Serotonergic mechanisms of trigeminal meningeal nociception: Implications for migraine pain

Serotonergic mechanisms play a central role in migraine pathology. However, the region-specific effects of serotonin (5-HT) mediated via multiple types of receptors in the nociceptive system are poorly understood. Using extracellular and patch-clamp recordings, we studied the action of 5-HT on the e...

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Veröffentlicht in:Neuropharmacology 2017-04, Vol.116, p.160-173
Hauptverfasser: Kilinc, Erkan, Guerrero-Toro, Cindy, Zakharov, Andrey, Vitale, Carmela, Gubert-Olive, Max, Koroleva, Ksenia, Timonina, Arina, Luz, Liliana L., Shelukhina, Irina, Giniatullina, Raisa, Tore, Fatma, Safronov, Boris V., Giniatullin, Rashid
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container_start_page 160
container_title Neuropharmacology
container_volume 116
creator Kilinc, Erkan
Guerrero-Toro, Cindy
Zakharov, Andrey
Vitale, Carmela
Gubert-Olive, Max
Koroleva, Ksenia
Timonina, Arina
Luz, Liliana L.
Shelukhina, Irina
Giniatullina, Raisa
Tore, Fatma
Safronov, Boris V.
Giniatullin, Rashid
description Serotonergic mechanisms play a central role in migraine pathology. However, the region-specific effects of serotonin (5-HT) mediated via multiple types of receptors in the nociceptive system are poorly understood. Using extracellular and patch-clamp recordings, we studied the action of 5-HT on the excitability of peripheral and central terminals of trigeminal afferents. 5-HT evoked long-lasting TTX-sensitive firing in the peripheral terminals of meningeal afferents, the origin site of migraine pain. Cluster analysis revealed that in majority of nociceptive fibers 5-HT induced either transient or persistent spiking activity with prevailing delta and theta rhythms. The 5-HT3-receptor antagonist MDL-72222 or 5-HT1B/D-receptor antagonist GR127935 largely reduced, but their combination completely prevented the excitatory pro-nociceptive action of 5-HT. The 5-HT3 agonist mCPBG activated spikes in MDL-72222-dependent manner but the 5HT-1 receptor agonist sumatriptan did not affect the nociceptive firing. 5-HT also triggered peripheral CGRP release in meninges, which was blocked by MDL-72222.5-HT evoked fast membrane currents and Ca2+ transients in a fraction of trigeminal neurons. Immunohistochemistry showed expression of 5-HT3A receptors in fibers innervating meninges. Endogenous release of 5-HT from degranulated mast cells increased nociceptive firing. Low pH but not histamine strongly activated firing. 5-HT reduced monosynaptic inputs from trigeminal Aδ- and C-afferents to the upper cervical lamina I neurons and this effect was blocked by MDL-72222. Consistent with central inhibitory effect, 5-HT reduced CGRP release in the brainstem slices. In conclusion, 5-HT evokes powerful pro-nociceptive peripheral and anti-nociceptive central effects in trigeminal system transmitting migraine pain. •5-HT induced a robust nociceptive activity in peripheral nerve terminals in meninges.•5-HT3 receptors contributed to pro-nociceptive action 5-HT and CGRP release.•Cluster analysis revealed fibers with remarkably long-lasting firing activity.•In contrast to periphery, 5-HT inhibited central nerve terminals of nociceptors.
doi_str_mv 10.1016/j.neuropharm.2016.12.024
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However, the region-specific effects of serotonin (5-HT) mediated via multiple types of receptors in the nociceptive system are poorly understood. Using extracellular and patch-clamp recordings, we studied the action of 5-HT on the excitability of peripheral and central terminals of trigeminal afferents. 5-HT evoked long-lasting TTX-sensitive firing in the peripheral terminals of meningeal afferents, the origin site of migraine pain. Cluster analysis revealed that in majority of nociceptive fibers 5-HT induced either transient or persistent spiking activity with prevailing delta and theta rhythms. The 5-HT3-receptor antagonist MDL-72222 or 5-HT1B/D-receptor antagonist GR127935 largely reduced, but their combination completely prevented the excitatory pro-nociceptive action of 5-HT. The 5-HT3 agonist mCPBG activated spikes in MDL-72222-dependent manner but the 5HT-1 receptor agonist sumatriptan did not affect the nociceptive firing. 5-HT also triggered peripheral CGRP release in meninges, which was blocked by MDL-72222.5-HT evoked fast membrane currents and Ca2+ transients in a fraction of trigeminal neurons. Immunohistochemistry showed expression of 5-HT3A receptors in fibers innervating meninges. Endogenous release of 5-HT from degranulated mast cells increased nociceptive firing. Low pH but not histamine strongly activated firing. 5-HT reduced monosynaptic inputs from trigeminal Aδ- and C-afferents to the upper cervical lamina I neurons and this effect was blocked by MDL-72222. Consistent with central inhibitory effect, 5-HT reduced CGRP release in the brainstem slices. 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However, the region-specific effects of serotonin (5-HT) mediated via multiple types of receptors in the nociceptive system are poorly understood. Using extracellular and patch-clamp recordings, we studied the action of 5-HT on the excitability of peripheral and central terminals of trigeminal afferents. 5-HT evoked long-lasting TTX-sensitive firing in the peripheral terminals of meningeal afferents, the origin site of migraine pain. Cluster analysis revealed that in majority of nociceptive fibers 5-HT induced either transient or persistent spiking activity with prevailing delta and theta rhythms. The 5-HT3-receptor antagonist MDL-72222 or 5-HT1B/D-receptor antagonist GR127935 largely reduced, but their combination completely prevented the excitatory pro-nociceptive action of 5-HT. The 5-HT3 agonist mCPBG activated spikes in MDL-72222-dependent manner but the 5HT-1 receptor agonist sumatriptan did not affect the nociceptive firing. 5-HT also triggered peripheral CGRP release in meninges, which was blocked by MDL-72222.5-HT evoked fast membrane currents and Ca2+ transients in a fraction of trigeminal neurons. Immunohistochemistry showed expression of 5-HT3A receptors in fibers innervating meninges. Endogenous release of 5-HT from degranulated mast cells increased nociceptive firing. Low pH but not histamine strongly activated firing. 5-HT reduced monosynaptic inputs from trigeminal Aδ- and C-afferents to the upper cervical lamina I neurons and this effect was blocked by MDL-72222. Consistent with central inhibitory effect, 5-HT reduced CGRP release in the brainstem slices. 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However, the region-specific effects of serotonin (5-HT) mediated via multiple types of receptors in the nociceptive system are poorly understood. Using extracellular and patch-clamp recordings, we studied the action of 5-HT on the excitability of peripheral and central terminals of trigeminal afferents. 5-HT evoked long-lasting TTX-sensitive firing in the peripheral terminals of meningeal afferents, the origin site of migraine pain. Cluster analysis revealed that in majority of nociceptive fibers 5-HT induced either transient or persistent spiking activity with prevailing delta and theta rhythms. The 5-HT3-receptor antagonist MDL-72222 or 5-HT1B/D-receptor antagonist GR127935 largely reduced, but their combination completely prevented the excitatory pro-nociceptive action of 5-HT. 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In conclusion, 5-HT evokes powerful pro-nociceptive peripheral and anti-nociceptive central effects in trigeminal system transmitting migraine pain. •5-HT induced a robust nociceptive activity in peripheral nerve terminals in meninges.•5-HT3 receptors contributed to pro-nociceptive action 5-HT and CGRP release.•Cluster analysis revealed fibers with remarkably long-lasting firing activity.•In contrast to periphery, 5-HT inhibited central nerve terminals of nociceptors.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28025094</pmid><doi>10.1016/j.neuropharm.2016.12.024</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record>
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subjects 5-HT3 receptor
Action Potentials - drug effects
Action Potentials - physiology
Animals
Calcitonin Gene-Related Peptide - metabolism
Calcium - metabolism
Cations, Divalent - metabolism
Female
Male
Meninges
Migraine
Migraine Disorders - metabolism
Neurons, Afferent - cytology
Neurons, Afferent - drug effects
Neurons, Afferent - metabolism
Nociception - drug effects
Nociception - physiology
Patch-Clamp Techniques
Rats, Wistar
Receptors, Serotonin - metabolism
Serotonin
Serotonin - metabolism
Serotonin Agents - pharmacology
Spike
Tissue Culture Techniques
Trigeminal nerve
Trigeminal Nerve - cytology
Trigeminal Nerve - drug effects
Trigeminal Nerve - metabolism
TRPV Cation Channels - metabolism
Voltage-Sensitive Dye Imaging
title Serotonergic mechanisms of trigeminal meningeal nociception: Implications for migraine pain
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