Because most animals experience thermal hyperalgesia, Lewin and his colleagues had a good understanding of how the pain pathway works: When the tissue around sensory neurons is inflamed and exposed to heat, the body releases a substance called nerve growth factor (NGF). When NGF binds to a pain receptor called TrkA, it triggers the opening of a pore in the neuron's membrane, signaling the brain to feel pain even though temperatures aren't necessarily high enough to cause harm. It's the same pathway that causes hot peppers to burn your mouth.
The question was where in this chain of events naked mole rats jumped ship.
By isolating neurons from mole rats and closely-related rodents, Lewin and his team found that the buck stops at the TrkA receptor: It took 10 times as much NGF to make a naked mole rat TrkA receptor behave the same way as one from a mouse, or even from another species of mole rat.
"Only maybe one to three amino acids were really unique to the naked mole rat," Lewin said. "Fiddling with just a couple of those amino acids was enough to make this receptor hyposensitive."
Naked mole rats might not be pretty, but they managed to evolve an efficient system for sensing pain without giving it up entirely, which is a condition that usually proves disastrous for animals.
Lewin thinks that's a great takeaway for researchers working on tweaking TrkA receptors in humans to fight chronic pain.
"This study is not going to tell them how to do that," he said, "but I think it's cool that 30 million years ago, the naked mole rat figured it all out. Evolution has already done it."