One subject that remains to be resolved is whether the HK-1-preferred receptor is identical to the NK1 receptor. Treatment with NK1 receptor antagonists attenuated behavioral responses induced
by HK-1 as well as SP, indicating that HK-1 and SP elicit the effect through the NK1 receptor. On the other hand, pretreatment with EKC/D inhibited SP-induced scratching behavior while high throughput screening compounds there was little effect on HK-1-induced scratching, indicating that EKC/D is a specific antagonist of the NK1 receptor, but not the HK-1-preferred receptor. In addition, there was a difference in a mode of induction of cross-desensitization and thermal hyperalgesia between r/mHK-1 and SP and in kinases involved in
the induction of desensitization by HK-1 and SP. Taken together, a series of evidence suggests that the NK1 receptor may be different from the HK-1-preferred receptor. Discovery of specific antagonists against the HK-1-preferred receptor and identification of the HK-1-preferred receptor gene will provide a clue to clarify these unsolved issues. Information on the distribution of TAC4 mRNA has been accumulated for various tissues, and the expression of TAC4 mRNA is evident in both peripheral tissues and the nervous system. The peripheral 3-deazaneplanocin A supplier tissue and brain consist of various cell types in which each cell has specific functions; however, there is no information about the expression of TAC4 mRNA in each cell, since data on the expression of TAC4 mRNA are derived from blotting analyses. Development of a specific antibody against HK-1 is essential for determining the expression of HK-1 by immunohistochemistry in each cell, and application of
in situ hybridization can clarify the localization of each cell expressing TAC4 mRNA in each tissue or the central nervous system. These data are useful for elucidating the function of HK-1 in each cell of various tissues. Physiological functions of HK-1 in the spinal level or peripheral tissue remain to be elucidated, although NADPH-cytochrome-c2 reductase the abundant expression of TAC4 mRNA in peripheral tissues and induction of scratching behavior following intrathecal administration of HK-1 have been identified. Scratching is a pain-related behavior since scratching behavior is induced by SP, which is known as a neurotransmitter in pain processing; however, the itch sensation also induces scratching behavior and pain induces wiping behavior [79]. Thus, analysis of behavior responses, such as scratching and wiping, after administration of HK-1 into peripheral tissues may be useful for clarifying the role of HK-1 in peripheral tissues. Finally, most accumulated data are derived from the spinal or supraspinal level whereas there is little data on the function of HK-1 or endokinins in the trigeminal system.