Author:
Davis Olivia C.,Dickie Allen C.,Mustapa Marami B.,Boyle Kieran A.,Browne Tyler J.,Gradwell Mark A.,Smith Kelly M.,Polgár Erika,Bell Andrew M.,Kókai Éva,Watanabe Masahiko,Wildner Hendrik,Zeilhofer Hanns Ulrich,Ginty David D.,Callister Robert J.,Graham Brett A.,Todd Andrew J.,Hughes David I.
Abstract
ABSTRACTUnmyelinated non-peptidergic nociceptors (NP afferents) arborise in lamina II of the spinal cord and receive GABAergic axoaxonic synapses, which mediate presynaptic inhibition. However, until now the source of this axoaxonic synaptic input was not known. Here we provide evidence that it originates from a population of inhibitory calretinin-expressing interneurons (iCRs), which correspond to lamina II islet cells. The NP afferents can be assigned to 3 functionally distinct classes (NP1-3). NP1 afferents have been implicated in pathological pain states, while NP2 and NP3 afferents also function as pruritoceptors. Our findings suggest that all 3 of these afferent types innervate iCRs and receive axoaxonic synapses from them, providing feedback inhibition of NP input. The iCRs also form axodendritic synapses, and their targets include cells that are themselves innervated by the NP afferents, thus allowing for feedforward inhibition. The iCRs are therefore ideally placed to control the input from non-peptidergic nociceptors and pruritoceptors to other dorsal horn neurons, and thus represent a potential therapeutic target for the treatment of chronic pain and itch.
Publisher
Cold Spring Harbor Laboratory