Changes in ionic conductance signature of nociceptive neurons underlying fabry disease phenotype

The first symptom arising in many Fabry patients is neuropathic pain due to changes in small myelinated and unmyelinated fibers in the periphery, which is subsequently followed by a loss of sensory perception. Here we studied changes in the peripheral nervous system of Fabry patients and a Fabry mou...

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Hauptverfasser: Namer, Barbara (VerfasserIn) , Schmelz, Martin (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 14 July 2017
In: Frontiers in neurology
Year: 2017, Jahrgang: 8
ISSN:1664-2295
DOI:10.3389/fneur.2017.00335
Online-Zugang:Verlag, kostenfrei, Volltext: http://dx.doi.org/10.3389/fneur.2017.00335
Verlag, kostenfrei, Volltext: https://www.frontiersin.org/articles/10.3389/fneur.2017.00335/full
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Verfasserangaben:Barbara Namer, Kirstin Ørstavik, Roland Schmidt, Norbert Mair, Inge Petter Kleggetveit, Maximillian Zeidler, Theresa Martha, Ellen Jorum, Martin Schmelz, Theodora Kalpachidou, Michaela Kress and Michiel Langeslag

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520 |a The first symptom arising in many Fabry patients is neuropathic pain due to changes in small myelinated and unmyelinated fibers in the periphery, which is subsequently followed by a loss of sensory perception. Here we studied changes in the peripheral nervous system of Fabry patients and a Fabry mouse model induced by deletion of α-galactosidase A (Gla-/0). The skin innervation of Gla-/0 mice resembles that of the human Fabry patients. In Fabry diseased humans and Gla-/0 mice we observed similar sensory abnormalities, which were also observed in nerve fiber recordings in both patients and mice. Electrophysiological recordings of cultured Gla-/0 nociceptors revealed that the conductance of voltage-gated Na+ and Ca2+ currents was decreased in Gla-/0 nociceptors, whereas the activation of voltage-gated K+ currents was at more depolarized potentials. Conclusively, we have observed that reduced sensory perception due to small fiber degeneration coincides with altered electrophysiological properties of sensory neurons. 
650 4 |a Electrophysiology 
650 4 |a Fabry Disease 
650 4 |a Lysosomal storage disorder 
650 4 |a Neuronal excitability 
650 4 |a Nociception 
650 4 |a single fiber recordings 
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