Affective and cognitive processing of nociception contributes to the development of
chronic pain and vice versa,
pain may precipitate psychopathologic symptoms. We hypothesized a higher risk for the latter with immanent neurologic diseases and studied this potential interrelationship in
progranulin-deficient mice, which are a model for
frontotemporal dementia, a disease dominated by behavioral abnormalities in humans. Young naïve
progranulin deficient mice behaved normal in tests of short-term memory, anxiety, depression and nociception, but after
peripheral nerve injury, they showed attention-deficit and depression-like behavior, over-activity, loss of shelter-seeking, reduced impulse control and compulsive feeding behavior, which did not occur in equally injured controls. Hence, only the interaction of '
pain x
progranulin deficiency' resulted in the complex phenotype at young age, but neither
pain nor
progranulin deficiency alone. A deep
proteome analysis of the prefrontal cortex and olfactory bulb revealed
progranulin-dependent alterations of
proteins involved in synaptic transport, including
neurotransmitter transporters of the solute carrier superfamily. In particular,
progranulin deficiency was associated with a deficiency of nuclear and synaptic
zinc transporters (ZnT9/Slc30a9; ZnT3/Slc30a3) with low plasma
zinc. Dietary
zinc supplementation partly normalized the attention deficit of
progranulin-deficient mice, which was in part reminiscent of
autism-like and compulsive behavior of synaptic
zinc transporter Znt3-knockout mice. Hence, the molecular studies point to defective
zinc transport possibly contributing to
progranulin-deficiency-associated psychopathology. Translated to humans, our data suggest that
neuropathic pain may precipitate cognitive and psychopathological symptoms of an inherent, still silent
neurodegenerative disease.