A

Neuron–astrocyte metabolic coupling facilitates spinal plasticity and maintenance of inflammatory pain

Nature Metabolism, vol. 6, pp. 494–513

Abstract

Long-lasting pain stimuli can trigger maladaptive changes in the spinal cord, reminiscent of plasticity associated with memory formation. Metabolic coupling between astrocytes and neurons has been implicated in neuronal plasticity and memory formation in the central nervous system, but neither its involvement in pathological pain nor in spinal plasticity has been tested. Here we report a form of neuroglia signalling involving spinal astrocytic glycogen dynamics triggered by persistent noxious stimulation via upregulation of the Protein Targeting to Glycogen (PTG) in spinal astrocytes. PTG drove glycogen build-up in astrocytes, and blunting glycogen accumulation and turnover by Ptg gene deletion reduced pain-related behaviours and promoted faster recovery by shortening pain maintenance in mice. Furthermore, mechanistic analyses revealed that glycogen dynamics is a critically required process for maintenance of pain by facilitating neuronal plasticity in spinal lamina 1 neurons. In summary, our study describes a previously unappreciated mechanism of astrocyte-neuron metabolic communication through glycogen breakdown in the spinal cord that fuels spinal neuron hyperexcitability.

Authors 15

  1. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

  2. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

    Oliver Wyman GmbH, Munich, Germany

  3. Heidelberg University · Grünenthal Group (Germany)

    Affiliation as printed

    Department of Translational Disease Understanding, Grünenthal GmbH, Aachen, Germany

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

  4. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

  5. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

  6. Indiana University School of Medicine

    Affiliation as printed

    Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN, USA

  7. Heidelberg University

    Affiliation as printed

    Department of Neurobiology, Interdisciplinary Center for Neurosciences (IZN), Heidelberg University, Heidelberg, Germany

  8. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

    Taconic Biosciences, Leverkusen, Germany

  9. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

  10. Heidelberg University

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

  11. Heidelberg University

    Affiliation as printed

    Department of Neurobiology, Interdisciplinary Center for Neurosciences (IZN), Heidelberg University, Heidelberg, Germany

  12. Heidelberg University

    Affiliation as printed

    Dietmar-Hopp-Metabolic Center, Division of Neuropaediatrics and Metabolic Medicine, Heidelberg University, Heidelberg, Germany

  13. Heidelberg University · European Molecular Biology Laboratory

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany

    Molecular Medicine Partnership Unit (MMPU), European Molecular Biology Laboratory (EMBL), Heidelberg, Germany

  14. Heidelberg University · University Hospital Heidelberg · German Center for Diabetes Research

    Affiliation as printed

    Department of Endocrinology, Diabetology, Metabolism and Clinical Chemistry (Internal Medicine 1), Heidelberg University Hospital, Heidelberg, Germany

    German Center of Diabetes Research (DZD), Neuherberg, Germany

  15. Jan Siemens corresponding

    Heidelberg University · European Molecular Biology Laboratory · European Molecular Biology Laboratory

    Affiliation as printed

    Institute of Pharmacology, Heidelberg University, Heidelberg, Germany. jan.siemens@pharma.uni-heidelberg.de

    Molecular Medicine Partnership Unit (MMPU), European Molecular Biology Laboratory (EMBL), Heidelberg, Germany. jan.siemens@pharma.uni-heidelberg.de

Cited by 49 stored of 49

No patents citing this paper on Lens.org (checked 2026-10-06).

References 86