A human TRPV1 genetic variant within the channel gating domain regulates pain sensitivity in rodents

S He, VO Zambelli, P Sinharoy… - The Journal of …, 2023 - Am Soc Clin Investig
S He, VO Zambelli, P Sinharoy, L Brabenec, Y Bian, F Rwere, RCR Hell, BS Neto, B Hung…
The Journal of Clinical Investigation, 2023Am Soc Clin Investig
Pain signals are relayed to the brain via a nociceptive system, and in rare cases, this
nociceptive system contains genetic variants that can limit the pain response. Here, we
questioned whether a human transient receptor potential vanilloid 1 (TRPV1) missense
variant causes a resistance to noxious stimuli and, further, whether we could target this
region with a cell-permeable peptide as a pain therapeutic. Initially using a computational
approach, we identified a human K710N TRPV1 missense variant in an otherwise highly …
Pain signals are relayed to the brain via a nociceptive system, and in rare cases, this nociceptive system contains genetic variants that can limit the pain response. Here, we questioned whether a human transient receptor potential vanilloid 1 (TRPV1) missense variant causes a resistance to noxious stimuli and, further, whether we could target this region with a cell-permeable peptide as a pain therapeutic. Initially using a computational approach, we identified a human K710N TRPV1 missense variant in an otherwise highly conserved region of mammalian TRPV1. After generating a TRPV1K710N-knockin mouse using CRISPR/Cas9, we discovered that the K710N variant reduced capsaicin-induced calcium influx in dorsal root ganglion neurons. The TRPV1K710N rodents also had less acute behavioral responses to noxious chemical stimuli and less hypersensitivity to nerve injury, while their response to noxious heat remained intact. Furthermore, blocking this K710 region in WT rodents using a cell-penetrating peptide limited acute behavioral responses to noxious stimuli and returned pain hypersensitivity induced by nerve injury to baseline levels. These findings identify K710 TRPV1 as a discrete site that is crucial for the control of nociception and provide insights into how to leverage rare genetic variants in humans to uncover fresh strategies for developing pain therapeutics.
The Journal of Clinical Investigation