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      Journal of Pain Research (submit here)

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      S100A4 in Spinal Substantia Gelatinosa from Dorsal Root Ganglia Modulates Neuropathic Pain in a Rodent Spinal Nerve Injury Model

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          Abstract

          Purpose

          To detect the spatio-temporal expression of S100A4 in a spinal nerve ligation (SNL) rat model. Also to figure out which other molecules directly interact with S100A4 to explore the possible mechanisms which might be involved in neuropathic pain.

          Methods

          Seven-week-old male SD rats were used for the SNL model construction. Immunofluorescence and Western blotting were used to detect the spatio-temporal expression of S100A4 in the model. S100A4 was co-labeled with a number of related molecules and marker molecules that can distinguish between cell types. After intrathecal injection of S100A4 neutralizing antibody, the behavioral changes of SNL rats were recorded, and molecular changes compared. The direct interaction between S100A4 and other related molecules was verified by co-immunoprecipitation (co-IP) to explore its possible mechanism.

          Results

          After spinal nerve ligation, the content of S100A4 in the dorsal root ganglion (DRG) and spinal dorsal horn increased significantly. Intrathecal injection of S100A4 neutralizing antibody could effectively relieve the mechanical pain in rats. co-IP revealed a direct interaction between S100A4 and RAGE.

          Conclusion

          The content of S100A4 in the DRG and spinal dorsal horn of SNL rats increased, compared with that of the control group. Intrathecal injection of S100A4 neutralizing antibody could effectively relieve the mechanical pain in SNL rats. S100A4 may be involved in the production of neuropathic pain through RAGE or other ways, but the specific mechanism needs to be further studied.

          Most cited references42

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          Neuroinflammation and Central Sensitization in Chronic and Widespread Pain.

          Chronic pain is maintained in part by central sensitization, a phenomenon of synaptic plasticity, and increased neuronal responsiveness in central pain pathways after painful insults. Accumulating evidence suggests that central sensitization is also driven by neuroinflammation in the peripheral and central nervous system. A characteristic feature of neuroinflammation is the activation of glial cells, such as microglia and astrocytes, in the spinal cord and brain, leading to the release of proinflammatory cytokines and chemokines. Recent studies suggest that central cytokines and chemokines are powerful neuromodulators and play a sufficient role in inducing hyperalgesia and allodynia after central nervous system administration. Sustained increase of cytokines and chemokines in the central nervous system also promotes chronic widespread pain that affects multiple body sites. Thus, neuroinflammation drives widespread chronic pain via central sensitization. We also discuss sex-dependent glial/immune signaling in chronic pain and new therapeutic approaches that control neuroinflammation for the resolution of chronic pain.
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            Microglia in neuropathic pain: cellular and molecular mechanisms and therapeutic potential

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              Neuropathic pain: a maladaptive response of the nervous system to damage.

              Neuropathic pain is triggered by lesions to the somatosensory nervous system that alter its structure and function so that pain occurs spontaneously and responses to noxious and innocuous stimuli are pathologically amplified. The pain is an expression of maladaptive plasticity within the nociceptive system, a series of changes that constitute a neural disease state. Multiple alterations distributed widely across the nervous system contribute to complex pain phenotypes. These alterations include ectopic generation of action potentials, facilitation and disinhibition of synaptic transmission, loss of synaptic connectivity and formation of new synaptic circuits, and neuroimmune interactions. Although neural lesions are necessary, they are not sufficient to generate neuropathic pain; genetic polymorphisms, gender, and age all influence the risk of developing persistent pain. Treatment needs to move from merely suppressing symptoms to a disease-modifying strategy aimed at both preventing maladaptive plasticity and reducing intrinsic risk.
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                Author and article information

                Journal
                J Pain Res
                J Pain Res
                jpr
                jpainres
                Journal of Pain Research
                Dove
                1178-7090
                10 March 2021
                2021
                : 14
                : 665-679
                Affiliations
                [1 ]Department of Anesthesiology, Changzheng Hospital, Naval Medical University , Shanghai, People’s Republic of China
                [2 ]Department of General Surgery, Affiliated Xinchang Hospital of Shaoxing University , Zhejiang, People’s Republic of China
                [3 ]Department of Neurobiology, Key Laboratory of Molecular Neurobiology, Ministry of Education, Naval Medical University , Shanghai, People’s Republic of China
                Author notes
                Correspondence: Zhenghua Xiang Department of Neurobiology, Key Laboratory of Molecular Neurobiology, Ministry of Education, Naval Medical University , No. 800 Xiangyin Road, Shanghai, 200433, People’s Republic of ChinaTel +86 21 81871044Fax +86 21 81885822 Email xiang-zhenghua@163.com
                Jun Qian Department of General Surgery, Affiliated Xinchang Hospital of Shaoxing University , No. 117 Middle Gushan Road, Xinchang, Zhejiang, 312500, People’s Republic of ChinaTel +86 575 8638079 Email qianj001@163.com
                [*]

                These authors contributed equally to this work

                Author information
                http://orcid.org/0000-0002-1345-6635
                http://orcid.org/0000-0003-4520-443X
                Article
                293462
                10.2147/JPR.S293462
                7956897
                1de71643-3045-44db-a4ec-e273a0940fa6
                © 2021 Jiang et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 04 December 2020
                : 25 February 2021
                Page count
                Figures: 8, Tables: 1, References: 42, Pages: 15
                Categories
                Original Research

                Anesthesiology & Pain management
                neuropathic pain,s100 calcium binding protein a4,receptor for advanced glycation end products,spinal nerve ligation model

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