Department of Anesthesiology, Xiangya Hospital Central South University, Changsha, 410008, China.
Department of Anesthesiology, Xiangya Hospital Central South University, Changsha, 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital Central South University, Changsha, 410008, China.
Redox Biol. 2023 Jun;62:102700. doi: 10.1016/j.redox.2023.102700. Epub 2023 Apr 12.
Bone cancer pain (BCP) impairs patients' quality of life. However, the underlying mechanisms are still unclear. This study investigated the role of spinal interneuron death using a pharmacological inhibitor of ferroptosis in a mouse model of BCP. Lewis lung carcinoma cells were inoculated into the femur, resulting in hyperalgesia and spontaneous pain. Biochemical analysis revealed that spinal levels of reactive oxygen species and malondialdehyde were increased, while those of superoxide dismutase were decreased. Histological analysis showed the loss of spinal GAD65+ interneurons and provided ultrastructural evidence of mitochondrial shrinkage. Pharmacologic inhibition of ferroptosis using ferrostatin-1 (FER-1, 10 mg/kg, intraperitoneal for 20 consecutive days) attenuated ferroptosis-associated iron accumulation and lipid peroxidation and alleviated BCP. Furthermore, FER-1 inhibited the pain-associated activation of ERK1/2 and COX-2 expression and prevented the loss of GABAergic interneurons. Moreover, FER-1 improved analgesia by the COX-2 inhibitor Parecoxib. Taken together, this study shows that pharmacological inhibition of ferroptosis-like cell death of spinal interneurons alleviates BCP in mice. The results suggest that ferroptosis is a potential therapeutic target in patients suffering on BCP and possibly other types of pain.
骨癌疼痛(BCP)会损害患者的生活质量。然而,其潜在机制尚不清楚。本研究使用铁死亡的药理学抑制剂在 BCP 的小鼠模型中研究了脊髓中间神经元死亡的作用。将 Lewis 肺癌细胞接种到股骨中,导致痛觉过敏和自发性疼痛。生化分析显示,脊髓中活性氧和丙二醛的水平增加,而超氧化物歧化酶的水平降低。组织学分析显示脊髓 GAD65+中间神经元丢失,并提供了线粒体收缩的超微结构证据。使用铁死亡抑制剂 ferrostatin-1(FER-1,10 mg/kg,腹腔内连续 20 天)抑制铁死亡相关的铁积累和脂质过氧化,减轻了 BCP。此外,FER-1 抑制了与疼痛相关的 ERK1/2 和 COX-2 表达的激活,并防止了 GABA 能中间神经元的丢失。此外,FER-1 通过 COX-2 抑制剂帕瑞昔布改善了镇痛作用。综上所述,本研究表明,脊髓中间神经元铁死亡样细胞死亡的药理学抑制减轻了小鼠的 BCP。结果表明,铁死亡是 BCP 及其他类型疼痛患者的潜在治疗靶点。