1. Oxidative stress mediates thalidomide-induced pain by targeting peripheral TRPA1 and central TRPV4
- Author
-
Mustafa Titiz, Francesco De Logu, Gabriela Trevisan, Elisabetta Coppi, Ilaria M. Marone, Serena Materazzi, Gaetano De Siena, Diéssica Padilha Dalenogare, Matilde Marini, Simone Li Puma, Pierangelo Geppetti, Daniel Souza Monteiro de Araujo, Lorenzo Landini, and Romina Nassini
- Subjects
TRPV4 ,Male ,Physiology ,TRPV1 ,Pain ,TRPV Cation Channels ,Plant Science ,Biology ,Pharmacology ,medicine.disease_cause ,TRPA1 ,General Biochemistry, Genetics and Molecular Biology ,Rats, Sprague-Dawley ,Chemotherapeutic-induced peripheral neuropathy ,Oxidative stress ,Thalidomide ,03 medical and health sciences ,Transient receptor potential channel ,Mice ,0302 clinical medicine ,Structural Biology ,medicine ,Animals ,TRPA1 Cation Channel ,lcsh:QH301-705.5 ,Ecology, Evolution, Behavior and Systematics ,Cell Biology ,medicine.disease ,Pomalidomide ,3. Good health ,Rats ,Mice, Inbred C57BL ,Peripheral neuropathy ,Allodynia ,lcsh:Biology (General) ,Hyperalgesia ,030220 oncology & carcinogenesis ,medicine.symptom ,General Agricultural and Biological Sciences ,030217 neurology & neurosurgery ,psychological phenomena and processes ,Developmental Biology ,Biotechnology ,medicine.drug ,Research Article - Abstract
Background The mechanism underlying the pain symptoms associated with chemotherapeutic-induced peripheral neuropathy (CIPN) is poorly understood. Transient receptor potential ankyrin 1 (TRPA1), TRP vanilloid 4 (TRPV4), TRPV1, and oxidative stress have been implicated in several rodent models of CIPN-evoked allodynia. Thalidomide causes a painful CIPN in patients via an unknown mechanism. Surprisingly, the pathway responsible for such proalgesic response has not yet been investigated in animal models. Results Here, we reveal that a single systemic administration of thalidomide and its derivatives, lenalidomide and pomalidomide, elicits prolonged (~ 35 days) mechanical and cold hypersensitivity in C57BL/6J mouse hind paw. Pharmacological antagonism or genetic deletion studies indicated that both TRPA1 and TRPV4, but not TRPV1, contribute to mechanical allodynia, whereas cold hypersensitivity was entirely due to TRPA1. Thalidomide per se did not stimulate recombinant and constitutive TRPA1 and TRPV4 channels in vitro, which, however, were activated by the oxidative stress byproduct, hydrogen peroxide. Systemic treatment with an antioxidant attenuated mechanical and cold hypersensitivity, and the increase in oxidative stress in hind paw, sciatic nerve, and lumbar spinal cord produced by thalidomide. Notably, central (intrathecal) or peripheral (intraplantar) treatments with channel antagonists or an antioxidant revealed that oxidative stress-dependent activation of peripheral TRPA1 mediates cold allodynia and part of mechanical allodynia. However, oxidative stress-induced activation of central TRPV4 mediated the residual TRPA1-resistant component of mechanical allodynia. Conclusions Targeting of peripheral TRPA1 and central TRPV4 may be required to attenuate pain associated with CIPN elicited by thalidomide and related drugs.
- Published
- 2020