In the present study, we show that Pdzd2 binds directly to the intracellular loop between domains 2 and 3 of Na
V1.8. We also show that the endogenous Na
V1.8 current in sensory neurons is inhibited specifically by antisense and siRNA-mediated downregulation of Pdzd2. These observations suggest that the interaction between Pdzd2 and Na
V1.8 is essential for the functional expression of the channel. Although binding of PDZ domains to internal sites in target proteins is not common, there have been a few examples of internal PDZ-binding sites reported (
Shieh and Zhu, 1996; Gee et al., 1998). It is also possible that Pdzd2 binds the sodium channels via non-canonical sequence defined by their structural features (
Harris and Lim 2001).
In contrast to p11 which promotes the translocation of Na
V1.8 to the plasma membrane in CHO cells (
Okuse et al., 2002), Pdzd2 does not help the surface expression of Na
V1.8 in CHO cells which suggests that Pdzd2 is a necessary but insufficient factor for Na
V1.8 expression. This may be explained by lack of other regulatory factors responsible for Pdzd2-mediated membrane translocation of Na
V1.8. It is also plausible that Pdzd2 is required for stabilising Na
V1.8 in the plasma membrane as a scaffolding protein rather than trafficking of Na
V1.8.
The C-terminal fragment (201aa) of Pdzd2 is sufficient for binding to the intracellular loop of Na
V1.8. Unlike p11 which binds exclusively to Na
V1.8 among the voltage-gated sodium channels (
Poon et al., 2004), Pdzd2 also binds to Na
V1.7. Na
V1.7 is known to be expressed in all types of DRG neurons including large diameter neurons (
Sangameswaran et al., 1997). It is therefore plausible that Pdzd2 in large diameter sensory neurons may play an important role in nociception by binding to Na
V1.7. The C-terminal fragment of Pdzd2 possesses two of six PDZ domains found in full length Pdzd2. Pdzd2 is also shown to associate with δ-catenin/NPRAP and p0071 via the second PDZ domain (
Deguchi et al., 2002), and with GABA
BR2 receptor via the first PDZ domain (
Balasubramanian et al., 2007). Mutation of the PDZ-binding motif in GABA
BR2 results in decrease of surface-expressed GABA
BR2, indicating the stability and signalling of GABA
B receptor is modulated via interactions with Pdzd2. The surface expression of Na
V1.8 in sensory neurons may be regulated by similar machinery involving Pdzd2 and its other binding partners through its remaining PDZ domains.
There is no marked difference in pain threshold to acute noxious radiant heat stimulus between the Pdzd2-deficient and wild type mice. This is consistent with the findings in the p11 knockout mice (
Foulkes et al., 2006), but not with the Na
V1.8 and Na
V1.7 null mutants where paw withdrawal latencies following exposure to a noxious radiant heat stimulus are increased compared with control animals (
Akopian et al., 1999; Nassar et al., 2004). Response to the noxious pressure is also not altered in the Pdzd2-deficient mice, inconsistent with the data observed in the Na
V1.8 knockouts and the p11 and Na
V1.7 knockout mice. These contradictions may be explained by the significant compensatory upregulation of p11mRNA in DRG of the Pdzd2-deficient mice, as the fact that p11 promotes the functional expression of Na
V1.8 into the plasma membrane of sensory neurons. It is also plausible that Na
V1.8 itself is compensatorily upregulated in the Pdzd2-deficient mice, because Pdzd2 starts to be expressed earlier (E10.5, K. Cheah & K. Yao, in preparation) than Na
V1.8 which can be visible at E13 the earliest (
Akopian et al., 1996). There may also be yet to be identified Pdzd2-related PDZ proteins which could compensate the loss of Pdzd2. It is, therefore, important to study the involvement of Pdzd2 in nociceptor function using a system without developmental compensatory effects such as inducible knockout mice or siRNA injection to the animals.