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神经性疼痛条件下初级感觉神经元中基因的MeCP2表观遗传沉默

MeCP2 Epigenetic Silencing of Gene in Primary Sensory Neurons Under Neuropathic Pain Conditions.

作者信息

Sun Na, Yu Lina, Gao Yibo, Ma Longfei, Ren Jinxuan, Liu Ying, Gao Dave Schwinn, Xie Chen, Wu Ying, Wang Lieju, Hong Juncong, Yan Min

机构信息

Department of Anesthesiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Department of Anesthesiology, The First People's Hospital of Huzhou, Huzhou, China.

出版信息

Front Neurosci. 2021 Nov 5;15:743207. doi: 10.3389/fnins.2021.743207. eCollection 2021.

Abstract

Opioids are the last option for the pharmacological treatment of neuropathic pain, but their antinociceptive effects are limited. Decreased mu opioid receptor (MOR) expression in the peripheral nervous system may contribute to this. Here, we showed that nerve injury induced hypermethylation of the gene promoter and an increased expression of methyl-CpG binding protein 2 (MeCP2) in injured dorsal root ganglion (DRG). The downregulation of MOR in the DRG is closely related to the augmentation of MeCP2, an epigenetic repressor, which could recruit HDAC1 and bind to the methylated regions of the gene promoter. MeCP2 knockdown restored the expression of MOR in injured DRG and enhanced the analgesic effect of morphine, while the mimicking of this increase the intrathecal infusion of viral vector-mediated MeCP2 was sufficient to reduce MOR in the DRG. Moreover, HDAC1 inhibition with suberoylanilide hydroxamic acid, an HDAC inhibitor, also prevented MOR reduction in the DRG of neuropathic pain mice, contributing to the augmentation of morphine analgesia effects. Mechanistically, upregulated MeCP2 promotes the binding of a high level of HDCA1 to hypermethylated regions of the gene promoter, reduces the acetylation of histone H3 (acH3) levels of the gene promoter, and attenuates transcription in injured DRG. Thus, upregulated MeCP2 and HDAC1 in gene promoter sites, negatively regulates MOR expression in injured DRG, mitigating the analgesic effect of the opioids. Targeting MeCP2/HDAC1 may thus provide a new solution for improving the therapeutic effect of opioids in a clinical setting.

摘要

阿片类药物是神经性疼痛药物治疗的最后选择,但其镇痛效果有限。外周神经系统中μ阿片受体(MOR)表达的降低可能是导致这一情况的原因。在此,我们发现神经损伤诱导了受损背根神经节(DRG)中该基因启动子的高甲基化以及甲基化CpG结合蛋白2(MeCP2)表达的增加。DRG中MOR的下调与表观遗传抑制因子MeCP2的增加密切相关,MeCP2可募集HDAC1并与该基因启动子的甲基化区域结合。敲低MeCP2可恢复受损DRG中MOR的表达,并增强吗啡的镇痛效果,而通过鞘内注射病毒载体介导的MeCP2来模拟这种增加足以降低DRG中的MOR。此外,使用HDAC抑制剂辛二酰苯胺异羟肟酸抑制HDAC1也可防止神经性疼痛小鼠DRG中MOR的减少,从而增强吗啡的镇痛效果。从机制上讲,上调的MeCP2促进高水平的HDCA1与该基因启动子的高甲基化区域结合,降低该基因启动子组蛋白H3(acH3)水平的乙酰化,并减弱受损DRG中的转录。因此,基因启动子位点上调的MeCP2和HDAC1对受损DRG中MOR的表达产生负调控,减弱了阿片类药物的镇痛效果。因此,靶向MeCP2/HDAC1可能为改善阿片类药物在临床环境中的治疗效果提供新的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2b7/8602696/3c63e8b15a81/fnins-15-743207-g001.jpg

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