Thermal sensory mechanisms involved in body temperature regulation

Abstract

In a cold environment mammals reduce blood flow to the skin in order to conserve heat, while in a hot environment sweating reduces body temperature. It is well established that the reduction in skin blood flow in a cold environment is mediated by noradrenergic sympathetic nerves, which innervate blood vessels and release noradrenaline in order to cause vasoconstriction in response to cold. Conversely, cholinergic sympathetic nerves innervate sweat glands to produce cooling in a hot environment. The heat and cold-sensitive mechanisms - the "thermostats" - which drive activity in these two divisions of the sympathetic nervous system are, however, unknown. In preliminary experiments we have found an ion channel in sympathetic neurons which is directly activated by cold, while a different ion channel expressed in parasympathetic neurons, which are cholinergic, is directly activated by warmth. The heat and cold-sensitive ion channels underlying these responses are novel thermosensory mechanisms, as they are not activated by any of the agonists for known thermally sensitive ion channels.

The discovery of these novel thermally sensitive mechanisms will now allow us to characterize their electrical properties. We will then proceed to determine their molecular basis using RNA sequencing, in which we will compare the mRNA expressed in specific cold-sensitive and warm-sensitive neuronal populations with similar populations which are not thermally sensitive, and so will determine which ion channel mRNAs are differentially expressed. Finally, we will clone and express the ion channels that we have identified in order to check that the properties of the cloned gene are the same as those expressed in thermally-sensitive neurons.

In parallel we will investigate the thermally sensitive mechanism which determines the mammalian core body temperature. Warmth-activated neurons are known to be present in the pre-optic nucleus of the anterior hypothalamus and to be important in regulating body temperature. We will isolate neurons from this region and will study their activation by thermal stimuli. Is the mechanism the same as the warmth-activated mechanism that we have discovered in cholinergic neurons? We will examine the mRNA expressed in these neurons using in situ hybridization, and if the same channels are expressed then we will have an answer to an important problem in biology, namely how mammals sense their core temperature. If the mechanism is not the same then we will isolate mRNA from populations of thermally sensitive neurons and will compare the mRNA abundance with that in adjacent non-thermally sensitive to clone the thermoregulatory gene in a similar approach to that outlined above.

Technical Summary

Seven thermally sensitive members of the TRP ion channel family have been cloned, but there is clear evidence that the mechanisms responsible for thermoregulation remain to be discovered, because mice null for each of the known thermo-TRPs maintain their bodily temperature normally. In preliminary studies we have found that ion channels in sympathetic neurons are activated by cold, and are therefore likely to mediate vasoconstriction in response to cold, while ion channels in parasympathetic neurons are activated by moderate warmth. Neither ion channel is activated by any of the known agonists for thermosensitive TRP ion channels. These are therefore novel thermosensory mechanisms.

Are cold-sensitive ion channels expressed in noradrenergic neurons of the sympathetic nervous system, which cause vasoconstriction, while warm-sensitive ion channels are expressed in cholinergic neurons, which activate sweat glands? The phenotypes of these two neuronal types can be switched by culture with growth factors - does thermal sensitivity also switch?

We will study cold and warm-sensitive ion channels electrophysiologically and will then determine their molecular basis by RNAseq of thermally sensitive and insensitive populations. Finally we will clone and express identified channels to confirm their thermally activated characteristics.

In a second and related area of research we will investigate the central mechanism of regulation of core body temperature. Neurons from the pre-optic area of the anterior hypothalamus will be isolated and their activation by warmth studied electrophysiologically as above. The warmth-activated mechanism we have discovered in cholinergic neurons is a likely candidate for the molecular basis of the mechanism, and we will use in situ hybridisation to determine whether the warmth-sensitive ion channel cloned above is expressed in pre-optic neurons. If not we will use RNAseq as above to clone the thermo-regulatory ion channel.

Planned Impact

Who will benefit from this research?

The research is intended to be primarily curiosity-driven fundamental research which will elucidate the molecular mechanisms of how sensory neurons detect temperature. If the mechanism underlying mammalian thermoregulation can be elucidated then this will have substantial potential applications in controlling hyperthermia (e.g. during infection) and in treating hypothermia (e.g. in the elderly). We anticipate that novel thermo-sensitive ion channels detecting extremes of temperature may also play a role in pain sensation and in conditions such as Raynaud's syndrome and will therefore be targets of considerable interest for the pharmaceutical industry.


The general public has tremendous curiosity about science, as is shown by the number of invitations the applicant receives to give talks about my work and the general area of pain on radio and TV programmes, and in person to popular audiences. We are able to satisfy the natural curiosity of the general public, and they are therefore also beneficiaries of this work.

How will they benefit from this research?

An understanding of how thermo-sensitive ion channels and how they are modulated is of particular interest to pharmaceutical companies. An analogy can be drawn with the thermo-TRP channel TRPV1, because a substantial component of inflammatory hyperalgesia in vivo is thought to originate from modulation of the temperature threshold of TRPV1, as is shown by the abolition of heat hyperalgesia in TRPV1 knockout mice. Blockers of TRPV1 have been a major area of recent research in pharmaceutical companies, with more than 50 companies having a drug development programme in this area.

Timescales for developing innovations arising from this research may not be long. An analogy can be drawn with the ion channel TRPV1, the first thermo-TRP to be cloned, which was published in 1997. Its importance in inflammatory pain was recognised as soon as genetically deleted mice were shown in 2000 to have an absence of inflammatory hyperalgesia. Pharmaceutical companies immediately began the development of antagonists and 10 years later a number have entered clinical trials. A similar rapid timescale of development has been seen with TRPA1, which was cloned in 2004 and for which several antagonists have already entered clinical trials with a view to treating bronchospasm in asthmatics.

Publications

10 25 50
 
Description We have discovered novel mechanisms of heat and cold sensation.

We set out, as proposed in the grant, was to determine the molecular basis of sensitivity to warm temperatures. In a major discovery, we were able to show that a gene called TRPM2, which codes for an ion channel belonging to the TRP family, is responsible for sensing mild warm temperatures. This work was published in the prestigious journal Nature.

A subsequent paper (Vandewauw et al, Nature 2018) challenged our work. Following further experiments and correspondence with these authors we published a further paper (Vilar et al, Nature 2020) in which we extended and reinforced our earlier conclusions. At the same time, the group that had challenged our work published a paper agreeing with our work and retracting their earlier allegations against us (Mulier et al, Nature 2020). We are happy with this outcome, which clarifies the picture on the important issue of mammalian heat sensation and moreover avoids confusion in the field.

In other ongoing work we are determining the molecule(s) responsible for the sensation of painfully cold temperatures. We have shown that this process depends on more than one mechanism. We have identified likely candidates using electrophysiology and calcium imaging, and we are in the process of confirming our data using a molecular approach.
Exploitation Route This work will be valuable in investigating abnormalities of body temperature regulation. The work has led to the award of a grant to P. McNaughton to investigate the molecular basis of body temperature regulation, a prestigious Investigator Award funded by the Wellcome Trust
Sectors Aerospace, Defence and Marine,Environment,Healthcare,Pharmaceuticals and Medical Biotechnology

URL https://doi.org/10.1038/nature19074
 
Description The work has demonstrated that TRPM2 is the sensor of mild warmth. We know that TRPM2 is also sensitive to hydrogen peroxide (H2O2) and that it is expressed in neutrophils. This suggested to us that TRPM2 may guide neutrophils to their bacterial and other targets, and moreover that the guidance will be sensitive to warmth. This may explain why infection causes fever - the fever plays an active role in fighting infection by promoting neutrophil motility. This idea has led on to a major new project on the involvement of TRPM2 in neutrophil guidance. In a further outcome from this work, we searched a natural compound library for inhibitors of neutrophil chemotaxis and identified artemisinin, a plant-derived product used as a front-line antimalarial, as a potent and selective inhibitor of neutrophil chemotaxis. Although the work on TRPM2 mentioned above provided the starting point of this investigation, we found that artemisinin does not actually inhibit TRPM2 but instead operates via a different mechanism, namely block of a calcium transporter that fills intracellular stores. In mouse models of sepsis, we found that artemisinin is a potent inhibitor of neutrophil chemotaxis, of cytokine and chemokine release and also of release of neutrophil extracellular traps (NETs). The potent anti-inflammatory actions of artemisinin suggested to us that it may be effective in treatment of hospitalized Covid-19 patients, and we proposed this to the World Heath Organization (WHO). The WHO adopted our suggestion and artemisinin is currently undergoing international trials for Covid-19 (SOLIDARITY TRIAL PLUS: An international randomized trial of additional treatments for COVID-19 in hospitalized patients who are all receiving the local standard of care. [Online] Available from https://www.isrctn.com/ISRCTN18066414).
First Year Of Impact 2021
Sector Healthcare,Pharmaceuticals and Medical Biotechnology
Impact Types Economic,Policy & public services

 
Description Control of body temperature: molecular basis of sensory and effector mechanisms
Amount £1,524,323 (GBP)
Funding ID 205006 
Organisation Wellcome Trust 
Sector Charity/Non Profit
Country United Kingdom
Start 06/2017 
End 02/2022
 
Description Open day (KCL) 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Neuroscience open day at KCL, attended by academics but also pharma company scientists, undergraduates and some school students
Year(s) Of Engagement Activity 2015
 
Description Public lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact I gave a public lecture on the work of my lab at the University of York. Around 100 people attended, some from the University, others member of the public.
Year(s) Of Engagement Activity 2017
URL https://www.york.ac.uk/news-and-events/events/public-lectures/autumn-17/conquer-pain/
 
Description School visits to lab at KCL 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Schools
Results and Impact Tours of the lab and discussions about science in general and neuroscience in particular; also about neuroscience as a career
Year(s) Of Engagement Activity Pre-2006,2006,2007,2008,2009,2010,2011,2012,2013,2014,2015,2016