Department of Pharmacology, School of Medicine, CHA University, CHA Bio Complex, 335 Pangyo, Bundang-gu, Seongnam-si, Gyeonggi-do, 13488, Republic of Korea.
Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, 10444, Republic of Korea.
Arch Pharm Res. 2019 Apr;42(4):359-368. doi: 10.1007/s12272-019-01137-w. Epub 2019 Mar 9.
Neuroinflammation plays a role in cancer chemotherapy-induced chronic pain. Thus far, most studies have focused on neuroinflammation suppression. However, there are limited reports of which factor is involved in the transition from acute inflammation to chronic inflammation, resulting in neuroinflammation and chronic pain. Here, we compared the inflammatory reaction and pain response induced by LPS and paclitaxel. LPS (0.5 mg/kg) or paclitaxel (2 mg/kg/day for 5 days) was administered intraperitoneally to mice, and mechanical allodynia was examined by von Frey test. LPS induced transient mechanical allodynia, whereas paclitaxel induced persistent mechanical allodynia. The CD86/CX3CR1 ratio remained unchanged due to CX3CR1 elevation following LPS injection, whereas the ratio was increased on day 1 after paclitaxel injection. LPS also increased CD45, CCL2, and CCL5 mRNA in the spinal cord and circulating pro- and anti-inflammatory cytokines 1 day after injection; however, the pattern was not consistent. Paclitaxel gradually increased inflammatory cytokines in the spinal cord. CX3CR1 might be involved in blocking the transition from acute pain to persistent pain in the LPS group. In addition, serum IL-4 and IL-10 elevation in the LPS group may be associated with chronic pain prevention. Therefore, targeting CX3CR1, IL-4, and IL-10 might be an alternative therapeutic strategy.
神经炎症在癌症化疗引起的慢性疼痛中起作用。到目前为止,大多数研究都集中在抑制神经炎症。然而,对于哪种因素参与了从急性炎症向慢性炎症的转变,导致神经炎症和慢性疼痛,相关报道有限。在这里,我们比较了 LPS 和紫杉醇诱导的炎症反应和疼痛反应。LPS(0.5mg/kg)或紫杉醇(2mg/kg/天,连续 5 天)经腹腔注射到小鼠体内,通过 von Frey 试验检测机械性痛觉过敏。LPS 诱导短暂的机械性痛觉过敏,而紫杉醇诱导持续的机械性痛觉过敏。由于 LPS 注射后 CX3CR1 升高,CD86/CX3CR1 比值保持不变,而紫杉醇注射后第 1 天比值增加。LPS 还增加了脊髓和循环中促炎和抗炎细胞因子在注射后 1 天的 CD45、CCL2 和 CCL5 mRNA;然而,模式并不一致。紫杉醇逐渐增加了脊髓中的炎症细胞因子。CX3CR1 可能参与了 LPS 组中从急性疼痛向持续性疼痛的转变的阻断。此外,LPS 组中血清 IL-4 和 IL-10 的升高可能与慢性疼痛的预防有关。因此,靶向 CX3CR1、IL-4 和 IL-10 可能是一种替代的治疗策略。