Department of Pathology, No. 3 People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Anesth Analg. 2012 Nov;115(5):1221-7. doi: 10.1213/ANE.0b013e318266c1ee. Epub 2012 Jul 19.
BACKGROUND: Accumulating evidence suggests that extracellular signal-regulated protein kinase (ERK), p38, and c-Jun N-terminal kinase (JNK) might be involved in hypersensitivity of various pain models. However, there is a lack of direct evidence for actual involvement of peripheral ERK, p38, and JNK in induction and maintenance of arthritic pain and the development of arthritis. METHODS: We evaluated the effects of preemptive and therapeutic intra-articular administration of selective inhibitors of p38 (SB203580) and JNK (SP600125), and indirect inhibition of ERK with a blocker (PD98059) of the kinase that activates ERK (i.e., MEK, the mitogen-activated protein kinase [MAPK]/ERK kinase), on arthritic pain-related behavior such as reduction of weight load and the inflammatory responses such as neutrophil infiltration into the synovium and knee joint diameter in rats. In addition, arthritis-induced phosphorylation of ERK, p38, and JNK in synovium of knee joint was examined. RESULTS: Pretreatments with PD98059, SB203580, and SP600125 prevented the reduction of weight load induced by the carrageenan injected into the knee joint cavity, but their effects showed different time course patterns. Therapeutic administration of PD98059 and SB203580 partially reversed carrageen-induced reduction of weight load, and their effects showed a similar time course pattern. However, therapeutic administration of SP600125 had no effect on the reduction of weight load. Hematoxylin and eosin staining revealed that carrageenan-induced neutrophil infiltration into the synovium was inhibited by pretreatment with SB203580 or SP600125, but not PD98059. Western blot measurements showed distinct expression of phosphorylated ERK, p38, and JNK in the synovium at different time points after carrageenan injection. CONCLUSION: These results suggest that ERK, p38, and JNK signaling pathways at the peripheral level may play different roles in arthritic pain and arthritis of the knee joint.
背景:越来越多的证据表明细胞外信号调节激酶(ERK)、p38 和 c-Jun N-末端激酶(JNK)可能参与了各种疼痛模型的过敏反应。然而,外周 ERK、p38 和 JNK 实际上是否参与了关节炎疼痛的诱导和维持以及关节炎的发展,还缺乏直接证据。
方法:我们评估了关节内预先给予和治疗性给予 p38 选择性抑制剂(SB203580)和 JNK 选择性抑制剂(SP600125),以及用 MEK(丝裂原活化蛋白激酶/细胞外信号调节激酶激酶)的抑制剂间接抑制 ERK(即 PD98059)对大鼠关节炎相关行为(如体重负荷减少)和炎症反应(如滑膜中性粒细胞浸润和膝关节直径)的影响。此外,还检测了关节炎诱导的膝关节滑膜中 ERK、p38 和 JNK 的磷酸化。
结果:PD98059、SB203580 和 SP600125 的预处理阻止了角叉菜胶注入膝关节腔引起的体重负荷减少,但它们的作用表现出不同的时间进程模式。PD98059 和 SB203580 的治疗性给药部分逆转了角叉菜胶诱导的体重负荷减少,其作用表现出相似的时间进程模式。然而,SP600125 的治疗性给药对角叉菜胶诱导的体重负荷减少没有影响。苏木精-伊红染色显示,预处理 SB203580 或 SP600125 抑制了角叉菜胶诱导的滑膜中性粒细胞浸润,但 PD98059 没有。Western blot 测量显示,角叉菜胶注射后不同时间点滑膜中磷酸化 ERK、p38 和 JNK 的表达明显不同。
结论:这些结果表明,外周水平的 ERK、p38 和 JNK 信号通路可能在膝关节关节炎疼痛和关节炎中发挥不同的作用。
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