Publications by authors named "Fadia B Dib-Hajj"

The construction of neuronal membranes is a dynamic process involving the biogenesis, vesicular packaging, transport, insertion and recycling of membrane proteins. Optical imaging is well suited for the study of protein spatial organization and transport. However, various shortcomings of existing imaging techniques have prevented the study of specific types of proteins and cellular processes.

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Non-addictive treatment of chronic pain represents a major unmet clinical need. Peripheral voltage-gated sodium (Na) channels are an attractive target for pain therapy because they initiate and propagate action potentials in primary afferents that detect and transduce noxious stimuli. Na1.

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Inflammation causes pain by shifting the balance of ionic currents in nociceptors toward depolarization, leading to hyperexcitability. The ensemble of ion channels within the plasma membrane is regulated by processes including biogenesis, transport, and degradation. Thus, alterations in ion channel trafficking may influence excitability.

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Patients treated with paclitaxel (PTX) or other antineoplastic agents can experience chemotherapy-induced peripheral neuropathy (CIPN), a debilitating side effect characterized by numbness and pain. PTX interferes with microtubule-based transport, which inhibits tumor growth cell cycle arrest but can also affect other cellular functions including trafficking of ion channels critical to transduction of stimuli by sensory neurons of the dorsal root ganglia (DRG). We examined the effects of PTX on voltage-gated sodium channel Na1.

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Neuronal function relies on the maintenance of appropriate levels of various ion channels at the cell membrane, which is accomplished by balancing secretory, degradative, and recycling pathways. Neuronal function further depends on membrane specialization through polarized distribution of specific proteins to distinct neuronal compartments such as axons. Voltage-gated sodium channel Na1.

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Article Synopsis
  • Neuronal excitability depends on the coordinated functions of distinct voltage-gated sodium (Na) and potassium (K) channels, with Na channels causing depolarization and K channels causing hyperpolarization during action potentials.
  • Mutations in these channels are linked to disorders like pain and epilepsy, suggesting that modifying how these ion channels are transported within neurons might be a therapeutic strategy.
  • Research using advanced imaging techniques shows that specific Na and K channels are packaged and transported together in the same vesicles within sensory neurons, indicating a complex organization of neuronal membrane proteins essential for normal excitability.
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Lacosamide, developed as an anti-epileptic drug, has been used for the treatment of pain. Unlike typical anticonvulsants and local anesthetics which enhance fast-inactivation and bind within the pore of sodium channels, lacosamide enhances slow-inactivation of these channels, suggesting different binding mechanisms and mode of action. It has been reported that lacosamide's effect on Na1.

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There is a pressing need for understanding of factors that confer resilience to pain. Gain-of-function mutations in sodium channel Nav1.7 produce hyperexcitability of dorsal root ganglion neurons underlying inherited erythromelalgia, a human genetic model of neuropathic pain.

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The microtubule-stabilizing chemotherapy drug paclitaxel (PTX) causes dose-limiting chemotherapy-induced peripheral neuropathy (CIPN), which is often accompanied by pain. Among the multifaceted effects of PTX is an increased expression of sodium channel Nav1.7 in rat and human sensory neurons, enhancing their excitability.

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Sodium channel Nav1.7, encoded by the SCN9A gene, is a well-validated target that plays a key role in controlling pain sensation. Loss-of-function mutations of Nav1.

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Sodium channel Na1.7 controls firing of nociceptors, and its role in human pain has been validated by genetic and functional studies. However, little is known about Na1.

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Article Synopsis
  • Nav1.9 is a key sodium channel that plays a crucial role in regulating action potentials, particularly in neurons related to pain perception, such as myenteric neurons and small-diameter dorsal root ganglion neurons.
  • Recent studies have linked gain-of-function mutations in Nav1.9 to specific human pain disorders, including familial episodic pain type 3 and small fiber neuropathy.
  • A new mutation, N816K, identified in a child experiencing early-onset episodic pain, results in increased current density and hyperexcitable DRG neurons, linking this mutation to heightened pain sensitivity.
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Neuropathic pain in patients carrying sodium channel gain-of-function mutations is generally refractory to pharmacotherapy. However, we have shown that pretreatment of cells with clinically achievable concentration of carbamazepine (CBZ; 30 M) depolarizes the voltage dependence of activation in some Na1.7 mutations such as S241T, a novel CBZ mode of action of this drug.

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Idiopathic trigeminal neuralgia (TN) is a debilitating pain disorder characterized by episodic unilateral facial pain along the territory of branches of the trigeminal nerve. Human painful disorders, but not TN, have been linked to gain-of-function mutations in peripheral voltage-gated sodium channels (Na1.7, Na1.

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