Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
Department of Anatomy, College of Basic Medicine, Zhengzhou University, Zhengzhou, 450001, Henan, China.
Mol Neurobiol. 2022 Apr;59(4):2629-2641. doi: 10.1007/s12035-022-02763-0. Epub 2022 Feb 9.
Nerve trauma-induced toll-like receptor 7 (TLR7) expression level increases in primary sensory neurons in injured dorsal root ganglion (DRG) avails to neuropathic pain, but the reason is still unknown. In the current study, we showed that unilateral lumbar 4 (L4) spinal nerve ligation (SNL) upregulated CCAAT/enhancer-binding protein-β (C/EBPβ) expression in ipsilateral L4 DRG. Preventing this elevation attenuated the SNL-induced upregulation of TLR7 in the ipsilateral L4 DRG and inhibited cold/thermal hyperalgesia and mechanical allodynia. In injected DRG, mimicking nerve trauma-induced C/EBPβ upregulation increased TLR7 levels, augmented responses to cold/thermal/mechanical stimuli, and caused ipsilateral spontaneous pain with no SNL. Mechanistically, SNL upregulated binding of increased C/EBPβ to Tlr7 promoter in ipsilateral L4 DRG. Accorded that C/EBPβ could trigger the activation of Tlr7 promoter and co-expressed with Tlr7 mRNA in individual DRG neurons, our findings strongly suggest the role of C/EBPβ in nerve trauma-mediated TLR7 upregulation in injured primary sensory neurons.
神经损伤诱导的 Toll 样受体 7(TLR7)在受伤背根神经节(DRG)中的初级感觉神经元中的表达水平升高有助于神经性疼痛,但原因尚不清楚。在本研究中,我们表明单侧腰椎 4(L4)脊神经结扎(SNL)在上侧 L4 DRG 中上调 CCAAT/增强子结合蛋白-β(C/EBPβ)的表达。防止这种升高可减轻 SNL 诱导的同侧 L4 DRG 中 TLR7 的上调,并抑制冷/热痛觉过敏和机械性痛觉过敏。在注射的 DRG 中,模拟神经损伤诱导的 C/EBPβ 上调增加了 TLR7 水平,增强了对冷/热/机械刺激的反应,并导致同侧自发性疼痛而无 SNL。从机制上讲,SNL 上调了同侧 L4 DRG 中增加的 C/EBPβ 与 Tlr7 启动子的结合。鉴于 C/EBPβ 可以触发 Tlr7 启动子的激活,并且与单个 DRG 神经元中的 Tlr7 mRNA 共表达,我们的研究结果强烈表明 C/EBPβ 在神经损伤介导的受伤初级感觉神经元中 TLR7 上调中的作用。