Qualls Katherine A, Kadakia Feni K, Serafin Elizabeth K, Lückemeyer Debora De Nardin, Davidson Steve, Strong Judith A, Zhang Jun-Ming
From the Department of Anesthesiology, Pain Research Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Anesth Analg. 2025 May 1;140(5):1216-1226. doi: 10.1213/ANE.0000000000007133.
Corticosteroid receptors, including mineralocorticoid receptor (MR) and glucocorticoid receptor (GR), play important roles in inflammatory pain in the dorsal root ganglion (DRG). Although it is widely known that activating the GR reduces inflammatory pain, it has recently been shown that MR activation contributes to pain and neuronal excitability in rodent studies. Moreover, little is known about the translation of this work to humans, or the mechanisms through which corticosteroid receptors regulate inflammatory pain.
Corticosteroid receptor expression in human and mouse DRGs was characterized. RNAscope was used to perform high-resolution in situ hybridization for GR and MR mRNAs and to examine their colocalization with markers for nociceptors ( SCN10A , Na V 1.8 mRNA) and Aβ mechanoreceptors ( KCNS1 , Kv9.1 mRNA) in human DRG and C57BL/6J mouse DRG samples.
GR and MR mRNAs are expressed in almost all DRG neurons across species. The 2 receptors colocalize in 99.2% of human DRG neurons and 95.9% of mouse DRG neurons ( P = .0004, Fisher exact test). In both human and mouse DRGs, the large-diameter KCNS1+ Aβ mechanoreceptors showed a significantly higher MR/GR ratio (MR-leaning) compared to KCNS1- neurons (human: 0.23 vs 0.04, P = .0002; mouse: 0.35 vs -0.24, P < .0001; log ratios, unpaired t test), whereas small-diameter SCN10A+ nociceptive neurons showed a significantly lower MR/GR ratio (GR-leaning) compared to SCN10A- neurons (human: -0.02 vs 0.18, P = .0001; mouse: -0.16 vs 0.08, P < .0001; log ratios, unpaired t test).
These findings indicate that mouse corticosteroid receptor mRNA expression reflects human expression in the DRG, and that mice could be a suitable model for studying corticosteroid receptor involvement in pain. Additionally, this study supports the translatability of rodent data to humans for the use of more selective corticosteroids at the DRG in pain treatments.
皮质类固醇受体,包括盐皮质激素受体(MR)和糖皮质激素受体(GR),在背根神经节(DRG)的炎性疼痛中起重要作用。尽管众所周知激活GR可减轻炎性疼痛,但最近在啮齿动物研究中发现,激活MR会导致疼痛和神经元兴奋性增加。此外,对于这项研究成果在人类中的转化情况,以及皮质类固醇受体调节炎性疼痛的机制,人们了解甚少。
对人和小鼠DRG中的皮质类固醇受体表达进行了表征。使用RNAscope对GR和MR mRNA进行高分辨率原位杂交,并检测它们在人DRG和C57BL/6J小鼠DRG样本中与伤害感受器标记物(SCN10A、Nav1.8 mRNA)和Aβ机械感受器标记物(KCNS1、Kv9.1 mRNA)的共定位情况。
GR和MR mRNA在所有物种的几乎所有DRG神经元中均有表达。这两种受体在99.2%的人DRG神经元和95.9%的小鼠DRG神经元中共定位(P = 0.0004,Fisher精确检验)。在人和小鼠DRG中,与KCNS1-神经元相比,大直径KCNS1+ Aβ机械感受器的MR/GR比值显著更高(以MR为主)(人:0.23对0.04,P = 0.0002;小鼠:0.35对 -0.24,P < 0.0001;对数比值,非配对t检验),而小直径SCN10A+伤害性神经元的MR/GR比值与SCN10A-神经元相比显著更低(以GR为主)(人: -0.02对0.18,P = 0.0001;小鼠: -0.16对0.08,P < 0.0001;对数比值,非配对t检验)。
这些发现表明,小鼠皮质类固醇受体mRNA表达反映了人类DRG中的表达情况,小鼠可能是研究皮质类固醇受体参与疼痛的合适模型。此外,本研究支持将啮齿动物数据转化应用于人类,以便在疼痛治疗中在DRG使用更具选择性的皮质类固醇。