Reduction of voltage gated sodium channel protein in DRG by vector mediated miRNA reduces pain in rats with painful diabetic neuropathy

<p>Abstract</p> <p>Background</p> <p>Painful neuropathy is a common complication of diabetes. Previous studies have identified significant increases in the amount of voltage gated sodium channel isoforms Na<sub>V</sub>1.7 and Na<sub>V</sub>1.3 pr...

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Main Authors: Chattopadhyay Munmun (Author), Zhou Zhigang (Author), Hao Shuanglin (Author), Mata Marina (Author), Fink David J (Author)
Format: Book
Published: SAGE Publishing, 2012-03-01T00:00:00Z.
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Summary:<p>Abstract</p> <p>Background</p> <p>Painful neuropathy is a common complication of diabetes. Previous studies have identified significant increases in the amount of voltage gated sodium channel isoforms Na<sub>V</sub>1.7 and Na<sub>V</sub>1.3 protein in the dorsal root ganglia (DRG) of rats with streptozotocin (STZ)-induced diabetes. We found that gene transfer-mediated release of the inhibitory neurotransmitters enkephalin or gamma amino butyric acid (GABA) from DRG neurons in diabetic animals reduced pain-related behaviors coincident with a reduction in Na<sub>V</sub>1.7 protein levels in DRG <it>in vivo</it>. To further evaluate the role of Na<sub>V</sub>α subunit levels in DRG in the pathogenesis of pain in diabetic neuropathy, we constructed a non-replicating herpes simplex virus (HSV)-based vector expressing a microRNA (miRNA) against Na<sub>V</sub>α subunits.</p> <p>Results</p> <p>Subcutaneous inoculation of the miRNA-expressing HSV vector into the feet of diabetic rats to transduce DRG resulted in a reduction in Na<sub>V</sub>α subunit levels in DRG neurons, coincident with a reduction in cold allodynia, thermal hyperalgesia and mechanical hyperalgesia.</p> <p>Conclusions</p> <p>These data support the role of increased Na<sub>V</sub>α protein in DRG in the pathogenesis of pain in diabetic neuropathy, and provide a proof-of-principle demonstration for the development of a novel therapy that could be used to treat intractable pain in patients with diabetic neuropathy.</p>
Item Description:10.1186/1744-8069-8-17
1744-8069