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.alpha. but not PKGI.beta. 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.alpha.,
Rp-8-[(4-Chlorophenyl)thio]-cGMPS triethylamine, produces significant
antinociception. Moreover, PKGI.alpha. protein expression was
dramatically increased in the lumbar spinal cord after noxious
stimulation. This upregulation of PKGI.alpha. 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.alpha. expression in the
superficial laminae via an NMDA-No-cGMP signaling pathway, suggesting
that PKGI.alpha. plays an important role in the central mechanism of
inflammatory hyperalgesia in the spinal cord.