Several lines of evidence have shown a role for the nitric oxide (NO)/cyclic
guanosine monophosphate (cGMP) signaling pathway in the development of spinal hyperalgesia.
However, the roles of effectors for cGMP are not fully understood in the processing
of pain in the spinal cord. cGMP-dependent protein kinase (PKG) I but not
PKGI was localized in the neuronal bodies and processes, and was distributed
primarily in the superficial laminae of the spinal cord. Intrathecal administration
of an inhibitor of PKGI, Rp-8-[(4-Chlorophenyl)thio]-cGMPS triethylamine,
produces significant antinociception. Moreover, PKGI protein expression
was dramatically increased in the lumbar spinal cord after noxious stimulation.
This upregulation of PKGI expression was completely blocked not only by
a neuronal NO synthase inhibitor, and a soluble guanylate cyclase inhibitor, but
also by an N-methyl-D-aspartate (NMDA) receptor antagonist, MK-801. Noxious stimulation
not only initially activates but also later upregulates PKGI expression
in the superficial laminae via an NMDA-NO-cGMP signaling pathway, suggesting that
PKGI plays an important role in the central mechanism of inflammatory hyperalgesia
in the spinal cord.