Mystery of How Body Senses Cold Finally Solved

University of California - San Francisco

When you reach into a bucket of ice, open your front door on a snowy day, or feel the tingle of menthol toothpaste, a protein in your nerve cells called TRPM8 springs into action, opening like a tiny gate to send a "cold" signal to your brain.

Now, UC San Francisco researchers have discovered how TRPM8 changes its shape when exposed to cool temperatures. The work, published in Nature on March 25, could one day be used to help treat pain that is triggered by cold. It also answers a long-standing question about why birds — which also have TRPM8 in their nerve cells — are far less cold sensitive than mammals.

"Everyone always wants to know how temperature sensing works, but it turns out to be a very technically challenging question to answer," said co-senior author David Julius , PhD. "So, to finally have insight into this is really very exciting."

Julius is the Morris Herzstein Chair in Molecular Biology and Medicine, chair of Physiology, and recipient of the 2021 Nobel Prize in Physiology or Medicine. He won the prize for discovering TRPV1, which enables nerves to sense capsaicin, the spicy heat of chili peppers.

A key to the cold discovery was being able to see proteins in motion.

"For decades, structural biology has focused on capturing proteins in stable, frozen states. This work shows that to truly understand how a protein functions, you also have to understand how it moves," added Yifan Cheng, PhD , professor of biochemistry and biophysics and an investigator at the Howard Hughes Medical Institute (HHMI) who co-led the work.

A stubborn protein

Scientists knew that TRPM8 only begins to activate when temperatures dip below about 79 degrees Fahrenheit — and that it was responsible for both cold sensation and the cool feeling of menthol. Yet despite years of effort, researchers had been unable to capture its exact molecular structure while responding to cold.

TRPM8 is normally found embedded in the outer membrane of nerve cells and tended to fall apart when researchers isolated it. Most imaging methods also rely on proteins being locked in a single, stable structure to visualize them — limiting scientists' ability to see fluid, intermediate structures as a protein changes shape.

Julius' and Cheng's teams solved this by imaging TRPM8 while it was still embedded in membranes that were taken directly from cells.

"We realized that the protein is particularly sensitive to how you handle it. Keeping it in the native membrane was what finally let us see what was actually happening," said Kevin Choi, a graduate student at UCSF and co-first author of the study.

Mapping the effect of cold

To capture what was happening as TRPM8 opened, the team used two complementary techniques: cryo-electron microscopy (cryo-EM), which takes static pictures, and hydrogen-deuterium exchange mass spectrometry (HDX-MS), which is more dynamic.

For cryo-EM, they prepared samples of the protein in cold, with menthol, or at room temperature. Then, they flash froze the samples. This locked the channel into its configuration at that moment. Cryo-EM then generated three-dimensional snapshots of the protein's atomic arrangement.

They used HDX-MS to track the protein in real time as the surrounding temperature changed. The method highlighted which regions of the molecule flex and move as the temperature changed. Together, the methods let the researchers model exactly how TRPM8 opened below 79 degrees.

"Just as looking at a photo of a horse can't tell you how fast it runs, the electron microscopy alone can't tell us how the molecule moves and what drives those movements," said co-first author Xiaoxuan Lin, a staff scientist of the HHMI working in Cheng's lab at UCSF. "But combining these two techniques gave us a window into what was happening."

The analysis revealed that cold stabilizes a specific region of the TRPM8 channel, which then triggers a key helix to move. This enables a separate lipid molecule to slide into that spot, locking the channel open and sustaining the cold signal. When the researchers compared human TRPM8 with the bird version of the protein, which responds to menthol but is far less cold-sensitive, they were able to detect which features are specifically responsible for detecting cold.

A lesson for structural biology

The new work paves the way for determining the structure of other dynamic proteins that have typically been hard to image.

"The lessons we learned in studying this channel are actually very broadly useful," Cheng said. "Dynamic behavior is critical for the function of many proteins, and you can't understand dynamic behavior from one snapshot of a protein's structure."

Julius and Cheng are now applying the same strategy to get a better understanding of TRPV1, the heat-sensing channel that Julius discovered in 1997. They also plan to examine how compounds that block TRPM8 — several of which are in clinical trials for pain — affect the structure of the protein. That could ultimately contribute to more targeted treatments for conditions like cold allodynia, in which even mild cold triggers severe pain.

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