BRAIN, 2025 · DOI: 10.1093/brain/awae302 · Published: September 20, 2024
This study investigates the role of LGI1, a protein that regulates neuronal excitability, in pain sensitivity. The researchers used transgenic mouse models to genetically ablate LGI1 in specific neuron populations and then assessed the consequences on pain-related sensitivity. The study found that LGI1 is highly expressed in dorsal root ganglion (DRG) and spinal cord dorsal horn neurons in both mice and humans. Ablation of LGI1 resulted in mild thermal and mechanical pain-related hypersensitivity in mice. Further experiments revealed that LGI1 ablation led to hyperexcitability of DRG neurons and spinal dorsal horn neurons, exacerbating mechanical hypersensitivity and allodynia in a spared nerve injury model. The findings suggest an important impact of spinal LGI1 on pathological pain.
LGI1 could be a potential therapeutic target for managing neuropathic pain, given its role in regulating neuronal excitability and pain sensitivity.
The study findings are relevant to clinical pain management, especially considering that autoantibodies against LGI1 are found in neuropathic pain patients.
Understanding the role of LGI1 could help in developing personalized pain management strategies based on individual LGI1 expression levels and activity.