Institute of Pain Medicine and Special Environmental Medicine, Nantong University, Jiangsu, China.
Department of Anesthesiology, Nantong Tumor Hospital, Jiangsu, China.
Pain. 2021 May 1;162(5):1434-1448. doi: 10.1097/j.pain.0000000000002156.
Trigeminal nerve injury-induced neuropathic pain is a debilitating chronic orofacial pain syndrome but lacks effective treatment. G protein-coupled receptors (GPCRs), especially orphan GPCRs (oGPCRs) are important therapeutic targets in pain medicine. Here, we screened upregulated oGPCRs in the trigeminal ganglion (TG) after partial infraorbital nerve transection (pIONT) and found that Gpr151 was the most significantly upregulated oGPCRs. Gpr151 mRNA was increased from pIONT day 3 and maintained for more than 21 days. Furthermore, GPR151 was expressed in the neurons of the TG after pIONT. Global mutation or knockdown of Gpr151 in the TG attenuated pIONT-induced mechanical allodynia. In addition, the excitability of TG neurons was increased after pIONT in wild-type (WT) mice, but not in Gpr151-/- mice. Notably, GPR151 bound to Gαi protein, but not Gαq, Gα12, or Gα13, and activated the extracellular signal-regulated kinase (ERK) through Gβγ. Extracellular signal-regulated kinase was also activated by pIONT in the TG of WT mice, but not in Gpr151-/- mice. Gene microarray showed that Gpr151 mutation reduced the expression of a large number of neuroinflammation-related genes that were upregulated in WT mice after pIONT, including chemokines CCL5, CCL7, CXCL9, and CXCL10. The mitogen-activated protein kinase inhibitor (PD98059) attenuated mechanical allodynia and reduced the upregulation of these chemokines after pIONT. Collectively, this study not only revealed the involvement of GPR151 in the maintenance of trigeminal neuropathic pain but also identified GPR151 as a Gαi-coupled receptor to induce ERK-dependent neuroinflammation. Thus, GPR151 may be a potential drug target for the treatment of trigeminal neuropathic pain.
三叉神经损伤诱导的神经性疼痛是一种使人虚弱的慢性或口腔面部疼痛综合征,但缺乏有效的治疗方法。G 蛋白偶联受体(GPCRs),特别是孤儿 GPCRs(oGPCRs),是疼痛医学中的重要治疗靶点。在这里,我们筛选了眶下神经部分横断(pIONT)后三叉神经节(TG)中上调的 oGPCRs,发现 Gpr151 是上调最显著的 oGPCRs。Gpr151mRNA 从 pIONT 第 3 天开始增加,并持续超过 21 天。此外,GPR151 在 pIONT 后表达于 TG 的神经元中。在 TG 中全身性突变或敲低 Gpr151 可减轻 pIONT 诱导的机械性痛觉过敏。此外,野生型(WT)小鼠 pIONT 后 TG 神经元兴奋性增加,但 Gpr151-/- 小鼠则不然。值得注意的是,GPR151 与 Gαi 蛋白结合,而不与 Gαq、Gα12 或 Gα13 结合,并通过 Gβγ激活细胞外信号调节激酶(ERK)。pIONT 也在 WT 小鼠的 TG 中激活 ERK,但在 Gpr151-/- 小鼠中则不然。基因微阵列显示,Gpr151 突变减少了大量在 pIONT 后 WT 小鼠中上调的神经炎症相关基因的表达,包括趋化因子 CCL5、CCL7、CXCL9 和 CXCL10。丝裂原激活蛋白激酶抑制剂(PD98059)可减轻机械性痛觉过敏,并降低 pIONT 后这些趋化因子的上调。总之,这项研究不仅揭示了 GPR151 参与维持三叉神经病理性疼痛,还确定了 GPR151 是一种 Gαi 偶联受体,可诱导 ERK 依赖性神经炎症。因此,GPR151 可能是治疗三叉神经病理性疼痛的潜在药物靶点。