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1 Penn State College of Medicine
2 Milton S. Hershey Medical Center
* To whom correspondence should be addressed. E-mail: suy13{at}psu.edu.
Bradykinin (BK) activates sensory nerves and causes hyperalgesia. Transient receptor potential A1 (TRPA1) is expressed in sensory nerves and mediates cold, mechanical, and chemical nociception. TRPA1 can be activated by BK. TRPA1 knockout mice show impaired responses to BK and mechanical nociception. However, direct evidence from sensory nerve terminals is lacking. This study aims to determine the role of TRPA1 in BK-induced visceral mechano-hypersensitivity. Extracellular recordings of action potentials from vagal nodose and jugular neurons is performed in an ex-vivo guinea-pig esophagus-vagal preparation. Peak frequencies of action potentials of afferent nerves evoked by esophageal distention and chemical perfusion are recorded and compared. BK activates most nodose and all jugular C fibers. This activation is repeatable and associated with a significant increase in response to esophageal distension, which can be prevented by B2 receptor antagonist, WIN64338. TRPA1 agonist allyl isothiocyanate (AITC) activates most BK-positive nodose and jugular C fibers. This is associated with a transient loss of response to mechanical distensions and desensitization to a second AITC perfusion. Desensitization with AITC and pretreatment with TRPA1 inhibitor HC-030031 both inhibit BK-induced mechano-hypersensitivity but do not affect BK-evoked activation in nodose and jugular C fibers. In contrast, esophageal vagal afferent A
fibers do not respond to BK or AITC, and fail to show mechano-hypersensitivity after BK perfusion. This provides the first evidence directly from visceral sensory afferent nerve terminals that TRPA1 mediates BK-induced mechano-hypersensitivity. This reveals a novel mechanism of inflammation mediated visceral peripheral sensitization.
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