May 2, 2024

Oversensitive Sensory Neurons Can Cause Joint Deformities – But It Can Be Treated

Arthrogryposis, also referred to as joint contractures, is a condition that leads to numerous joint deformities. It is characterized by the failure to move a joint, leading to a fixed, bent position. This can impact any joint in the body however is most typically seen in the arms, legs, and spinal column.
According to a recent research study, a surplus of mechanosensation in the neurons responsible for our sense of limb position in area can disrupt musculoskeletal development and cause joint deformities such as arthrogryposis.
The research study also demonstrates that it is possible to treat certain musculoskeletal conditions non-invasively by reducing this heightened sensory neuronal activity throughout an important age through making use of Botox or a specialized diet.
Distal arthrogryposis (DA) is a disorder identified by genetic joint deformities, or contractures, that frequently restrict motion in the hands and feet and is estimated to affect roughly one in 3,000 individuals worldwide. Minimizing the symptoms typically requires invasive surgeries.

Arthrogryposis, also known as joint contractures, is a condition that results in multiple joint defects. It is characterized by the inability to move a joint, resulting in a repaired, bent position. Utilizing a mouse model, Shang Ma and associates discovered that over-expression of the mutant Piezo2 gain-of-function allele in proprioceptive nerve cells that enervate muscles and tendons throughout a crucial postnatal period throughout development can trigger joint contracture.

Although anomalies in genes associated with muscle and joint function have actually been connected to DA, gain-of-function mutations in PIEZO2– a primary mechanosensor in sensory nerve cells that underlies touch experience, proprioception, and other mechanosensory procedures– have actually been found in clients with DA subtype 5 (DA5).
The system by which PIEZO2 anomalies trigger DA is unknown. Using a mouse model, Shang Ma and associates found that over-expression of the mutant Piezo2 gain-of-function allele in proprioceptive nerve cells that enervate muscles and tendons throughout a critical postnatal period throughout development can cause joint contracture. When the inefficient allele was revealed in skeletal muscles, cartilage, or tendons, these problems were not caused.
According to Ma et al., Botox injection and a dietary fatty acid typically found in fish reduced joint and tendon defects.
” The study by Ma et al. offers interesting brand-new insights into the mechanisms that cause DA,” writes Urich Müller in a related Perspective. “Finding that expression of the gain-of-function allele of Piezo2 in young adult mice does not cause DA symptoms is assuring. It limits a time window for prospective therapeutic intervention that might lead to lifelong enhancement for the afflicted clients.”
Recommendation: “Excessive mechanotransduction in sensory nerve cells triggers joint contractures” by Shang Ma, Adrienne E. Dubin, Luis O. Romero, Meaghan Loud, Alexandra Salazar, Sarah Chu, Nikola Klier, Sameer Masri, Yunxiao Zhang, Yu Wang, Alex T. Chesler, Katherine A. Wilkinson, Valeria Vásquez, Kara L. Marshall and Ardem Patapoutian, 12 January 2023, Science.DOI: 10.1126/ science.add3598.