Pains Group and Biotechnology and Biotherapy Group, Centre de Recherches de l'Institut du Cerveau et de la Moelle Epinière, Inserm, Unité Mixte de Recherche en Santé 975, F-75013 Paris, France.
J Neurosci. 2010 Apr 21;30(16):5754-66. doi: 10.1523/JNEUROSCI.5007-09.2010.
Neuropathic pain after peripheral nerve injury, associated with local neuroinflammation in the spinal cord, is a severe incapacitating condition with which clinical treatment remains challenging. Inflammatory molecules signal through various intracellular transduction pathways, activation of which may amplify and cause spreading of the inflammatory response. We showed recently that spinal nerve lesion leads to rapid activation of Janus kinase (JAK)/signal transducer and activator of transcription 3 (STAT3) signal transduction pathway in dorsal spinal cord microglia in relation with enhanced levels of spinal interleukin-6 (IL-6) protein. Here, we selectively inactivated JAK/STAT3 signaling in rat dorsal spinal cord glia through local, lentiviral-mediated production of the suppressor of cytokine signaling SOCS3, a physiologic inhibitory protein of JAK/STAT3, and analyzed its consequences in a preclinical model of neuropathic pain. The targeted blockade of JAK/STAT3 activity prevented the abnormal expression of IL-6, CC chemokine ligand CCL2, and activating transcription factor ATF3 induced in the spinal cord by chronic constriction injury of the sciatic nerve (CCI) and substantially attenuated mechanical hypersensitivity (allodynia) in rats. In naive rats, intrathecal administration of a proalgesic cytokine IL-6 rapidly activated microglial JAK/STAT3 and induced downstream changes closely resembling CCI-evoked alterations. We identified downstream mechanisms through which JAK/STAT3 pathway activation leads to the spreading of neuroinflammation. Our findings reveal that JAK/STAT3 signaling plays a major role in spinal cord plasticity and mechanical allodynia associated with peripheral nerve injury.
周围神经损伤后的神经病理性疼痛,与脊髓局部神经炎症有关,是一种严重的致残状态,临床治疗仍然具有挑战性。炎症分子通过各种细胞内转导途径传递信号,其激活可能放大并导致炎症反应的扩散。我们最近表明,脊髓神经损伤导致背根脊髓小胶质细胞中 Janus 激酶 (JAK)/信号转导和转录激活因子 3 (STAT3) 信号转导通路的快速激活,与脊髓白细胞介素-6 (IL-6) 蛋白水平升高有关。在这里,我们通过局部慢病毒介导产生细胞因子信号转导抑制因子 SOCS3,一种 JAK/STAT3 的生理性抑制蛋白,选择性地使大鼠背根脊髓胶质细胞中的 JAK/STAT3 信号失活,并在神经病理性疼痛的临床前模型中分析其后果。JAK/STAT3 活性的靶向阻断防止了慢性坐骨神经缩窄损伤 (CCI) 在脊髓中诱导的 IL-6、CC 趋化因子配体 CCL2 和激活转录因子 ATF3 的异常表达,并显著减轻了大鼠的机械性超敏反应(痛觉过敏)。在未受伤的大鼠中,鞘内给予促痛细胞因子 IL-6 可迅速激活小胶质细胞 JAK/STAT3,并诱导与 CCI 诱发的改变密切相似的下游变化。我们确定了 JAK/STAT3 通路激活导致神经炎症扩散的下游机制。我们的发现表明 JAK/STAT3 信号在与周围神经损伤相关的脊髓可塑性和机械性痛觉过敏中发挥主要作用。