Lai Cheng-Yuan, Hsieh Ming-Chun, Ho Yu-Cheng, Lee An-Sheng, Wang Hsueh-Hsiao, Cheng Jen-Kun, Chau Yat-Pang, Peng Hsien-Yu
From the Department of Veterinary Medicine, College of Veterinary Medicine, National Chung-Hsing University, Taichung, Taiwan (C.-Y.L.); Department of Medicine, Mackay Medical College, New Taipei, Taiwan (C.-Y.L., M.-C.H., Y.-C.H., A.-S.L., H.-H.W., J.-K.C., Y.-P.C., H.-Y.P.); Department of Physiology, College of Medicine, National Taiwan University, Taipei, Taiwan (M.-C.H.); and Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan (J.-K.C.).
Anesthesiology. 2017 Jun;126(6):1077-1095. doi: 10.1097/ALN.0000000000001610.
Growth arrest and DNA-damage-inducible protein 45β reactivates methylation-silenced neural plasticity-associated genes through DNA demethylation. However, growth arrest and DNA-damage-inducible protein 45β-dependent demethylation contributes to neuropathic allodynia-associated spinal plasticity remains unclear.
Adult male Sprague-Dawley rats (654 out of 659) received a spinal nerve ligation or a sham operation with or without intrathecal application of one of the following: growth arrest and DNA-damage-inducible protein 45β messenger RNA-targeted small interfering RNA, lentiviral vector expressing growth arrest and DNA-damage-inducible protein 45β, Ro 25-6981 (an NR2B-bearing N-methyl-D-aspartate receptor antagonist), or KN-93 (a calmodulin-dependent protein kinase II antagonist) were used for behavioral measurements, Western blotting, immunofluorescence, dot blots, detection of unmodified cytosine enrichment at cytosine-phosphate-guanine site, chromatin immunoprecipitation quantitative polymerase chain reaction analysis, and slice recordings.
Nerve ligation-enhanced growth arrest and DNA-damage-inducible protein 45β expression (n = 6) in ipsilateral dorsal horn neurons accompanied with behavioral allodynia (n = 7). Focal knockdown of growth arrest and DNA-damage-inducible protein 45β expression attenuated ligation-induced allodynia (n = 7) by reducing the binding of growth arrest and DNA-damage-inducible protein 45β to the voltage-dependent T-type calcium channel 3.2 subunit promoter (n = 6) that decreased expression of and current mediated by the voltage-dependent T-type calcium channel 3.2 subunit (both n = 6). In addition, NR2B-bearing N-methyl-D-aspartate receptors and calmodulin-dependent protein kinase II act in an upstream cascade to increase growth arrest and DNA-damage-inducible protein 45β expression, hence enhancing demethylation at the voltage-dependent T-type calcium channel 3.2 subunit promoter and up-regulating voltage-dependent T-type calcium channel 3.2 subunit expression. Intrathecal administration of Ro 25-6981, KN-93, or a growth arrest and DNA-damage-inducible protein 45β-targeting small interfering RNA (n = 6) reversed the ligation-induced enrichment of unmodified cytosine at the voltage-dependent T-type calcium channel 3.2 subunit promoter by increasing the associated 5-formylcytosine and 5-carboxylcytosine levels.
By converting 5-formylcytosine or 5-carboxylcytosine to unmodified cytosine, the NR2B-bearing N-methyl-D-aspartate receptor, calmodulin-dependent protein kinase II, or growth arrest and DNA-damage-inducible protein 45β pathway facilitates voltage-dependent T-type calcium channel 3.2 subunit gene demethylation to mediate neuropathic allodynia.
生长停滞和DNA损伤诱导蛋白45β通过DNA去甲基化使甲基化沉默的神经可塑性相关基因重新激活。然而,生长停滞和DNA损伤诱导蛋白45β依赖性去甲基化对神经性异常性疼痛相关的脊髓可塑性的作用仍不清楚。
成年雄性Sprague-Dawley大鼠(659只中的654只)接受脊髓神经结扎或假手术,术中鞘内注射以下物质之一:生长停滞和DNA损伤诱导蛋白45β信使核糖核酸靶向小干扰RNA、表达生长停滞和DNA损伤诱导蛋白45β 的慢病毒载体、Ro 25-6981(一种含NR2B的N-甲基-D-天冬氨酸受体拮抗剂)或KN-93(一种钙调蛋白依赖性蛋白激酶II拮抗剂),用于行为测量、蛋白质印迹法、免疫荧光法、斑点印迹法、胞嘧啶-磷酸-鸟嘌呤位点未修饰胞嘧啶富集检测、染色质免疫沉淀定量聚合酶链反应分析和脑片记录。
神经结扎增强了同侧背角神经元中生长停滞和DNA损伤诱导蛋白45β的表达(n = 6),同时伴有行为性异常性疼痛(n = 7)。生长停滞和DNA损伤诱导蛋白45β表达的局部敲低通过减少生长停滞和DNA损伤诱导蛋白45β与电压依赖性T型钙通道3.2亚基启动子的结合(n = 6),减弱了结扎诱导的异常性疼痛(n = 7),这降低了电压依赖性T型钙通道3.2亚基介导的电流和表达(两者n = 6)。此外,含NR2B的N-甲基-D-天冬氨酸受体和钙调蛋白依赖性蛋白激酶II在上游级联反应中起作用,以增加生长停滞和DNA损伤诱导蛋白45β 的表达,从而增强电压依赖性T型钙通道亚基3.2启动子处的去甲基化,并上调电压依赖性T型钙通道3.2亚基的表达。鞘内注射Ro 25-6981、KN-93或靶向生长停滞和DNA损伤诱导蛋白45β的小干扰RNA(n = 6),通过增加相关的5-甲酰基胞嘧啶和5-羧基胞嘧啶水平,逆转了结扎诱导的电压依赖性T型钙通道3.2亚基启动子处未修饰胞嘧啶的富集。
含NR2B的N-甲基-D-天冬氨酸受体、钙调蛋白依赖性蛋白激酶II或生长停滞和DNA损伤诱导蛋白45β途径通过将5-甲酰基胞嘧啶或5-羧基胞嘧啶转化为未修饰的胞嘧啶,促进电压依赖性T型钙通道3.2亚基基因去甲基化,从而介导神经性异常性疼痛。