<?xml version='1.0'?>
<!DOCTYPE art SYSTEM 'http://www.biomedcentral.com/xml/article.dtd'>
<art>
   <ui>1471-2202-9-80</ui>
   <ji>1471-2202</ji>
   <fm>
      <dochead>Research article</dochead>
      <bibl>
         <title>
            <p>Differential expression of Cathepsin S and X in the spinal cord of a rat neuropathic pain model</p>
         </title>
         <aug>
            <au id="A1" ca="yes">
               <snm>Leichsenring</snm>
               <fnm>Anna</fnm>
               <insr iid="I1"/>
               <email>anna.leichsenring@rub.de</email>
            </au>
            <au id="A2">
               <snm>B&#228;cker</snm>
               <fnm>Ingo</fnm>
               <insr iid="I1"/>
               <email>ingo.baecker@rub.de</email>
            </au>
            <au id="A3">
               <snm>Wendt</snm>
               <fnm>Wiebke</fnm>
               <insr iid="I2"/>
               <email>wwendt@biofrontera.com</email>
            </au>
            <au id="A4">
               <snm>Andriske</snm>
               <fnm>Michael</fnm>
               <insr iid="I1"/>
               <email>michael.andriske@rub.de</email>
            </au>
            <au id="A5">
               <snm>Schmitz</snm>
               <fnm>Beate</fnm>
               <insr iid="I2"/>
               <email>bschmitz@biofrontera.com</email>
            </au>
            <au id="A6">
               <snm>Stichel</snm>
               <mi>C</mi>
               <fnm>Christine</fnm>
               <insr iid="I2"/>
               <email>c.stichel-gunkel@biofrontera.com</email>
            </au>
            <au id="A7">
               <snm>L&#252;bbert</snm>
               <fnm>Hermann</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <email>hluebbert@biofrontera.com</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Animal Physiology, Ruhr-University of Bochum, Bochum, Germany</p>
            </ins>
            <ins id="I2">
               <p>Biofrontera Bioscience GmbH, Leverkusen, Germany</p>
            </ins>
         </insg>
         <source>BMC Neuroscience</source>
         <issn>1471-2202</issn>
         <pubdate>2008</pubdate>
         <volume>9</volume>
         <issue>1</issue>
         <fpage>80</fpage>
         <url>http://www.biomedcentral.com/1471-2202/9/80</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">18700000</pubid>
               <pubid idtype="doi">10.1186/1471-2202-9-80</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>14</day>
               <month>2</month>
               <year>2008</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>12</day>
               <month>8</month>
               <year>2008</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>12</day>
               <month>8</month>
               <year>2008</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2008</year>
         <collab>Leichsenring et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>Ample evidence suggests a substantial contribution of cellular and molecular changes in the spinal cord to the induction and persistence of chronic neuropathic pain conditions. While for a long time, proteases were mainly considered as protein degrading enzymes, they are now receiving growing interest as signalling molecules in the pain pathology. In the present study we focused on two cathepsins, CATS and CATX, and studied their spatiotemporal expression and activity during the development and progression of neuropathic pain in the CNS of the rat 5<sup>th </sup>lumbar spinal nerve transection model (L5T).</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Immediately after the lesion, both cathepsins, CATS and CATX, were upregulated in the spinal cord. Moreover, we succeeded in measuring the activity of CATX, which was substantially increased after L5T. The differential expression of these proteins exhibited the same spatial distribution and temporal progression in the spinal cord, progressing up to the medulla oblongata in the late phase of chronic pain. The cellular distribution of CATS and CATX was, however, considerably different.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>The cellular distribution and the spatio-temporal development of the altered expression of CATS and CATX suggest that these proteins are important players in the spinal mechanisms involved in chronic pain induction and maintenance.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <meta>
      <classifications>
         <classification type="bmc" subtype="user_supplied_xml" id="refman"/>
      </classifications>
   </meta>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>Neuropathic pain is one type of chronic pain and originates by definition from a lesion of the nervous system (for reviews see <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr></abbrgrp>). It is a devastating and difficult to manage disease mainly because the underlying mechanisms are still poorly understood. Indeed, several types of cells and highly complex interactions of multiple pathways have been implicated in the pathogenesis (for reviews see <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp>). In this context work on animal models has emphasized the important contribution of differences in protein expression to neuropathic pain induction and maintenance (for reviews see <abbrgrp><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr><abbr bid="B7">7</abbr></abbrgrp>). Within this cocktail proteases are receiving growing interest <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr></abbrgrp> because of their enormous destructive potential and the irreversibility of their action (for reviews see <abbrgrp><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr></abbrgrp>).</p>
         <p>In our study we focus on a distinct group of proteases, the cathepsins (CAT), which are cysteine proteases mainly localized in lysosomes/peroxisomes but are also found in extralysosomal sites <abbrgrp><abbr bid="B17">17</abbr></abbrgrp>. There are 11 human members (cathepsins B, C, F, H, K, L, O, S, V, W and X) and in mouse 8 additional members (cathepsins 1, 2, 3, 6, J, M, Q and R) in this group of enzymes <abbrgrp><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr></abbrgrp>. They play a vital role in normal cellular protein metabolism such as the regulation of key protein kinases and phosphatases, and the induction of specific cytoskeletal rearrangements, which may account for their involvement in intracellular signaling, vesicular trafficking, and structural stabilization <abbrgrp><abbr bid="B20">20</abbr><abbr bid="B21">21</abbr></abbrgrp>. Hence, it is not suprising that CAT are implicated in the manifestation of a number of diseases, including cancer, arthritis, Morbus Parkinson, Morbus Alzheimer and age-dependent inflammation <abbrgrp><abbr bid="B22">22</abbr><abbr bid="B23">23</abbr><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr></abbrgrp>. Recent studies suggest that the activation or breakdown of the endosomal/lysosomal proteolytic system might also be involved in pain pathophysiology. Thus, in different chronic animal pain models an upregulation of some members (S, B, H, L, D) of the CAT family along the ascending nociceptive pathway has been reported <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp> and CATS has even been implicated in neuropathic hyperalgesia and allodynia <abbrgrp><abbr bid="B11">11</abbr><abbr bid="B28">28</abbr></abbrgrp>.</p>
         <p>With these strong implications for a role of CAT in neuropathic pain pathogenesis in mind we decided to study the spatiotemporal expression pattern of two of these proteases, the CATS and the more recently identified CATX, during the phases of pain induction and maintenance in a rat neuropathic pain model, the transection of the 5<sup>th </sup>lumbar spinal nerve. CATS is a well-described cathepsin originally identified from lymph nodes and spleen <abbrgrp><abbr bid="B29">29</abbr><abbr bid="B30">30</abbr></abbrgrp> and is well known for its crucial function in the control of antigen presentation <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>. CATX, on the other hand, has only recently been localized in the central nervous system <abbrgrp><abbr bid="B26">26</abbr></abbrgrp> and its expression pattern in pathological situations implies a role in degenerative processes <abbrgrp><abbr bid="B27">27</abbr><abbr bid="B32">32</abbr></abbrgrp>.</p>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Cellular and spatiotemporal expression of CATS and CATX in normal and L5T spinal cord</p>
            </st>
            <p>In unlesioned adult rats CATS- and CATX-immunoreactivities were found in cells of both grey and white matters (Fig. <figr fid="F1">1</figr>) throughout the entire length of the spinal cord. Most CATS-immunopositive cells were of small size and distributed uniformely (Fig. <figr fid="F1">1A, C, E, F</figr>). While CATS-immunopositive neurons were rare, CATX-immunoreactivity was found in nearly all neurons (Fig. <figr fid="F1">1B, D, H</figr>) and only in few small cells (Fig. <figr fid="F1">1D, J</figr>). The immunoreactivities were associated with spherical granules within the cytoplasm of cells, sparing the nucleus (Fig. <figr fid="F1">1E, D, H</figr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>CATS- and CATX-immunohistochemistry in normal rat spinal cord</p>
               </caption>
               <text>
                  <p><b>CATS- and CATX-immunohistochemistry in normal rat spinal cord</b>. Representative examples of CATS- (A, C, E-G) and CATX-immunostained (B, D, H-J) sections of the L5 segment. CATS-immunopositive deposits are localized in small glial-like cells (C, E, F) that distributed homogenously throughout the section (A), while CATX is mostly found in large neurons (D, H) and only few small cells are intensely stained (D, J). G, I: Sections incubated with preabsorbed primary antibodies are free of immunostaining. Scale bars, 500 &#956;m (A, B), 50 &#956;m (C, D), 20 &#956;m (E-J).</p>
               </text>
               <graphic file="1471-2202-9-80-1"/>
            </fig>
            <p>The first changes of CATS- and CATX-immunoreactivities were already notable 1 d after L5T. For both proteins we observed upregulations that were restricted to the ipsilateral fasciculus gracilis, the dorsal horn and layer IX in the ventral horn in the lumbar segment (Figs. <figr fid="F2">2</figr> and <figr fid="F3">3</figr>). Within these regions, the number of small CATS- as well as CATX-immunopositive cells increased substantially (Fig. <figr fid="F2">2</figr>). Moreover, we found a numerical increase in CATS-immunopositive neurons, while the number of CATX-immunopositive neurons was constant. Interestingly, numerous small CATS as well as CATX-immunopositive cells engulfed large motoneurons in the ventral horn (Fig. <figr fid="F2">2G, I</figr>). Within the following days the ipsilateral increase in immunopositive cells in the fasciculus gracilis spread caudocranially to the upper SC segments and reached the gracile nucleus at 1 w after injury (Figs. <figr fid="F2">2L, N</figr> and <figr fid="F3">3</figr>). At that time-point this nucleus exhibited morphological signs of degeneration (data not shown).</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Upregulation of CATS- and CATX-immunoreactivities in the spinal cord at 14 d after L5T</p>
               </caption>
               <text>
                  <p><b>Upregulation of CATS- and CATX-immunoreactivities in the spinal cord at 14 d after L5T</b>. Survey micrographs illustrate the ipsilateral increase of CATS- and CATX-immunoreactivity in whole spinal cord sections (A, B), in the dorsal horn (DH) (C-F), the layer IX of the ventral horn (VH) and the fasciculus gracilis (FG). In the FG immunopositive cells exhibit macrophage-like morphology (K, M) and in the VH small immunopositive cells engulf motoneurons (G, I). At this time point the ipsilateral nucleus gracilis exhibits more intense CATS- (L) and CATX-staining (N) than the contralateral side. Scale bars, 500 &#956;m (A, B, L, N), 20 &#956;m (C-J), 10 &#956;m (K, M).</p>
               </text>
               <graphic file="1471-2202-9-80-2"/>
            </fig>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Spatiotemporal progression of CATS-/CATX-immunoreactivities in the spinal cord after L5T</p>
               </caption>
               <text>
                  <p><b>Spatiotemporal progression of CATS-/CATX-immunoreactivities in the spinal cord after L5T</b>. Cranial progression of cathepsin upregulation during the first 5 weeks after transection. The different expression patterns in the transverse plane are symbolized by different fillings of the bars. Both cathepsins exhibited the same spatial and temporal distribution pattern up to 35 d after transection.</p>
               </text>
               <graphic file="1471-2202-9-80-3"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Upregulation of CATS and CATX protein levels and increase in enzyme activities</p>
            </st>
            <p>We next demonstrated that the changes in CATS- and CATX-immunoreactivities are reflected by changes in the levels of the respective proteins and, above all, that these are also reflected by a change of activity. Therefore, we first analyzed the protein levels of CATX and CATS in the spinal cord of sham versus L5T animals at 8 d after injury, a time point when the increase in immunoreactivities in the spinal cord was at its maximum (Fig. <figr fid="F3">3</figr>).</p>
            <p>Western blot analysis (n = 5 per group) revealed the proforms of CATS (37 kD) and CATX (34 kD), as the most prominent bands, while the prepro- and mature forms were below the detection level. The proforms of both enzymes were detected in all segments analyzed (L, lumbar; T, thoracic; C, cervical) of the adult rat spinal cord (Fig. <figr fid="F4">4A</figr>). The L5 nerve transsection produced an upregulation in all SC segments for CATS as well as CATX (Fig. <figr fid="F4">4A</figr>). The strongest increase in protein content was found in the T segment for both enzymes (CATS 63.6%; CATX 87.4%), while the increase in the L and C-segments was substantial (34&#8211;61.5%) but lower than in the T segment (Fig. <figr fid="F4">4A</figr>). Moreover, our Western blot analysis showed that in all SC segments the level of CATX is more than twice as high as the level of CATS. These results were confirmed in a second experiment with 4 animals per group (see Additional files <supplr sid="S1">1</supplr> and <supplr sid="S2">2</supplr>).</p>
            <suppl id="S1">
               <title>
                  <p>Additional file 1</p>
               </title>
               <text>
                  <p>Upregulation of cathepsin protein levels after L5T. Western blot analyses of CATX and CATS proform expression in the spinal cords of sham (n = 5) and L5T (n = 5) operated rats at 8 d after injury. Cervical, thoracic and lumbar segments were analyzed. Each band represents a single animal. C, cervical; T, thoracic; L, lumbar.</p>
               </text>
               <file name="1471-2202-9-80-S1.pdf">
                  <p>Click here for file</p>
               </file>
            </suppl>
            <suppl id="S2">
               <title>
                  <p>Additional file 2</p>
               </title>
               <text>
                  <p>Quantification of Western blot analyses. Quantification of Western blot analyses of CATX and CATS proform expression in the spinal cord of L5T (n = 4) and sham operated animals (n = 4) (repetition of the experiment #1 &#8211; shown in the paper). Expression levels were normalized relative to the corresponding &#945;-tubulin band. Similar to experiment #1 &#8211; the histogramms show an upregulation of both cathepsins in all SC segments. C, cervical; T, thoracic; L, lumbar.</p>
               </text>
               <file name="1471-2202-9-80-S2.pdf">
                  <p>Click here for file</p>
               </file>
            </suppl>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>Upregulation of cathepsin protein levels and activities after L5T</p>
               </caption>
               <text>
                  <p><b>Upregulation of cathepsin protein levels and activities after L5T</b>. <b>A: </b>Western blot analysis of CATX and CATS proform expression in the spinal cord of L5T (n = 5) and sham operated animals (n = 5) at 8 d after injury. Expression levels were normalized relative to the corresponding &#945;-tubulin band. At this time point the L5 transection induced an upregulation of both proteins in all SC segments. The expression level of CATX was substantially higher than that of CATS. Data are means &#177; SD. <b>B: </b>CATX activities in the lumbar SC 8 d after transection in L5T, sham (n = 7, for each group) and naive animals (n = 4). Each symbol represents the value of a single animal, the bar indicates the mean for the group. CATX activity was significantly higher in L5T than in sham or naive SC. *** p &#8804; 0.001. L, lumbar; C, cervical; T, thoracic.</p>
               </text>
               <graphic file="1471-2202-9-80-4"/>
            </fig>
            <p>This data is supported by measurements of CATX activity. CATS activity assays were not performed since the assay suffered from the lack of a specific substrate and a specific commercially available inhibitor for the enzyme, leaving doubts about the specificity of the assay in complex protein mixtures. At 8 d after L5T CATX activity increased strongly and highly significant (p &#8804; 0.001) in the lumbar segment (Fig. <figr fid="F4">4B</figr>; 59% compared to sham, 90% compared to naive). CATB activity was not significantly changed (data not shown).</p>
         </sec>
         <sec>
            <st>
               <p>Characterisation of CATS- and CATX-expressing cells</p>
            </st>
            <p>Concurrent with the upregulation of CATS and CATX a strong gliosis appeared in the affected regions. In the ipsilateral fasciculus gracilis we observed numerous ED1-immunopositive macrophages (Fig. <figr fid="F5">5A, B</figr>), while in the ipsilateral DH and VH PT66-immunopositive microglia and GFAP-immunopositive astrocytes were more abundant than in the contralateral side (Fig. <figr fid="F5">5C&#8211;H</figr>).</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>Reactive gliosis in the lumbar SC 14 d after L5 ligation and transection</p>
               </caption>
               <text>
                  <p><b>Reactive gliosis in the lumbar SC 14 d after L5 ligation and transection</b>. ED1-immunopositive macrophages distributed within the fasciculus gracilis (A, B), while a higher density of PT66-immunopositive microglial cells (C-E) and GFAP-immunopositive astrocytes (F-H) is also found in the ipsilateral dorsal (DH; D, G) and ventral horn (VH; E, H). Scale bars, 500 &#956;m (A, C, F), 20 &#956;m (B, D, E, G, H).</p>
               </text>
               <graphic file="1471-2202-9-80-5"/>
            </fig>
            <p>To determine the phenotype of CATS and CATX cells in vivo we performed double immunofluorescence. The majority of CATS-immunopositive cells expressed the microglia-marker PT66 or the astrocyte-marker GFAP (Fig. <figr fid="F6">6A'&#8211;A"'</figr>), while only a small number of neurons were CATS-immunopositive (Fig. <figr fid="F6">6E</figr>). In contrast, CATX-immunoreactivity colocalizes only with single glial cells (Fig. <figr fid="F6">6B'&#8211;B"'</figr>) but was more abundant in neurons (Fig. <figr fid="F6">6D</figr>). All ED1-immunopositive macrophages expressed both proteins (Fig. <figr fid="F6">6C'&#8211;C"'</figr>).</p>
            <fig id="F6">
               <title>
                  <p>Figure 6</p>
               </title>
               <caption>
                  <p>Phenotyping of CATS and CATX cells</p>
               </caption>
               <text>
                  <p><b>Phenotyping of CATS and CATX cells</b>. Double-immunfluorescence of the spinal cord shows colocalization of CATS with the astrocyte marker GFAP (A'-A"') and colocalization of CATX with the microglial marker PT66 (B'-B"') and the macrophage marker ED1 (C'-C"'). Large motoneurons expressed CATX (D) and CATS (E). Scale bars, 10 &#956;m (A, B), 5 &#956;m (C), 20 &#956;m (D, E).</p>
               </text>
               <graphic file="1471-2202-9-80-6"/>
            </fig>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>The dorsal spinal cord is the first relay station in sensory perception, which receives, transmits and modulates the signals from peripheral nerves. Recent research has uncovered that peripheral nerve injury triggers cascades of systemic, cellular and molecular changes <abbrgrp><abbr bid="B4">4</abbr><abbr bid="B33">33</abbr></abbrgrp>. Moreover, there is ample evidence that these dynamic changes contribute to prolonged abnormal pain sensations. In the current study we analysed the participation of two cysteine proteases, the CATS and CATX, in the molecular processes underlying the induction and maintenance of neuropathic pain. Our results clearly show that immediately after surgery, concurrent to the onset of mechanical allodynia, both proteases, CATS and CATX, are upregulated in the spinal cord. Moreover, the upregulation of CATX protein was accompanied by a substantial increase in activity. In contrast to the increase in the proform level that of the CATX activity was highly significant. This apparent contradiction might be explained by either an increase of the active form of CATX, that is still below the detection level of the Western Blot, or a concomitant regulation of endogenous cathepsin inhibitors, the cystatins or thyropins <abbrgrp><abbr bid="B34">34</abbr><abbr bid="B35">35</abbr></abbrgrp>. In fact there is recent evidence in favor of the idea that the cathepsin inhibitors are also regulated during persistent pain states <abbrgrp><abbr bid="B36">36</abbr></abbrgrp>.</p>
         <p>Both, CATS and CATX, are widely expressed in the brain <abbrgrp><abbr bid="B26">26</abbr></abbrgrp> and have been implicated in several neurological conditions such as Alzheimer's disease <abbrgrp><abbr bid="B26">26</abbr><abbr bid="B37">37</abbr><abbr bid="B38">38</abbr></abbrgrp>, amyotrophic lateral sclerosis <abbrgrp><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr></abbrgrp> and age-related inflammation <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. Recently, CATS has also been implicated in neuropathic hyperalgesia and allodynia. Using the gene chip technology CATS mRNA was found to be upregulated in the ipsilateral L4 and L5 DRG in the PSL and CCI model <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>, while in the SNL or L5T model, CATS mRNA expression was regulated in the DRG <abbrgrp><abbr bid="B39">39</abbr><abbr bid="B40">40</abbr></abbrgrp> and in the spinal cord <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp>. Extending the latter results, we were able to detect the regulation of CATS protein levels and added a new cathepsin, CATX, to the list of regulated proteases in pain pathology.</p>
         <p>Our immunohistochemical analysis, following the temporal development of neuropathic pain, supports the view that the upregulation of CATS and CATX expression is dynamic and proceeds along the fasciculus gracilis up to the medulla oblongata. Immediately (1 d) after transection CATS and CATX expressions increase. For both proteins this increase is restricted to the fasciculus gracilis, the dorsal horn and the layer IX in the ventral horn in the lumbar segment. As early as 2 d after injury the upregulation in the fasciculus gracilis spread cranially and reached the gracile nucleus at 1 w after injury. At that time point this nucleus exhibited morphological signs of degeneration. We never found cathepsin upregulation on the contralateral side of the lesion or in sham operated animals. This characteristic spatio-temporal pattern suggests that the upregulation of CATS/X expression accompanies the degenerative process of the transected axons <abbrgrp><abbr bid="B41">41</abbr></abbrgrp>.</p>
         <p>Whether the cathepsins contribute to the mechanism of degeneration and are causally involved in the pain processing or whether the differential expression is an epiphenomenon is difficult to answer on the basis of the data provided here. However, there is recent evidence that CATS is directly involved in the pain process by modulating the cytokine response <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. Cathepsins display rather diverse physiological actions. CATS for instance is well recognized for its crucial function in the control of antigen presentation <abbrgrp><abbr bid="B31">31</abbr></abbrgrp> and its role in the degradation of the extracellular matrix. In contrast to CATS, little is known about the physiological function of CATX. But the high expression of CATX in antigen-presenting monocytes/macrophages <abbrgrp><abbr bid="B42">42</abbr><abbr bid="B43">43</abbr></abbrgrp>, glial cells <abbrgrp><abbr bid="B26">26</abbr></abbrgrp> and dendritic cells <abbrgrp><abbr bid="B32">32</abbr></abbrgrp>, its upregulation in the gastric mucosa of patients with <it>Helicobacter pylori </it>gastritis <abbrgrp><abbr bid="B44">44</abbr></abbrgrp> and in the plasma of patients with multiple trauma <abbrgrp><abbr bid="B45">45</abbr></abbrgrp> as well as its involvement in the production of bradykinin potentiating peptide <abbrgrp><abbr bid="B46">46</abbr></abbrgrp> also imply a role in inflammatory processes.</p>
      </sec>
      <sec>
         <st>
            <p>Conclusion</p>
         </st>
         <p>Our results suggest a strong regulation of both, CATS and CATX, in the spinal cord of an animal model of neuropathic pain. Whether the cathepsins contribute to the mechanism of degeneration and are causally involved in the pain processing or whether the differential expression is an epiphenomenon is difficult to answer on the basis of the data provided here. Further experiments such as application of specific cathepsin inhibitors are required before the exact role of single cathepsin subtypes in the pain process can be unraveled.</p>
      </sec>
      <sec>
         <st>
            <p>Methods</p>
         </st>
         <sec>
            <st>
               <p>Surgery</p>
            </st>
            <p>Male Wistar rats (Janvier, Le Genest Saint Isle, France) with a weight of 200&#8211;250 g were used. Animals were housed in a climate-controlled room on a 12&#8211;12 light-dark cycle. Food and water were available <it>ad libitum</it>. All procedures were approved by the local animal usage committees according to German guidelines on animal care and use.</p>
            <p>Prior to the operation, rats were deeply anesthetized with pentobarbitone at a dose of 50 mg/kg i.p. The L5T model was achieved by transection of the left L5 spinal nerve in a procedure modified from Kim and Chung <abbrgrp><abbr bid="B47">47</abbr><abbr bid="B48">48</abbr></abbrgrp>. In sham controls the sciatic nerve was exposed but not transected.</p>
            <p>Rats were sacrificed at day 1 (1 d) &#8211; 35 d for Western Blot analysis (L5T n = 5, sham n = 5), immunohistochemistry (L5T n = 2&#8211;4, sham n = 4) and activity assays (L5T n = 4, sham n = 7, na&#239;ve n = 4).</p>
         </sec>
         <sec>
            <st>
               <p>Behavioral tests</p>
            </st>
            <p>Withdrawal tests for evaluation of tactile allodynia were measured by the use of the dynamic plantar aesthesiometer. The animals were placed into raised plexiglass boxes with mesh flooring and allowed to acclimatize for at least 15 min until exploratory behavior ceased. Sampling was conducted by a metal filament which was applied manually to the ventral mid-plantar hind paw. The force raised (0&#8211;50 g) with time (20 s) until the rat lifted its paw. The mean withdrawal threshold for both hind paws was taken from a set of three applications, not less than 2 min apart.</p>
         </sec>
         <sec>
            <st>
               <p>Tissue preparation</p>
            </st>
            <p>For immunoblotting, spinal cord and brain tissues were homogenized in triple detergent lysis buffer (50 mM HEPES pH 7.4, 150 mM NaCl, 10 mM EDTA, 1% Nonidet P40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate, complete protease inhibitor cocktail (Roche Applied Science, Mannheim, Germany) using a Teflon/glass homogenizer at 4&#176;C. Homogenized samples were kept on ice for 30 min und subsequently centrifuged for 10 min in a precooled centrifuge at 12,000 g. The supernatant was collected and subsequently diluted 1:1 in 2&#215; Laemmli sample buffer and boiled for 5 min. Protein determination was performed by the method of Neuhoff and coworkers <abbrgrp><abbr bid="B49">49</abbr></abbrgrp>.</p>
            <p>For immunohistochemistry, animals were transcardially perfused with phosphate-buffered saline (PBS) followed by 4% paraformaldehyde (PFA) in 0.1 M phosphate buffer (PB). The brain, the spinal cord and the ipsi- and contralateral nerves L4&#8211;L6 were excised and postfixed for 24 h in the perfusion fixative. Spinal cords were subdivided into the spinal cord segments according to the numbers of the related spinal nerves and all segments and the L5 (ipsi- and contralateral) nerves were embedded in paraffin. Serial, transversal 18-&#956;m-thick sections were cut throughout all spinal cord segments, the hindbrain and the peripheral nerves. Sections were mounted on Superfrost slides (Carl Roth, Karlsruhe, Germany).</p>
            <p>For CATX activity assays, the tissues were thawed separately on ice and homogenized in 7-fold volume (w/v) of 100 mM NaCl, 50 mM NaOAc, 4 mM EDTA-Na<sub>2</sub>, 0.1% Triton X-100, pH 5.0 <abbrgrp><abbr bid="B50">50</abbr></abbrgrp>. All procedures were carried out at 4&#176;C. After incubating the samples for 60 min on ice, they were centrifuged (60 min at 13,000 g) for elimination of debris. Supernatants were stored in aliquots at -80&#176;C until further use. Protein contents of the preparations were measured by the method of Neuhoff <abbrgrp><abbr bid="B49">49</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Western blots</p>
            </st>
            <p>Proteins were electrophoretically separated on a 10% polyacrylamide gel containing SDS and transferred onto a PVDF-membrane (Carl Roth, Karlsruhe, Germany) at 4&#176;C with 200 mA for 1.5 h. Blocking was performed with 1.5% milk powder and 1% BSA in TBS-Tween (0.1% Tween, 20 mM TBS) at RT for 1 h. Incubation with the primary antibodies goat anti-mouse CATX (1:500; R&amp;D Systems, Wiesbaden, Germany) or goat anti-human CATS (1:200; R&amp;D Systems) was conducted in blocking buffer overnight at 4&#176;C. The next day blots were incubated in HRP-coupled anti-goat (1:50,000 in 1.5% milk powder in TBS-Tween; Amersham Biosci., M&#252;nchen, Germany) at RT for 1.5 h, followed by detection with the ECL-Plus system (Amersham Biosci.).</p>
            <p>To control protein loading, the blots were incubated with mouse anti-chick &#945;-tubulin (1:400,000; Sigma, Deisenhofen, Germany) followed by HRP-coupled anti-mouse (1:50,000 in 1.5% milk powder in TBS-Tween; Amersham Biosci.) and the ECL-Plus system as described above.</p>
         </sec>
         <sec>
            <st>
               <p>Immunohistochemistry</p>
            </st>
            <sec>
               <st>
                  <p>Antibodies</p>
               </st>
               <p>Primary antibodies were used to document CATS and CATX and to identify the cathepsin-expressing cells. We used the following antibodies: goat anti-rat CATS (anti-CATS; 1:100&#8211;200, Santa Cruz Biotechnology, Santa Cruz, USA suitable for detection of prepro-, pro- and mature form of CATS); goat anti-mouse CATX (anti-CATX; 1:100&#8211;200; R&amp;D systems, Abingdon, UK; suitable for detection of prepro-, pro- and mature form of CATX), the microglia/macrophage marker mouse anti-phosphotyrosine (anti-PT66; 1:1000; Sigma), the astrocyte marker mouse anti-glial fibrillary acidic protein (anti-GFAP; 1:2500&#8211;5000; Chemicon, Hampshire UK) and the macrophage marker mouse anti-rat CD68 (anti-ED1; 1:5000; Serotec, D&#252;sseldorf, Germany).</p>
            </sec>
            <sec>
               <st>
                  <p>Stainings</p>
               </st>
               <p>Single immunohistochemical stainings were performed on deparaffinized sections after antigen retrieval (5 min cooking in 0.01 M citrate buffer pH 6.0, for all primary antibodies except ED1). Following the first antiserum incubations, sections were treated by the corresponding biotinylated secondary antibody (Axxora, L&#246;rrach, Germany), and the ABC reagent (Axxora). Peroxidase reaction was carried out with 3,3'-diaminobenzidine as the chromogene and intensified with silver-gold <abbrgrp><abbr bid="B51">51</abbr></abbrgrp>. Specificity of the stainings was either confirmed by omitting primary antibodies or by preabsorption with a five-fold (by weight) excess of specific blocking peptides for 2 h at RT (for anti-CATS and anti-CATX) (Fig. <figr fid="F1">1G</figr> and <figr fid="F1">1I</figr>).</p>
               <p>Immunofluorescence double IHC was performed on deparaffinized sections after antigen retrieval. Therefore, we labeled sections simultaneously with primary antibodies and subsequently incubated them with biotinylated secondary antibody (1:300; Axxora) followed by fluorescein isothiocyanate-labeled Avidin (1:400; Axxora) and CY3-labeled secondary antibody (1:500; Dianova, Hamburg, Germany).</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>CATX activity assay</p>
            </st>
            <p>Spinal cord tissues were used for CATX enzyme activity tests. CATX activity was measured in 25 mM CH<sub>3</sub>COONa/1 mM EDTA/5 mM DTT (pH 3.5) with 10 &#956;M MCA-R-P-P-G-F-S-A-F-K(Dnp)-OH (R&amp;D Systems) as substrate. In parallel assays, the specific CATB inhibitor CA-074 (1 &#956;M, Bachem, Weil am Rhein, Germany; Ki = 2 nM for purified rat CATB and 40&#8211;200 &#956;M for CATH and CATL; <abbrgrp><abbr bid="B52">52</abbr></abbrgrp>) and the non-specific cysteine protease inhibitor E-64 (5 &#956;M, Sigma) were added in order to distinguish between CATB activity and the entire cysteine protease activity. A clear determination of CATB activity is essential as CATB is also able to hydrolyze the substrate at these conditions. Activity of other proteases being able to cleave MCA-R-P-P-G-F-S-A-F-K(Dnp)-OH, like CATL and ECE-1, was undetectable (data not shown). Assays were performed at RT in black 96 multiwell plates (Falcon) in a total volume of 50 &#956;l. Prior starting the assay by addition of substrate, the enzyme solutions were pre-incubated for 5 min with the different inhibitors or diluent at RT. After a 30 min incubation time the assays were stopped by the addition of 50 &#956;l stop solution (100 mM CH<sub>2</sub>ClCOOH, 70 mM CH<sub>3</sub>COOH, 30 mM CH<sub>3</sub>COONa, pH 4.3) and measured at 340/430 nm, according to the procedures described by <abbrgrp><abbr bid="B53">53</abbr></abbrgrp>. The activities of the proteases were calculated on the basis of relative fluorescent units. The total cathepsin activity was assessed by taking the difference between non-inhibited and E-64 inhibited samples. CATB activity corresponded to the part of the response that could be inhibited by CA-074. The difference between the fluorescence measured in the presence of the CATB inhibitor and the fluorescence measured in the presence of E-64 was attributed to CATX activity.</p>
         </sec>
         <sec>
            <st>
               <p>Data analysis</p>
            </st>
            <sec>
               <st>
                  <p>Animals</p>
               </st>
               <p>Animals included in the present study fulfilled the following behavioral and anatomical criteria: (i) strong mechanical allodynia measured by the aesthesiometer and defined as an ipsilateral threshold difference between pre- and post-surgery of at least 5 g (Fig. <figr fid="F7">7A</figr>) and a DiffScore (contralateral threshold minus ipsilateral threshold) of a minimum of 5 g (Fig. <figr fid="F7">7B</figr>) and (ii) persistent L5 transsection (short survival times) and/or infiltration of L5 by numerous ED1-immunopositive macrophages (long survival times) (Fig. <figr fid="F7">7C, D</figr>).</p>
               <fig id="F7">
                  <title>
                     <p>Figure 7</p>
                  </title>
                  <caption>
                     <p>Behavior and histopathology after L5 transection</p>
                  </caption>
                  <text>
                     <p><b>Behavior and histopathology after L5 transection</b>. <b>A, B: </b>Time course of neuropathic mechanical allodynia in the ipsilateral hind paw expressed as ipsilateral threshold (A) and Diffscore (B, difference between contralateral and ipsilateral withdrawal threshold) in L5T and sham operated animals. The L5T lesion led to a pronounced mechanical allodynia for up to 28 d. <b>C, D: </b>Representative example of ED1-immunostained proximal stump of transected L5 at 14 d after injury. The whole stump is densely filled with ED1-immunopositive macrophages (C) aligning along the trajectory of the axons (D). hab, habituation. Scale bars, 200 &#956;m (C) and 20 &#956;m (D).</p>
                  </text>
                  <graphic file="1471-2202-9-80-7"/>
               </fig>
            </sec>
            <sec>
               <st>
                  <p>Western blots</p>
               </st>
               <p>Band intensities were quantified using the analysis software TINA 2.09 (raytest Isotopenme&#223;ger&#228;te GmbH, Straubenhardt, Germany) and normalized relative to the intensity of the corresponding &#945;-tubulin bands. All data are presented as relative percentage of the means &#177; SD. Statistical significance was determined using the Student's t-test. P-values of less than 0.05 were considered to be statistically significant.</p>
            </sec>
            <sec>
               <st>
                  <p>Immunohistochemical stainings</p>
               </st>
               <p>Peroxidase-labeled immunohistochemistry sections were visualized at the microscopic level (Axioskop2; Zeiss, Oberkochen, Germany) under brightfield illumination and Nomarski optics, while fluorescent structures were analyzed by epifluorescence (Axioskop2). Structures were identified with the aid of the atlas of <abbrgrp><abbr bid="B54">54</abbr></abbrgrp>. The anatomic terminology used in this study is based on this atlas. Images were captured with an imaging system (JVC, KY-F75U camera) connected to a computer equipped with an image program (Diskus 4.50, Hilgers, K&#246;nigswinter, Germany).</p>
               <p>Alterations of staining intensity or distribution of stained structures of each animal were independently analysed by two examiners blind with respect to the treatment of the animals.</p>
            </sec>
            <sec>
               <st>
                  <p>Cathepsin activity</p>
               </st>
               <p>Data obtained from the CATX activity assays were analyzed by means of one-way ANOVA to determine statistical significance. All pairwise multiple comparison procedures were performed by Tukey's <it>post hoc </it>test.</p>
            </sec>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Abbreviations</p>
         </st>
         <p>C: cervical; CATS: cathepsin S; CATX: cathepsin X; DH: dorsal horn; DRG: dorsal root ganglia; FG: fasciculus gracilis; L: lumbar; L5: 5<sup>th </sup>lumbar nerve; L5T: ligation and transection of L5; NG: nucleus gracilis; SC: spinal cord; T: thoracic; VH: ventral horn.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>AL and IB carried out the L5T surgeries and behavioral analysis, the immunohistochemical analysis and the activity assays; WW established the activity assays; MA helped with L5T surgeries; BS identified the cathepsin overexpression and performed preliminary experiments; CCS and HL conceived the study and oversaw all components including manuscript preparation. All authors read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>The authors thank Hildegard Degel, Petra Jergolla, Renate Scholl and Katrin Schuster for excellent technical assistance. This work was supported by DFG Graduiertenkolleg 736: Development and Plasticity of the Nervous System: Molecular, Synaptic and Cellular Mechanisms.</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>Mechanisms of neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Campbell</snm>
                  <fnm>JN</fnm>
               </au>
               <au>
                  <snm>Meyer</snm>
                  <fnm>RA</fnm>
               </au>
            </aug>
            <source>Neuron</source>
            <pubdate>2006</pubdate>
            <volume>52</volume>
            <fpage>77</fpage>
            <lpage>92</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">1810425</pubid>
                  <pubid idtype="pmpid" link="fulltext">17015228</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms.Report by the International Association for the Study of Pain Task Force on Taxonomy.</p>
            </title>
            <aug>
               <au>
                  <snm>Merskey</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Bogduk</snm>
                  <fnm>N</fnm>
               </au>
            </aug>
            <source>2nd ed Seattle: IASP Press</source>
            <pubdate>1994</pubdate>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Immune and inflammatory mechanisms in neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Moalem</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Tracey</snm>
                  <fnm>DJ</fnm>
               </au>
            </aug>
            <source>Brain Res Rev</source>
            <pubdate>2006</pubdate>
            <volume>51</volume>
            <fpage>240</fpage>
            <lpage>264</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16388853</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>Mechanisms of neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Bridges</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Thompson</snm>
                  <fnm>SW</fnm>
               </au>
               <au>
                  <snm>Rice</snm>
                  <fnm>AS</fnm>
               </au>
            </aug>
            <source>Br J Anaesth</source>
            <pubdate>2001</pubdate>
            <volume>87</volume>
            <fpage>12</fpage>
            <lpage>26</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11460801</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B5">
            <title>
               <p>p38 MAPK, microglial signaling, and neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Ji</snm>
                  <fnm>RR</fnm>
               </au>
               <au>
                  <snm>Suter</snm>
                  <fnm>MR</fnm>
               </au>
            </aug>
            <source>Mol Pain</source>
            <pubdate>2007</pubdate>
            <volume>3</volume>
            <fpage>33</fpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">2186318</pubid>
                  <pubid idtype="pmpid" link="fulltext">17974036</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Pathophysiology of peripheral neuropathic pain: immune cells and molecules</p>
            </title>
            <aug>
               <au>
                  <snm>Thacker</snm>
                  <fnm>MA</fnm>
               </au>
               <au>
                  <snm>Clark</snm>
                  <fnm>AK</fnm>
               </au>
               <au>
                  <snm>Marchand</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>McMahon</snm>
                  <fnm>SB</fnm>
               </au>
            </aug>
            <source>Anesth Analg</source>
            <pubdate>2007</pubdate>
            <volume>105</volume>
            <fpage>838</fpage>
            <lpage>847</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">17717248</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B7">
            <title>
               <p>Immune and glial cell factors as pain mediators and modulators</p>
            </title>
            <aug>
               <au>
                  <snm>McMahon</snm>
                  <fnm>SB</fnm>
               </au>
               <au>
                  <snm>Cafferty</snm>
                  <fnm>WB</fnm>
               </au>
               <au>
                  <snm>Marchand</snm>
                  <fnm>F</fnm>
               </au>
            </aug>
            <source>Exp Neurol</source>
            <pubdate>2005</pubdate>
            <volume>192</volume>
            <fpage>444</fpage>
            <lpage>462</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">15755561</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>Distinct roles of matrix metalloproteases in the early- and late-phase development of neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Kawasaki</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Xu</snm>
                  <fnm>ZZ</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>X</fnm>
               </au>
               <au>
                  <snm>Park</snm>
                  <fnm>JY</fnm>
               </au>
               <au>
                  <snm>Zhuang</snm>
                  <fnm>ZY</fnm>
               </au>
               <au>
                  <snm>Tan</snm>
                  <fnm>PH</fnm>
               </au>
               <au>
                  <snm>Gao</snm>
                  <fnm>YJ</fnm>
               </au>
               <au>
                  <snm>Roy</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Corfas</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Lo</snm>
                  <fnm>EH</fnm>
               </au>
               <au>
                  <snm>Ji</snm>
                  <fnm>RR</fnm>
               </au>
            </aug>
            <source>Nat Med</source>
            <pubdate>2008</pubdate>
            <volume>14</volume>
            <fpage>331</fpage>
            <lpage>336</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">2279180</pubid>
                  <pubid idtype="pmpid" link="fulltext">18264108</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Complement induction in spinal cord microglia results in anaphylatoxin C5a-mediated pain hypersensitivity</p>
            </title>
            <aug>
               <au>
                  <snm>Griffin</snm>
                  <fnm>RS</fnm>
               </au>
               <au>
                  <snm>Costigan</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Brenner</snm>
                  <fnm>GJ</fnm>
               </au>
               <au>
                  <snm>Ma</snm>
                  <fnm>CH</fnm>
               </au>
               <au>
                  <snm>Scholz</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Moss</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Allchorne</snm>
                  <fnm>AJ</fnm>
               </au>
               <au>
                  <snm>Stahl</snm>
                  <fnm>GL</fnm>
               </au>
               <au>
                  <snm>Woolf</snm>
                  <fnm>CJ</fnm>
               </au>
            </aug>
            <source>J Neurosci</source>
            <pubdate>2007</pubdate>
            <volume>27</volume>
            <fpage>8699</fpage>
            <lpage>8708</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">17687047</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>Differential spinal cord gene expression in rodent models of radicular and neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Lacroix-Fralish</snm>
                  <fnm>ML</fnm>
               </au>
               <au>
                  <snm>Tawfik</snm>
                  <fnm>VL</fnm>
               </au>
               <au>
                  <snm>Tanga</snm>
                  <fnm>FY</fnm>
               </au>
               <au>
                  <snm>Spratt</snm>
                  <fnm>KF</fnm>
               </au>
               <au>
                  <snm>DeLeo</snm>
                  <fnm>JA</fnm>
               </au>
            </aug>
            <source>Anesthesiology</source>
            <pubdate>2006</pubdate>
            <volume>104</volume>
            <fpage>1283</fpage>
            <lpage>1292</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16732101</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>Role of the cysteine protease cathepsin S in neuropathic hyperalgesia</p>
            </title>
            <aug>
               <au>
                  <snm>Barclay</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Clark</snm>
                  <fnm>AK</fnm>
               </au>
               <au>
                  <snm>Ganju</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Gentry</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Patel</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Wotherspoon</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Buxton</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Song</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Ullah</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Winter</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Fox</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Bevan</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Malcangio</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Pain</source>
            <pubdate>2007</pubdate>
            <volume>130</volume>
            <fpage>225</fpage>
            <lpage>234</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">17250968</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Protease-activated receptors: how proteases signal to cells to cause inflammation and pain</p>
            </title>
            <aug>
               <au>
                  <snm>Bunnett</snm>
                  <fnm>NW</fnm>
               </au>
            </aug>
            <source>Semin Thromb Hemost</source>
            <pubdate>2006</pubdate>
            <volume>32 Suppl 1</volume>
            <fpage>39</fpage>
            <lpage>48</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16673265</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>Targeting proteases: successes, failures and future prospects</p>
            </title>
            <aug>
               <au>
                  <snm>Turk</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Nat Rev Drug Discov</source>
            <pubdate>2006</pubdate>
            <volume>5</volume>
            <fpage>785</fpage>
            <lpage>799</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16955069</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>Proteinase-mediated signaling: proteinase-activated receptors (PARs) and much more</p>
            </title>
            <aug>
               <au>
                  <snm>Hollenberg</snm>
                  <fnm>MD</fnm>
               </au>
            </aug>
            <source>Life Sci</source>
            <pubdate>2003</pubdate>
            <volume>74</volume>
            <fpage>237</fpage>
            <lpage>246</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">14607251</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>MMPs in the central nervous system: where the good guys go bad</p>
            </title>
            <aug>
               <au>
                  <snm>Agrawal</snm>
                  <fnm>SM</fnm>
               </au>
               <au>
                  <snm>Lau</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Yong</snm>
                  <fnm>VW</fnm>
               </au>
            </aug>
            <source>Semin Cell Dev Biol</source>
            <pubdate>2008</pubdate>
            <volume>19</volume>
            <fpage>42</fpage>
            <lpage>51</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">17646116</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>Caspase-containing complexes in the regulation of cell death and inflammation</p>
            </title>
            <aug>
               <au>
                  <snm>Festjens</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Cornelis</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Lamkanfi</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Vandenabeele</snm>
                  <fnm>P</fnm>
               </au>
            </aug>
            <source>Biol Chem</source>
            <pubdate>2006</pubdate>
            <volume>387</volume>
            <fpage>1005</fpage>
            <lpage>1016</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16895469</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>The lysosomal system in neuronal cell death: a review</p>
            </title>
            <aug>
               <au>
                  <snm>Nixon</snm>
                  <fnm>RA</fnm>
               </au>
               <au>
                  <snm>Cataldo</snm>
                  <fnm>AM</fnm>
               </au>
            </aug>
            <source>Ann N Y Acad Sci</source>
            <pubdate>1993</pubdate>
            <volume>679</volume>
            <fpage>87</fpage>
            <lpage>109</lpage>
            <xrefbib>
               <pubid idtype="pmpid">8512210</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B18">
            <title>
               <p>Lysosomal cyteine proteases: more than scavengers</p>
            </title>
            <aug>
               <au>
                  <snm>Turk</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Turk</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Turk</snm>
                  <fnm>V</fnm>
               </au>
            </aug>
            <source>Biochem Biophys Acta</source>
            <pubdate>2000</pubdate>
            <volume>1477</volume>
            <fpage>98</fpage>
            <lpage>111</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10708852</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>Identification and characterization of a dense cluster of placenta-specific cysteine peptidase genes and related genes on mouse chromosome 13</p>
            </title>
            <aug>
               <au>
                  <snm>Deussing</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Kouadio</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Rehman</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Werber</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Schwinde</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Peters</snm>
                  <fnm>C</fnm>
               </au>
            </aug>
            <source>Genomics</source>
            <pubdate>2002</pubdate>
            <volume>79</volume>
            <fpage>225</fpage>
            <lpage>240</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11829493</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B20">
            <title>
               <p>Lysosomal cysteine proteases: structure, function and inhibition of cathepsins</p>
            </title>
            <aug>
               <au>
                  <snm>Roberts</snm>
                  <fnm>R</fnm>
               </au>
            </aug>
            <source>Drug News Perspect</source>
            <pubdate>2005</pubdate>
            <volume>18</volume>
            <fpage>605</fpage>
            <lpage>614</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16491162</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Lysosomal cysteine proteases: structural features and their role in apoptosis</p>
            </title>
            <aug>
               <au>
                  <snm>Stoka</snm>
                  <fnm>V</fnm>
               </au>
               <au>
                  <snm>Turk</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Turk</snm>
                  <fnm>V</fnm>
               </au>
            </aug>
            <source>IUBMB Life</source>
            <pubdate>2005</pubdate>
            <volume>57</volume>
            <fpage>347</fpage>
            <lpage>353</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16036619</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B22">
            <title>
               <p>Immunodetection of cathepsin D in neuritic plaques found in brains of patients with dementia of Alzheimer type</p>
            </title>
            <aug>
               <au>
                  <snm>Bernstein</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Bruszis</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Schmidt</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Wiederanders</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Dorn</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>J Hirnforsch</source>
            <pubdate>1989</pubdate>
            <volume>30</volume>
            <fpage>613</fpage>
            <lpage>618</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2558133</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B23">
            <title>
               <p>An immunohistochemical study of cathepsin E in Alzheimer-type dementia brains</p>
            </title>
            <aug>
               <au>
                  <snm>Bernstein</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Wiederanders</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Brain Res</source>
            <pubdate>1994</pubdate>
            <volume>667</volume>
            <fpage>287</fpage>
            <lpage>290</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">7697369</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B24">
            <title>
               <p>Properties of the endosomal-lysosomal system in the human central nervous system: disturbances mark most neurons in populations at risk to degenerate in Alzheimer's disease</p>
            </title>
            <aug>
               <au>
                  <snm>Cataldo</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Hamilton</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Barnett</snm>
                  <fnm>JL</fnm>
               </au>
               <au>
                  <snm>Paskevich</snm>
                  <fnm>PA</fnm>
               </au>
               <au>
                  <snm>Nixon</snm>
                  <fnm>RA</fnm>
               </au>
            </aug>
            <source>J Neurosci</source>
            <pubdate>1996</pubdate>
            <volume>16</volume>
            <fpage>186</fpage>
            <lpage>199</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">8613784</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B25">
            <title>
               <p>Comparison of cathepsin protease activities in brain tissue from normal cases and cases with Alzheimer's disease, Lewy body dementia, Parkinson's disease and Huntington's disease</p>
            </title>
            <aug>
               <au>
                  <snm>Mantle</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Falkous</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Ishiura</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Perry</snm>
                  <fnm>RH</fnm>
               </au>
               <au>
                  <snm>Perry</snm>
                  <fnm>EK</fnm>
               </au>
            </aug>
            <source>J Neurol Sci</source>
            <pubdate>1995</pubdate>
            <volume>131</volume>
            <fpage>65</fpage>
            <lpage>70</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">7561949</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B26">
            <title>
               <p>Differential expression of cathepsin X in aging and pathological central nervous system of mice</p>
            </title>
            <aug>
               <au>
                  <snm>Wendt</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Zhu</snm>
                  <fnm>XR</fnm>
               </au>
               <au>
                  <snm>Lubbert</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Stichel</snm>
                  <fnm>CC</fnm>
               </au>
            </aug>
            <source>Exp Neurol</source>
            <pubdate>2007</pubdate>
            <volume>204</volume>
            <fpage>525</fpage>
            <lpage>540</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">17306794</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B27">
            <title>
               <p>Cathepsin S in aging and pathological nervous system of mice</p>
            </title>
            <aug>
               <au>
                  <snm>Wendt</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>L&#252;bbert</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Stichel</snm>
                  <fnm>CC</fnm>
               </au>
            </aug>
            <source>in prep</source>
            <pubdate>2008</pubdate>
         </bibl>
         <bibl id="B28">
            <title>
               <p>Inhibition of spinal microglial cathepsin S for the reversal of neuropathic pain</p>
            </title>
            <aug>
               <au>
                  <snm>Clark</snm>
                  <fnm>AK</fnm>
               </au>
               <au>
                  <snm>Yip</snm>
                  <fnm>PK</fnm>
               </au>
               <au>
                  <snm>Grist</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Gentry</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Staniland</snm>
                  <fnm>AA</fnm>
               </au>
               <au>
                  <snm>Marchand</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Dehvari</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Wotherspoon</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Winter</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Ullah</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Bevan</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Malcangio</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>Proc Natl Acad Sci U S A</source>
            <pubdate>2007</pubdate>
            <volume>104</volume>
            <fpage>10655</fpage>
            <lpage>10660</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">1965568</pubid>
                  <pubid idtype="pmpid" link="fulltext">17551020</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B29">
            <title>
               <p>Cathepsin S. The cysteine proteinase from bovine lymphoid tissue is distinct from cathepsin L (EC 3.4.22.15)</p>
            </title>
            <aug>
               <au>
                  <snm>Kirschke</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Schmidt</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Wiederanders</snm>
                  <fnm>B</fnm>
               </au>
            </aug>
            <source>Biochem J</source>
            <pubdate>1986</pubdate>
            <volume>240</volume>
            <fpage>455</fpage>
            <lpage>459</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">1147438</pubid>
                  <pubid idtype="pmpid">3814093</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B30">
            <title>
               <p>Acid sulphydryl protease from calf lymph nodes</p>
            </title>
            <aug>
               <au>
                  <snm>Turnsek</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kregar</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Lebez</snm>
                  <fnm>D</fnm>
               </au>
            </aug>
            <source>Biochim Biophys Acta</source>
            <pubdate>1975</pubdate>
            <volume>403</volume>
            <fpage>514</fpage>
            <lpage>520</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1182153</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B31">
            <title>
               <p>Cathepsin S inhibitors as novel immunomodulators</p>
            </title>
            <aug>
               <au>
                  <snm>Thurmond</snm>
                  <fnm>RL</fnm>
               </au>
               <au>
                  <snm>Sun</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Karlsson</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Edwards</snm>
                  <fnm>JP</fnm>
               </au>
            </aug>
            <source>Curr Opin Investig Drugs</source>
            <pubdate>2005</pubdate>
            <volume>6</volume>
            <fpage>473</fpage>
            <lpage>482</lpage>
            <xrefbib>
               <pubid idtype="pmpid">15912960</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B32">
            <title>
               <p>Inflammatory processes in the aging mouse brain: participation of dendritic cells and T-cells</p>
            </title>
            <aug>
               <au>
                  <snm>Stichel</snm>
                  <fnm>CC</fnm>
               </au>
               <au>
                  <snm>L&#252;bbert</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Neurobiol Aging</source>
            <pubdate>2007</pubdate>
            <volume>28</volume>
            <fpage>1507</fpage>
            <lpage>1521</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16959379</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B33">
            <title>
               <p>Physiology of pain</p>
            </title>
            <aug>
               <au>
                  <snm>Lamont</snm>
                  <fnm>LA</fnm>
               </au>
               <au>
                  <snm>Tranquilli</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>Grimm</snm>
                  <fnm>KA</fnm>
               </au>
            </aug>
            <source>Vet Clin North Am Small Anim Pract</source>
            <pubdate>2000</pubdate>
            <volume>30</volume>
            <fpage>703</fpage>
            <lpage>728</lpage>
            <xrefbib>
               <pubid idtype="pmpid">10932821</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B34">
            <title>
               <p>Cystatins</p>
            </title>
            <aug>
               <au>
                  <snm>Abrahamson</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Alvarez-Fernandez</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Nathanson</snm>
                  <fnm>CM</fnm>
               </au>
            </aug>
            <source>Biochem Soc Symp</source>
            <pubdate>2003</pubdate>
            <fpage>179</fpage>
            <lpage>199</lpage>
            <xrefbib>
               <pubid idtype="pmpid">14587292</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B35">
            <title>
               <p>Thyropins--new structurally related proteinase inhibitors</p>
            </title>
            <aug>
               <au>
                  <snm>Lenarcic</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Bevec</snm>
                  <fnm>T</fnm>
               </au>
            </aug>
            <source>Biol Chem</source>
            <pubdate>1998</pubdate>
            <volume>379</volume>
            <fpage>105</fpage>
            <lpage>111</lpage>
            <xrefbib>
               <pubid idtype="pmpid">9524061</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B36">
            <title>
               <p>Spinal cord genes enriched in rat dorsal horn and induced by noxious stimulation identified by subtraction cloning and differential hybridization</p>
            </title>
            <aug>
               <au>
                  <snm>Yang</snm>
                  <fnm>HY</fnm>
               </au>
               <au>
                  <snm>Wilkening</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Iadarola</snm>
                  <fnm>MJ</fnm>
               </au>
            </aug>
            <source>Neuroscience</source>
            <pubdate>2001</pubdate>
            <volume>103</volume>
            <fpage>493</fpage>
            <lpage>502</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11246163</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B37">
            <title>
               <p>Reduced beta-amyloid production and increased inflammatory responses in presenilin conditional knock-out mice</p>
            </title>
            <aug>
               <au>
                  <snm>Beglopoulos</snm>
                  <fnm>V</fnm>
               </au>
               <au>
                  <snm>Sun</snm>
                  <fnm>X</fnm>
               </au>
               <au>
                  <snm>Saura</snm>
                  <fnm>CA</fnm>
               </au>
               <au>
                  <snm>Lemere</snm>
                  <fnm>CA</fnm>
               </au>
               <au>
                  <snm>Kim</snm>
                  <fnm>RD</fnm>
               </au>
               <au>
                  <snm>Shen</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>J Biol Chem</source>
            <pubdate>2004</pubdate>
            <volume>279</volume>
            <fpage>46907</fpage>
            <lpage>46914</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">15345711</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B38">
            <title>
               <p>The lysosomal cysteine protease, cathepsin S, is increased in Alzheimer's disease and Down syndrome brain. An immunocytochemical study</p>
            </title>
            <aug>
               <au>
                  <snm>Lemere</snm>
                  <fnm>CA</fnm>
               </au>
               <au>
                  <snm>Munger</snm>
                  <fnm>JS</fnm>
               </au>
               <au>
                  <snm>Shi</snm>
                  <fnm>GP</fnm>
               </au>
               <au>
                  <snm>Natkin</snm>
                  <fnm>L</fnm>
               </au>
               <au>
                  <snm>Haass</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Chapman</snm>
                  <fnm>HA</fnm>
               </au>
               <au>
                  <snm>Selkoe</snm>
                  <fnm>DJ</fnm>
               </au>
            </aug>
            <source>Am J Pathol</source>
            <pubdate>1995</pubdate>
            <volume>146</volume>
            <fpage>848</fpage>
            <lpage>860</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">1869262</pubid>
                  <pubid idtype="pmpid">7717452</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B39">
            <title>
               <p>Chronic neuropathic pain is accompanied by global changes in gene expression and shares pathobiology with neurodegenerative diseases</p>
            </title>
            <aug>
               <au>
                  <snm>Wang</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Sun</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Della</snm>
                  <fnm>PK</fnm>
               </au>
               <au>
                  <snm>Benz</snm>
                  <fnm>RJ</fnm>
               </au>
               <au>
                  <snm>Xu</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Gerhold</snm>
                  <fnm>DL</fnm>
               </au>
               <au>
                  <snm>Holder</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Koblan</snm>
                  <fnm>KS</fnm>
               </au>
            </aug>
            <source>Neuroscience</source>
            <pubdate>2002</pubdate>
            <volume>114</volume>
            <fpage>529</fpage>
            <lpage>546</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">12220557</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B40">
            <title>
               <p>Coupling gene chip analyses and rat genetic variances in identifying potential target genes that may contribute to neuropathic allodynia development</p>
            </title>
            <aug>
               <au>
                  <snm>Valder</snm>
                  <fnm>CR</fnm>
               </au>
               <au>
                  <snm>Liu</snm>
                  <fnm>JJ</fnm>
               </au>
               <au>
                  <snm>Song</snm>
                  <fnm>YH</fnm>
               </au>
               <au>
                  <snm>Luo</snm>
                  <fnm>ZD</fnm>
               </au>
            </aug>
            <source>J Neurochem</source>
            <pubdate>2003</pubdate>
            <volume>87</volume>
            <fpage>560</fpage>
            <lpage>573</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">14535940</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B41">
            <title>
               <p>The proximo-distal spread of axonal degeneration in the dorsal columns of the rat</p>
            </title>
            <aug>
               <au>
                  <snm>George</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Griffin</snm>
                  <fnm>JW</fnm>
               </au>
            </aug>
            <source>J Neurocytol</source>
            <pubdate>1994</pubdate>
            <volume>23</volume>
            <fpage>657</fpage>
            <lpage>667</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7861182</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B42">
            <title>
               <p>Towards a human repertoire of monocytic lysosomal proteins</p>
            </title>
            <aug>
               <au>
                  <snm>Journet</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Chapel</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kieffer</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Louwagie</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Luche</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Garin</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Electrophoresis</source>
            <pubdate>2000</pubdate>
            <volume>21</volume>
            <fpage>3411</fpage>
            <lpage>3419</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11079561</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B43">
            <title>
               <p>The phagosome proteome: insight into phagosome functions</p>
            </title>
            <aug>
               <au>
                  <snm>Garin</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Diez</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Kieffer</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Dermine</snm>
                  <fnm>JF</fnm>
               </au>
               <au>
                  <snm>Duclos</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Gagnon</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Sadoul</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Rondeau</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Desjardins</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>J Cell Biol</source>
            <pubdate>2001</pubdate>
            <volume>152</volume>
            <fpage>165</fpage>
            <lpage>180</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmcid">2193653</pubid>
                  <pubid idtype="pmpid" link="fulltext">11149929</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B44">
            <title>
               <p>Up-regulation of cathepsin X in Helicobacter pylori gastritis and gastric cancer</p>
            </title>
            <aug>
               <au>
                  <snm>Krueger</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Kalinski</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Hundertmark</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Wex</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Kuster</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Peitz</snm>
                  <fnm>U</fnm>
               </au>
               <au>
                  <snm>Ebert</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Nagler</snm>
                  <fnm>DK</fnm>
               </au>
               <au>
                  <snm>Kellner</snm>
                  <fnm>U</fnm>
               </au>
               <au>
                  <snm>Malfertheiner</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Naumann</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Rocken</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Roessner</snm>
                  <fnm>A</fnm>
               </au>
            </aug>
            <source>J Pathol</source>
            <pubdate>2005</pubdate>
            <volume>207</volume>
            <fpage>32</fpage>
            <lpage>42</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16025436</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B45">
            <title>
               <p>An enzyme-linked immunosorbent assay for human cathepsin X, a potential new inflammatory marker</p>
            </title>
            <aug>
               <au>
                  <snm>Nagler</snm>
                  <fnm>DK</fnm>
               </au>
               <au>
                  <snm>Lechner</snm>
                  <fnm>AM</fnm>
               </au>
               <au>
                  <snm>Oettl</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Kozaczynska</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Scheuber</snm>
                  <fnm>HP</fnm>
               </au>
               <au>
                  <snm>Gippner-Steppert</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Bogner</snm>
                  <fnm>V</fnm>
               </au>
               <au>
                  <snm>Biberthaler</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Jochum</snm>
                  <fnm>M</fnm>
               </au>
            </aug>
            <source>J Immunol Methods</source>
            <pubdate>2006</pubdate>
            <volume>308</volume>
            <fpage>241</fpage>
            <lpage>250</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">16376371</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B46">
            <title>
               <p>Cathepsin Y (a novel thiol enzyme) produces kinin potentiating peptide from the component protein of rat plasma</p>
            </title>
            <aug>
               <au>
                  <snm>Sakamoto</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Sakao</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Taniguchi</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Yamafuji</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>Immunopharmacology</source>
            <pubdate>1999</pubdate>
            <volume>45</volume>
            <fpage>207</fpage>
            <lpage>214</lpage>
            <xrefbib>
               <pubid idtype="pmpid">10615013</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B47">
            <title>
               <p>An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat</p>
            </title>
            <aug>
               <au>
                  <snm>Kim</snm>
                  <fnm>SH</fnm>
               </au>
               <au>
                  <snm>Chung</snm>
                  <fnm>JJ</fnm>
               </au>
            </aug>
            <source>Pain</source>
            <pubdate>1992</pubdate>
            <volume>50</volume>
            <fpage>355</fpage>
            <lpage>363</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1333581</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B48">
            <title>
               <p>Lumbar sympathectomy failed to reverse mechanical allodynia- and hyperalgesia-like behavior in rats with L5 spinal nerve injury</p>
            </title>
            <aug>
               <au>
                  <snm>Ringkamp</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Eschenfelder</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Grethel</snm>
                  <fnm>EJ</fnm>
               </au>
               <au>
                  <snm>Habler</snm>
                  <fnm>HJ</fnm>
               </au>
               <au>
                  <snm>Meyer</snm>
                  <fnm>RA</fnm>
               </au>
               <au>
                  <snm>Janig</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Raja</snm>
                  <fnm>SN</fnm>
               </au>
            </aug>
            <source>Pain</source>
            <pubdate>1999</pubdate>
            <volume>79</volume>
            <fpage>143</fpage>
            <lpage>153</lpage>
            <xrefbib>
               <pubid idtype="pmpid">10068160</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B49">
            <title>
               <p>A simple and vertsatile, sensitive and volume-independent method for quantitative protein determination with independence of other external influences,</p>
            </title>
            <aug>
               <au>
                  <snm>Neuhoff</snm>
                  <fnm>VPK</fnm>
               </au>
               <au>
                  <snm>Zimmer</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Mesecke</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Hoppe-Seyler`s Z Physiol Chem</source>
            <pubdate>1979</pubdate>
            <volume>360</volume>
            <fpage>1657</fpage>
            <lpage>1670</lpage>
            <xrefbib>
               <pubid idtype="pmpid">92445</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B50">
            <title>
               <p>Imbalance between cathepsine B and cysteine proteinase inhibitors is of prognostic significance in human lung cancer</p>
            </title>
            <aug>
               <au>
                  <snm>Knoch</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Werle</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Ebert</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Spiess</snm>
                  <fnm>E</fnm>
               </au>
            </aug>
            <source>Int J Oncology</source>
            <pubdate>1994</pubdate>
            <volume>5</volume>
            <fpage>77</fpage>
            <lpage>85</lpage>
         </bibl>
         <bibl id="B51">
            <title>
               <p>Ultrastructure of PkC(II/III)-immunopositive structures in rat primary visual cortex</p>
            </title>
            <aug>
               <au>
                  <snm>Stichel</snm>
                  <fnm>CC</fnm>
               </au>
               <au>
                  <snm>Singer</snm>
                  <fnm>W</fnm>
               </au>
               <au>
                  <snm>Zilles</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>Exp Brain Res</source>
            <pubdate>1990</pubdate>
            <volume>82</volume>
            <fpage>575</fpage>
            <lpage>584</lpage>
            <xrefbib>
               <pubid idtype="pmpid">2292273</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B52">
            <title>
               <p>Novel epoxysuccinyl peptides. A selective inhibitor of cathepsin B, <it>in vivo</it></p>
            </title>
            <aug>
               <au>
                  <snm>Towatari</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Nikawa</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Murata</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Yokoo</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Tamai</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Hanada</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Katunuma</snm>
                  <fnm>N</fnm>
               </au>
            </aug>
            <source>FEBS Lett</source>
            <pubdate>1991</pubdate>
            <volume>280</volume>
            <fpage>311</fpage>
            <lpage>315</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="pmpid" link="fulltext">2013329</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B53">
            <title>
               <p>Cathepsin B, Cathepsin H, and cathepsin L</p>
            </title>
            <aug>
               <au>
                  <snm>Barrett</snm>
                  <fnm>AJ</fnm>
               </au>
               <au>
                  <snm>Kirschke</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Methods Enzymol</source>
            <pubdate>1981</pubdate>
            <volume>80 Pt C</volume>
            <fpage>535</fpage>
            <lpage>561</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7043200</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B54">
            <aug>
               <au>
                  <snm>Paxinos</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Franklin</snm>
                  <fnm>KBJ</fnm>
               </au>
            </aug>
            <source>The mouse brain in stereotaxic coordinates</source>
            <publisher>San Diego, Academic Press</publisher>
            <pubdate>2001</pubdate>
         </bibl>
      </refgrp>
   </bm>
</art>
