Abstract

Nociceptive nerve endings embedded in muscle tissue transduce peripheral noxious stimuli into an electrical signal [i.e., an action potential (AP)] to initiate pain sensations. A major contributor to nociception from the muscles is mechanosensation. However, due to the heterogeneity in the expression of proteins, such as ion channels, pumps, and exchangers, on muscle nociceptors, we currently do not know the relative contributions of different proteins and signaling molecules to the neuronal response due to mechanical stimuli. In this study, we employed an integrated approach combining a customized experimental study in mice with a computational model to identify key proteins that regulate mechanical nociception in muscles. First, using newly collected data from somatosensory recordings in mouse hindpaw muscles, we developed and then validated a computational model of a mechanosensitive mouse muscle nociceptor. Next, by performing global sensitivity analyses that simulated thousands of nociceptors, we identified three ion channels (among the 17 modeled transmembrane proteins and four endoplasmic reticulum proteins) as potential regulators of the nociceptor response to mechanical forces in both the innocuous and noxious range. Moreover, we found that simulating single knockouts of any of the three ion channels, delayed rectifier voltage-gated K+ channel (Kv1.1) or mechanosensitive channels Piezo2 or TRPA1, considerably altered the excitability of the nociceptor (i.e., each knockout increased or decreased the number of triggered APs compared to when all channels were present). These results suggest that altering expression of the gene encoding Kv1.1, Piezo2, or TRPA1 might regulate the response of mechanosensitive muscle nociceptors.

Highlights

  • Acute pain is a natural response to musculoskeletal injury

  • We developed a mathematical model that incorporates the major transmembrane protein mechanisms as well as the endoplasmic reticulum (ER) mechanisms known to be present in mechanosensitive muscle nociceptors, i.e., those that respond to mechanical stimuli

  • We identified three ion channels (i.e., Kv1.1, Piezo2, and TRPA1) as key contributors to action potential (AP) generated in response to mechanical force

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Summary

Introduction

While the sensation of pain in response to injury involves neurons in both the peripheral and central nervous systems (PNS and CNS), the first step in the initiation of a pain response is the activation of the nerve endings of specialized sensory neurons that innervate musculoskeletal tissue, known as nociceptors. Pain Response of Muscle Nociceptors muscle tissue respond to noxious peripheral stimuli, such as mechanical forces (distinct from light contact), extreme heat or cold temperatures, and high concentrations of metabolites produced by contracting muscles, by transducing them into electrical signals (Light et al, 2008; Ross et al, 2014; de Moraes et al, 2017). APs travel along slowly conducting unmyelinated (C) or thinly myelinated (Aδ) axons of nociceptors with small- or medium-diameter cell bodies in the dorsal root ganglion (DRG) to the CNS and subsequently to the brain, where they are processed and may lead to a pain sensation (Pak et al, 2018)

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