Calcitonin Related Polypeptide Alpha Mediates Oral Cancer Pain
Abstract
Oral cancer patients suffer pain at the site of the cancer. Calcitonin gene related polypeptide (CGRP), a neuropeptide expressed by a subset of primary afferent neurons, promotes oral cancer growth. CGRP also mediates trigeminal pain (migraine) and neurogenic inflammation. The contribution of CGRP to oral cancer pain is investigated in the present study. The findings demonstrate that CGRP-immunoreactive (-ir) neurons and neurites innervate orthotopic oral cancer xenograft tumors in mice. Cancer increases anterograde transport of CGRP in axons innervating the tumor, supporting neurogenic secretion as the source of CGRP in the oral cancer microenvironment. CGRP antagonism reverses oral cancer nociception in preclinical oral cancer pain models. Single-cell RNA-sequencing is used to identify cell types in the cancer microenvironment expressing the CGRP receptor components, receptor activity modifying protein 1 Ramp1 and calcitonin receptor like receptor (CLR, encoded by Calcrl). Ramp1 and Calcrl transcripts are detected in cells expressing marker genes for Schwann cells, endothelial cells, fibroblasts and immune cells. Ramp1 and Calcrl transcripts are more frequently detected in cells expressing fibroblast and immune cell markers. This work identifies CGRP as mediator of oral cancer pain and suggests the antagonism of CGRP to alleviate oral cancer pain.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jun 21, 2023
- Source ID
- 10.3390/cells12131675
Entities
People
- A Bhattacharya
- Ammar Khan
- Branka Brukner Dabovic
- Brian L. Schmidt
- Cynthia A. Loomis
- Donna G. Albertson
- Jun Hyeong Hwang
- Kenji Inoue
- Nathalie M. Pinkerton
- Nguyen H. Tu
- Nigel W Bunnett
- Parker K. Lewis
- Shanmugapriya Selvaraj
- Varun Chokshi
- Zinaida Dubeykovskaya
Organizations
- NYU Langone Health
- National Institutes of Health
- New York University
- United States Department of Defense