The objective of this study was to determine the mechanisms underlying excitation of the nociceptive neuronal membrane under the influence of growth factors. Each ionic channel or its gate structure is known to have a specific function during the primary sensory encoding. For example, adaptation is a result of activation of slow sodium channels or it is caused by complicated behavior of the activation gate structure of sodium channels (1, 2). Receptormediated modu� lation of the activation gate structure of slow sodium channels also reduces the frequency of recurrent responses of the nociceptive neuronal membrane (3). This antinociceptive effect may be caused by the epi� dermal growth factor (EGF). Our study demonstrates that precisely this growth factor modulates the voltage sensitivity of slow tetrodotoxininsensitive sodium channels (Na v 1.8), which are responsible for encoding the pain signal (4, 5). Growth factors are polypeptides constituting a group of trophic regulatory substances. EGF is the main polypeptide stimulating growth of endometrium cells (6). EGF polypeptide with a molecular weight of about 6 kDa is composed of 53 amino acid residues and has an effect of a strong mitogen on various cells of the endo�, ecto�, and mesodermal origin. Low EGF concentrations (above 2 ng/mL) were determined in blood, cerebrospinal fluid, milk, saliva, gastric and pancreatic juices (7).
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