Alleviation of Chronic Neuropathic Pain by Agmatine Requires the Glun2b Subunit of the Nmda Receptor
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ALLEVIATION OF CHRONIC NEUROPATHIC PAIN BY AGMATINE REQUIRES THE GLUN2B SUBUNIT OF THE NMDA RECEPTOR A THESIS SUBMITTED TO THE FACULTY OF UNIVERSITY OF MINNESOTA BY Cristina D Peterson IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY Thesis Advisors Carolyn A. Fairbanks, Ph.D. George L. Wilcox, Ph.D. November 2017 © Cristina D Peterson 2017 Acknowledgements Thank you to Dr. Carolyn Fairbanks. You are a scientific force to be reckoned with. I will forever appreciate your mentoring, your encouragement, and your endless drive to develop safe and effective pain therapies. Thank you to Dr. George Wilcox. You have an incredible depth of knowledge and appreciation for new ideas. Thank you for your feedback, editing, and scientific curiosity. Thank you to everyone who has been a part of the Fairbanks/Wilcox lab over the years (too many to list!) for creating a supportive and productive environment. A very special thanks to Dr. Caroline Churchill for showing me the ins and outs of school, research, and life. We’re all so lucky to have met you. Thank you to Mr. Kelley Kitto for your boundless patience and behavioral expertise. You are truly an irreplaceable part of the laboratory and your willingness to teach others is always appreciated. Thank you to Ms. Oanh Nguyen for your humor and joy. Thank you to my committee members Drs. Susan Marino and Ling Li for insightful and encouraging feedback. Thank you to Dr. Lucy Vulchanova and everyone in the Vulchanova laboratory for your collaboration and expertise. Thank you to Yorie Smart, Dr. Tom Moliter, Dr. Sabita Roy, and everyone on the NIH PharmacoNeuroImmunology training grant for the diversity of knowledge and mentoring. I am so grateful for the support and educational opportunities that this grant provided. Thank you to Jeff and Shambles for your constant support and encouragement. I truly wouldn’t have been able to complete this without you. Thank you to Peter and Jamie for valuing education and service to the community more than clean dishes. Last but not least, thank you to my family for always supporting me. i Dedication To Dad. Thank you for valuing education and encouraging me year after year. I’m forever grateful for your endless support. ii TABLE OF CONTENTS CHAPTER PAGE List of Figures……………………………………………………………………….....v List of Tables…………………………………………………………………….....…vii Chapter 1. Introduction Synopsis ................................................................................................................ 1 Prevalence of Pain ................................................................................................ 1 Pain of Neuropathic Origin .................................................................................... 2 Animal Modeling of Chronic Pain .......................................................................... 3 NMDA Modulation to Alleviate Neuropathic Pain .................................................. 4 Agmatine: A Novel NMDA Antagonist ................................................................... 6 AAV Gene Therapy to Deliver Chronic Therapeutics ............................................ 7 AAV Targeting via Differing Serotype Expression ................................................. 8 AAV2 ..................................................................................................................... 9 AAV5 ................................................................................................................... 10 AAV9 ................................................................................................................... 10 AAV Promoter and Enhancer Sequences ........................................................... 12 Constitutive CMV Promoter ................................................................................. 12 Additional Constitutive Promoters ....................................................................... 13 Neuron-Specific Promoters ................................................................................. 14 Thesis Preview .................................................................................................... 15 Thesis Objectives ................................................................................................ 16 Thesis Objectives Chapter 2 .............................................................................. 17 Thesis Objectives Chapter 3 .............................................................................. 18 Thesis Objectives Chapter 4 .............................................................................. 21 Summary ............................................................................................................ 21 Bibliography ........................................................................................................ 23 Chapter 2. Prevention and Reversal of Chronic Neuropathic Pain via Agmatine Synopsis ............................................................................................................. 30 Introduction ......................................................................................................... 31 Materials and Methods ....................................................................................... 34 Results ............................................................................................................... 36 Figures and Figure Legends .............................................................................. 42 iii Discussion .......................................................................................................... 51 Summary and Conclusion .................................................................................. 53 Bibliography ........................................................................................................ 54 Chapter 3. Long-Term Reversal of Chronic Pain Through Elevation of Spinal Agmatine Synopsis ............................................................................................................. 58 Introduction ......................................................................................................... 59 Materials and Methods ....................................................................................... 61 Results ............................................................................................................... 67 Figures and Figure Legends .............................................................................. 73 Discussion .......................................................................................................... 82 Summary and Conclusion .................................................................................. 85 Bibliography ........................................................................................................ 86 Chapter 4. Agmatine Requires the GluN2B Subunit to Inhibit NMDA Receptor-Mediated Neurobehavioral Plasticity Synopsis ............................................................................................................. 90 Introduction ......................................................................................................... 91 Materials and Methods ....................................................................................... 95 Results ............................................................................................................. 101 Figures and Figure Legends ............................................................................ 107 Discussion ........................................................................................................ 118 Summary and Conclusion ................................................................................ 120 Bibliography ...................................................................................................... 121 Chapter 5. Summary, Future Directions, and Conclusion Summary .......................................................................................................... 126 Conclusions ...................................................................................................... 127 Future Directions .............................................................................................. 128 Conclusion ........................................................................................................ 130 Bibliography ...................................................................................................... 131 Compiled Bibliography……...……………..……………………………...………133 iv LIST OF FIGURES Chapter 2 Figure 2.1: Centrally delivered agmatine attenuates the development of neuropathic pain behaviors following SNI ................................... 43 Figure 2.2: Central delivery of agmatine reverses the expression of hypersensitivity following SNI. ......................................................... 45 Figure 2.3: Centrally delivered morphine reverses neuropathic pain behaviors ......................................................................................... 47 Figure 2.4: Systemically delivered agmatine reverses neuropathic pain behaviors ................................................................................. 49 Figure 2.5: Agmatine attenuates non-reflexive pain behaviors as measured by rotarod performance .................................................. 50 Chapter 3 Figure 3.1: Agmatine synthesis and degradation ........................... 73 Figure