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周围瞬态受体电位香草素 4 超敏反应导致慢性镰状细胞病疼痛。

Peripheral transient receptor potential vanilloid type 4 hypersensitivity contributes to chronic sickle cell disease pain.

机构信息

Department of Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee, WI, United States.

出版信息

Pain. 2023 Aug 1;164(8):1874-1886. doi: 10.1097/j.pain.0000000000002889. Epub 2023 Mar 10.


DOI:10.1097/j.pain.0000000000002889
PMID:36897169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10363186/
Abstract

Debilitating pain affects the lives of patients with sickle cell disease (SCD). Current pain treatment for patients with SCD fail to completely resolve acute or chronic SCD pain. Previous research indicates that the cation channel transient receptor potential vanilloid type 4 (TRPV4) mediates peripheral hypersensitivity in various inflammatory and neuropathic pain conditions that may share similar pathophysiology with SCD, but this channel's role in chronic SCD pain remains unknown. Thus, the current experiments examined whether TRPV4 regulates hyperalgesia in transgenic mouse models of SCD. Acute blockade of TRPV4 alleviated evoked behavioral hypersensitivity to punctate, but not dynamic, mechanical stimuli in mice with SCD. TRPV4 blockade also reduced the mechanical sensitivity of small, but not large, dorsal root ganglia neurons from mice with SCD. Furthermore, keratinocytes from mice with SCD showed sensitized TRPV4-dependent calcium responses. These results shed new light on the role of TRPV4 in SCD chronic pain and are the first to suggest a role for epidermal keratinocytes in the heightened sensitivity observed in SCD.

摘要

致残性疼痛影响镰状细胞病 (SCD) 患者的生活。目前 SCD 患者的疼痛治疗未能完全解决急性或慢性 SCD 疼痛。先前的研究表明,阳离子通道瞬时受体电位香草素 4 (TRPV4) 介导各种炎症和神经病理性疼痛情况下的外周超敏反应,这些疼痛可能与 SCD 具有相似的病理生理学,但该通道在慢性 SCD 疼痛中的作用尚不清楚。因此,目前的实验研究了 TRPV4 是否调节 SCD 转基因小鼠模型中的痛觉过敏。TRPV4 的急性阻断减轻了 SCD 小鼠对点状而非动态机械刺激的诱发行为性超敏反应。TRPV4 阻断还降低了 SCD 小鼠小而不是大背根神经节神经元的机械敏感性。此外,SCD 小鼠的角质形成细胞表现出 TRPV4 依赖性钙反应的致敏。这些结果为 TRPV4 在 SCD 慢性疼痛中的作用提供了新的认识,并且首次表明表皮角质形成细胞在 SCD 中观察到的敏感性增加中起作用。

相似文献

[1]
Peripheral transient receptor potential vanilloid type 4 hypersensitivity contributes to chronic sickle cell disease pain.

Pain. 2023-8-1

[2]
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Blood. 2011-6-27

[3]
Gabapentin alleviates chronic spontaneous pain and acute hypoxia-related pain in a mouse model of sickle cell disease.

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[4]
Protease-activated receptor 2 sensitizes the transient receptor potential vanilloid 4 ion channel to cause mechanical hyperalgesia in mice.

J Physiol. 2007-2-1

[5]
TRPC1 and TRPC6 channels cooperate with TRPV4 to mediate mechanical hyperalgesia and nociceptor sensitization.

J Neurosci. 2009-5-13

[6]
Updated mechanisms underlying sickle cell disease-associated pain.

Neurosci Lett. 2019-9-7

[7]
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[8]
Role of TRPV4-P2X7 Pathway in Neuropathic Pain in Rats with Chronic Compression of the Dorsal Root Ganglion.

Neurochem Res. 2021-8

[9]
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Rev Physiol Biochem Pharmacol. 2023

[10]
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Gastroenterology. 2008-9

引用本文的文献

[1]
A synthetic peptide, derived from neurotoxin GsMTx4, acts as a non-opioid analgesic to alleviate mechanical and neuropathic pain through the TRPV4 channel.

Acta Pharm Sin B. 2025-3

[2]
Research progress of TRPV4 in pain over the past 20 years: a bibliometric analysis.

Naunyn Schmiedebergs Arch Pharmacol. 2025-2-14

[3]
Fabry disease Schwann cells release p11 to induce sensory neuron hyperactivity.

JCI Insight. 2024-3-7

[4]
Sickle cell disease iPSC-derived sensory neurons exhibit increased excitability and sensitization to patient plasma.

Blood. 2024-5-16

[5]
Mouse models of sickle cell disease: Imperfect and yet very informative.

Blood Cells Mol Dis. 2024-1

本文引用的文献

[1]
The impact of C-tactile low-threshold mechanoreceptors on affective touch and social interactions in mice.

Sci Adv. 2022-7

[2]
Medical and Non-medical Costs of Sickle Cell Disease and Treatments from a US Perspective: A Systematic Review and Landscape Analysis.

Pharmacoecon Open. 2022-7

[3]
Spatial transcriptomics of dorsal root ganglia identifies molecular signatures of human nociceptors.

Sci Transl Med. 2022-2-16

[4]
Transient Receptor Potential (TRP) and Thermoregulation in Animals: Structural Biology and Neurophysiological Aspects.

Animals (Basel). 2022-1-2

[5]
Suppression of joint pain in transient receptor potential vanilloid 4 knockout rats with monoiodoacetate-induced osteoarthritis.

Pain Rep. 2021-8-9

[6]
Transient receptor potential canonical 5 mediates inflammatory mechanical and spontaneous pain in mice.

Sci Transl Med. 2021-5-26

[7]
Diet and companionship modulate pain via a serotonergic mechanism.

Sci Rep. 2021-2-1

[8]
Piezo1 acts upstream of TRPV4 to induce pathological changes in endothelial cells due to shear stress.

J Biol Chem. 2021

[9]
Spatiotemporal Alterations in Gait in Humanized Transgenic Sickle Mice.

Front Immunol. 2020

[10]
The Role of Cold-Sensitive Ion Channels in Peripheral Thermosensation.

Front Cell Neurosci. 2020-8-20

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