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沉默感觉神经元中的 miR-21-5p 通过激活巨噬细胞中的 TGF-β 相关途径逆转神经病理性痛觉过敏。

Silencing miR-21-5p in sensory neurons reverses neuropathic allodynia via activation of TGF-β-related pathway in macrophages.

出版信息

J Clin Invest. 2023 Jun 1;133(11):e164472. doi: 10.1172/JCI164472.

Abstract

Neuropathic pain remains poorly managed by current therapies, highlighting the need to improve our knowledge of chronic pain mechanisms. In neuropathic pain models, dorsal root ganglia (DRG) nociceptive neurons transfer miR-21 packaged in extracellular vesicles to macrophages that promote a proinflammatory phenotype and contribute to allodynia. Here we show that miR-21 conditional deletion in DRG neurons was coupled with lack of upregulation of chemokine CCL2 after nerve injury and reduced accumulation of CCR2-expressing macrophages, which showed TGF-β-related pathway activation and acquired an M2-like antinociceptive phenotype. Indeed, neuropathic allodynia was attenuated after conditional knockout of miR-21 and restored by TGF-βR inhibitor (SB431542) administration. Since TGF-βR2 and TGF-β1 are known miR-21 targets, we suggest that miR-21 transfer from injured neurons to macrophages maintains a proinflammatory phenotype via suppression of such an antiinflammatory pathway. These data support miR-21 inhibition as a possible approach to maintain polarization of DRG macrophages at an M2-like state and attenuate neuropathic pain.

摘要

神经病理性疼痛仍然难以通过当前的治疗方法进行管理,这突出表明需要提高我们对慢性疼痛机制的认识。在神经病理性疼痛模型中,背根神经节(DRG)伤害感受神经元将包裹在细胞外囊泡中的 miR-21 转移到巨噬细胞中,促进促炎表型,并有助于痛觉过敏。在这里,我们表明,DRG 神经元中 miR-21 的条件性缺失伴随着神经损伤后趋化因子 CCL2 的上调缺乏以及表达 CCR2 的巨噬细胞的积累减少,这些细胞显示 TGF-β 相关途径的激活并获得 M2 样抗伤害感受表型。事实上,miR-21 的条件性敲除后,神经病理性痛觉过敏减轻,并通过 TGF-βR 抑制剂(SB431542)给药得到恢复。由于 TGF-βR2 和 TGF-β1 是已知的 miR-21 靶标,我们推测损伤神经元向巨噬细胞转移的 miR-21 通过抑制这种抗炎途径来维持促炎表型。这些数据支持 miR-21 抑制作为一种可能的方法,以维持 DRG 巨噬细胞向 M2 样状态的极化,并减轻神经病理性疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b78f/10232007/03ebefe8f5d1/jci-133-164472-g223.jpg

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