Unraveling the Story of NGF-mediated Sensitization of Nociceptive Sensory Neurons: ON or OFF the Trks?
Mol. Interv. 2007 7: 26-41.
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Nerve growth factor (NGF) is a well-studied neurotrophin, which by definition is necessary in development for the differentiation of neurons and the proper functioning of nervous tissues. In the adult, however, NGF appears to function primarily to mediate inflammatory and immune responses after tissue injury, especially to initiate and maintain hypersensitivity, a hallmark symptom of inflammation. As part of the inflammatory response, NGF directly or indirectly alters the sensitivity of small diameter sensory neurons that communicate noxious information. The receptors and intracellular signaling cascades that mediate this sensitizing action of NGF are not yet fully elaborated. Although the general consensus is that NGF produces peripheral sensitization by activating the neurotrophin receptor (NTR) TrkA, recent work suggests that the p75 NTR also contributes. The extent to which the two NTRs act independently or together remains to be determined. Furthermore, controversy exists as to the downstream signaling pathways involved in NGF-induced peripheral sensitization.