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Optogenetic silencing of nociceptive primary afferents reduces evoked and ongoing bladder pain. Sci Rep 2017 Nov 20;7(1):15865

Date

11/22/2017

Pubmed ID

29158567

Pubmed Central ID

PMC5696510

DOI

10.1038/s41598-017-16129-3

Scopus ID

2-s2.0-85034640184 (requires institutional sign-in at Scopus site)   41 Citations

Abstract

Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) suffer from chronic pain that severely affects quality of life. Although the underlying pathophysiology is not well understood, inhibition of bladder sensory afferents temporarily relieves pain. Here, we explored the possibility that optogenetic inhibition of nociceptive sensory afferents could be used to modulate bladder pain. The light-activated inhibitory proton pump Archaerhodopsin (Arch) was expressed under control of the sensory neuron-specific sodium channel (sns) gene to selectively silence these neurons. Optically silencing nociceptive sensory afferents significantly blunted the evoked visceromotor response to bladder distension and led to small but significant changes in bladder function. To study of the role of nociceptive sensory afferents in freely behaving mice, we developed a fully implantable, flexible, wirelessly powered optoelectronic system for the long-term manipulation of bladder afferent expressed opsins. We found that optogenetic inhibition of nociceptive sensory afferents reduced both ongoing pain and evoked cutaneous hypersensitivity in the context of cystitis, but had no effect in uninjured, naïve mice. These results suggest that selective optogenetic silencing of nociceptive bladder afferents may represent a potential future therapeutic strategy for the treatment of bladder pain.

Author List

Samineni VK, Mickle AD, Yoon J, Grajales-Reyes JG, Pullen MY, Crawford KE, Noh KN, Gereau GB, Vogt SK, Lai HH, Rogers JA, Gereau RW 4th

Author

Aaron David Mickle PhD Associate Professor in the Physiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Afferent Pathways
Animals
Archaeal Proteins
Cystitis, Interstitial
Ganglia, Spinal
Humans
Hyperalgesia
Mice
Neurons, Afferent
Nociceptive Pain
Optogenetics
Pelvic Pain
Quality of Life
Sodium Channels
Urinary Bladder