4.3 Article

Lysophosphatidic Acid as the Initiator of Neuropathic Pain

Journal

BIOLOGICAL & PHARMACEUTICAL BULLETIN
Volume 34, Issue 8, Pages 1154-1158

Publisher

PHARMACEUTICAL SOC JAPAN
DOI: 10.1248/bpb.34.1154

Keywords

lysophosphatidic acid; demyelination; feed-forward system; neuropathic pain; microglia

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The injury-induced intense stimulation of spinal cord neurons causes lysophosphatidic acid (LPA) biosynthesis. LPA(1) receptor activation causes demyelination and sprouting of dorsal root fibers, leading to an induction of synaptic reorganization underlying allodynia, in which innocuous (tactile) stimuli cause intense pain. The LPA(1) signal also initiates the up-regulation of Ca-v alpha 2 delta 1 in dorsal root ganglion and PKC gamma in the dorsal horn, underlying mechanisms for characteristic neuropathic hyperalgesia in myelinated sensory (A-type) fibers. On the other hand, the LPA(3) receptor mediates microglia activation at the early stage after nerve injury and LPA-induced LPA biosynthesis. Thus, both the LPA(1) and LPA(3) receptors play key roles in the initiation step using a feed-forward system for neuropathic pain.

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