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A role for adrenomedullin as a pain-related peptide in the rat.

Abstract
Adrenomedullin (AM) belongs to the calcitonin gene-related peptide (CGRP) family and is a well known potent vasodilator. We show here that AM is a powerful pain-inducing neuropeptide. AM-like immunoreactivity is widely distributed in both CGRP-containing and lectin IB4-binding nociceptors in dorsal root ganglion and axon terminals in the superficial dorsal horn of the rat spinal cord. Specific binding sites for the radioligand, [(125)I]AM13-52 as well as immunoreactivity for receptor markers such as the calcitonin receptor-like receptor and three receptor-activity-modifying proteins are localized in the superficial dorsal horn, demonstrating the existence of AM/CGRP receptors in this region. Intrathecal injection of rat AM1-50, dose- and time-dependently, induced long-lasting heat hyperalgesia and increased the phosphorylation of Akt and GSK3beta in the dorsal horn. Pre- and posttreatments with the AM receptor antagonist AM22-52 and PI3 kinase inhibitors (LY294002 and Wortmannin) significantly blocked or reversed AM-induced heat hyperalgesia. Pre- and posttreatments with AM22-52 and Wortmannin also significantly blocked or reversed intraplantar capsaicin-induced heat hyperalgesia. Taken together, our results demonstrate that AM acts as a pain-inducing peptide in the dorsal horn. By activating specific receptors (likely AM2) and the PI3K/Akt/GSK3beta signaling pathway, AM could play a significant role in long-lasting heat hypersensitivity and inflammatory heat hyperalgesia.
AuthorsWeiya Ma, Jean-Guy Chabot, Remi Quirion
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 103 Issue 43 Pg. 16027-32 (Oct 24 2006) ISSN: 0027-8424 [Print] United States
PMID17043245 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Intracellular Signaling Peptides and Proteins
  • Membrane Proteins
  • Receptor Activity-Modifying Proteins
  • Receptors, Adrenomedullin
  • Receptors, Peptide
  • Adrenomedullin
  • Phosphotransferases
  • Calcitonin Gene-Related Peptide
  • Capsaicin
Topics
  • Adrenomedullin (administration & dosage, immunology, metabolism, pharmacology)
  • Animals
  • Behavior, Animal (drug effects)
  • Binding Sites
  • Calcitonin Gene-Related Peptide (metabolism)
  • Capsaicin (pharmacology)
  • Enzyme Activation (drug effects)
  • Ganglia, Spinal (metabolism)
  • Inflammation (chemically induced, metabolism)
  • Injections, Spinal
  • Intracellular Signaling Peptides and Proteins (metabolism)
  • Male
  • Membrane Proteins (metabolism)
  • Nociceptors (metabolism)
  • Pain (chemically induced, metabolism)
  • Phosphotransferases (metabolism)
  • Rats
  • Rats, Sprague-Dawley
  • Receptor Activity-Modifying Proteins
  • Receptors, Adrenomedullin
  • Receptors, Peptide (metabolism)
  • Signal Transduction

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