Preferred Label : Pain Repression Pathway;
NCIt related terms : Repression of Pain Sensation by the Transcriptional Regulator DREAM;
Alternative definition : BIOCARTA: The molecular events that lead to the perception of pain are a key research
field in medicine and drug discovery. The opioid receptors modulate pain signaling
in response to endogenous peptide ligands and opiate drugs such as morphine. The kappa
opioid receptor plays a key role in the profound analgesia of opiates and is activated
by the endogenous peptide ligand dynorphin, encoded by the prodynorphin gene. Production
of prodynorphin is transcriptionally regulated by a downstream regulatory element
(DRE) in the prodynorphin gene. A transcription factor called DREAM (DRE antagonistic
modulator) binds to the DRE and represses prodynorphin transcription when bound. DREAM
binds calcium with 4 EF-hand motifs and the binding of DREAM to DNA is repressed in
the presence of calcium. Many transcription factors are regulated by calcium indirectly
through calcium sensitive kinases and phosphatases, but DREAM is unique to date in
being a transcription factor that directly binds calcium and is regulated by calcium
binding. DREAM may also regulate other genes such as c-fos. DREAM is expressed in
spinal cord neurons in regions involved in pain signaling. The regulation of prodynorphin
expression by DREAM also leads to the hypothesis that DREAM is involved in pain signaling.
Transgenic mice lacking the DREAM gene were unusually pain insensitive and had elevated
spinal levels of dynorphin and tonic activation of the kappa opioid receptor, supporting
this hypothesis. Other functions of DREAM may exist such as regulation of presenilins
and potassium channel activity in the heart. DREAM is also known as calsenilin and
KChIP3 through its association with these other proteins. These processes were not
affected in mice lacking the DREAM gene however. (This definition may be outdated
- see the DesignNote.);
NCIt note : The BIOCARTA Definition (ALT_DEFINITION) for this pathway concept was provided by
BioCarta. This property was not created by, nor is it maintained by the NCI Thesaurus
staff. Additionally, BioCarta is no longer updating its pathway data; thus, the BIOCARTA
Definition might be outdated or inaccurate. Please see the Terms and Conditions for
Use at http://www.biocarta.com/.;
Biocarta ID : h_dreampathway;
Origin ID : C39052;
UMLS CUI : C1518855;
Semantic type(s)
has_gene_product_element
pathway_has_gene_element