Enhanced histamine-induced itch in diacylglycerol kinase iota knockout mice

Subsets of small-diameter dorsal root ganglia (DRG) neurons detect pruritogenic (itch-causing) and algogenic (pain-causing) stimuli and can be activated or sensitized by chemical mediators. Many of these chemical mediators activate receptors that are coupled to lipid hydrolysis and diacylglycerol (DAG) production. Diacylglycerol kinase iota (DGKI) can phosphorylate DAG and is expressed at high levels in small-diameter mouse DRG neurons. Given the importance of these neurons in sensing pruritogenic and algogenic chemicals, we sought to determine if loss of DGKI impaired responses to itch- or pain-producing stimuli. Using male and female Dgki-knockout mice, we found that in vivo sensitivity to histamine—but not other pruritogens—was enhanced. In contrast, baseline pain sensitivity and pain sensitization following inflammatory or neuropathic injury were equivalent between wild type and Dgki-/- mice. In vitro calcium responses in DRG neurons to histamine was enhanced, while responses to algogenic ligands were unaffected by Dgki deletion. These data suggest Dgki regulates sensory neuron and behavioral responses to histamine, without affecting responses to other pruritogenic or algogenic agents.


Introduction
Chronic itch (pruritis) and chronic pain can drastically impact daily function, often hindering work performance and severely impairing quality of life [1,2]. Current treatments do not adequately alleviate symptoms [3,4] and come with serious side effects [5]. Itch-and pain-sensing neurons, whose cell bodies lie in the dorsal root ganglia (DRG), respond to pruritogenic and noxious stimuli in the periphery and transduce these signals to the central nervous system for sensory processing [4]. Pruritogenic compounds released by immune cells activate itch fibers that innervate the skin [6]. While this activation enables recognition of allergens, many pruritis patients suffer from aberrant, unprovoked activity of itch fibers, leading to extreme scratching behavior. Similarly, algogenic compounds released following injury to nerves or tissues throughout the body can activate and sensitize peripheral pain fibers, shifting patients toward a state of pain hypersensitivity that can persist after the injury has healed [7]. Somatosensory neurons are the primary responders to pruritogenic and noxious stimuli, and their dysfunction a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 can cause chronic itch or chronic pain. Characterizing the function of signaling mediators expressed in DRG neurons may reveal candidate molecules to target for the treatment of itch and/or pain.
Although itch and pain are distinct sensations, the neuronal populations that respond to these stimuli are largely overlapping [4]. Activation of receptor tyrosine kinases and Gα q -protein-coupled receptors on itch-and pain-sensing neurons induces the production of diacylglycerol (DAG), an important lipid signaling molecule in the DRG [8]. Diacylglycerol kinases (DGKs) can terminate DAG signaling by phosphorylating DAG to produce phosphatidic acid (PA). DAG and PA modulate neuronal function by altering the activity of numerous downstream effectors [9][10][11]. Lipid kinases sit at a convergence point in signaling pathways that regulate pain signaling [12]. DAG and PA are produced downstream of multiple receptors, and both of these second messengers have important signaling functions in sensory neurons. Therefore, defining how DGKs regulate the balance between these two lipids could have significant implications for our understanding of the molecular mechanisms of itch and pain. Indeed, disrupting activity of a lipase that converts DAG to monoacylglycerol attenuates pain responses [13]. Thus, altering the metabolism of lipids in this network can affect somatosensation.
Here, we focus on DGK iota (Dgki), which is expressed in peripheral somatosensory neurons. The role of Dgki in somatosensation has never been studied. Deletion of Dgki in mice was previously found to reduce Ras activity in primary embryonic fibroblasts and diminish Ras-dependent skin tumor formation [14]. Others found that Dgki positively regulates metabotropic glutamate receptor-dependent long-term depression at Schaffer collateral-CA1 synapses in neonates, but not in adults [15]. Litters raised by Dgki -/dams had a slightly reduced survival rate [16]. Dgki-knockout mice showed a latency to habituate to an open field in one study [15], but an absence of an open field phenotype was also reported [16]. No other phenotypes related to locomotion, depression, anxiety, or learning were found.
Here, we characterized the role of Dgki in pruritogenic and noxious sensory behaviors in male and female mice. Additionally, we examined the responses of cultured DRG neurons from these animals to pruritogenic and algogenic stimuli.

Mice
All procedures used in this study were approved by the Institutional Animal Care and Use Committee at the University of North Carolina at Chapel Hill. We acquired a Dgki -/mouse line [14], which was on a mixed 129 and C57BL/6 background. All data presented here were from mice that were backcrossed with C57BL/6J mice for at least five generations. We performed PCR with genomic DNA isolated from tail clips to confirm genotypes of our mice, as described previously [14].
Mice were maintained on a 12 h:12 h light:dark cycle and given food (Teklad 2020X, Envigo, Huntingdon, United Kingdom) and water ad libitum. Mice were group housed with 3 to 5 mice per cage. Cages had Bed-o'Cobs bedding (Andersons Lab Bedding, Maumee, Ohio). Given a prior study showing how bedding can influence mechanical sensitivity post-injury [17], for the spared nerve injury (SNI) experiments, the bedding was 1/8-inch diameter (8B, Andersons Lab Bedding). During all other experiments, the bedding was 1/4-inch diameter (4B, Andersons Lab Bedding).

Behavior
All behavior assays were performed on 2-to 4-month-old mice during the light phase of the light:dark cycle. For each assay, mice within each cohort were tested in a random order that varied between days. After testing each mouse for itch or baseline pain responses, mice were kept separate from the mice that had not yet been tested in that assay, to eliminate the potential for pain empathy responses [18]. For all behavior assays, the experimenters were blinded to the genotype.
Sensory behavior assays were performed in a mesh platform apparatus or a glass platform apparatus, except for the tail immersion and clothespin assays. The mesh platform apparatus consisted of a 28 × 46 cm sheet of stainless-steel mesh elevated 28 cm from the bench surface. Mice were placed on top of the mesh platform, and each mouse was enclosed in an individual 9 × 9 × 11 cm 5-sided transparent plastic box. For the glass platform apparatus, we used an 86 × 35 cm pane of 0.6 cm thick glass elevated 21 cm from the bench. Mice were placed in square acrylic enclosures of 13 cm height that were separated with dividers into 4 equally-sized 10 × 10 cm chambers. Lids of the acrylic chambers had 3-cm-diameter holes, covered with copper wire mesh to prevent escape.
Itch, cold plantar, and Hargreaves assays were tested in the glass platform apparatus. Cotton swab and filamentous von Frey assays were tested in the mesh platform apparatus. Mice were acclimated to these apparatuses for 2 hours per day for at least 5 days prior to testing. On the day of testing itch responses, mice were acclimated to test chambers for 30 minutes prior to injection, and only one animal was tested at a time. On the day of testing cotton swab, cold plantar, Hargreaves, and von Frey, mice were acclimated to the test chamber for 1 h prior to testing, and all mice in the cohort were tested together.
Itch assay. We used an acute scratching assay to test itch responses in WT and Dgki -/males and females. We tested histamine, chloroquine, and β-alanine. Histamine is released by mast cells after allergen exposure and is a target of many antipruritic drugs [6,19]. Chloroquine is an anti-malaria drug that causes severe pruritis in black Africans [20]. β-alanine is a supplement commonly taken by body builders to regulate muscular pH levels that causes a minor itch side effect [21].
Following a 30-minute acclimation period, mice were injected with 50 μL of pruritogen that was dissolved in 0.9% w/v NaCl, made fresh on the day of testing, and kept on ice throughout the day. The 50-μL injection contained 500 μg β-alanine (A9920, Sigma-Aldrich), 500 μg histamine (H7250, Sigma-Aldrich), or 200 μg chloroquine (C6628, Sigma-Aldrich). After injecting a pruritogen subcutaneously at the nape of the neck using a 13-mm 30-gauge needle (305106, BD, Franklin Lakes, New Jersey) attached to a 50-μL glass syringe (Model 705, Hamilton, Reno, Nevada), we counted scratching bouts at the site of injection performed by each mouse in 5-minute intervals over 30 minutes.
WT and Dgki -/males and females were tested together, in two cohorts. The first cohort had 10 mice each of WT males, Dgki -/males, WT females, and Dgki -/females; the second cohort had 12 WT males, 11 Dgki -/males, 10 WT females, and 8 Dgki -/females. All three pruritogens were tested in each mouse. The first cohort was tested in the order of increasing pruritogen strength (β-alanine, histamine, chloroquine) to decrease the likelihood that their skin would be irritated by scratching induced by the previous pruritogen. Upon finding an increased response to histamine in Dgki -/mice in the first cohort, the second cohort was tested in the following order: β-alanine, chloroquine, histamine. The same effects were found in each cohort individually, so we combined the data from both cohorts here. Mice were given at least 48 hours to recover from injections of β-alanine, and at least 72 hours to recover from injections of histamine or chloroquine.
Acute pain sensitivity assays. Mice were tested on each baseline pain assay at least twice, on separate days, and the responses for an individual animal were averaged. Mice were given at least one hour to recover after each test. In a single day, mice were tested on 2 to 5 baseline pain assays. The assays were run in a random order that varied between days. The same two cohorts of animals used for the itch assays (see Itch assay methods for genotype/sex composition of each cohort) were tested in the tail immersion, clothespin, cotton swab, cold plantar, and hot plate assays. The first cohort of 40 mice was tested on -10˚C, 46.5˚C, and 49˚C tail immersion and clothespin assays. The second cohort of 41 mice was tested on -10˚C, 46.5˚C, and 49˚C tail immersion; clothespin; cotton swab; and hot plate assays. Three Dgki -/males had damaged tails, so they were excluded from tail assays (tail immersion and clothespin). One Dgki -/male and one Dgki -/female squirmed during the -10˚C tail immersion assay, giving ambiguous responses that were excluded from the data.
Tail immersion-To measure thermal sensitivity [22,23], a 75% ethanol solution was cooled to -10˚C or a water bath was heated to 46.5˚C or 49˚C. Each mouse was gently wrapped in a towel and inverted, submerging approximately half of the tail, and the latency for the mouse to flick their tail was measured. Without a response, tails were removed from -10˚C after 60 s, 46.5˚C after 40 s, and 49˚C after 20 s.
Clothespin-To measure mechanical sensitivity [24], we measured the latency for a mouse to attempt to remove a 2.5-cm long miniature clothespin (3438, Bazic Products, Los Angeles, California) attached to the tail, approximately 1 cm from the distal tip. Assays were performed in an empty 17 × 28 × 12.5 cm plastic cage (Allentown Caging, Allentown, New Jersey) with no lid. The time for a mouse to bite or attempt to remove the clothespin was measured. The clothespin was removed as soon as the mouse responded, or after 20 s if there was no response.
Cotton swab-To determine if Dgki loss affects large-diameter, low-threshold mechanosensory neurons of the DRG [25], we assessed responses to a light touch via a "fluffed out" cotton swab brushed across the hindpaw. The cotton swab was brushed from heel to toe, and any movement of the paw was counted as a response. Each paw was tested 5 times (total of 10 tests per mouse). After testing each paw once for each animal, the mice were given 10 min to settle before testing again. We alternated starting testing on either the left or right hindpaw.
Cold plantar-To examine sensitivity to cold, we measured withdrawal latency to applications of dry ice to the hindpaw [26]. Dry ice was packed into a 3-mL syringe (209657, BD) modified to expose a 0.8-cm-diameter cross section and pressed against the glass directly under the hindpaw. Without a response, the stimulus was removed after 20 s. Each hindpaw was tested two to three times, with at least 30 min rest between tests on a single paw. We alternated starting testing on either the left or right hindpaw.
Hot plate-To examine sensitivity to heat, we measured latency to respond to placement of the mouse onto a 55˚C hot plate [27], using a Hot Plate Analgesia Meter (Series 8 Model 29, IITC Life Science Inc., Woodland Hills, California). Mice were placed on the surface of the hot plate, within an acrylic cylinder with an inner diameter of 10 cm and a height of 15.4 cm. The latency to demonstrate a painful response (licking or rapidly flicking either hindpaw or jumping) was timed. The mouse was removed from the plate after responding, or after 30 s if there was no response.
Hargreaves-To examine sensitivity to heat, we measured withdrawal latency to applications of heat via a focused beam of light to the hindpaw [28], using an infrared radiometer (72-6703, Harvard Apparatus, Holliston, Massachusetts) light source set to an intensity of 30 mW/cm 2 . Without a response, the stimulus was removed after 20 s. Each hindpaw was tested two to three times, with at least 30 min rest between tests on a single paw. We alternated starting testing on either the left or right hindpaw.
Filamentous von Frey-To examine mechanical pain, we used von Frey filaments. Pressure is applied to the plantar surface of the hindpaw using a long, thin filament until either the filament bends or the mouse withdraws its paw [29]. Eight filaments with bend thresholds of 0.407, 0.692, 1.2, 1.5, 2.04, 3.63, 5.5, and 8.5 g (Research Designs Inc.) were tested, in that order. Each filament was tested five times on each hindpaw (alternating left and right for each test). The percentage of total hindpaw withdrawals (out of five) was calculated to assess sensitivity to mechanical stimuli. Mice were allowed to rest for at least 2 minutes between tests of an individual filament and a minimum of 15 minutes between filaments to ensure withdrawals were due to mechanical nociception rather than overstimulation.
Chronic pain models. Inflammatory injury-We modeled inflammatory sensitization by injecting 30 μL of complete Freund's adjuvant (CFA; 855828, MP Biomedicals, Santa Ana, California) into the plantar surface of the left hindpaw, using a 13-mm 27-gauge needle (305109, BD) attached to a 50 μL glass syringe (Model 705, Hamilton) [30]. Responses of both the ipsilateral and contralateral hindpaws to heat in the Hargreaves test were measured at baseline (0 to 3 days prior to CFA injection) and on Days 1, 2, 3, and 7 after CFA injection. Males were additionally tested on Day 4 and females on Day 5. Observation days were chosen to observe development of and recovery from CFA-induced inflammatory sensitization. Forty mice were assayed in the CFA injury model: 10 mice each of WT males, Dgki -/males, WT females, and Dgki -/females.
Neuropathic injury-Neuropathic sensitization was induced using the spared nerve injury (SNI) model of neuropathic pain, in which two of the three major branches of the sciatic nerve are ligated and transected while the third is left intact [31,32]. Animals were anesthetized via isoflurane insufflation. Once unconscious (confirmed by toe pinch reflex), hair was removed from the left hindleg before being stabilized via surgical pins (tissue was not pierced). The incision site was cleaned with three alternating washes of chlorohexidine and iodine solution. A 2-cm incision was made through the skin at the mid-thigh level. The biceps and semitendinosus muscles were gently teased apart using forceps, exposing the sciatic nerve. The peroneal and sural nerves were tightly ligated with 6-0 silk suture while the tibial nerve was left intact. The ligated nerves were then transected distal to the ligature and 2 mm of each branch distal to the nerve stump were removed to confirm complete transection. The muscles were repositioned back over the nerve and the skin wound closed via surgical clips. The animals were then placed in a cage on a heating pad until they woke before being returned to their home cage. Total time unconscious was approximately 20 minutes. Animals were monitored daily to ensure the wound remained sealed and clean. Surgical clips were removed 6 days post-surgery.
Responses of both the ipsilateral and contralateral hindpaws to mechanical stimulation in the filamentous von Frey assay were tested at baseline (1 to 3 days prior to SNI surgery), and Days 1, 7, and 14 after surgery. Due to the length of time of each surgery, the 40 total mice were tested in 4 cohorts. The first cohort had 7 WT and 6 Dgki -/males, the second had 5 WT and 5 Dgki -/males, the third had 5 WT and 3 Dgki -/females, and the fourth had 5 WT and 4 Dgki -/females.

Primary DRG neuron cultures
Similar to previous work [33], DRGs were dissected from 4-to 8-week-old male and female WT and Dgki -/mice and placed into a 1.5-mL microcentrifuge tube containing 1 mL of calcium-and magnesium-free Hank's balanced salt solution (HBSS; 14175-145, Gibco, Grand Island, New York; 400 mg/L KCl, 60 mg/L KH 2 PO 4 , 350 mg/L NaHCO 3 , 8 g/L NaCl, 48 mg/L Na 2 HPO 4 , 1 g/L D-glucose) on ice. After a quick spin, HBSS was gently removed and replaced with 1 mL of a solution of 2 mg/mL collagenase (CLS1, Worthington Biochemical, Lakewood, New Jersey) and 5 mg/mL dispase (17105-041, Gibco) in HBSS. The tube was placed in a 37˚C water bath for 30 minutes, inverting every 5 minutes. After 20 minutes, DRGs were triturated with a flame-polished glass Pasteur pipette, then returned to the water bath. After 30 minutes, the 1-mL DRG suspension was mixed with 1 mL of 37˚C supplemented media containing Neurobasal A (10888, Gibco), 0.5% B-27 (17504, Gibco), 100 U/mL penicillin/streptomycin (15140, Gibco), 2 mM L-glutamine (25030, Gibco), 50 ng/mL glial derived neurotrophic factor (GF030, EMD-Millipore), and 25 ng/mL nerve growth factor (01-125, EMD-Millipore). The 2-mL DRG suspension was triturated with a fresh Pasteur pipette and placed on a pre-moistened 70 μm filter (22-363-548, Thermo Fisher). The filtrate was spun at 1000 × g for 5 minutes at room temperature. The supernatant was carefully removed, and the pellet was resuspended in 37˚C supplemented media with a fresh Pasteur pipette. Using a pipette with a plastic tip, 90 μL of the cell suspension was plated onto each coverslip (354087, Corning, Corning, New York), prewarmed to 37˚C. Coverslips were 12 mm in diameter, precoated with poly-D-lysine and laminin, and each placed in a well of a 24-well plate. After 1-2 h, 410 μL of 37˚C supplemented media was added to each well. Cells were kept in a 37˚C incubator with 5% CO 2 and used for calcium imaging within 24 hours. For each preparation, DRGs from one WT and one Dgki -/mouse (age-and sex-matched) were dissected and cultured concurrently and were plated at equal densities on 8-12 coverslips/mouse.

Calcium imaging
Similar to previous work [10,33], on the day of imaging cells were washed 2 times with assay buffer: Hanks' balanced salt solution (14025-126, Thermo Fisher; 140 mg/L CaCl 2 , 100 mg/L MgCl 2 -6H 2 O, 100 mg/L MgSO 4 -7H 2 O, 400 mg/L KCl, 60 mg/L KH 2 PO 4 , 350 mg/L NaHCO 3 , 8 g/L NaCl, 48 mg/L Na 2 HPO 4 , 1 g/L D-glucose) supplemented with 2.4 g/L HEPES, 2 g/L Dglucose, and 0.1% w/v fatty acid-free BSA (A6003, Sigma-Aldrich), at pH 7.3. Cell were then incubated with 2 μM Fura-2, AM (F1221, Invitrogen) in 0.02% Pluronic F-127 (P-3000MP, Invitrogen) in assay buffer for 1 h at room temperature. Cells were washed 3 times with assay buffer, then maintained at room temperature for 30 min before imaging. Assays were performed on an Eclipse Ti microscope (Nikon, Tokyo, Japan) with a CFI Plan Fluor 20x objective (Nikon) and a DG-4 light source (Sutter, Novato, California). Cells were alternately excited for 500 ms at 340 nm and for 250 ms at 380 nm. Emission was measured at 510 nm and recorded using a Clara DR-328G-C01-SIL CCD camera (Andor, Belfast, United Kingdom) and NIS Elements imaging software (Nikon). During imaging, coverslips were placed in a chamber (Model RC-26GLP, Warner Instruments, Hamden, Connecticut) mounted on microscope stage adapter and were perfused with 30˚C buffers (heated with SH-27B inline heater, Warner Instruments) at a flow rate of 4.2 mL/min (using a Minipuls 3 Peristaltic Pump, Gilson, Middleton, Wisconsin). After collecting 90 s of baseline Fura-2 ratios while perfusing with assay buffer, cells were perfused with agonist for 90 s, followed by assay buffer for 180 s, then 100 mM KCl for 30 s to test for neuron health. Agonists and 100 mM KCl solutions were made with assay buffer.
The agonists used were 100 μM histamine, 1 μM capsaicin, 10 μM lysophosphatidic acid (LPA), or 100 μM uridine triphosphate (UTP). Histamine activates the H1 receptor on sensory neurons to induce itch responses [19]. Capsaicin is the chemical ligand for the ion channel TRPV1 (transient receptor potential vanilloid 1), an important receptor for itch and pain signaling [19,34]. Lysophosphatidic acid acts on LPA 1 , LPA 2 , and LPA 3 receptors (Gα q -GPCRs) and induces nociception in peripheral neurons [35,36]. Uridine triphosphate binds to P2Y receptors and activates and sensitizes small-diameter DRG neurons [37,38]. We used histamine because of the in vivo scratching phenotypes we observed in response to histamine injection. We used capsaicin, LPA, and UTP for algogens because their receptors are expressed in a relatively high percentage of rodent DRG neurons [37,39,40].
For analysis, we calculated the Fura-2 ratio (ratio of the emission following excitation at 340 nm/380 nm). We excluded cells that had high baseline Fura-2 ratios (>1.0) or failed to respond to KCl (did not reach ratio of at least 1.0 during KCl exposure). To normalize to baseline, the 60 s of Fura-2 ratios measured immediately preceding agonist exposure were averaged for a given cell, and that average was subtracted from each data point for that cell throughout the whole assay period. Only cells that responded to agonist (had a minimum increase in Fura-2 ratio of 0.1 over baseline average for 2 consecutive time points during period of agonist exposure) were included in our analyses. Area-under-the-curve (AUC) values were calculated on a cell-by-cell basis, using the baseline-normalized values, for the 90-s period of agonist exposure.
DRG cultures from one WT and one Dgki -/mouse (cultured concurrently) were tested each day, alternating coverslips in a random order. For histamine, we used 4 male and 3 female mice each for WT and Dgki -/-(14 mice total); here, we present responses from the 114 WT neurons and 124 Dgki -/neurons that were activated by histamine. For capsaicin, we used 2 males of each genotype, and we present the 110 WT and 86 Dgki -/neurons that responded to capsaicin. For LPA, we used 1 male and 1 female of each genotype, and we present the 116 WT neurons and 93 Dgki -/neurons that responded to LPA. For UTP, we used 4 males of each genotype, and we present the 116 WT neurons and 165 Dgki -/neurons that responded to UTP.

Analysis of microarray data
The Dgki expression profile data generated via microarray previously was accessed through BioGPS (dataset "GeneAtlas MOE430, gcrma" and probe set "1439986_at") [41][42][43]. For the present study, expression level of Dgki for each tissue was normalized to the median expression level for all tissues, and averages were calculated of duplicate samples. The expression levels were ranked highest to lowest, and the 10 tissues with the highest expression are shown here.

Statistics
Data were analyzed with Prism version 7.04 (GraphPad Software Inc., La Jolla, California). WT vs. Dgki -/responses (by sex) in all baseline pain assays were tested for significance using two-tailed t-tests with Welch's correction, as were WT vs. Dgki -/-AUC responses in calcium activity assays. For each sex, scratching responses to pruritogens, Hargreaves responses in the CFA model, and von Frey responses in the SNI model were compared between WT and Dgki -/using Sidak's multiple comparisons tests used for pairwise comparisons within each 5-min time bin (pruritogens), day (CFA), or filament (SNI) within two-way repeated measures analysis of variance (ANOVA) tests. The proportion of DRG neurons responding to each agonist in the calcium imaging assays was compared between genotypes with a binomial test.

Dgki is highly expressed in pruriceptive and nociceptive DRG neurons
Whereas others have examined the role of Dgki in the brain, no one has yet looked at the function of Dgki in the DRG, which is the neuronal tissue in which Dgki is most highly expressed in mice (Table 1) [41]. Based on single-cell RNA-sequencing of mouse DRG, Dgki is expressed in DRG neurons that express genes important for pruriception and nociception, but is expressed at low to undetectable levels in all other subclasses [44]. DRG neuron subclasses can generally be distinguished based on size; itch-and pain-sensing neuronal cell bodies typically have small diameters [45]. Immunostaining of mouse DRG (Fig 1A) revealed that DGKI is expressed in small-diameter neurons (Fig 1G), consistent with its colocalization with IB4 ( Fig  1E and 1F), a marker of small-diameter neurons. Additionally, DGKI localizes to the cytoplasm (Fig 1A), consistent with a prior study [46].

Disrupting Dgki eliminates DGKI expression in mouse DRG
With the availability of a previously-generated Dgki-knockout mouse [14], we were able to investigate how Dgki loss affects somatosensensory behaviors. We confirmed absence of DGKI in the DRG via immunohistochemical staining ( Fig 1A) and showed loss of the expected band at approximately 120 kDa representing DGKI protein in the DRG of male and female Dgki -/mice ( Fig 1B). We confirmed loss of DGKI in Dgki -/spinal cord and cerebral cortex, as well (Fig 1C and 1D).

Dgki loss in male and female mice enhances behavioral response to histamine
Male and female WT and Dgki -/mice were assayed for their scratching responses to injections of the pruritogens histamine, chloroquine, and β-alanine (Fig 2; full data in S1 Table). Histamine caused significantly greater scratching responses in both male and female Dgki -/mice relative to WT mice (Fig 2A and 2B). Chloroquine and β-alanine elicited scratching behavior equally in  Enhanced histamine-induced itch in diacylglycerol kinase iota knockout mice Dgki -/and WT animals (Fig 2C-2F). Overall, the greatest impact of Dgki loss was seen in both males' and females' responses to histamine, especially in the first 5 minutes after injection.

Acute pain sensitivity is unaffected by Dgki loss in mice
To determine if acute pain was also altered in these mice, we tested responses to thermal and mechanical stimuli applied to the tail (Fig 3A-3D) and the hindpaw (Fig 3E-3G) of WT and Dgki -/male and female mice. Sensitivity to noxious (Fig 3A) or innocuous (Fig 3E) mechanical stimuli was unaffected by Dgki deletion in either sex. Additionally, loss of Dgki had no effect on responses to noxious cold (Fig 3B and 3F) or noxious hot (Fig 3C, 3D and 3G) stimuli. Enhanced histamine-induced itch in diacylglycerol kinase iota knockout mice

Sensitization and recovery following inflammation or nerve injury are unchanged in Dgki -/mice
Although baseline pain sensitivity was not disturbed in these animals, we hypothesized that Dgki loss may alter sensitization to nerve or tissue injury. We analyzed responses to the CFA model of inflammatory injury, using the Hargreaves assay to demonstrate changes in thermal sensitivity (Fig 4A and 4B). In both males and females, genotype did not influence heat hypersensitivity in the ipsilateral paws. For mice of both sexes, the responses of the contralateral paw did not vary significantly over time and did not differ based on genotype.
We analyzed responses to the SNI model of neuropathic injury, using the von Frey assay to demonstrate changes in mechanical sensitivity (Fig 4C-4F). Here, we show responses of the ipsilateral and contralateral paws at baseline (Fig 4C and 4D) and on Day 14 post-surgery ( Fig  4E and 4F), which is when neuropathic sensitization is well-established. Apart from a small increase in the response rate of the ipsilateral paw to a force of 0.692 g in Dgki -/males on Day 14, the overall degree of sensitization did not differ between WT and Dgki -/mice of either sex. There were no differences between ipsilateral and contralateral paws at baseline, and no changes in responses from the contralateral paw over time.

Dgki loss enhances in vitro DRG neuronal responses to histamine but not algogens
Because Dgki is highly expressed in DRG neurons, we hypothesized that altered signaling activity in these neurons caused the enhanced responses to histamine in vivo. Using cultured WT and Dgki -/-DRG neurons loaded with a fluorescent ratiometric calcium dye, we measured Enhanced histamine-induced itch in diacylglycerol kinase iota knockout mice changes in intracellular calcium concentrations induced by stimulation of receptors involved in itch and pain signaling (Fig 5). Dgki loss caused a small but significant increase in calcium responses to histamine in cultured DRG neurons (Fig 5A and 5B). Dgki -/neurons did not respond differently from WT after exposure to the algogenic compounds capsaicin, LPA, or Enhanced histamine-induced itch in diacylglycerol kinase iota knockout mice UTP (Fig 5C-5E). The response rate-the proportion of healthy neurons responding to the agonist-did not differ between WT and Dgki -/cultures for all four compounds tested ( Fig  5F).

Discussion
Here, we sought to determine how Dgki loss in mice affects somatosensory behaviors. Dgki deletion significantly enhanced scratching responses to histamine, but not to other pruritogens. The effect of Dgki loss on somatosensory behavior was specific to histamine-induced itch, as there were no alterations in baseline pain or pain sensitization in these animals. Further, our in vitro calcium imaging experiments showed enhanced response magnitudes in Dgki -/neurons following histamine exposure. Thus, our data suggest that enhanced responses to histamine in vivo following Dgki deletion is mediated by DRG neurons, though other cells may contribute to this phenotype.
The only tissue in which Dgki is expressed more highly than in the DRG is in mast cells (Table 1) [41]. In response to allergen exposure mast cells release histamine, which binds receptors on nearby sensory neurons. Mast cells can respond to histamine themselves as well [47,48]. Other Dgk isoforms have been shown to affect mast cell function. Dgkz loss decreases FcεRI-induced degranulation in bone marrow-derived mast cells but increases cytokine production [49]. Additionally, knockdown of Dgkg, but not Dgka, reduces degranulation in RBL-2H3 cells, a histamine-releasing, mast-cell-like line [50]. Future studies will be required to interrogate the function of Dgki in mast cells and to determine the mechanism by which Dgki may function to downregulate responses to histamine. Overall, our research reveals the potential of Dgki to mediate histamine-dependent itch, and could help to identify future therapies for patients with chronic allergen-mediated itch.
Supporting information S1 Table. Raw data for itch assay. Raw values for number of scratches in each 5-minute window over a 30-minute period, for the data presented in Fig 2. (XLSX)