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鞘内注射一种抗伤害性非CpG寡脱氧核苷酸可减少胶质细胞活化和中枢敏化。

Intrathecal Administration of an Anti-nociceptive Non-CpG Oligodeoxynucleotide Reduces Glial Activation and Central Sensitization.

作者信息

Leiguarda C, Villarreal A, Potilinski C, Pelissier T, Coronel M F, Bayo J, Ramos A J, Montaner A, Villar M J, Constandil L, Brumovsky Pablo R

机构信息

Instituto de Investigaciones en Medicina Traslacional (IIMT), Universidad Austral-CONICET, Av. Juan D. Perón 1500, Pilar, Buenos Aires, B1629AHJ, Argentina.

Laboratorio de Neuropatología Molecular, Instituto de Biología Celular y Neurociencia "Prof. E. De Robertis" UBA-CONICET, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, 1121, Argentina.

出版信息

J Neuroimmune Pharmacol. 2021 Dec;16(4):818-834. doi: 10.1007/s11481-021-09983-6. Epub 2021 Jan 27.

Abstract

Inflammatory pain associates with spinal glial activation and central sensitization. Systemic administration of IMT504, a non-CpG oligodeoxynucleotide originally designed as an immunomodulator, exerts remarkable anti-allodynic effects in rats with complete Freund´s adjuvant (CFA)-induced hindpaw inflammation. However, the anti-nociceptive mechanisms of IMT504 remain unknown. Here we evaluated whether IMT504 blocks inflammatory pain-like behavior by modulation of spinal glia and central sensitization. The study was performed in Sprague Dawley rats with intraplantar CFA, and a single lumbosacral intrathecal (i.t.) administration of IMT504 or vehicle was chosen to address if changes in glial activation and spinal sensitization relate to the pain-like behavior reducing effects of the ODN. Naïve rats were also included. Von Frey and Randall-Selitto tests, respectively, exposed significant reductions in allodynia and mechanical hypersensitivity, lasting at least 24 h after i.t. IMT504. Analysis of electromyographic responses to electrical stimulation of C fibers showed progressive reductions in wind-up responses. Accordingly, IMT504 significantly downregulated spinal glial activation, as shown by reductions in the protein expression of glial fibrillary acidic protein, CD11b/c, Toll-like receptor 4 (TLR4) and the phosphorylated p65 subunit of NFκB, evaluated by immunohistochemistry and western blot. In vitro experiments using early post-natal cortical glial cultures provided further support to in vivo data and demonstrated IMT504 internalization into microglia and astrocytes. Altogether, our study provides new evidence on the central mechanisms of anti-nociception by IMT504 upon intrathecal application, and further supports its value as a novel anti-inflammatory ODN with actions upon glial cells and the TLR4/NFκB pathway. Intrathecal administration of the non-CpG ODN IMT504 fully blocks CFA-induced mechanical allodynia and hypersensitivity, in association with reduced spinal sensitization. Administration of the ODN also results in downregulated gliosis and reduced TLR4-NF-κB pathway activation. IMT504 uptake into astrocytes and microglia support the concept of direct modulation of CFA-induced glial activation.

摘要

炎性疼痛与脊髓胶质细胞激活和中枢敏化相关。IMT504是一种最初设计为免疫调节剂的非CpG寡脱氧核苷酸,全身给药后,对完全弗氏佐剂(CFA)诱导的后爪炎症大鼠具有显著的抗痛觉过敏作用。然而,IMT504的抗伤害感受机制尚不清楚。在此,我们评估了IMT504是否通过调节脊髓胶质细胞和中枢敏化来阻断炎性疼痛样行为。该研究在足底注射CFA的Sprague Dawley大鼠中进行,选择单次腰骶部鞘内(i.t.)注射IMT504或赋形剂,以探讨胶质细胞激活和脊髓敏化的变化是否与该寡脱氧核苷酸(ODN)的疼痛样行为减轻作用相关。还纳入了未处理的大鼠。分别通过von Frey和Randall-Selitto试验发现,鞘内注射IMT504后,痛觉过敏和机械性超敏反应显著降低,且至少持续24小时。对C纤维电刺激的肌电图反应分析显示,wind-up反应逐渐降低。相应地,通过免疫组织化学和蛋白质印迹评估,胶质纤维酸性蛋白、CD11b/c、Toll样受体4(TLR4)和NFκB的磷酸化p65亚基的蛋白表达降低,表明IMT504显著下调了脊髓胶质细胞激活。使用新生早期皮质胶质细胞培养物进行的体外实验为体内数据提供了进一步支持,并证明IMT504可被小胶质细胞和星形胶质细胞内化。总之,我们的研究为鞘内应用IMT504的抗伤害感受中枢机制提供了新证据,并进一步支持了其作为一种对胶质细胞和TLR4/NFκB途径有作用的新型抗炎ODN的价值。鞘内注射非CpG ODN IMT504可完全阻断CFA诱导的机械性痛觉过敏和超敏反应,并伴有脊髓敏化降低。注射该ODN还可导致胶质细胞增生下调和TLR4-NF-κB途径激活减少。IMT504被星形胶质细胞和小胶质细胞摄取,支持了其直接调节CFA诱导的胶质细胞激活的概念。

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