Day Yuan-Ji, Liou Jiin-Tarng, Lee Chiou-Mei, Lin Yi-Chiao, Mao Chih-Chieh, Chou An-Hsun, Liao Chia-Chih, Lee Hung-Chen
Department of Anesthesiology, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC Transgenic & Molecular Immunogenetics Laboratory, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC Department of Medical Research and Development, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC Department of Medicine, Chang Gung University, Linkou, Taiwan, ROC Graduate Institutes of Clinical Medical Sciences, Chang Gung University, Linkou, Taiwan, ROC Department of Anesthesiology, National Defense Medical Center and Tri-Service General Hospital, Taipei, Taiwan, ROC.
Pain. 2014 Jul;155(7):1293-1302. doi: 10.1016/j.pain.2014.04.004. Epub 2014 Apr 8.
Interleukin-17 (IL-17) is involved in a wide range of inflammatory disorders and in recruitment of inflammatory cells to injury sites. A recent study of IL-17 knock-out mice revealed that IL-17 contributes to neuroinflammation and neuropathic pain after peripheral nerve injury. Surprisingly, little is known of micro-environment modulation by IL-17 in injured sites and in pathologically related neuroinflammation and chronic neuropathic pain. Therefore, we investigated nociceptive sensitization, immune cell infiltration, myeloperoxidase (MPO) activity, and expression of multiple cytokines and opioid peptides in damaged nerves of wild-type (IL-17(+/+)) and IL-17 knock-out (IL-17(-/-)) mice after partial sciatic nerve ligation. Our results demonstrated that the IL-17(-/-) mice had less behavioral hypersensitivity after partial sciatic nerve ligation, and inflammatory cell infiltration and pro-inflammatory cytokine (tumor necrosis factor-α, IL-6, and interferon-γ) levels in damaged nerves were significantly decreased, with the levels of anti-inflammatory cytokines IL-10 and IL-13, and expressions of enkephalin, β-endorphin, and dynorphin were also decreased compared to those in wild-type control mice. In conclusion, we provided evidence that IL-17 modulates the micro-environment at the level of the peripheral injured nerve site and regulates progression of behavioral hypersensitivity in a murine chronic neuropathic pain model. The attenuated behavioral hypersensitivity in IL-17(-/-) mice could be a result of decreased inflammatory cell infiltration to the injured site, resulting in modulation of the pro- and anti-inflammatory cytokine milieu within the injured nerve. Therefore, IL-17 may be a critical component for neuropathic pain pathogenesis and a novel target for therapeutic intervention for this and other chronic pain states.
白细胞介素-17(IL-17)参与多种炎症性疾病,并在炎症细胞募集至损伤部位的过程中发挥作用。最近一项对IL-17基因敲除小鼠的研究表明,IL-17在外周神经损伤后会导致神经炎症和神经性疼痛。令人惊讶的是,关于IL-17在损伤部位以及病理相关的神经炎症和慢性神经性疼痛中对微环境的调节作用,我们所知甚少。因此,我们研究了野生型(IL-17(+/+))和IL-17基因敲除(IL-17(-/-))小鼠在坐骨神经部分结扎后受损神经中的伤害性致敏、免疫细胞浸润、髓过氧化物酶(MPO)活性以及多种细胞因子和阿片肽的表达。我们的结果表明,IL-17(-/-)小鼠在坐骨神经部分结扎后行为超敏反应较轻,受损神经中的炎症细胞浸润和促炎细胞因子(肿瘤坏死因子-α、IL-6和干扰素-γ)水平显著降低,与野生型对照小鼠相比,抗炎细胞因子IL-10和IL-13的水平以及脑啡肽、β-内啡肽和强啡肽的表达也有所降低。总之,我们提供的证据表明,IL-17在外周损伤神经部位调节微环境,并在小鼠慢性神经性疼痛模型中调节行为超敏反应的进展。IL-17(-/-)小鼠行为超敏反应减弱可能是由于炎症细胞向损伤部位浸润减少,导致受损神经内促炎和抗炎细胞因子环境的调节。因此,IL-17可能是神经性疼痛发病机制的关键组成部分,也是针对这种及其他慢性疼痛状态进行治疗干预的新靶点。