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Phosphodiesterase 2A Localized in the Spinal Cord Contributes to Inflammatory Pain Processing

: Kallenborn-Gerhard, W.; Lu, R.; Bothe, A.; Thomas, D.; Schlaudraff, J.; Lorenz, J.E.; Lippold, N.; Real, C.I.; Ferreirós, N.; Geisslinger, G.; Turco, D. Del; Schmidtko, A.


Anesthesiology 121 (2014), No.8, pp.372-382
ISSN: 0003-3022 (print)
ISSN: 1528-1175 (online)
Journal Article
Fraunhofer IME ()

Background:: Phosphodiesterase 2A (PDE2A) is an evolutionarily conserved enzyme that catalyzes the degradation of the cyclic nucleotides, cyclic adenosine monophosphate, and/or cyclic guanosine monophosphate. Recent studies reported the expression of PDE2A in the dorsal horn of the spinal cord, pointing to a potential contribution to the processing of pain. However, the functions of PDE2A in spinal pain processing in vivo remained elusive.

Methods:: Immunohistochemistry, laser microdissection, and quantitative real-time reverse transcription polymerase chain reaction experiments were performed to characterize the localization and regulation of PDE2A protein and messenger RNA in the mouse spinal cord. Effects of the selective PDE2A inhibitor, BAY 60–7550 (Cayman Chemical, Ann Arbor, MI), in animal models of inflammatory pain (n = 6 to 10), neuropathic pain (n = 5 to 6), and after intrathecal injection of cyclic nucleotides (n = 6 to 8) were examined. Also, cyclic adenosine monophosphate and cyclic guanosine monophosphate levels in spinal cord tissues were measured by liquid chromatography tandem mass spectrometry.

Results:: The authors here demonstrate that PDE2A is distinctly expressed in neurons of the superficial dorsal horn of the spinal cord, and that its spinal expression is upregulated in response to hind paw inflammation. Administration of the selective PDE2A inhibitor, BAY 60–7550, increased the nociceptive behavior of mice in animal models of inflammatory pain. Moreover, BAY 60–7550 increased the pain hypersensitivity induced by intrathecal delivery of cyclic adenosine monophosphate, but not of cyclic guanosine monophosphate, and it increased the cyclic adenosine monophosphate levels in spinal cord tissues.

Conclusion:: Our findings indicate that PDE2A contributes to the processing of inflammatory pain in the spinal cord.

Phosphodiesterase 2A expression was increased in the dorsal horn of mice after paw inflammation. Inhibition of phosphodiesterase 2A exacerbated nociceptive behavior with inflammatory but not with neuropathic pain. Inhibitors of phosphodiesterases, which are being developed for treatment of neuropsychiatric diseases, may increase pain perception.