“…However, the precise mechanisms through which diseases and/or injuries alter the mechanical sensitivity of ion channels leading to the perception of pain instead of touch are unknown. It may involve various pathways such as(1) PKA and PKC signaling that lead to sensitization of ion channels (Brackley et al, 2017; Dubin et al, 2012; Fan et al, 2009; Fischer et al, 2010; Meents et al, 2017; Schmidt et al, 2009); (2) alterations in the composition of the plasma membrane lipid bilayer, and subsequent alterations in gating of a mechanically-gated ion channel (Barabas et al, 2014; Narayanan et al, 2018); or (3) novel channel interactions such as the coupling of an ion channel normally not involved in mechanosensation to a mechanically gated ion channel or the coupling of a mechanically sensitive ion channel to an accessory protein that enhances its function (e.g., TMEM150C) (Anderson et al, 2018; Dubin et al, 2017). Ultimately, more research is needed to determine how mechanically gated ion channels become sensitized in pathological states associated with painful touch.…”