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Analgesia Mediated by the TRPM8 Cold Receptor in Chronic Neuropathic Pain

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Proudfoot, Clare J., Garry, Emer M., Cottrell, David F., Rosie, Roberta, Anderson, Heather, Robertson, Darren C., Fleetwood-Walker, Susan M., Mitchell, Rory·2006·Current Biology

Abstract

BACKGROUND Chronic established pain, especially that following nerve injury, is difficult to treat and represents a largely unmet therapeutic need. New insights are urgently required, and we reasoned that endogenous processes such as cooling-induced analgesia may point the way to novel strategies for intervention. Molecular receptors for cooling have been identified in sensory nerves, and we demonstrate here how activation of one of these, TRPM8, produces profound, mechanistically novel analgesia in chronic pain states. RESULTS We show that activation of TRPM8 in a subpopulation of sensory afferents (by either cutaneous or intrathecal application of specific pharmacological agents or by modest cooling) elicits analgesia in neuropathic and other chronic pain models in rats, thereby inhibiting the characteristic sensitization of dorsal-horn neurons and behavioral-reflex facilitation. TRPM8 expression was increased in a subset of sensory neurons after nerve injury. The essential role of TRPM8 in suppression of sensitized pain responses was corroborated by specific knockdown of its expression after intrathecal application of an antisense oligonucleotide. We further show that the analgesic effect of TRPM8 activation is centrally mediated and relies on Group II/III metabotropic glutamate receptors (mGluRs), but not opioid receptors. We propose a scheme in which Group II/III mGluRs would respond to glutamate released from TRPM8-containing afferents to exert an inhibitory gate control over nociceptive inputs. CONCLUSIONS TRPM8 and its central downstream mediators, as elements of endogenous-cooling-induced analgesia, represent a novel analgesic axis that can be exploited in chronic sensitized pain states.

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Metadata

Authors
Proudfoot, C. J., Garry, E. M., Cottrell, D. F., Rosie, R., Anderson, H., Robertson, D. C., Fleetwood-Walker, S. M., & Mitchell, R.
Venue
Current Biology
Publisher
Elsevier BV
Published
2006-08
Volume
16
Issue
16
Pages
1591-1605
ISSN
0960-9822 (ISSN-L)
OpenAlex
W2113737911
Cited by
419
References
56
FWCI
12.94
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Analgesia Mediated by the TRPM8 Cold Receptor in Chronic Neuropathic Pain. https://app.cochat.ai/papers/10.1016/j.cub.2006.07.061
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Proudfoot, C. J., Garry, E. M., Cottrell, D. F., Rosie, R., Anderson, H., Robertson, D. C., Fleetwood-Walker, S. M., & Mitchell, R. (2006). Analgesia Mediated by the TRPM8 Cold Receptor in Chronic Neuropathic Pain. Current Biology. https://doi.org/10.1016/j.cub.2006.07.061

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