RT Journal Article SR Electronic T1 Optogenetic silencing of primary afferents reduces evoked and ongoing bladder pain JF bioRxiv FD Cold Spring Harbor Laboratory SP 167841 DO 10.1101/167841 A1 Vijay K. Samineni A1 Aaron D. Mickle A1 Jangyeol Yoon A1 Jose G. Grajales-Reyes A1 Melanie Pullen A1 Kaitlyn Crawford A1 Kyung Nim Noh A1 Graydon B. Gereau A1 Sherri Vogt A1 H. Henry Lai A1 John A. Rogers A1 Robert W. Gereau IV YR 2017 UL http://biorxiv.org/content/early/2017/08/02/167841.abstract AB Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) suffer from chronic pain that severely affects quality of life. Although the underlying pathophysiology is not well understood, inhibition of bladder sensory afferents temporarily relieves pain. Here, we explored the possibility that optogenetic inhibition of bladder sensory afferents could be used to modulate bladder pain. Specifically, we chose to study the role of Nav1.8+ sensory afferents before and after induction of a mouse model of bladder pain. The light-activated inhibitory proton pump Archaerhodopsin (Arch) was expressed under control of the Nav1.8+ promoter to selectively silence these neurons. Optically silencing Nav1.8+ afferents significantly blunted the evoked visceromotor response to bladder distension and led to small but significant changes in bladder function. To study of the role of these fibers in freely behaving mice, we developed a fully implantable, flexible, wirelessly powered optoelectronic system for the long-term manipulation of bladder afferent expressed opsins. We found that optogenetic inhibition of Nav1.8+ fibers reduced both ongoing pain and evoked cutaneous hypersensitivity in the context of cystitis, but had no effect in uninjured, naïve mice. These results suggest that selective optogenetic silencing of bladder afferents may represent a potential future therapeutic strategy for the treatment of bladder pain.