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转录因子 4 的上调下调 DRG 神经元中 Na1.8 的表达,从而防止大鼠炎症性和神经性痛觉过敏的发展。

Upregulation of transcription factor 4 downregulates Na1.8 expression in DRG neurons and prevents the development of rat inflammatory and neuropathic hypersensitivity.

机构信息

Department of Anesthesiology, The Second Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China.; Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Exp Neurol. 2020 May;327:113240. doi: 10.1016/j.expneurol.2020.113240. Epub 2020 Feb 8.

Abstract

The voltage sodium channel 1.8 (Na1.8) in the dorsal root ganglion (DRG) neurons contributes to the initiation and development of chronic inflammatory and neuropathic pain. However, an effective intervention on Na1.8 remains to be studied in pre-clinical research and clinical trials. In this study, we aimed to investigate whether transcription factor 4 (TCF4) overexpression represses Na1.8 expression in DRG neurons, thus preventing the development of chronic pain. Using chromatin immunoprecipitation (CHIP), we verified the interaction of TCF4 and sodium voltage-gated channel alpha subunit 10A (SCN10A) enhancer in HEK293 cells and rat DRG neurons. Using a dual luciferase reporter assay, we confirmed the transcriptional inhibition of TCF4 on SCN10A promoter in vitro. To investigate the regulation of TCF4 on Nav1.8, we then upregulated TCF4 expression by intrathecally delivering an overexpression of recombinant adeno-associated virus (rAAV) in the Complete Freund's adjuvant (CFA)-induced inflammatory pain model and spared nerve injury (SNI)-induced neuropathic pain model. By using a quantitative polymerase chain reaction (qPCR), western blot, and immunostaining, we evaluated Na1.8 expression after a noxious stimulation and the application of the TCF4 overexpression virus. We showed that the intrathecal delivery of TCF4 overexpression virus significantly repressed the increase of Na1.8 and prevented the development of hyperalgesia in rats. Moreover, we confirmed the efficient role of an overexpressed TCF4 in preventing the CFA- and SNI-induced neuronal hyperexcitability by calcium imaging. Our results suggest that attenuating the dysregulation of Na1.8 by targeting TCF4 may be a novel therapeutic strategy for chronic inflammatory and neuropathic pain.

摘要

电压门控钠通道 1.8(Na1.8)在背根神经节(DRG)神经元中有助于慢性炎症性和神经性疼痛的发生和发展。然而,在临床前研究和临床试验中,针对 Na1.8 的有效干预措施仍有待研究。在这项研究中,我们旨在研究转录因子 4(TCF4)的过表达是否抑制 DRG 神经元中 Na1.8 的表达,从而防止慢性疼痛的发展。我们使用染色质免疫沉淀(CHIP)技术验证了 TCF4 和钠电压门控通道α亚基 10A(SCN10A)增强子在 HEK293 细胞和大鼠 DRG 神经元中的相互作用。我们通过双荧光素酶报告基因检测实验在体外证实了 TCF4 对 SCN10A 启动子的转录抑制作用。为了研究 TCF4 对 Nav1.8 的调节作用,我们通过鞘内递重组腺相关病毒(rAAV)过表达来上调 CFA 诱导的炎症性疼痛模型和 spared 神经损伤(SNI)诱导的神经性疼痛模型中的 TCF4 表达。我们通过实时定量聚合酶链反应(qPCR)、western blot 和免疫染色评估了在有害刺激和 TCF4 过表达病毒应用后 Na1.8 的表达。结果显示,鞘内递 TCF4 过表达病毒可显著抑制 Na1.8 的增加,并预防大鼠痛觉过敏的发展。此外,我们通过钙成像证实了 TCF4 过表达在预防 CFA 和 SNI 诱导的神经元过度兴奋方面的有效作用。我们的结果表明,通过靶向 TCF4 减轻 Na1.8 的失调可能是治疗慢性炎症性和神经性疼痛的一种新策略。

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