Department of Anesthesiology, Shanghai General Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200080, China.
Department of Anesthesiology, International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200030, China.
Inflammopharmacology. 2021 Oct;29(5):1487-1501. doi: 10.1007/s10787-021-00873-0. Epub 2021 Sep 12.
Alpha-7 nicotinic acetylcholine receptor (α7 nAChR) was reported to have a critical role in the regulation of pain sensitivity and neuroinflammation. However, the expression level of α7 nAChR in dorsal root ganglion (DRG) and the underlying neuroinflammatory mechanisms associated with hyperalgesia are still unknown.
In the present study, the expression and mechanism of α7 nAChR in chronic inflammatory pain was investigated using a complete Freund's adjuvant (CFA)-induced chronic inflammatory pain model. Subsequently, a series of assays including immunohistochemistry, western blotting, and quantitative real-time polymerase chain reaction (qRT-PCR) were performed.
α7 nAChR was mostly colocalized with NeuN in DRG and upregulated after CFA injection. Microinjection of α7 nAChR siRNA into ipsilateral L4/5 DRGs aggravated the CFA-induced pain hypersensitivity. Intrathecal α7 nAChR agonist GTS-21 attenuated the development of CFA-induced mechanical and temperature-related pain hypersensitivities. In neuronal the SH-SY5Y cell line, the knockdown of α7 nAChRs triggered the upregulation of TRAF6 and NF-κB under CFA-induced inflammatory conditions, while agitation of α7 nAChR suppressed the TRAF6/NF-κB activation. α7 nAChR siRNA also exacerbated the secretion of pro-inflammatory mediators from LPS-induced SH-SY5Y cells. Conversely, α7 nAChR-specific agonist GTS-21 diminished the release of interleukin-1beta (IL-1β), IL-6, IL-8, and tumor necrosis factor-α (TNFα) in SH-SY5Y cells under inflammatory conditions. Mechanistically, the modulation of pain sensitivity and neuroinflammatory action of α7 nAChR may be mediated by the TRAF6/NF-κB signaling pathway.
The findings of this study suggest that α7 nAChR may be potentially utilized as a therapeutic target for therapeutics of chronic inflammatory pain.
α-7 烟碱型乙酰胆碱受体(α7 nAChR)被报道在调节疼痛敏感性和神经炎症中具有关键作用。然而,背根神经节(DRG)中 α7 nAChR 的表达水平以及与痛觉过敏相关的潜在神经炎症机制仍不清楚。
在本研究中,使用完全弗氏佐剂(CFA)诱导的慢性炎症性疼痛模型研究了 α7 nAChR 在慢性炎症性疼痛中的表达和机制。随后,进行了一系列实验,包括免疫组织化学、Western blot 和定量实时聚合酶链反应(qRT-PCR)。
α7 nAChR 主要与 DRG 中的 NeuN 共定位,并在 CFA 注射后上调。将 α7 nAChR siRNA 微注射到同侧 L4/5 DRG 中加重了 CFA 引起的疼痛过敏。鞘内给予 α7 nAChR 激动剂 GTS-21 减轻了 CFA 引起的机械和温度相关疼痛过敏。在神经元 SH-SY5Y 细胞系中,CFA 诱导的炎症条件下,α7 nAChR 的敲低会引发 TRAF6 和 NF-κB 的上调,而激动 α7 nAChR 会抑制 TRAF6/NF-κB 的激活。α7 nAChR siRNA 也加剧了 LPS 诱导的 SH-SY5Y 细胞中促炎介质的分泌。相反,α7 nAChR 特异性激动剂 GTS-21 在炎症条件下可减少 SH-SY5Y 细胞中白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)和肿瘤坏死因子-α(TNFα)的释放。在机制上,α7 nAChR 对疼痛敏感性和神经炎症作用的调节可能是通过 TRAF6/NF-κB 信号通路介导的。
本研究的结果表明,α7 nAChR 可能可作为治疗慢性炎症性疼痛的治疗靶点。