背根神经节八聚体转录因子 1 在外周神经损伤后神经病理性疼痛中的作用。
Contribution of dorsal root ganglion octamer transcription factor 1 to neuropathic pain after peripheral nerve injury.
机构信息
Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Department of Anesthesiology, New Jersey Medical School, Rutgers the State University of New Jersey, Newark, NJ, United States.
出版信息
Pain. 2019 Feb;160(2):375-384. doi: 10.1097/j.pain.0000000000001405.
Neuropathic pain genesis is related to gene alterations in the dorsal root ganglion (DRG) after peripheral nerve injury. Transcription factors control gene expression. In this study, we investigated whether octamer transcription factor 1 (OCT1), a transcription factor, contributed to neuropathic pain caused by chronic constriction injury (CCI) of the sciatic nerve. Chronic constriction injury produced a time-dependent increase in the level of OCT1 protein in the ipsilateral L4/5 DRG, but not in the spinal cord. Blocking this increase through microinjection of OCT1 siRNA into the ipsilateral L4/5 DRG attenuated the initiation and maintenance of CCI-induced mechanical allodynia, heat hyperalgesia, and cold allodynia and improved morphine analgesia after CCI, without affecting basal responses to acute mechanical, heat, and cold stimuli as well as locomotor functions. Mimicking this increase through microinjection of recombinant adeno-associated virus 5 harboring full-length OCT1 into the unilateral L4/5 DRG led to marked mechanical allodynia, heat hyperalgesia, and cold allodynia in naive rats. Mechanistically, OCT1 participated in CCI-induced increases in Dnmt3a mRNA and its protein and DNMT3a-mediated decreases in Oprm1 and Kcna2 mRNAs and their proteins in the injured DRG. These findings indicate that OCT1 may participate in neuropathic pain at least in part by transcriptionally activating Dnmt3a and subsequently epigenetic silencing of Oprm1 and Kcan2 in the DRG. OCT1 may serve as a potential target for therapeutic treatments against neuropathic pain.
神经病理性疼痛的发生与外周神经损伤后背根神经节 (DRG) 中的基因改变有关。转录因子控制基因表达。在这项研究中,我们研究了转录因子八聚体转录因子 1 (OCT1) 是否有助于慢性缩窄性损伤 (CCI) 引起的坐骨神经引起的神经性疼痛。CCI 导致同侧 L4/5 DRG 中 OCT1 蛋白水平呈时间依赖性增加,但脊髓中没有增加。通过将 OCT1 siRNA 微注射到同侧 L4/5 DRG 中来阻断这种增加,可减轻 CCI 诱导的机械性痛觉过敏、热痛觉过敏和冷痛觉过敏的发生和维持,并改善 CCI 后的吗啡镇痛作用,而不影响基础对急性机械、热和冷刺激以及运动功能的反应。通过将携带全长 OCT1 的重组腺相关病毒 5 微注射到单侧 L4/5 DRG 中模拟这种增加,会导致未受伤的大鼠出现明显的机械性痛觉过敏、热痛觉过敏和冷痛觉过敏。从机制上讲,OCT1 参与 CCI 诱导的 Dnmt3a mRNA 及其蛋白增加,以及 DRG 中 Oprm1 和 Kcna2 mRNA 及其蛋白的 DNMT3a 介导的减少。这些发现表明,OCT1 至少部分通过转录激活 Dnmt3a 并随后在 DRG 中表观遗传沉默 Oprm1 和 Kcan2 参与神经性疼痛。OCT1 可能成为治疗神经性疼痛的潜在治疗靶点。