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Essential role of mitochondrial permeability transition in vanilloid receptor 1-dependent cell death of sensory neurons

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Abstract

Capsaicin causes pain by activating VR1, a cloned capsaicin receptor, in sensory neurons. After the initial excitatory responses, capsaicin produces prolonged analgesia, presumably because of the neurotoxic effect that leads to the death of sensory neurons. However, the mechanism underlying capsaicin-induced cell death of sensory neurons is not known. Here we report that capsaicin induces cell death in VR1-expressing sensory neurons and VR1-transfected human embryonic kidney cells. Cell death of sensory neurons induced by capsaicin is accompanied by DNA fragmentation, TUNEL staining, and shrinkage of the nucleus in a caspase-dependent manner, indicating the apoptotic nature of the cell death. Mitochondrial permeability transition is likely to be a major component of capsaicin-induced cell death because bonkrekic acid and cyclosporin A, inhibitors of mitochondrial permeability transition, block this cell death. These results imply that capsaicin induces mitochondrial dysfunction in VR1-expressing cells, leading to apoptotic cell death, which is a well-known neurotoxic effect of capsaicin.

Introduction

Capsaicin (CAP), the pungent ingredient in hot peppers, has been widely used for the study of pain or the study of properties of a subpopulation of primary afferent nerves (Wood, 1993). CAP causes immediate and severe pain by exciting sensory neurons. The excitation of sensory neurons by CAP is mediated by the activation of CAP receptors, which are nonselective and ligand-gated channels present in small sensory neurons Oh et al 1996, Caterina et al 1997. Oddly enough, after initial excitation, sensory neurons do not respond to CAP on application of repeated or high doses of CAP Cholewinski et al 1993, Szallasi and Blumberg 1999. Thus, CAP and its analogs produce a prolonged analgesic effect that draws clinical attention as potentially useful analgesics (Holzer, 1991). The unresponsiveness of sensory neurons to CAP or other noxious stimuli involves two processes (Holzer, 1991). The immediate effect is induced by the desensitization of the CAP receptor to further CAP, which is believed to require dephosphorylation of the CAP receptors (Docherty et al., 1996). However, the persistent unresponsiveness of sensory nerves after high doses of CAP is believed to be associated with morphological, neurochemical, and histochemical changes in sensory neurons (Holzer, 1991). High-dose application of CAP degenerates a large fraction of unmyelinated axons and the cell bodies of sensory neurons, which leads to deficits in nociception and other physiological reflexes McDougal et al 1985, Arvidsson and Ygge 1986, Hylden et al 1992. Because of its neurotoxic effects, CAP is often called a neurotoxin and is used as a chemical tool for dissecting small afferent fibers from mixed nerves Holzer 1991, Szallasi and Blumberg 1999.

Although the neurotoxic effects of CAP on sensory neurons are well documented, the detailed signals that cause its neurotoxic effects are not known. After CAP application, sensory neurons were found to exhibit a large increase in cytosolic Ca2+ via influx through VR1, a cloned CAP receptor Wood et al 1988, Bleakman et al 1990, Caterina et al 1997, Savidge et al 2001. Consistent with this idea, VR1 is known to have a high permeability to Ca2+ (Caterina et al., 1997), and in addition to the increase in cytosolic Ca2+, CAP application also induces the accumulation of Ca2+ in the mitochondria of dorsal root ganglion neurons (Dedov and Roufogalis, 2000). It is now known that mitochondral Ca2+ overload initiates apoptotic cascades and results in cytotoxicity. The apoptotic cascades include an increase in reactive oxygen species (ROS) or mitochondrial dysfunction, such as mitochondrial permeability transition (MPT) induced by opening permeability transition pores Green and Reed 1999, Kruman and Mattson 1999, Duchen 2000.

Even though CAP-induced apoptotic cell death in cancer cells has been well established (Surh, 2002), CAP-induced apoptosis in sensory neurons is elusive. Because neurotoxins, such as glutamate, cause cell death accompanied by elevation in intracellular and mitochondrial Ca2+ (Duchen, 2000), it is likely that the excessive Ca2+ overload in the mitochondria induced by CAP disrupts mitochondrial function in sensory neurons (Szoke et al., 2002). Therefore, we hypothesized that CAP induces cell death of sensory neurons via alterations in mitochondrial function.

Section snippets

CAP-induced Ca2+ influx

To characterize VR1-dependent cell death, human embryonic kidney (HEK) 293T cells were transfected with VR1 (Hwang et al., 2000). Western blot with polyclonal antibody raised against the N terminus of rat VR1 revealed doublet bands with an apparent molecular weight of ∼95 kDa in cells transfected with pcDNA3.1-VR1, but not in the mock-transfected cells (Fig. 1A). The VR1-transfected cells exhibited VR1 immunofluorescence localized in the plasma membrane and in the cytoplasm (Fig. 1B) (Olah et

Discussion

The primary action of CAP is to excite sensory neurons via the opening of the ligand-gated channel, VR1. However, a prolonged or high-dose application of CAP produces loss of a subpopulation of small sensory neurons, which leads to long-lasting analgesia. Morphological and biochemical changes occurring after prolonged CAP application account for the loss of sensory neurons Palermo et al 1981, Hammond and Ruda 1991, Kwan et al 1999. Due to the neurotoxic action on small sensory nerves, CAP is

Cell culture and transfection

HEK 293T cells were cultured in minimum essential medium supplemented with nonessential amino acids, 10% fetal bovine serum, sodium bicarbonate (2.4 g/liter), 15 mM HEPES, and 1 mM sodium pyruvate (pH 7.0). Cells were routinely maintained at 37°C in a humid atmosphere with 5% CO2 and fed with culture medium every 2–3 days. For transfection, cells were harvested after a brief trypsin digestion and seeded onto 24-well culture plates (Nunc, Rochester, NY, USA) or 8-well chambered coverglasses

Acknowledgements

This work was supported by Creative Research Initiatives of the Ministry of Science and Technology of Korea and in part by a BK21 program.

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    Present address: Division of Biotechnology, Kangwon National University, Chuncheon, Kangwon-do 200-701, Korea.

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