Norcini Monica, Sideris Alexandra, Adler Samantha M, Hernandez Lourdes A M, Zhang Jin, Blanck Thomas J J, Recio-Pinto Esperanza
Department of Anesthesiology, Perioperative Care and Pain Medicine, NYU Langone Medical Center, New York University, New York NY, USA.
Department of Anesthesiology, Perioperative Care and Pain Medicine, NYU Langone Medical Center, New York University, New YorkNY, USA; Department of Neuroscience and Physiology, NYU Langone Medical Center, New York University, New YorkNY, USA.
Front Mol Neurosci. 2016 Oct 18;9:100. doi: 10.3389/fnmol.2016.00100. eCollection 2016.
Following injury, primary sensory neurons undergo changes that drive central sensitization and contribute to the maintenance of persistent hypersensitivity. NR2B expression in the dorsal root ganglia (DRG) has not been previously examined in neuropathic pain models. Here, we investigated if changes in NR2B expression within the DRG are associated with hypersensitivities that result from peripheral nerve injuries. This was done by comparing the NR2B expression in the DRG derived from two modalities of the spared nerve injury (SNI) model, since each variant produces different neuropathic pain phenotypes. Using the electronic von Frey to stimulate the spared and non-spared regions of the hindpaws, we demonstrated that sural-SNI animals develop sustained neuropathic pain in both regions while the tibial-SNI animals recover. NR2B expression was measured at Day 23 and Day 86 post-injury. At Day 23 and 86 post-injury, sural-SNI animals display strong hypersensitivity, whereas tibial-SNI animals display 50 and 100% recovery from post-injury-induced hypersensitivity, respectively. In tibial-SNI at Day 86, but not at Day 23 the perinuclear region of the neuronal somata displayed an increase in NR2B protein. This retention of NR2B protein within the perinuclear region, which will render them non-functional, correlates with the recovery observed in tibial-SNI. In sural-SNI at Day 86, DRG displayed an increase in NR2B mRNA which correlates with the development of sustained hypersensitivity in this model. The increase in NR2B mRNA was not associated with an increase in NR2B protein within the neuronal somata. The latter may result from a decrease in kinesin Kif17, since Kif17 mediates NR2B transport to the soma's plasma membrane. In both SNIs, microglia/macrophages showed a transient increase in NR2B protein detected at Day 23 but not at Day 86, which correlates with the initial post-injury induced hypersensitivity in both SNIs. In tibial-SNI at Day 86, but not at Day 23, satellite glia cells (SGCs) displayed an increase in NR2B protein. This study is the first to characterize of cell-specific changes in NR2B expression within the DRG following peripheral nerve injury. We discuss how the observed NR2B changes in DRG can contribute to the different neuropathic pain phenotypes displayed by each SNI variant.
损伤后,初级感觉神经元会发生变化,这些变化会驱动中枢敏化并导致持续性超敏反应的维持。此前尚未在神经性疼痛模型中研究背根神经节(DRG)中NR2B的表达情况。在此,我们研究了DRG内NR2B表达的变化是否与周围神经损伤导致的超敏反应相关。这是通过比较源自保留神经损伤(SNI)模型两种模式的DRG中NR2B的表达来完成的,因为每种变体都会产生不同的神经性疼痛表型。使用电子von Frey刺激后爪的保留和未保留区域,我们发现腓肠神经-SNI动物在两个区域都出现了持续性神经性疼痛而胫神经-SNI动物恢复了。在损伤后第23天和第86天测量NR2B的表达。在损伤后第23天和86天,腓肠神经-SNI动物表现出强烈的超敏反应,而胫神经-SNI动物分别从损伤后诱导的超敏反应中恢复了50%和100%。在第86天的胫神经-SNI中,但在第23天没有,神经元胞体的核周区域显示NR2B蛋白增加。NR2B蛋白在核周区域的这种保留,使其失去功能,这与胫神经-SNI中观察到的恢复相关。在第86天的腓肠神经-SNI中,DRG显示NR2B mRNA增加,这与该模型中持续性超敏反应的发展相关。NR2B mRNA的增加与神经元胞体内NR2B蛋白的增加无关。后者可能是由于驱动蛋白Kif17减少所致,因为Kif17介导NR2B向胞体质膜的转运。在两种SNI模型中,小胶质细胞/巨噬细胞在第23天检测到NR2B蛋白短暂增加,但在第86天没有,这与两种SNI模型中损伤后最初诱导的超敏反应相关。在第86天的胫神经-SNI中,但在第23天没有,卫星神经胶质细胞(SGCs)显示NR2B蛋白增加。本研究首次描述了周围神经损伤后DRG内NR2B表达的细胞特异性变化。我们讨论了在DRG中观察到的NR2B变化如何导致每种SNI变体所表现出的不同神经性疼痛表型。