It is now well established that the expression of peptides in rat prim
ary sensory neurons is dramatically changed in response to peripheral
nerve injury. Thus, as first shown by Jessell et al.15 peripheral axot
omy causes a decrease in substance P levels in the dorsal horn of the
corresponding spinal cord segments, and this is due to down-regulation
of peptide synthesis in dorsal root ganglion neurons.22 In contrast,
other peptides such as vasoactive intestinal polypeptide and peptide h
istidine isoleucine,27 galanin12 and neuropeptide Y32 are all markedly
upregulated in the rat L4 and L5 dorsal root ganglia after sciatic ne
rve sectioning. The levels of another peptide, cholecystokinin and its
messenger RNA are normally very low or undectable in rat primary sens
ory neurons,5,20,24,25,26 but after peripheral axotomy approximately 3
0% of the ganglion neurons express cholecystokinin messenger RNA.30 Du
ring the last few years a number of peptide receptors have been cloned
, and they all belong to the family of G-protein coupled receptors wit
h seven membrane spanning segments,21 among them the two cholecystokin
in receptors cholecystokinin(A) and cholecystokinin(B).17,23,34 Ghilar
di et al.11 have recently described presence of cholecystokinin(B) bin
ding sites in rat dorsal root ganglia neurons. In the present study we
report that the messenger RNA for the cholecystokinin(B) receptor is
present at very low levels in normal dorsal root ganglia of the rat, b
ut axotomy causes a very marked increase in the number of sensory neur
ons of all sizes expressing cholecystokinin(B) receptor messenger RNA,
suggesting an increased sensitivity to cholecystokinin for many prima
ry sensory neurons of different modalities after lesion.