Intraplantar injection of
endothelin-1 (ET-1) (1.5-10 muM) in the rat produces
mechanical allodynia. Here we identify the receptor subtypes for ET-1,
glutamate and CGRP critical to such
allodynia. Antagonism of ET(A) or ET(B) receptors alone, by
BQ123 or
BQ788, respectively, only partially suppressed
allodynia; the combined antagonists prevented
allodynia, showing the involvement of both receptor subtypes. Co-injection of
NMDA receptor antagonists, (+)
MK-801 or D-AP5, with ET-1 also prevented
allodynia. In contrast, co-injection of the CGRP1 antagonist CGRP(8-37) attenuated only the later phase of
allodynia (>30 min). A mechanistic basis for these effects is shown by ET-1's ability to enhance basal release from cultured sensory neurons of
glutamate and CGRP (2.4-fold and 5.7-fold, respectively, for 10 nM ET-1). ET(A) blockade reduced ET-1's enhancement of basal CGRP release by approximately 80%, but basal
glutamate release by only approximately 30%. ET-1 also enhanced the
capsaicin-stimulated release of CGRP (up to 2-fold for 0.3 nM ET-1), but did not change
capsaicin-stimulated
glutamate release. Release stimulated by elevated K+ was not altered by ET(A) blockade, nor did blockade of ET(B) reduce any type of release. Thus, ET-1 may induce release of
glutamate and CGRP from nerve terminals innervating skin, thereby sensitizing primary afferents, accounting for ET-1-dependent
tactile allodynia.
PERSPECTIVE: The endogenous
endothelin peptides participate in a remarkable variety of
pain-related processes. The present results provide evidence for the participation of ionotropic glutamatergic receptors and
CGRP receptors in the hyperalgesic responses to exogenous ET-1 and suggest clinically relevant targets for further study of elevated
pain caused by release of endogenous ET-1.