Endothelin-B receptor activation triggers an endogenous analgesic cascade at sites of peripheral injury

Nat Med. 2003 Aug;9(8):1055-61. doi: 10.1038/nm885. Epub 2003 Jun 29.

Abstract

Endothelin-1 (ET-1) is a newly described pain mediator that is involved in the pathogenesis of pain states ranging from trauma to cancer. ET-1 is synthesized by keratinocytes in normal skin and is locally released after cutaneous injury. While it is able to trigger pain through its actions on endothelin-A (ET(A)) receptors of local nociceptors, it can coincidentally produce analgesia through endothelin-B (ET(B)) receptors. Here we map a new endogenous analgesic circuit, in which ET(B) receptor activation induces the release of beta-endorphin from keratinocytes and the activation of G-protein-coupled inwardly rectifying potassium channels (GIRKs, also named Kir-3) linked to opioid receptors on nociceptors. These results indicate the existence of an intrinsic feedback mechanism to control peripheral pain in skin, and establish keratinocytes as an ET(B) receptor-operated opioid pool.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Analgesia*
  • Animals
  • Cells, Cultured
  • Endothelin-1 / metabolism
  • G Protein-Coupled Inwardly-Rectifying Potassium Channels
  • Humans
  • Keratinocytes / cytology
  • Keratinocytes / metabolism
  • Male
  • Pain / metabolism*
  • Pain Measurement
  • Potassium Channels / metabolism
  • Potassium Channels, Inwardly Rectifying*
  • Rats
  • Rats, Sprague-Dawley
  • Receptor, Endothelin B
  • Receptors, Endothelin / metabolism*
  • Receptors, Opioid, delta / metabolism
  • Receptors, Opioid, kappa / metabolism
  • Receptors, Opioid, mu / metabolism
  • Signal Transduction*
  • Skin / cytology
  • Skin / injuries*
  • beta-Endorphin / metabolism

Substances

  • Endothelin-1
  • G Protein-Coupled Inwardly-Rectifying Potassium Channels
  • Potassium Channels
  • Potassium Channels, Inwardly Rectifying
  • Receptor, Endothelin B
  • Receptors, Endothelin
  • Receptors, Opioid, delta
  • Receptors, Opioid, kappa
  • Receptors, Opioid, mu
  • beta-Endorphin