Findings in simple animals could lead to new strategies to treat acute pain in humans.

A Northwestern University research team has discovered how scalding heat and tissue injury activate an ancient “pain” receptor in simple animals. The findings could lead to new strategies for analgesic drug design for the treatment of humans.

The simplest (and often first) component of our experience of pain is called nociception. This refers to the fact that dedicated receptors in our body quickly respond to potentially damaging conditions, such as extreme heat or tissue injury, to jump-start protective reflexes — like removing a hand from a hot stove.

Simple animals such as worms and insects do not suffer pain in the human sense, but they do use nociceptive receptor systems to steer away from potentially damaging conditions.

In a study published by the journal Nature Neuroscience, Northwestern neurobiologist Marco Gallio and colleagues report that planarian flatworms, fruit flies and humans may use a remarkably similar molecular genetic mechanism to respond to scalding heat, irritant chemicals and tissue injury.

“That planarians use the same molecular receptor as flies, mice and humans to detect potentially damaging or noxious stimuli from the environment shows a remarkable level of evolutionary conservation,” said Gallio, assistant professor of neurobiology in Northwestern’s Weinberg College of Arts and Sciences and the study’s corresponding author.

This implies that our simplest pain reflexes have a lot in common with those of most other animals and that what scientists learn by doing basic research on the simplest systems may have reverberations that extend all the way to the treatment of pain in humans.

“Planarian flatworms are amongst the simplest animals with a central brain, and they are capable of active behaviors such as hunting and foraging,” Gallio said. “As such, they are a great model for understanding some of the basic principles of nervous system function.”

The Gallio research team found that planarians possess their own variant of an already famous receptor, the transient receptor potential ankyrin 1 (TRPA1). TRPA1 is best known as the “wasabi receptor” in humans and as a sensor for environmental irritants giving rise to the sensation of pain and itch. TRPA1 is a major target for new analgesic drugs.

In their study, Gallio and colleagues discovered that the simple planarian also possesses TRPA1 and that, like in humans, it controls the responses to irritant chemicals. In other ways, however, the planarian TRPA1 was more like the fruit fly’s TRPA1; rather than being activated by painful cold temperature (like the human’s), it proved essential to steer the worms away from dangerous heat.

“Planarian worms engineered to lack TRPA1 appeared completely insensitive to potentially lethal heat and ventured into our heated experimental chamber as if completely unaware of the danger,” Gallio said. “This was remarkable but also puzzling. We knew from other experiments that planarian TRPA1 was not directly activated by hot temperature, like TRPA1s from other species are.”

To further test this, the researchers designed an ambitious experiment. “We produced gene-swaps between planarian worms, humans and flies,” Gallio said.

“We discovered that the planarian TRPA1 (insensitive to heat, on its own) and even the human TRPA1 gene (activated by cold rather than heat) could rescue a TRPA1 mutant fruit fly and restore its ability to respond to scalding heat. This was both exciting and baffling,” he said.

The solution to this puzzle came from further experiments, showing that potentially dangerous heat causes the production of a chemical intermediate in both planarians and flies. Tissue damage is often accompanied by the rapid production of a chemical signature composed of hydrogen peroxide (H2O2) and other reactive oxygen species