Protease-Mediated Suppression of DRG Neuron Excitability by Commensal Bacteria
Open accessAbstract
Peripheral pain signaling reflects a balance of pronociceptive and antinociceptive influences; the contribution by the gastrointestinal microbiota to this balance has received little attention. Disorders, such as inflammatory bowel disease and irritable bowel syndrome, are associated with exaggerated visceral nociceptive actions that may involve altered microbial signaling, particularly given the evidence for bacterial dysbiosis. Thus, we tested whether a community of commensal gastrointestinal bacteria derived from a healthy human donor (microbial ecosystem therapeutics; MET-1) can affect the excitability of male mouse DRG neurons. MET-1 reduced the excitability of DRG neurons by significantly increasing rheobase, decreasing responses to capsaicin (2 μ m ) and reducing action potential discharge from colonic afferent nerves. The increase in rheobase was accompanied by an increase in the amplitude of voltage-gated K + currents. A mixture of bacterial protease inhibitors abrogated the effect of MET-1 effects on DRG neuron rheobase. A serine protease inhibitor but not inhibitors of cysteine proteases, acid proteases, metalloproteases, or aminopeptidases abolished the effects of MET-1. The serine protease cathepsin G recapitulated the effects of MET-1 on DRG neurons. Inhibition of protease-activated receptor-4 (PAR-4), but not PAR-2, blocked the effects of MET-1. Furthermore, Faecalibacterium prausnitzii recapitulated the effects of MET-1 on excitability of DRG neurons. We conclude that serine proteases derived from commensal bacteria can directly impact the excitability of DRG neurons, through PAR-4 activation. The ability of microbiota-neuronal interactions to modulate afferent signaling suggests that therapies that induce or correct microbial dysbiosis may impact visceral pain. SIGNIFICANCE STATEMENT Commercially available probiotics have the potential to modify visceral pain. Here we show that secretory products from gastrointestinal microbiota derived from a human donor signal to DRG neurons. Their secretory products contain serine proteases that suppress excitability via activation of protease-activated receptor-4. Moreover, from this community of commensal microbes, Faecalibacterium prausnitzii strain 16-6-I 40 fastidious anaerobe agar had the greatest effect. Our study suggests that therapies that induce or correct microbial dysbiosis may affect the excitability of primary afferent neurons, many of which are nociceptive. Furthermore, identification of the bacterial strains capable of suppressing sensory neuron excitability, and their mechanisms of action, may allow therapeutic relief for patients with gastrointestinal diseases associated with pain.
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Serine proteases from a consortium of gut bacteria modulate the excitability of nociceptors via activation of protease-activated receptor 4.
“serine proteases from a consortium of gut bacteria modulate the excitability of nociceptors via activation of protease-activated receptor 4 (PAR-4).19”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [19]
The suppression of DRG neuron excitability by F. prausnitzii supernatant was the result of a cathepsin G-like serine protease that activated neuronal PAR-4.
“This was the result of a cathepsin G-like serine protease that activated neuronal PAR-4.”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [19]
Media supernatant from cultures of F. prausnitzii acted directly on DRG neurons to suppress their excitability due to an increase in voltage-gated K+ conductance.
“Media supernatant from cultures of F. prausnitzii acted directly on DRG neurons to suppress their excitability due to an increase in voltage-gated K+ conductance.”
From The emerging roles of bacterial proteases in intestinal diseases (2023) · cites this paper as [19]
Cites
Sokol, H., Pigneur, B., Watterlot, L., Lakhdari, O., Bermúdez-Humarán, L. G., Gratadoux, J.-J., Blugeon, S., Bridonneau, C., Furet, J.-P., Corthier, G., et al. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0804812105 · Cited by 4,413 · see citing works
A synthetic inhibitor of the mitogen-activated protein kinase cascade.
Dudley, D. T., Pang, L., Decker, S. J., Bridges, A. J., & Saltiel, A. R. (1995) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.92.17.7686 · Cited by 2,679 · see citing works
Clinicopathologic study of dextran sulfate sodium experimental acute colitis
Shichijo, K., Matuu, M., Ikeda, Y., Naito, S., Ito, M., & Sekine, I. (1998) · The Japanese Journal of Pharmacology · doi:10.1016/s0021-5198(19)41298-5 · Cited by 1,943 · see citing works
Low counts of Faecalibacterium prausnitzii in colitis microbiota
Sokol, H., Seksik, P., Furet, J. P., Firmesse, O., Nion-Larmurier, I., Beaugerie, L., Cosnes, J., Corthier, G., Marteau, P., & Doré, J. (2009) · Inflammatory Bowel Diseases · doi:10.1002/ibd.20903 · Cited by 1,275 · see citing works
Bacteria activate sensory neurons that modulate pain and inflammation
Chiu, I. M., Heesters, B. A., Ghasemlou, N., Von Hehn, C. A., Zhao, F., Tran, J., Wainger, B., Strominger, A., Muralidharan, S., Horswill, A. R., et al. (2013) · Nature · doi:10.1038/nature12479 · Cited by 949 · see citing works
A microbial signature for Crohn's disease
Pascal, V., Pozuelo, M., Borruel, N., Casellas, F., Campos, D., Santiago, A., Martínez, X., Varela, E., Sarrabayrouse, G., Machiels, K., et al. (2017) · Gut · doi:10.1136/gutjnl-2016-313235 · Cited by 842 · see citing works
Lactobacillus acidophilus modulates intestinal pain and induces opioid and cannabinoid receptors
Rousseaux, C., Thuru, X., Gelot, A., Barnich, N., Neut, C., Dubuquoy, L., Dubuquoy, C., Merour, E., Geboes, K., Chamaillard, M., et al. (2007) · Nature Medicine · doi:10.1038/nm1521 · Cited by 793 · see citing works
Petrof, E. O., Gloor, G. B., Vanner, S. J., Weese, S. J., Carter, D., Daigneault, M. C., Brown, E. M., Schroeter, K., & Allen-Vercoe, E. (2013) · Microbiome · doi:10.1186/2049-2618-1-3 · Cited by 731 · see citing works
Self-citationRole for protease activity in visceral pain in irritable bowel syndrome
Cenac, N., Andrews, C. N., Holzhausen, M., Chapman, K., Cottrell, G., Andrade-Gordon, P., Steinhoff, M., Barbara, G., Beck, P., Bunnett, N. W., et al. (2007) · Journal of Clinical Investigation · doi:10.1172/jci29255 · Cited by 591 · see citing works
II. Stress and intestinal barrier function
Söderholm, J. D., & Perdue, M. H. (2001) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.2001.280.1.g7 · Cited by 467 · see citing works
Willing, B., Halfvarson, J., Dicksved, J., Rosenquist, M., Järnerot, G., Engstrand, L., Tysk, C., & Jansson, J. K. (2009) · Inflammatory Bowel Diseases · doi:10.1002/ibd.20783 · Cited by 455 · see citing works
Intestinal Inflammation and Mucosal Barrier Function
de Medina, F. S., Romero‐Calvo, I., Mascaraque, C., & Martínez‐Augustin, O. (2014) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000204 · Cited by 435 · see citing works
Borruel, N., Carol, M., Casellas, F., Antolı́n, M., de Lara, F., Espín, E., Naval, J., Guarner, F., & Malagelada, J. (2002) · Gut · doi:10.1136/gut.51.5.659 · Cited by 326 · see citing works
Splanchnic and pelvic mechanosensory afferents signal different qualities of colonic stimuli in mice
Brierley, S. M., Jones, R. C. W., Gebhart, G. F., & Blackshaw, L. A. (2004) · Gastroenterology · doi:10.1053/j.gastro.2004.04.008 · Cited by 312 · see citing works
Martín, R., Miquel, S., Chain, F., Natividad, J. M., Jury, J., Lu, J., Sokol, H., Theodorou, V., Bercik, P., Verdu, E. F., et al. (2015) · BMC Microbiology · doi:10.1186/s12866-015-0400-1 · Cited by 309 · see citing works
Fujimoto, T., Imaeda, H., Takahashi, K., Kasumi, E., Bamba, S., Fujiyama, Y., & Andoh, A. (2013) · Journal of Gastroenterology and Hepatology · doi:10.1111/jgh.12073 · Cited by 304 · see citing works
Hypersensitivity to visceral and cutaneous pain in the irritable bowel syndrome
Verne, N. G., Robinson, M. E., & Price, D. D. (2001) · Pain · doi:10.1016/s0304-3959(01)00285-8 · Cited by 291 · see citing works
Kishore, N. N., Sommers, C., Mathialagan, S., Guzova, J. A., Yao, M., Hauser, S. D., Huynh, K. Q., Bonar, S. L., Mielke, C., Albee, L. D., et al. (2003) · Journal of Biological Chemistry · doi:10.1074/jbc.m211439200 · Cited by 272 · see citing works
Shapiro, M. J., Weiss, E. J., Faruqi, T. R., & Coughlin, S. R. (2000) · Journal of Biological Chemistry · doi:10.1074/jbc.m004589200 · Cited by 247 · see citing works
Kamiya, T., Wang, L., Forsythe, P., Goettsche, G., Mao, Y., Wang, Y., Tougas, G., & Bienenstock, J. (2006) · Gut · doi:10.1136/gut.2005.070987 · Cited by 242 · see citing works
Lyte, M. (2014) · Gut Microbes · doi:10.4161/gmic.28682 · Cited by 225 · see citing works
The probiotic Bifidobacterium infantis 35624 displays visceral antinociceptive effects in the rat
McKernan, D. P., Fitzgerald, P., Dinan, T. G., & Cryan, J. F. (2010) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2010.01520.x · Cited by 205 · see citing works
Cathepsin S Causes Inflammatory Pain via Biased Agonism of PAR2 and TRPV4
Zhao, P., Lieu, T., Barlow, Ν., Metcalf, M. D., Veldhuis, N. A., Jensen, D. D., Kočan, M., Sostegni, S., Haerteis, S., Baraznenok, V., et al. (2014) · Journal of Biological Chemistry · doi:10.1074/jbc.m114.599712 · Cited by 189 · see citing works
Self-citationZhao, P., Lieu, T., Barlow, Ν., Sostegni, S., Haerteis, S., Korbmacher, C., Liedtke, W., Jiménez-Vargas, N. N., Vanner, S. J., & Bunnett, N. W. (2015) · Journal of Biological Chemistry · doi:10.1074/jbc.m115.642736 · Cited by 171 · see citing works
Self-citationNeutrophil Elastase Acts as a Biased Agonist for Proteinase-activated Receptor-2 (PAR2)
Ramachandran, R., Mihara, K., Chung, H., RENAUX, B. S., Lau, C. S., Muruve, D. A., DeFea, K., Bouvier, M., & Hollenberg, M. D. (2011) · Journal of Biological Chemistry · doi:10.1074/jbc.m110.201988 · Cited by 169 · see citing works
Mackey, B. M., Miles, C. A., Parsons, S. E., & Seymour, D. A. (1991) · Journal of General Microbiology · doi:10.1099/00221287-137-10-2361 · Cited by 157 · see citing works
Beyak, M. J., Ramji, N., Krol, K. M., Kawaja, M. D., & Vanner, S. J. (2004) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00154.2004 · Cited by 150 · see citing works
Self-citationPeripheral and Central Contributions to Hyperalgesia in Irritable Bowel Syndrome
Price, D. D., Zhou, Q., Moshiree, B., Robinson, M. E., & Verne, G. N. (2006) · Journal of Pain · doi:10.1016/j.jpain.2005.12.011 · Cited by 148 · see citing works
Protease‐activated receptor‐4: a novel mechanism of inflammatory pain modulation
Asfaha, S., Cénac, N., Houle, S., Altier, C., Papez, M. D., Nguyen, C., Steinhoff, M. S., Chapman, K., Zamponi, G. W., & Vergnolle, N. (2006) · British Journal of Pharmacology · doi:10.1038/sj.bjp.0706975 · Cited by 143 · see citing works
Ileitis modulates potassium and sodium currents in guinea pig dorsal root ganglia sensory neurons
Stewart, T., Beyak, M. J., & Vanner, S. J. (2003) · The Journal of Physiology · doi:10.1113/jphysiol.2003.046409 · Cited by 140 · see citing works
Self-citationThe joint–gut axis in inflammatory bowel diseases
Brakenhoff, L. K. P. M., van der Heijde, D. M. F. M., Hommes, D. W., Huizinga, T. W. J., & Fidder, H. H. (2009) · Journal of Crohn s and Colitis · doi:10.1016/j.crohns.2009.11.005 · Cited by 139 · see citing works
Proteinase-Activated Receptor-2 and Human Lung Epithelial Cells
Dulon, S., Candé, C., Bunnett, N. W., Hollenberg, M. D., Chignard, M., & Pidard, D. (2003) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/rcmb.4908 · Cited by 137 · see citing works
Protease-Activated Receptors: How Proteases Signal to Cells to Cause Inflammation and Pain
Bunnett, N. W. (2006) · Seminars in Thrombosis and Hemostasis · doi:10.1055/s-2006-939553 · Cited by 131 · see citing works
More than a gut feeling: the microbiota regulates neurodevelopment and behavior
Cryan, J. F., & Dinan, T. G. (2015) · Neuropsychopharmacology · doi:10.1038/npp.2014.224 · Cited by 124 · see citing works
Perez‐Burgos, A., Wang, L., McVey Neufeld, K., Mao, Y., Ahmadzai, M., Janssen, L. J., Stanisz, A. M., Bienenstock, J., & Kunze, W. A. (2015) · The Journal of Physiology · doi:10.1113/jp270229 · Cited by 123 · see citing works
Bacterial proteases in IBD and IBS
Steck, N., Mueller, K., Schemann, M., & Haller, D. (2011) · Gut · doi:10.1136/gutjnl-2011-300775 · Cited by 119 · see citing works
Lynn, P. A., & Blackshaw, L. A. (1999) · The Journal of Physiology · doi:10.1111/j.1469-7793.1999.0271r.x · Cited by 115 · see citing works
Kanke, T., Macfarlane, S. R., Seatter, M. J., Davenport, E. L., Paul, A., McKenzie, R. C., & Plevin, R. J. (2001) · Journal of Biological Chemistry · doi:10.1074/jbc.m100377200 · Cited by 114 · see citing works
Annaházi, A., Gecse, K., Dabek, M., Ait-Belgnaoui, A., Rosztóczy, A., Róka, R., Molnár, T., Theodorou, V., Wittmann, T., Bueno, L., et al. (2009) · Pain · doi:10.1016/j.pain.2009.04.017 · Cited by 112 · see citing works
Bacterial cell products signal to mouse colonic nociceptive dorsal root ganglia neurons
Ochoa‐Cortés, F., Lomas-Ramos, T. L., Miranda‐Morales, M., Spreadbury, I., Ibeakanma, C. O., Barajas‐López, C., & Vanner, S. J. (2010) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00494.2009 · Cited by 112 · see citing works
Self-citationBouin, M., Meunier, P., Riberdy, M., & Poitras, P. (2001) · Digestive Diseases and Sciences · doi:10.1023/a:1012356827026 · Cited by 111 · see citing works
Underwood, M. A., Arriola, J., Gerber, C. W., Kaveti, A., Kalanetra, K. M., Kananurak, A., Bevins, C. L., Mills, D. A., & Dvorak, B. (2014) · Pediatric Research · doi:10.1038/pr.2014.102 · Cited by 107 · see citing works
Valdez-Morales, E. E., Overington, J., Guerrero-Alba, R., Ochoa-Cortes, F., Ibeakanma, C. O., Spreadbury, I., Bunnett, N. W., Beyak, M., & Vanner, S. J. (2013) · American Journal of Gastroenterology · doi:10.1038/ajg.2013.241 · Cited by 107 · see citing works
Self-citationAnti-nociceptive effect of Faecalibacterium prausnitzii in non-inflammatory IBS-like models
Miquel, S., Martín, R., Lashermes, A., Gillet, M., Meleine, M., Gelot, A., Eschalier, A., Ardid, D., Bermúdez-Humarán, L. G., Sokol, H., et al. (2016) · Scientific Reports · doi:10.1038/srep19399 · Cited by 105 · see citing works
Loew, D., Perrault, C., Morales, M., Moog, S., Ravanat, C., Schuhler, S., Arcone, R., Pietropaolo, C., Cazenave, J., DORSSELAER, A. V., et al. (2000) · Biochemistry · doi:10.1021/bi0003341 · Cited by 100 · see citing works
Augé, C., Balz‐hara, D., Steinhoff, M., Vergnolle, N., & Cenac, N. (2009) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2009.01310.x · Cited by 99 · see citing works
Rastogi, A., Kumari, Y., Rani, S., & Kumar, V. (2013) · PLoS ONE · doi:10.1371/journal.pone.0070065 · Cited by 92 · see citing works
Fecal Protease Activity Is Associated with Compositional Alterations in the Intestinal Microbiota
Carroll, I. M., Ringel‐Kulka, T., Ferrier, L., Wu, M. C., Siddle, J. P., Bueno, L. P., & Ringel, Y. (2013) · PLoS ONE · doi:10.1371/journal.pone.0078017 · Cited by 70 · see citing works
Pruteanu, M., Hyland, N. P., Clarke, D. J., Kiely, B., & Shanahan, F. (2011) · Inflammatory Bowel Diseases · doi:10.1002/ibd.21475 · Cited by 67 · see citing works
Visceral Pain and Gastrointestinal Microbiome
Chichlowski, M., & Rudolph, C. (2015) · Journal of Neurogastroenterology and Motility · doi:10.5056/jnm15025 · Cited by 65 · see citing works
Kayssi, A., Amadesi, S., Bautista, F., Bunnett, N. W., & Vanner, S. (2007) · The Journal of Physiology · doi:10.1113/jphysiol.2006.126599 · Cited by 64 · see citing works
Self-citationValdez-Moráles, E. E., Alba, R. G., Ochoa‐Cortés, F., Benson, J., Spreadbury, I., Hurlbut, D. J., Miranda‐Morales, M., Lomax, A. E., & Vanner, S. J. (2012) · Neurogastroenterology & Motility · doi:10.1111/nmo.12008 · Cited by 58 · see citing works
Self-citationRóka, R., Demaude, J., Cénac, N., Ferrier, L., Salvador–Cartier, C., Garcia‐villar, R., Fioramonti, J., & Bueno, L. P. (2006) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2006.00851.x · Cited by 55 · see citing works
Motagally, M. A., Neshat, S., & Lomax, A. E. (2009) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00006.2009 · Cited by 52 · see citing works
Self-citationAndrade, S. D. D. E., Souza, E. L. S., Vieira, A. T., Teixeira, M. M., Arantes, R. M. E., Nicoli, J. R., & Martins, F. S. (2014) · Beneficial Microbes · doi:10.3920/bm2014.0070 · Cited by 50 · see citing works
Chen, S. R. W., Xiong, J.-Q., Zhan, Y., Liu, W., & Wang, X. (2014) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-014-0148-4 · Cited by 46 · see citing works
Administration of defined microbiota is protective in a murine Salmonella infection model
Martz, S.-L., McDonald, J. A. K., Sun, J., Zhang, Y., Gloor, G. B., Noordhof, C., He, S.-M., Gerbaba, T. K., Blennerhassett, M. G., Hurlbut, D. J., et al. (2015) · Scientific Reports · doi:10.1038/srep16094 · Cited by 42 · see citing works
Self-citationProtease Signaling to G Protein-Coupled Receptors: Implications for Inflammation and Pain
Dale, C. S., & Vergnolle, N. (2008) · Journal of Receptors and Signal Transduction · doi:10.1080/10799890801941913 · Cited by 41 · see citing works
Karanjia, R., Spreadbury, I., Bautista‐cruz, F., Tsang, M. E., & Vanner, S. (2009) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2009.01353.x · Cited by 38 · see citing works
Self-citationAnticoagulant and antithrombotic properties of intracellular protease‐activated receptor antagonists
Wielders, S. J. H., Bennaghmouch, A., Reutelingsperger, C. P. M., Bevers, E. M., & Lindhout, T. (2007) · Journal of Thrombosis and Haemostasis · doi:10.1111/j.1538-7836.2007.02364.x · Cited by 37 · see citing works
The Role of Protease-Activated Receptor Type 2 in Nociceptive Signaling and Pain
Mrózková, P., Paleček, J., & Spicarova, D. (2016) · Physiological Research · doi:10.33549/physiolres.933269 · Cited by 36 · see citing works
Munoz, S., Guzmán-Rodríguez, M., Sun, J., Zhang, Y., Noordhof, C., He, S.-M., Allen‐Vercoe, E., Claud, E. C., & Petrof, E. O. (2016) · Gut Microbes · doi:10.1080/19490976.2016.1188248 · Cited by 21 · see citing works
Self-citationProbiotic Lactobacillus reuteri Alleviates the Response to Gastric Distension in Rats,
Duncker, S. C., Kamiya, T., Wang, L., Yang, P., & Bienenstock, J. (2011) · Journal of Nutrition · doi:10.3945/jn.110.136689 · Cited by 18 · see citing works
McDougall, J. J., & Muley, M. M. (2015) · Handbook of experimental pharmacology · doi:10.1007/978-3-662-46450-2_12 · Cited by 16 · see citing works
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The Role of Protease-Activated Receptor Type 2 in Nociceptive Signaling and Pain
Mrózková, P., Paleček, J., & Spicarova, D. (2016) · Physiological Research · doi:10.33549/physiolres.933269 · Cited by 36 · see citing works
Yu, Y., Villalobos-Hernández, E. C., Pradhananga, S., Baker, C. C., Keating, C. D., Grundy, D., Lomax, A. E., & Reed, D. E. (2019) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00016.2019 · Cited by 34 · see citing works
Self-citationNijs, J., Elma, Ö., Yılmaz, S. T., Mullie, P., Vanderweeën, L., Clarys, P., Deliens, T., Coppieters, I., Weltens, N., Oudenhove, L. V., et al. (2019) · British Journal of Anaesthesia · doi:10.1016/j.bja.2019.07.016 · Cited by 34 · see citing works
Protease‐dependent excitation of nodose ganglion neurons by commensal gut bacteria
Pradhananga, S., Tashtush, A. A., Allen‐Vercoe, E., Petrof, E. O., & Lomax, A. E. (2020) · The Journal of Physiology · doi:10.1113/jp279075 · Cited by 33 · see citing works
Self-citationBacterial modulation of visceral sensation: mediators and mechanisms
Lomax, A. E., Pradhananga, S., Sessenwein, J. L., & O’Malley, D. (2019) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00052.2019 · Cited by 35 · see citing works
Self-citationLee, R. H., Kawano, T., Grover, S. P., Bharathi, V., Martinez, D. R., Cowley, D. O., Mackman, N., Bergmeier, W., & Antoniak, S. (2021) · Journal of Thrombosis and Haemostasis · doi:10.1111/jth.15569 · Cited by 31 · see citing works
Changes in signalling from faecal neuroactive metabolites following dietary modulation of IBS pain
Tuck, C. J., Omar, A. A., Palma, G. D., Osman, S., Jiménez-Vargas, N. N., Yu, Y., Bennet, S., López-López, C., Jaramillo-Polanco, J., Baker, C. C., et al. (2022) · Gut · doi:10.1136/gutjnl-2022-327260 · Cited by 31 · see citing works
Self-citationStein, E. S., & Gofrit, S. G. (2019) · Neural Regeneration Research · doi:10.4103/1673-5374.262568 · Cited by 31 · see citing works
Making Sense of Quorum Sensing at the Intestinal Mucosal Interface
Uhlig, F., & Hyland, N. P. (2022) · Cells · doi:10.3390/cells11111734 · Cited by 30 · see citing works
Uhlig, F., Grundy, L., Garcia‐Caraballo, S., Brierley, S. M., Foster, S. J., & Grundy, D. (2020) · iScience · doi:10.1016/j.isci.2020.101695 · Cited by 27 · see citing works
Sun, N., Cao, L.-S., Xia, W.-Y., Wang, J., & Wu, Q. (2025) · Journal of Neuroinflammation · doi:10.1186/s12974-025-03500-9 · Cited by 24 · see citing works
ATR regulates neuronal activity by modulating presynaptic firing
Kırtay, M., Sell, J., Marx, C., Haselmann, H., Ceangă, M., Zhou, Z., Rahmati, V., Kirkpatrick, J. M., Buder, K., Grigaravičius, P., et al. (2021) · Nature Communications · doi:10.1038/s41467-021-24217-2 · Cited by 24 · see citing works
The role of the gut microbiome in disorders of gut–brain interaction
Gawey, B. J., Mars, R. A. T., & Kashyap, P. (2024) · FEBS Journal · doi:10.1111/febs.17200 · Cited by 28 · see citing works
Bladder infection with uropathogenic Escherichia coli increases the excitability of afferent neurons
Montalbetti, N., Dalghi, M. G., Bastacky, S., Clayton, D. R., Ruiz, W. G., Apodaca, G. L., & Carattino, M. D. (2021) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00167.2021 · Cited by 21 · see citing works
Yu, Y., Tsang, Q. K., Jaramillo-Polanco, J., Lomax, A. E., Vanner, S. J., & Reed, D. E. (2022) · Journal of Neuroscience · doi:10.1523/jneurosci.0641-22.2022 · Cited by 21 · see citing works
Self-citationMetabolomics: The Key to Unraveling the Role of the Microbiome in Visceral Pain Neurotransmission
Shute, A., Bihan, D. G., Lewis, I. A., & Nasser, Y. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.917197 · Cited by 20 · see citing works
Valdez-Moráles, E. E., Sánchez-Navarro, C. A., Reyes-Pavón, D., Barrios‐García, T., Ochoa‐Cortés, F., Barajas‐Espinosa, A. R., Barragán‐Iglesias, P., & Alba, R. G. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.872760 · Cited by 19 · see citing works
Baker, C. C., Sessenwein, J. L., Wood, H. M., Yu, Y., Tsang, Q. K., Alward, T. A., Jiménez-Vargas, N. N., Omar, A. A., McDonell, A., Segal, J. P., et al. (2024) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2024.03.006 · Cited by 16 · see citing works
Self-citationQuan, R., Decraecker, L., Appeltans, I., Cuende‐Estévez, M., Remoortel, S. V., Aguilera‐Lizarraga, J., Wang, Z., Hicks, G. A., Wykosky, J., McLean, P. G., et al. (2024) · The American Journal of Gastroenterology · doi:10.14309/ajg.0000000000003042 · Cited by 16 · see citing works
Osman, S., Tashtush, A. A., Reed, D. E., & Lomax, A. E. (2023) · Cell and Tissue Research · doi:10.1007/s00441-023-03769-3 · Cited by 15 · see citing works
Self-citationMéleine, M., Accarie, A., Wauters, L. I., Tóth, J. G., Gourcerol, G., Tack, J. F., Farré, R., & Vanuytsel, T. (2019) · Neurogastroenterology & Motility · doi:10.1111/nmo.13614 · Cited by 14 · see citing works
Diet–microbial cross–talk underlying increased visceral perception
Palma, G. D., Reed, D. E., & Berčík, P. (2023) · Gut Microbes · doi:10.1080/19490976.2023.2166780 · Cited by 13 · see citing works
Self-citationLi, Q., Qin, L., & Li, J. (2020) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00338.2019 · Cited by 12 · see citing works
Microbiological and Physiological Effects of Pain
Jin, M. Y., Everett, E. S., & Abd-Elsayed, A. A. (2023) · Current Pain and Headache Reports · doi:10.1007/s11916-023-01114-5 · Cited by 13 · see citing works
King, J. W., Bennett, A. S., Wood, H. M., Baker, C. C., Alsaadi, H., Topley, M., Vanner, S. A., Reed, D. E., & Lomax, A. E. (2023) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00230.2023 · Cited by 11 · see citing works
Self-citationChandrabalan, A., Firth, A., Litchfield, R. B., Appleton, C. T., Getgood, A. M. J., & Ramachandran, R. (2023) · Scientific Reports · doi:10.1038/s41598-023-28068-3 · Cited by 11 · see citing works
An in vitro neurobacterial interface reveals direct modulation of neuronal function by gut bacteria
Lombardo‐Hernandez, J., Mansilla‐Guardiola, J., Aucello, R., Botta, C., Esteban, M. T., Murciano, A., Muñoz-Rodríguez, D., Quarta, E., González, Á. M., Llamas, C. J., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-10382-7 · Cited by 9 · see citing works
Mechanisms of chronic abdominal pain in inflammatory bowel disease and implications for treatment
Defaye, M., Nasser, Y., & Altier, C. (2025) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-025-01139-8 · Cited by 5 · see citing works
Role of microbiota in pain: From bench to bedside
Ren, H., Cao, B., Xu, Q., Zhao, R., Li, H., & Wei, B. (2025) · iMetaOmics. · doi:10.1002/imo2.58 · Cited by 6 · see citing works
Gut microbes–spinal connection is required for itch sensation
Jin, T. Y., Siyuan, L., Zheng, H., Liu, X., Huang, Y. M., Ma, G., Zhao, Y.-X., Zhao, X.-T., Li, Y., Wang, Q., et al. (2025) · Gut Microbes · doi:10.1080/19490976.2025.2495859 · Cited by 4 · see citing works
Bulmer, D. C., & Roza, C. (2018) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190860509.013.12 · Cited by 3 · see citing works
Chandrabalan, A., Firth, A., Litchfield, R. B., Appleton, C. T., Getgood, A. M. J., & Ramachandran, R. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.10.21.336693 · Cited by 3 · see citing works
Emerging therapeutic approaches for treating abdominal pain
Jiménez-Vargas, N. N., Parkar, N., Takami, K., Wood, H. M., Lomax, A. E., Reed, D. E., & Vanner, S. J. (2025) · Journal of the Canadian Association of Gastroenterology · doi:10.1093/jcag/gwaf016 · Cited by 2 · see citing works
Self-citationKumar, A., Soratur, A., Kumar, S., Sarkar, A., Thiruchitrambalam, G., & Maran, B. A. V. (2026) · Discover Oceans · doi:10.1007/s44289-026-00161-1 · Cited by 2 · see citing works
Suthivanich, P., Vongseenin, S., Auvichayapat, V., Supronsinchai, W., Tumwasorn, S., Chayanupatkul, M., & Bongsebandhu‐phubhakdi, S. (2025) · Scientific Reports · doi:10.1038/s41598-025-24928-2 · Cited by 1 · see citing works
Ramachandra, M., Baker, C. C., Alward, T. A., Ucciferri, L., Innis, J., He, S.-M., Sheth, P. M., Lomax, A. E., & Ross, A. C. (2024) · ChemRxiv · doi:10.26434/chemrxiv-2024-l0vll · Cited by 1 · see citing works
Self-citationLakemeyer, M., & Seidel, J. (2024) · Nachrichten aus der Chemie · doi:10.1002/nadc.20244143493
Funktionelle Charakterisierung unbekannter Proteasen des Mikrobioms
Shakil, N., & Lakemeyer, M. (2025) · BIOspektrum · doi:10.1007/s12268-025-2403-2
Proteases and Abdominal Pain—Old Dog, New (Microbial) Tricks
Habibyan, Y. B., Sharkey, K. A., & Nasser, Y. (2026) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2026.101803
Spinal afferent endings in the gastrointestinal tract
Spencer, N. J., Zagorodnyuk, V. P., Sharrad, D. F., & Hibberd, T. J. (2026) · Autonomic Neuroscience · doi:10.1016/j.autneu.2026.103448
Hu, Y., Liu, Y., Yao, H., Wang, S., Gao, Y., Li, R., & Sun, H. (2026) · Frontiers in Microbiology · doi:10.3389/fmicb.2026.1979411
- Authors
- Sessenwein, J. L., Baker, C. C., Pradhananga, S., Maitland, M. E., Petrof, E. O., Allen-Vercoe, E., Noordhof, C., Reed, D. E., Vanner, S. J., & Lomax, A. E.
- Affiliations
- Queen's University (CA)
- ORCID
- Venue
- The Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 2017-10-31
- Volume
- 37
- Issue
- 48
- Pages
- 11758-11768
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC5707769
- OpenAlex
- W2766697751
- Cited by
- 58
- References
- 64
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 8 · 2019: 8 · 2018: 2 · 2016: 1
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (R21AI121575, R33AI121575)
- Topics
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
- Keywords
- gut microbiota, commensal bacteria, dorsal root ganglion neurons, neuronal excitability, serine protease, cathepsin G, PAR4, Faecalibacterium prausnitzii, visceral pain, capsaicin response, voltage-gated potassium currents, dysbiosis, probiotics
- MeSH terms
- Gastrointestinal Microbiome, Animals, Ganglia, Spinal, Humans, Male, Mice, Inbred C57BL, Neurons, Peptide Hydrolases, Symbiosis, Mice, Granzymes
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