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前列腺素 E2 在原代感觉神经元中促炎细胞因子白细胞介素-6 合成中的作用:一项体内和体外研究。

Role of prostaglandin E2 in the synthesis of the pro-inflammatory cytokine interleukin-6 in primary sensory neurons: an in vivo and in vitro study.

机构信息

Douglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada.

出版信息

J Neurochem. 2011 Sep;118(5):841-54. doi: 10.1111/j.1471-4159.2011.07230.x. Epub 2011 Mar 28.

Abstract

Following various types of nerve injury, cyclooxygenase 2 and prostaglandin E2 (PGE2) are universally and chronically up-regulated in injured nerves and contribute to the genesis of neuropathic pain. Persistent high levels of PGE2 likely exert chronic effects on nociceptive dorsal root ganglion (DRG) neurons. In the present study, we tested the hypothesis that injured nerve-derived PGE2 contributes to the up-regulation of the pro-inflammatory cytokine interleukin-6 (IL-6) in DRG neurons following partial sciatic nerve ligation. In naive adult rats, IL-6 was expressed in only a few small size DRG neurons which all co-expressed EP4 receptors. Partial sciatic nerve ligation increased and shifted IL-6 expression from small to medium and large size damaged DRG neurons. Perineural injection of a selective cyclooxygenase 2 inhibitor or a selective EP4 receptor antagonist significantly suppressed the up-regulation of IL-6 in DRG, suggesting that injured nerve derived PGE2 contributes to the de novo synthesis of IL-6 in DRG neurons through EP4 receptors. In cultured sensory ganglion explants, a stabilized PGE2 analog increased IL-6 mRNA and protein levels through the activation of EP4, protein kinase A, protein kinase C, extracellular regulated protein kinase/MAPK, cAMP response element binding protein and NFκB signalling pathways. Taken together, these data indicate that facilitating the de novo synthesis of pain-related cytokines in injured medium and large size DRG neurons is a novel mechanism underlying the role of injured nerve derived PGE2 in the genesis of neuropathic pain.

摘要

在各种类型的神经损伤后,环氧化酶 2 和前列腺素 E2(PGE2)在损伤的神经中普遍且持续上调,导致神经性疼痛的发生。持续高水平的 PGE2 可能对伤害性背根神经节(DRG)神经元产生慢性影响。在本研究中,我们测试了以下假设:损伤神经来源的 PGE2 有助于部分坐骨神经结扎后 DRG 神经元中促炎细胞因子白细胞介素 6(IL-6)的上调。在成年大鼠中,IL-6 仅在少数小 DRG 神经元中表达,这些神经元均表达 EP4 受体。部分坐骨神经结扎增加并将 IL-6 的表达从小到中、大 DRG 神经元转移。神经周围注射选择性环氧化酶 2 抑制剂或选择性 EP4 受体拮抗剂可显著抑制 DRG 中 IL-6 的上调,表明损伤神经来源的 PGE2 通过 EP4 受体有助于 DRG 神经元中 IL-6 的从头合成。在培养的感觉神经节外植体中,稳定的 PGE2 类似物通过激活 EP4、蛋白激酶 A、蛋白激酶 C、细胞外调节蛋白激酶/MAPK、cAMP 反应元件结合蛋白和 NFκB 信号通路增加 IL-6 mRNA 和蛋白水平。总之,这些数据表明,促进损伤的中、大 DRG 神经元中疼痛相关细胞因子的从头合成是损伤神经来源的 PGE2 在神经性疼痛发生中的作用的一种新机制。

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