The peptide neurotransmitter substance P modulates sensitivity to pain
by activating the neurokinin-1 (NK-1) receptor, which is expressed by
discrete populations of neurons throughout the central nervous system
(1-4). Substance P is synthesized by small-diameter sensory 'pain' fib
res(5), and release of the peptide into the dorsal horn of the spinal
cord following intense peripheral stimulation(6) promotes central hype
rexcitability and increased sensitivity to pain(7-10). However, despit
e the availability of specific NK-1 antagonists(4), the function of su
bstance P in the perception of pain remains unclear Here we investigat
e the effect of disrupting the gene encoding the NK-1 receptor in mice
, We found that the mutant mice were healthy and fertile, but the char
acteristic amplification ('wind up') and intensity coding of nocicepti
ve reflexes was absent, Although substance P did not mediate the signa
lling of acute pain or hyperalgesia, it was essential for the full dev
elopment of stress-induced analgesia and for an aggressive response to
territorial challenge, demonstrating that the peptide plays an unexpe
cted role in the adaptive response to stress.