Xu Jing, Bang Sangsu, Chen Ouyang, Li Yize, McGinnis Aidan, Zhang Qin, Ji Ru-Rong
Center for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, United States.
Department of Anesthesiology, Duke University, Durham, NC 27708, United States.
Pharmacol Res. 2025 Jun;216:107746. doi: 10.1016/j.phrs.2025.107746. Epub 2025 Apr 24.
Chemotherapy-induced peripheral neuropathy (CIPN) significantly impacts patient's quality of life and complicates cancer treatment. Neuroprotectin D1 (NPD1)/protectin D1 (PD1), derived from docosahexaenoic acid (DHA), exhibits analgesic actions in animal models of inflammatory pain and neuropathic pain. GPR37, a receptor for NPD1/PD1, is known to regulate macrophage phagocytosis and inflammatory cytokine expression, but its role in primary sensory neurons and CIPN remains poorly understood. We found Gpr37 mRNA expression in both neurons and macrophages in mouse dorsal root ganglia (DRG), furthermore, GPR37 is downregulated by the chemotherapy agent paclitaxel. Gpr37 mRNA was notably high in neonatal mouse DRG neurons. In contrast, Gpr37l1 is primarily expressed by satellite glial cells in DRG. Chemotherapy-induced neuropathic pain symptom (mechanical allodynia) resolved within seven weeks in wild-type mice, but it persisted in Gpr37 knockout mice, highlighting GPR37's role in acute-to-chronic pain transition. Consistently, intra-DRG knockdown of Gpr37 in naive animals was sufficient to induce mechanical allodynia. In primary DRG cultures, NPD1 facilitated neurite outgrowth of sensory neurons in the presence of paclitaxel, in a GPR37-dependent manner. NPD1 treatment also mitigated mechanical allodynia and prevented the loss of intraepidermal nerve fibers in hind paw skins in wild-type mice undergoing chemotherapy, but these protective effects are absent in Gpr37 knockout mice. Finally, spatial transcriptomics analysis revealed macrophage and neuronal expression of GPR37 in human DRG. Our findings indicate that GPR37 deficiency drives pain chronicity in CIPN. This study also underscores the potential of NPD1 in safeguarding against sensory neuron degeneration and neuropathic pain in CIPN through GPR37.
化疗诱导的周围神经病变(CIPN)显著影响患者的生活质量,并使癌症治疗复杂化。神经保护素D1(NPD1)/保护素D1(PD1)由二十二碳六烯酸(DHA)衍生而来,在炎症性疼痛和神经性疼痛的动物模型中表现出镇痛作用。GPR37是NPD1/PD1的受体,已知其可调节巨噬细胞吞噬作用和炎性细胞因子表达,但其在初级感觉神经元和CIPN中的作用仍知之甚少。我们发现小鼠背根神经节(DRG)中的神经元和巨噬细胞均有Gpr37 mRNA表达,此外,化疗药物紫杉醇可使GPR37表达下调。Gpr37 mRNA在新生小鼠DRG神经元中显著高表达。相比之下,Gpr37l1主要由DRG中的卫星胶质细胞表达。化疗诱导的神经性疼痛症状(机械性异常性疼痛)在野生型小鼠中7周内消退,但在Gpr37基因敲除小鼠中持续存在,突出了GPR37在急性疼痛向慢性疼痛转变中的作用。同样,在未处理的动物中DRG内敲低Gpr37足以诱导机械性异常性疼痛。在原代DRG培养物中,NPD1在紫杉醇存在的情况下以GPR37依赖的方式促进感觉神经元的神经突生长。NPD1治疗还减轻了野生型化疗小鼠后爪皮肤的机械性异常性疼痛,并防止了表皮内神经纤维的丢失,但这些保护作用在Gpr37基因敲除小鼠中不存在。最后,空间转录组学分析揭示了人DRG中GPR37在巨噬细胞和神经元中的表达。我们的研究结果表明,GPR37缺乏会导致CIPN中的疼痛慢性化。这项研究还强调了NPD1通过GPR37预防CIPN中感觉神经元变性和神经性疼痛的潜力。
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