MDFIC2 is a PIEZO channel modulator that can alleviate mechanical allodynia associated with neuropathic pain

A Abdella M. Habib (Department of Basic Medical Sciences, College of Medicine, Qatar University Health, Qatar University) S Shengnan Li C Chenjing Zhang (Center for General Practice Medicine, Department of Gastroenterology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College) M Meijun Ji (Center for General Practice Medicine, Department of Gastroenterology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College) N Nancy Osorio (Aix Marseille University, INSERM 1263, Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement 1260, Centre de recherche en CardioVasculaire et Nutrition) V Virginie Penalba (Aix Marseille University, INSERM 1263, Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement 1260, Centre de recherche en CardioVasculaire et Nutrition) J Jesus M. Torres (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) S Samuel J. Gossage (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) M Mehdi A. Rezai (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) A Amy F. Geard (Department of Pharmacology, University College London School of Pharmacy, University College London) A Ahad A. Rahim (Department of Pharmacology, University College London School of Pharmacy, University College London) A Ahmed M. M. Mahmoud (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) S Sonia Santana-Varela (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) J Jun Zhou J Jing Zhao J John N. Wood (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) A Andrei L. Okorokov (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) X Xuelong Zhou (Department of Anesthesiology, Woman’s Hospital, Zhejiang University School of Medicine) J James J. Cox (Wolfson Institute for Biomedical Research, Division of Medicine, University College London) B Bertrand Coste (Aix Marseille University, INSERM 1263, Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement 1260, Centre de recherche en CardioVasculaire et Nutrition)

Abstract

PIEZO channels are mechanical force sensors involved in various biological processes, including somatosensation. To date, only a few PIEZO-binding partners have been identified, including MyoD-family inhibitor proteins (MDFI and MDFIC). Here, we show that MDFIC2, a third member of the MDFI protein family with an as-yet-unknown function, is expressed in a subset of nociceptive sensory neurons. MDFIC2 modulates both PIEZO1 and PIEZO2 gating properties by slowing their kinetics and shifting mechanical sensitivity to higher forces. Interestingly, Mdfic2 is downregulated in mouse neuropathic pain models in which mechanical allodynia is a hallmark symptom. We found that intrathecal administration of adeno-associated virus vector encoding MDFIC2 cDNA reduces mechanical sensitivity and attenuates mechanical allodynia in the spared nerve injury neuropathic pain model. These findings demonstrate a mechanism for regulating mechanosensation and highlight a potential therapeutic route for treating mechanical allodynia.

Article Details

Volume / Issue Vol. 122, Issue 45
Published November 11, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (20)

A

Abdella M. Habib

Department of Basic Medical Sciences, College of Medicine, Qatar University Health, Qatar University

S

Shengnan Li

C

Chenjing Zhang

Center for General Practice Medicine, Department of Gastroenterology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College

M

Meijun Ji

Center for General Practice Medicine, Department of Gastroenterology, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College

N

Nancy Osorio

Aix Marseille University, INSERM 1263, Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement 1260, Centre de recherche en CardioVasculaire et Nutrition

V

Virginie Penalba

Aix Marseille University, INSERM 1263, Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement 1260, Centre de recherche en CardioVasculaire et Nutrition

J

Jesus M. Torres

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

S

Samuel J. Gossage

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

M

Mehdi A. Rezai

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

A

Amy F. Geard

Department of Pharmacology, University College London School of Pharmacy, University College London

A

Ahad A. Rahim

Department of Pharmacology, University College London School of Pharmacy, University College London

A

Ahmed M. M. Mahmoud

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

S

Sonia Santana-Varela

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

J

Jun Zhou

J

Jing Zhao

J

John N. Wood

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

A

Andrei L. Okorokov

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

X

Xuelong Zhou

Department of Anesthesiology, Woman’s Hospital, Zhejiang University School of Medicine

J

James J. Cox

Wolfson Institute for Biomedical Research, Division of Medicine, University College London

B

Bertrand Coste

Aix Marseille University, INSERM 1263, Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement 1260, Centre de recherche en CardioVasculaire et Nutrition