Evidence map›Paper›PMID 31135041›Full record

ArticleBrain : a journal of neurology2019

Loss of STEP61 couples disinhibition to N-methyl-d-aspartate receptor potentiation in rodent and human spinal pain processing.

Annemarie Dedek, Jian Xu, Chaya M Kandegedara, Louis-Étienne Lorenzo, Antoine G Godin, Yves De Koninck, Paul J Lombroso, Eve C Tsai, Michael E Hildebrand

Open access · hybridAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 68 citations in OpenAlex.

  1. Glial cells in neuropathic pain.Physiological reviews · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Pathology of pain and its implications for therapeutic interventions.Signal transduction and targeted therapy · 2024
    Review
  10. Review
  11. Constitutive KCC2 Cell- and Synapse-Specifically Regulates NMDA Receptor Activity in the Spinal Cord.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Neuropathic pain; what we know and what we should do about it.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
  20. KNeural regeneration research · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Annemarie DedekDepartment of Neuroscience, Carleton University, Ottawa, ON, Canada.
Jian XuChild Study Center, Yale University School of Medicine, New Haven, CT, USA.
Chaya M KandegedaraDepartment of Neuroscience, Carleton University, Ottawa, ON, Canada.
Louis-Étienne LorenzoCERVO Brain Research Centre, Quebec Mental Health Institute, Quebec, QC, Canada.
Antoine G GodinCERVO Brain Research Centre, Quebec Mental Health Institute, Quebec, QC, Canada.
Yves De KoninckCERVO Brain Research Centre, Quebec Mental Health Institute, Quebec, QC, Canada.
Paul J LombrosoChild Study Center, Yale University School of Medicine, New Haven, CT, USA.
Eve C TsaiNeuroscience Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Michael E HildebrandDepartment of Neuroscience, Carleton University, Ottawa, ON, Canada.
Institut Universitaire en Santé Mentale de Québec · CAOttawa Hospital · CAUniversity of Ottawa · CAYale University · US

Funding

CIHR 12942CIHR 388432
6 · The paper itself

Abstract

Dysregulated excitability within the spinal dorsal horn is a critical mediator of chronic pain. In the rodent nerve injury model of neuropathic pain, BDNF-mediated loss of inhibition (disinhibition) gates the potentiation of excitatory GluN2B N-methyl-d-aspartate receptor (NMDAR) responses at lamina I dorsal horn synapses. However, the centrality of this mechanism across pain states and species, as well as the molecular linker involved, remain unknown. Here, we show that KCC2-dependent disinhibition is coupled to increased GluN2B-mediated synaptic NMDAR responses in a rodent model of inflammatory pain, with an associated downregulation of the tyrosine phosphatase STEP61. The decreased activity of STEP61 is both necessary and sufficient to prime subsequent phosphorylation and potentiation of GluN2B NMDAR by BDNF at lamina I synapses. Blocking disinhibition reversed the downregulation of STEP61 as well as inflammation-mediated behavioural hypersensitivity. For the first time, we characterize GluN2B-mediated NMDAR responses at human lamina I synapses and show that a human ex vivo BDNF model of pathological pain processing downregulates KCC2 and STEP61 and upregulates phosphorylated GluN2B at dorsal horn synapses. Our results demonstrate that STEP61 is the molecular brake that is lost following KCC2-dependent disinhibition and that the decrease in STEP61 activity drives the potentiation of excitatory GluN2B NMDAR responses in rodent and human models of pathological pain. The ex vivo human BDNF model may thus form a translational bridge between rodents and humans for identification and validation of novel molecular pain targets.

Indexed as

AdolescentAdultAgedAnimalsFemaleHumansMaleMiddle AgedNeuralgiaPhosphorylationProtein Tyrosine Phosphatases, Non-ReceptorRatsReceptors, N-Methyl-D-AspartateSynapsesYoung AdultNR2B NMDA receptorProtein Tyrosine Phosphatases, Non-ReceptorPTPN5 protein, humanPtpn5 protein, ratReceptors, N-Methyl-D-AspartateKCC2NMDARpainspinal cordSTEP61

Identifiers

PMID31135041
PMCPMC6536915
OpenAlexW2947196593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.