 ± 2.7 s, n = 24) and desensitizing time courses (Fig. 3C). We next examined current–voltage (I–V) relationships of IWIN and IAM1241 in sensory neurons. In physiological solution (i.e., SES), the I–V relationships for IWIN and IAM1241 exhibited a reversal potential close to 0 mV (Fig. 3E) and pronounced outward rectification with a ratio (I+60/I−60) of 12 for WIN and 11 for AM1241 (Fig. 3E). These rectification ratios were larger than the ratio of 3 observed for ACEA. Together, the presented results suggest that WIN and AM1241 likely activate a nonselective Ca2+-permeable cation channel.
WIN and AM1241 activate the TRPA1 channel and inhibit CAP and MO responses in a heterologous expression system
To identify the channels generating IWIN and IAM1241, we examined the responsiveness of various TRP channels expressed in CHO cells to WIN and AM1241. CHO cells expressing TRPV1, TRPV2, TRPV3, TRPV4, or TRPM8 were not activated by WIN, but responded to control stimuli such as CAP, 2-APB (2-aminoethoxydiphenyl borane), 4α-PDD (4α-phorbol 12,13-didecanoate), and icilin (supplemental Fig. 1A–C, available at www.jneurosci.org as supplemental material) (McKemy et al., 2002; Watanabe et al., 2002; Hu et al., 2004). Our recently published data demonstrated that WIN-induced dephosphorylation of TRPV1 could be mediated by the TRPA1 channel (Jeske et al., 2006). Therefore, we applied WIN and AM1241 to CHO cells expressing the TRPA1 channel, which has been originally reported as a mechano/cold-gated channel (Story et al., 2003; Bandell et al., 2004; Corey et al., 2004). Figure 4 illustrates that WIN and AM1241, but not ACEA, activate TRPA1-expressing CHO cells, whereas untransfected, vector- (i.e., pcDNA5/FRT), green fluorescent protein- (GFP), or TRPV1-transfected CHO cells showed no appreciable currents.
Overall, WIN (25 μm) and AM1241 (30 μm) generated a similar magnitude of current in sensory neurons (IWIN= −290.1 ± 50.62 pA, n = 28; IAM1241= −189.1 ± 34.29 pA, n = 30 vs NS). However, in TRPA1-expressing CHO cells, IWIN was 10-fold larger than IAM1241 (IWIN = 76.3 ± 8.5 pA/pF, n = 17, vs IAM1241 = 7.33 ± 1.2 pA/pF, n = 14; t test, p < 0.0001) (Fig. 4). Because TRPA1 expression is exclusively restricted to a subset of TRPV1-positive neurons (Jordt et al., 2004; Kobayashi et al., 2005; Obata et al., 2005; Diogenes et al., 2007) and NGF (100 ng/ml) treatment of sensory neurons results in a substantial increase in TRPA1-positive neurons within a TRPV1-expressing subset (Diogenes et al., 2007), we characterized IWIN and IAM1241 in TRPA1–TRPV1-coexpressing CHO cells. In these cells, the similarity in the magnitude of IWIN and IAM1241 observed in sensory neurons was restored (IWIN = 17.4 ± 2.6 pA/pF, n = 15, vs IAM1241 = 12.1 ± 4.7 pA/pF, n = 12) (Fig. 4). This unique selectivity of AM1241 is consistent with the hypothesis that TRPA1 and TRPV1 may interact in sensory neurons (McMahon and Wood, 2006; Akopian et al., 2007). Together, our data indicate that WIN and AM1241 are able to activate TRPA1, and that optimal current activation by AM1241, similar in magnitude to that observed in sensory neurons, was only observed in CHO cells cotransfected with TRPA1 and TRPV1.
We next evaluated whether the attenuation of ICAP and IMO induced by application of WIN, AM1241, and ACEA could be reproduced in the heterologous expression system. All tested cannabinoids significantly inhibited both ICAP and IMO in CHO cells transfected with both TRPA1 and TRPV1 (Fig. 5A,C). The positive controls consisted of CAP- and MO-induced tachyphylaxis in these experiments (Koplas et al., 1997; Akopian et al., 2007; Ruparel et al., 2008). To further demonstrate the involvement of the TRPA1 channel in cannabinoid inhibition of ICAP and IMO, the modulation of CAP and MO responses were studied in the TRPV1 or TRPA1 expression systems, respectively. Figure 5B shows that only the TRPV1-gating cannabinoid agonist ACEA, but not WIN and AM1241, attenuated ICAP in CHO cells containing TRPV1. In contrast, in TRPA1-expressing CHO cells, only WIN and the control stimulus MO exerted a profound inhibition of IMO (Fig. 5C). The application of AM1241 (30 μm), like ACEA, did not produce a substantial inhibition of IMO in TRPA1-expressing system (Fig. 5C). This effect could be attributable to the small magnitude of IAM1241 developed in the TRPA1-expressing system (Fig. 4). Together, our results suggest that, at least in the heterologous expression systems, WIN-induced inhibition of ICAP and IMO require the expression of TRPA1. In addition, the effective AM1241-triggered attenuation of these currents can be achieved only in CHO cells coexpressing both TRPA1 and TRPV1.
WIN and AM1241 inhibitory effects on ICAP in the sensory neurons are mediated via the TRPA1 channel
Although the results presented demonstrate that TRPA1 is essential for the attenuation of ICAP by WIN and AM1241 in the heterologous expression system, it does not establish a similar role of the TRPA1 channel in sensory neurons. To address this question, we used the siRNA approach to functionally silence TRPA1 in the sensory neurons (Hannon and Rossi, 2004; Juliano et al., 2005). We evaluated siRNA against TRPA1 using controls including negative siRNA control [scrambled no. 1 siRNA from Ambion and ADr siRNA against the Drosophila homolog of TRPA1 (Rosenzweig et al., 2005)], target specificity evaluation, multiple active siRNAs, and low siRNA concentrations (Jeske et al., 2006).
We first observed that the HiPerFect reagent neither significantly modified CAP nor MO responses in TG neurons (Fig. 6A,B) nor changed TRPA1 protein level (Jeske et al., 2006). Then, different siRNAs against TRPA1 were evaluated for their ability to suppress TRPA1 function (i.e., MO response) in TG neurons. Figure 6A illustrates that all three siRNAs against TRPA1 significantly inhibited MO responses and that ALab was the most effective silencer of TRPA1 function. Moreover, the efficiency of ALab in TRPA1 silencing (≈90%) was especially apparent when only data from transfected neurons were taken into account (Fig. 6A; bar ALab-Transf, transfected neurons identified by Alexa Fluor 488-coupled siRNA). The negative control siRNAs (ADr and scrambled no. 1) did not significantly alter MO responses. In addition, ALab as well as ADr siRNA did not impair CAP responses in TG neurons (i.e., target specificity control) (Fig. 6B,G). Finally, in our previous publication, we evaluated the ability of ALab to attenuate TRPA1 protein production using a verified and affinity-purified anti-TRPA1 antisera (Jeske et al., 2006). In addition, control siRNAs (i.e., scrambled no. 1 and ADr) did not affect either TRPA1 or TRPV1 expression (Jeske et al., 2006).
The verified ALab and ADr (as a negative control) siRNAs were next used to examine the potential role of TRPA1 in mediating WIN and AM1241 responses in TG neurons. Transfected neurons were processed for calcium imaging (Fig. 6G). The ALab siRNA was equally effective (by 80–90%) in knocking down WIN- and MO-evoked [Ca2+]i accumulation in TG neurons (Fig. 6A,D). However, pretreatment with ALab siRNA only partially blocked AM1241-induced responses in TG neurons (Fig. 6C). Interestingly, a portion of transfected large-diameter neurons still exhibited substantial AM1241-trrigered Ca2+ influx. In contrast, AM1241 generated Ca2+ influx was nearly abolished in transfected small- to medium-diameter neurons, although a small subset (≈20%) continued to exhibit a slight [Ca2+]i accumulation (50–150 nm). In addition, ALab transfected TG neurons very rarely (<10%) exhibited any WIN-activated rise in [Ca2+]i. To confirm these data, we tested MO- and WIN-induced accumulation of [Ca2+]i in sensory neurons from wild-type and TRPA1 null-mutant mice (Kwan et al., 2006). In agreement with published data (Bautista et al., 2006), MO (50 μm) responses were not detected in sensory neurons from TRPA1 null-mutant mice, whereas CAP (50 nm) was still able to induce accumulation of [Ca2+]i in both wild-type and TRPA1 KO mouse sensory neurons (Fig. 6E). We next used sensory neurons from wild-type and TRPA1 null-mutant mice to examine WIN-triggered responses. Figure 6F demonstrate that only 1 cell of 80 revealed a WIN response above background (120 nm accumulation in [Ca2+]i). Together, our results indicate that WIN responses in sensory neurons are specifically and exclusively mediated by the TRPA1 channel. In addition, the TRPA1 channel also contributes to AM1241-evoked responses in small-diameter, but not large-diameter, sensory neurons.
Because TRPA1 mediates WIN- and AM1241-induced increases in [Ca2+]i within small- to medium-diameter TG neurons, we used the siRNA-based knockdown of TRPA1 to evaluate whether this channel contributes to WIN- and AM1241-induced inhibition of ICAP in TG neurons. Because recordings of ICAP were performed within 72 h after transfection, we performed characterization of the longevity of functional TRPA1 suppression (Jeske et al., 2006). Although the effects of siRNA were slightly diminished (by 10–20%) at 72 h after transfection, a significant inhibition of TRPA1 function persists under these conditions (Jeske et al., 2006). Perforated-patch ICAP recordings of vehicle-, CAP-, WIN-, or AM1241-treated neurons were obtained from mock, ADr, or ALab siRNA transfected neurons at 48–72 h after transfection. In neurons exposed to no-siRNA (i.e., mock) or ADr, the application of WIN, AM1241, and CAP (as a positive control) produced a substantial inhibition of ICAP (Fig. 7A–C). Moreover, IWIN (25 μm) magnitudes were 306.4 ± 86.3 pA (n = 15) in mock- and 317.6 ± 108.6 pA (n = 12) in ADr-transfected neurons (Fig. 7B,C). In contrast, neurons in which ALab labeling was detected exhibited a ≈90% reduction in IWIN (29.6 ± 5.5 pA in 6 of 22 neurons), with no current detected in 16 of 22 recorded neurons (Fig. 7D, top panel). IAM1241 silencing in ALab transfected neurons was also substantial (≈60%), but not as pronounced as for IWIN (Fig. 7D, bottom panel). Importantly, neither AM1241 nor WIN attenuated ICAP magnitudes in ALab-siRNA transfected TG neurons, whereas CAP still produced a substantial tachyphylaxis (Fig. 7A,D). Collectively, these data demonstrate that TRPA1 mediates WIN-evoked [Ca2+]i accumulation and IWIN generation in TG neurons; TRPA1 partially conducts AM1241 responses in TG neurons; and the TRPA1 channel is critically required for WIN- and AM1241-induced inhibition/desensitization of ICAP in adult rat TG neurons.
Peripheral doses of AM1241 and WIN attenuate capsaicin-induced nociception in wild-type, but not in TRPA1 null-mutant mice
Selective and specific antagonists for the TRPA1 channel have not been developed. Therefore, to evaluate the in vivo relevance of the proposed mechanism, we performed a set of in vivo nocifensive behavioral assays in wild-type (WT) and TRPA1 knock-out mice (TRPA1 KO). Because peripheral effects of WIN and AM1241 have not been studied in B6129P1/F2J mice, we first evaluated doses of cannabinoids capable of producing peripherally restricted inhibition of capsaicin responses in B6129P1/F2J (Fig. 8A–C) as well as C57BL/6J mice (supplemental Fig. 2, available at www.jneurosci.org as supplemental material) that have been used for generation of CB1 and CB2 KO mouse lines. Grooming and flinching of the injected paw for the first 5 min was collected as a measure of nocifensive behavior (Caterina et al., 2000; Bautista et al., 2006; Kwan et al., 2006). To evaluate the site of action, either vehicle or the given concentration of cannabinoids were injected into the contralateral hindpaw, and CAP (0.5 μg) was injected into the ipsilateral hindpaw. In the WT animals, the injection of 2.5 μg of WIN produced a peripherally restricted antinocifensive effect, whereas doubling the dose to 5 μg produced a systemically mediated antinocifensive effect (Fig. 8A,B,D,E). This dose of WIN (2.5 μg) also produced peripherally restricted effects in C57BL/6J mice (supplemental Fig. 2C, available at www.jneurosci.org as supplemental material). The same types of experiments revealed that 40 μg of AM1241, but not 60 μg (data not shown), evokes peripherally mediated antinocifensive effects in both B6129P1/F2J (Fig. 8C,F) and C57BL/6J mice (supplemental Fig. 2A, available at www.jneurosci.org as supplemental material). These control experiments provide a unique opportunity to determine the role of TRPA1 in peripheral versus systemic antinocifensive actions of cannabinoids.
Using this approach, we next evaluated the peripheral WIN inhibition of CAP-induced nocifensive behavior in WT versus TRPA1 KO mice. Centrally mediated WIN (5 μg) inhibition of CAP-induced nocifensive behavior was not affected in TRPA1 null-mutant mice (Fig. 8D). However, as shown in Figure 8E, a peripherally restricted WIN dose (2.5 μg) significantly inhibited CAP-induced nocifensive behavior by 33% in WT mice, but was completely abolished in TRPA1 KO mice. These findings demonstrate that TRPA1 is required for mediating the peripheral, but not central, mechanism of WIN-induced antinocifensive effects. Because AM1241 also suppresses CAP responses in sensory neurons via activation of the TRPA1 channel, we next examined the effects of AM1241 on CAP-induced nocifensive behavior in WT and TRPA1 KO mice. The hindpaws of WT as well as TRPA1KO mice were treated locally with either vehicle or a peripherally restricted dose of AM1241. The injection of AM1241 at a peripherally restricted dose (40 μg) (Fig. 8C) significantly inhibited CAP-induced nocifensive behavior by 35% in WT mice and this effect was abolished in TRPA1 KO mice (Fig. 8F). These results show that the peripheral antinocifensive effects of AM1241 are mediated via TRPA1.
Discussion
TRPA1 mediates WIN and AM1241 inhibitory actions in sensory neurons
The main result of the present study is the finding that certain cannabinoids such as WIN and AM1241 inhibit the responses of TG neurons to noxious chemical stimuli (CAP and MO) via activation of the TRPA1 channel in sensory neurons. Moreover, the TRPA1 channel mediates the peripheral mechanism of cannabinoid inhibition of CAP-induced nocifensive responses.
Using the heterologous expression system and the siRNA-based knockdown approach, we demonstrated the involvement of TRPA1 in mediating WIN and AM1241 responses in sensory neurons. The treatment of TG neurons with TRPA1-specific siRNA blocked the WIN-evoked rise in [Ca2+]i and inward currents as effectively as it inhibited MO responses in TG neurons, which are exclusively transmitted by the TRPA1 channel (Bautista et al., 2006). In contrast, silencing TRPA1 function only reduced AM1241 responses in a subset of sensory neurons. Another interesting property of AM1241 is that, unlike WIN, it activates much more effectively cells containing a mix of TRPA1 and TRPV1 rather than TRPA1 alone. In summary, these results are consistent with the hypothesis that WIN activates sensory neurons via the TRPA1 channel, whereas AM1241 responses in TG neurons are mediated by both TRPA1 and other unknown channels/receptors.
The TRPA1 channel belongs to the family of receptor-operated channels (Clapham, 2003), because it can be activated by intracellular Ca2+ store depletion (Jordt et al., 2004) and/or gated directly by diacylglycerol (DAG) (Bandell et al., 2004). A recent report indicated that second-messenger signaling pathways could form a tenable link between WIN activity and increases in intracellular Ca2+ in hippocampus (Lauckner et al., 2005). Therefore, WIN and possibly AM1241 could activate TRPA1 indirectly via an induction of Gq/11-coupled receptor(s) that in turn launch cellular cascades culminating in DAG production and/or internal Ca2+ store depletion leading to TRPA1 activation. However, WIN was not able to induce phospholipase C (PLC) activities in TG neurons, whereas 50% of the same neurons displayed PLC activation by the inflammatory mediator bradykinin that activates Gq/11-coupled cellular pathways (Jeske et al., 2006). Thus, these data do not support the hypothesis of an indirect activation of the TRPA1 channel by cannabinoids in sensory neurons.
In the present study, we also provided evidence that the TRPA1 channel plays a critical role in WIN- and AM1241-evoked attenuation of ICAP and IMO in TG neurons. Recent investigations showed that inhibition of ICAP by WIN was dependent on extracellular Ca2+ and a Ca2+/calcineurin-dependent signaling pathway (Patwardhan et al., 2006a), and that WIN treatment of sensory neurons triggered TRPV1 dephosphorylation (Jeske et al., 2006). Together with the presented data, we propose that WIN and AM1241 may engage a similar mechanism for inhibition of responses to certain noxious chemical stimuli (Koplas et al., 1997; Liu and Simon, 1998). Indeed, the desensitization of CAP responses is very sensitive to extracellular Ca2+ influx (Koplas et al., 1997; Numazaki et al., 2003). This could be a reason why a trend toward ICAP inhibition was observed at concentrations of WIN and AM1241 (2–10 μm) that are just sufficient to generate Ca2+ influx into TG neurons. One of the models proposed for the Ca2+-dependent mediation of ICAP tachyphylaxis posits the location of a TRPV1-desensitizing machinery in the vicinity of the channel pore (Numazaki et al., 2003; Jung et al., 2004). This model leads to the hypothesis that TRPA1 and TRPV1 may be located within distinct lipid microdomains or may heteromerize to share the same pore. Nevertheless, there is no evidence that this putative interaction is a critical step in achieving effective cannabinoid inhibition of CAP and especially MO responses. Indeed, the mechanisms of the WIN- and AM1241-induced inhibition of MO responses in sensory neurons are not clear. Moreover, IMO tachyphylaxis in sensory neurons could involve both Ca2+-dependent and Ca2+-independent pathways (Akopian et al., 2007; Ruparel et al., 2008).
Role of the TRPA1 channel in peripheral cannabinoid antihyperalgesia
There is an agreement that cannabinoids could produce peripherally mediated antihyperalgesic and antinociceptive effects via a variety of mechanisms (Richardson et al., 1998; Rice et al., 2002; Malan et al., 2003; Walker and Hohmann, 2005). Thus, despite the similar potent CB2 agonist properties of both WIN and AM1241, differences in their peripheral inhibitory actions have been reported (Johanek et al., 2001; Quartilho et al., 2003; Hohmann et al., 2004; Ibrahim et al., 2006). A diversity of hypothesized mechanisms has been proposed because cannabinoids could mediate their actions via different receptors (or channels) that are differentially activated in various pain models or by distinct experimental approaches (e.g., local vs systemic injection). In addition, cannabinoids can modulate sensory neurons as well as non-neuronal peripheral cells that play an important role in nociceptive signal transmission (Calignano et al., 2001; Maccarrone et al., 2003; Samson et al., 2003; Ibrahim et al., 2005).
Peripheral cannabinoid antihyperalgesic and antinociceptive effects could be observed by activation of several targets, including CB1 or CB2 receptors and TRPV1 or TRPA1 channels. Certain cannabinoids evoke their peripheral effects by inhibiting or activating non-neuronal cells surrounding peripheral sensory neuron terminals. Thus, activation of CB2 leads to inhibition of mast cells and reduction of neutrophil accumulation (Jaggar et al., 1998; Calignano et al., 2001). This in turn could lead to antihyperalgesia (Woolf et al., 1996; Perkins and Tracey, 2000). Stimulation of CB2 receptor by cannabinoids such as WIN and AM1241 can also result in activation of keratinocytes and release of opioids, which are capable of inhibiting sensory neurons (Ibrahim et al., 2005). Indeed, in CB2 null-mutant mice, AM1241- and WIN-evoked peripheral thermal antinociception is completely and partially reversed, respectively (Ibrahim et al., 2006). Our data presented in supplemental Figure 2, A and B (available at www.jneurosci.org as supplemental material), are in agreement with this finding. CAP-induced nociception was fully reversed in CB2 null-mutant mice by AM1241 (supplemental Fig. 2A, available at www.jneurosci.org as supplemental material), but not WIN (supplemental Fig. 2B, available at www.jneurosci.org as supplemental material). Together, there could be agreement that certain cannabinoids (such as AM1241) can produce peripheral antinociception and probably antihyperalgesia by activating CB2 receptor located on non-neuronal cells surrounding sensory neuron peripheral terminals.
The CB1 receptor is another possible target for peripheral effects of certain cannabinoids. However, unlike the CB2 receptor, there are contradicting data on possible CB1 mechanisms. Analysis of CB1 null-mutant mice indicates that WIN-evoked peripheral thermal antinociception could not be mediated by the CB1 receptor (Ibrahim et al., 2006). However, sensory neuron-specific ablation of CB1 receptor led to an 80% reversal of cannabinoid antihyperalgesia (including central effects) (Agarwal et al., 2007). Our data generated from analysis of CB1 null-mutant mice illustrate that WIN-stimulated CB1 receptor plays a role in the peripheral inhibition of CAP-induced nociception (supplemental Fig. 2C, available at www.jneurosci.org as supplemental material). However, we did not observe peripheral CB1-mediated effects as large as has been reported previously (Agarwal et al., 2007). In addition, there are still contradicting data on the site of cannabinoids actions that occur via activation of the CB1 receptor. Thus, a number of studies have demonstrated that CB1 has little-to-no coexpression with nociceptive markers such as the TRPV1 and CGRP in native rat DRGs (Hohmann and Herkenham, 1999; Bridges et al., 2003) and TGs (Price et al., 2003). In addition, the application of CP55,940, a dual CB1/CB2 agonist, inhibits the depolarization-evoked rise in intracellular Ca2+ ([Ca2+]i) primarily in non-nociceptive (i.e., large-diameter) neurons (Khasabova et al., 2002, 2004). Depolarization-evoked CGRP release from TG neurons has also not been attenuated by concentrations of WIN capable of activating CB1/CB2 (Price et al., 2004b). In addition, the WIN-evoked inhibition of CAP responses in sensory neurons could not be reversed by inhibition of G-protein pathways (Patwardhan et al., 2006a). It was reported that the CB1 receptor can have tonic inhibitory effects on CAP responses in sensory neurons (Agarwal et al., 2007). However, data from our observations and other groups indicate that this tonic inhibition is neither observed in conventional CB1-null mutant mice (supplemental Fig. 2C, available at www.jneurosci.org as supplemental material) (Ibrahim et al., 2006) nor relieved by CB1 antagonists (Johanek et al., 2001; Malan et al., 2001; Johanek and Simone, 2004).
In addition to the metabotropic CB1 and CB2 receptors, certain cannabinoids can also activate channels, namely TRPV1 and TRPA1 (Zygmunt et al., 1999; Huang et al., 2002; Jordt et al., 2004; Price et al., 2004a). The present study is built on a number of previous observations: First, activities of TRPV1 and TRPA1 channels can undergo pharmacological desensitization (Docherty et al., 1996; Koplas et al., 1997; Story et al., 2003; Akopian et al., 2007; Ruparel et al., 2008). Therefore, the activation of TRPV1 or TRPA1 by cannabinoids could lead to inhibition of TRPV1 or TRPA1, respectively. Thus, the role of TRPV1 in cannabinoid-induced peripheral effects has been demonstrated (Price et al., 2004a; Sagar et al., 2004). Second, cross-desensitization between the TRPA1 and TRPV1 channels has been extensively characterized, and mechanisms underlying an interaction between these channels have been proposed (Brand and Jacquot, 2002; Jacquot et al., 2005; Akopian et al., 2007; Ruparel et al., 2008). Third, TRPA1 and TRPV1 are extensively colocalized in sensory neurons (Story et al., 2003; Obata et al., 2005; Diogenes et al., 2007). Finally, cannabinoid inhibition of CAP responses in sensory neurons is Ca2+/calcineurin dependent and G-protein independent (Patwardhan et al., 2006a). Together, these observations have led to the hypothesis that certain cannabinoids can fulfill peripheral inhibitory effects by activating TRPA1 (or TRPV1) channel in sensory neurons. Herein, we provide strong evidence that the TRPA1 channel is involved in the antinociceptive effects of WIN and AM1241. Peripherally restricted dosages of AM1241 and WIN inhibited CAP-induced nociception in WT mice, but not in TRPA1 KO littermates. Our data also demonstrate that the TRPA1 pathway is as effective as the CB1 and CB2 pathways in mediating peripheral cannabinoid effects in certain pain models (Fig. 8; supplemental Fig. 2, available at www.jneurosci.org as supplemental material). The relative contributions of these pathways in a broad range of pain models have not been studied as yet. However, differences in inhibitory efficacy could be expected for different cannabinoids. Thus, TRPA1 may not mediate (6aR,10aR)-trans-3-(1,1′-dimethylheptyl)-6a,7,10,10a-tetrahydro-1-hydroxy-6,6-dimethyl-6H-dibenzo[b,d]pyran-9-methanol (HU210)- and CP55,940-induced peripheral antihyperalgesia (Ralevic and Kendall, 2001; Ellington et al., 2002), because the channel is not gated by HU210 or CP55,940 (Jordt et al., 2004). WIN- and AM1241-induced peripheral antihyperalgesia were also documented in certain pain models in which the functions of TRPA1 and TRPV1 are not clear (Caterina et al., 2000; Malan et al., 2001; Ibrahim et al., 2003; Bolcskei et al., 2005; Katsura et al., 2006). Finally, the roles of these channels in thermal, cold, and mechanical nociception in acute pain models have been debated (Woodbury et al., 2004; Bautista et al., 2006). Together, it could be proposed that cannabinoids produce peripheral inhibition by activating CB1 and/or CB2 located on peripheral non-neuronal cells and/or by activating the TRPA1 and TRPV1 channels located on sensory neurons. Cooperation between CB1 or CB2 and TRPA1 pathways in peripheral cannabinoid antihyperalgesia and antinociception may also occur in some pain models.
In summary, the presented data support the hypothesis that TRPA1 is involved in peripherally mediated cannabinoid inhibition of CAP activities in sensory neurons. One important conclusion from this study is that, although cannabinoids differ in their activations of various receptors, they could exert inhibitory effects by acting through common ion channels. Therefore, it is conceivable that partial, TRPA1-specific agonists could constitute a novel class of peripherally selective analgesics without a variety of side effects of conventional cannabinoids.
Footnotes
This work was supported by National Institutes of Health (NIH)–National Institute of Dental and Craniofacial Research Grant DE014928 (A.N.A.) and NIH–National Institute on Drug Abuse Grant DA19585 (K.M.H.). We acknowledge Dr. Xiaoling Sun and Gabriela Helesic for technical assistance with the experiments. We thank Dr. Kevin Kwan and Dr. David Corey (Harvard University, Boston, MA) for providing TRPA1 null-mutant mice; Dr. Andrea Giuffrida (University of Texas Health Science Center at San Antonio, San Antonio, TX) for kindly gifting CB1 null-mutant mice; Dr. David Julius (University of California at San Francisco, San Francisco, CA) for kindly gifting rTRPV1 cDNA; Dr. Ardem Patapoutian (The Scripps Research Institute, San Diego, CA) for providing TRPA1, TRPV2-TRPV4, and TRPM8 cDNAs; and Dr. Alexandros Makriyannis (University of Connecticut, Storrs, CT) for providing the cannabinoid AM1241.
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