Department of Human Anatomy, Histology & Embryology, School of Basic Medical Sciences, Peking University Health Science Center, Beijing 100191, China.
Center of Medical and Health Analysis, Peking University Health Science Center, Beijing 100191, China.
Int J Mol Sci. 2024 May 27;25(11):5813. doi: 10.3390/ijms25115813.
Paclitaxel, a microtubule-stabilizing chemotherapy drug, can cause severe paclitaxel-induced peripheral neuropathic pain (PIPNP). The roles of transient receptor potential (TRP) ion channel vanilloid 1 (TRPV1, a nociceptor and heat sensor) and melastatin 8 (TRPM8, a cold sensor) in PIPNP remain controversial. In this study, Western blotting, immunofluorescence staining, and calcium imaging revealed that the expression and functional activity of TRPV1 were upregulated in rat dorsal root ganglion (DRG) neurons in PIPNP. Behavioral assessments using the von Frey and brush tests demonstrated that mechanical hyperalgesia in PIPNP was significantly inhibited by intraperitoneal or intrathecal administration of the TRPV1 antagonist capsazepine, indicating that TRPV1 played a key role in PIPNP. Conversely, the expression of TRPM8 protein decreased and its channel activity was reduced in DRG neurons. Furthermore, activation of TRPM8 via topical application of menthol or intrathecal injection of WS-12 attenuated the mechanical pain. Mechanistically, the TRPV1 activity triggered by capsaicin (a TRPV1 agonist) was reduced after menthol application in cultured DRG neurons, especially in the paclitaxel-treated group. These findings showed that upregulation of TRPV1 and inhibition of TRPM8 are involved in the generation of PIPNP, and they suggested that inhibition of TRPV1 function in DRG neurons via activation of TRPM8 might underlie the analgesic effects of menthol.
紫杉醇是一种微管稳定化疗药物,可引起严重的紫杉醇诱导的周围神经病理性疼痛(PIPNP)。瞬时受体电位(TRP)离子通道香草素 1(TRPV1,一种伤害感受器和热传感器)和黑色素瘤 8(TRPM8,一种冷传感器)在 PIPNP 中的作用仍存在争议。在这项研究中,通过 Western blot、免疫荧光染色和钙成像显示,在 PIPNP 大鼠背根神经节(DRG)神经元中 TRPV1 的表达和功能活性上调。使用 von Frey 和刷子测试进行的行为评估表明,腹腔内或鞘内给予 TRPV1 拮抗剂辣椒素可显著抑制 PIPNP 中的机械性痛觉过敏,表明 TRPV1 在 PIPNP 中起关键作用。相反,TRPM8 蛋白的表达减少,其通道活性降低。此外,通过薄荷醇局部应用或鞘内注射 WS-12 激活 TRPM8 可减轻机械性疼痛。从机制上讲,在培养的 DRG 神经元中,薄荷醇应用后,辣椒素(TRPV1 激动剂)引发的 TRPV1 活性降低,尤其是在紫杉醇处理组中。这些发现表明 TRPV1 的上调和 TRPM8 的抑制参与了 PIPNP 的产生,并且表明通过激活 TRPM8 抑制 DRG 神经元中的 TRPV1 功能可能是薄荷醇的镇痛作用的基础。
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