Fiorentino Paolo M, Tallents Ross H, Miller Jen-nie H, Brouxhon Sabine M, O'Banion M Kerry, Puzas J Edward, Kyrkanides Stephanos
University of Rochester School of Medicine and Dentistry, Rochester, New York 14620, USA.
Arthritis Rheum. 2008 Oct;58(10):3100-9. doi: 10.1002/art.23866.
Pain from arthritis has been associated with peripheral sensitization of primary sensory afferents and the development of inflammation at the dorsal horns. This study was undertaken to determine whether the role of spinal interleukin-1beta (IL-1beta) in central processing of pain is important in the development of arthritis.
Col1-IL-1betaXAT mice and GFAP-IL-1betaXAT mice were injected with the feline immunodeficiency virus (FIV) (Cre) vector in the right and left temporomandibular joints (TMJs), or in the cisterna magna, respectively, to induce IL-1beta expression in the dorsal horns of the spinal horn. To inhibit intrathecal IL-1 receptor type I (IL-1RI) signaling, FIV(IL-1Ra) vector was injected into the cisterna magna of Col1-IL-1betaXAT mice. The effects of IL-1RI receptor inhibition in GFAP-IL-1betaXAT mice were studied in the GFAP-IL-1betaXAT-IL-1RI(-/-) compound mouse model. Neuroinflammatory, sensory, and behavioral changes were evaluated in conjunction with arthritic changes in the TMJ, assessed by histopathologic and immunohistochemical analyses.
Induction of an osteoarthritis-like condition in the TMJ in the Col1-IL-1betaXAT mouse model resulted in up-regulation of murine IL-1beta at the dorsal horns. Moreover, intrathecal inhibition of IL-1RI in Col1-IL-1betaXAT mice with arthritis led to amelioration of joint pathology and attenuation of the attendant joint pain. Overexpression of spinal IL-1beta in the recently developed GFAP-IL-1betaXAT somatic mosaic model of neuroinflammation led to development of arthritis-like pathology accompanied by increased pain-like behavior.
Our results indicate that joint pathology and pain are dependent on spinal IL-1beta, and suggest the presence of a bidirectional central nervous system-peripheral joints crosstalk that may contribute to the development, expansion, and exacerbation of arthritis.
关节炎疼痛与初级感觉传入神经的外周敏化以及背角炎症的发展有关。本研究旨在确定脊髓白细胞介素-1β(IL-1β)在疼痛中枢处理中的作用在关节炎发展中是否重要。
分别在Col1-IL-1βXAT小鼠和GFAP-IL-1βXAT小鼠的右、左颞下颌关节(TMJ)或小脑延髓池注射猫免疫缺陷病毒(FIV)(Cre)载体,以诱导脊髓背角中IL-1β的表达。为抑制鞘内I型白细胞介素-1受体(IL-1RI)信号传导,将FIV(IL-1Ra)载体注入Col1-IL-1βXAT小鼠的小脑延髓池。在GFAP-IL-1βXAT-IL-1RI(-/-)复合小鼠模型中研究了GFAP-IL-1βXAT小鼠中IL-1RI受体抑制的作用。结合通过组织病理学和免疫组织化学分析评估的TMJ中的关节炎变化,评估神经炎症、感觉和行为变化。
Col1-IL-1βXAT小鼠模型中TMJ诱导的骨关节炎样病症导致背角处小鼠IL-1β上调。此外,对患有关节炎的Col1-IL-1βXAT小鼠进行鞘内IL-1RI抑制导致关节病理学改善和伴随的关节疼痛减轻。在最近开发的神经炎症GFAP-IL-1βXAT体细胞镶嵌模型中脊髓IL-1β的过表达导致关节炎样病理学发展并伴有疼痛样行为增加。
我们的结果表明关节病理学和疼痛依赖于脊髓IL-1β,并提示存在双向中枢神经系统-外周关节串扰,这可能有助于关节炎的发展、扩展和加重。