How fatty clumps help reduce thumps

Cholesterol-based structures in the membrane of nerve cells can act as mechanical sensors that trigger processes involved in pain regulation.

The bilayer of lipids that forms the cell membrane includes a variety of proteins structures (blue) such as ion channels as well as lipid structures such as straight lipids packed with cholesterol (in yellow). Image credit: Adapted from version 8.25 of the OpenStax Anatomy and Physiology Textbook (CC BY 3.0).

“Ouch!”: you have just stabbed your little toe on the sharp corner of a coffee table. That painful sensation stems from nerve cells converting information about external forces into electric signals the brain can interpret. Increasingly, new evidence is suggesting that this process may be starting at fat-based structures within the membrane of these cells.

The cell membrane is formed of two interconnected, flexible sheets of lipids in which embedded structures or molecules are free to move. This organisation allows the membrane to physically respond to external forces and, in turn, to set in motion chains of molecular events that help fine-tune how cells relay such information to the brain.

For instance, an enzyme known as PLD2 is bound to lipid rafts – precisely arranged, rigid fatty ‘clumps’ in the membrane that are partly formed of cholesterol. PLD2 has also been shown to physically interact with and then activate the ion channel TREK-1, a membrane-based protein that helps to prevent nerve cells from relaying pain signals. However, the exact mechanism underpinning these interactions is difficult to study due to the nature and size of the molecules involved.

To address this question, Petersen et al. combined a technology called super-resolution imaging with a new approach that allowed them to observe how membrane lipids respond to pressure and fluid shear. The experiments showed that mechanical forces disrupt the careful arrangement of lipid rafts, causing PLD2 and TREK-1 to be released. They can then move through the surrounding membrane where they reach a switch that turns on TREK-1. Further work revealed that the levels of cholesterol available to mouse cells directly influenced how the clumps could form and bind to PLD2, and in turn, dialled up and down the protective signal mediated by TREK-1.

Overall, the study by Petersen et al. shows that the membrane of nerve cells can contain cholesterol-based ‘fat sensors’ that help to detect external forces and participate in pain regulation. By dissecting these processes, it may be possible to better understand and treat conditions such as diabetes and lupus, which are associated with both pain sensitivity and elevated levels of cholesterol in tissues.