1. PAR2-mediated upregulation of BDNF contributes to central sensitization in bone cancer pain
- Author
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Shulong Jiang, Zhan Shi, Liping Yang, Yinggang Qin, Rui Liu, Conghuang Li, Weidong Li, Wei Hou, Yebo Gao, Baojin Hua, Xiangying Kong, Honggang Zheng, and Yanju Bao
- Subjects
medicine.medical_specialty ,Time Factors ,Pain ,Antineoplastic Agents ,Bone Neoplasms ,In Vitro Techniques ,Brain-derived neurotrophic factor ,Cellular and Molecular Neuroscience ,Glutamatergic ,Neurotrophic factors ,Internal medicine ,medicine ,Animals ,Receptor, PAR-2 ,Excitatory Amino Acid Agents ,Rats, Wistar ,Sensitization ,Bone cancer pain ,business.industry ,Bone cancer ,Research ,Carcinoma ,Neuropeptides ,NF-kappa B ,Excitatory Postsynaptic Potentials ,Neoplasms, Experimental ,Spinal cord ,medicine.disease ,Nuclear factor-κB ,Rats ,Up-Regulation ,Disease Models, Animal ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,Endocrinology ,Spinal Cord ,Hyperalgesia ,Neuropathic pain ,Glutamatergic transmission ,Molecular Medicine ,Female ,medicine.symptom ,business ,Neuroscience ,Proteinase-activated receptor 2 ,Signal Transduction - Abstract
Background: Bone cancer pain is currently a major clinical challenge for the management of cancer patients, and the cellular and molecular mechanisms underlying the spinal sensitization remain unclear. While several studies demonstrated the critical role of proteinase-activated receptor (PAR2) in the pathogenesis of several types of inflammatory or neuropathic pain, the involvement of spinal PAR2 and the pertinent signaling in the central sensitization is not determined yet in the rodent model of bone cancer pain. Findings: Implantation of tumor cells into the tibias induced significant thermal hyperalgesia and mechanical allodynia, and enhanced glutamatergic strength in the ipsilateral dorsal horn. Significantly increased brain-derived neurotrophic factor (BDNF) expression was detected in the dorsal horn, and blockade of spinal BDNF signaling attenuated the enhancement of glutamatergic strength, thermal hyperalgesia and mechanical allodynia in the rats with bone cancer pain. Significantly increased spinal PAR2 expression was also observed, and inhibition of PAR2 signaling ameliorated BDNF upsurge, enhanced glutamatergic strength, and thermal hyperalgesia and mechanical allodynia. Inhibition of NF-κB pathway, the downstream of PAR2 signaling, also significantly decreased the spinal BDNF expression, glutamatergic strength of dorsal horn neurons, and thermal hyperalgesia and mechanical allodynia. Conclusion: The present study demonstrated that activation of PAR2 triggered NF-κB signaling and significantly upregulated the BDNF function, which critically contributed to the enhancement of glutamatergic transmission in spinal dorsal horn and thermal and mechanical hypersensitivity in the rats with bone cancer. This indicated that PAR2 - NF-κ Bs ignaling might become a novel target for the treatment of pain in patients with bone cancer.
- Published
- 2014