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A TRPV4-dependent neuroimmune axis in the spinal cord promotes neuropathic pain
Xueming Hu, … , Gregory F. Wu, Hongzhen Hu
Xueming Hu, … , Gregory F. Wu, Hongzhen Hu
Published January 26, 2023
Citation Information: J Clin Invest. 2023;133(5):e161507. https://doi.org/10.1172/JCI161507.
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Research Article Neuroscience Article has an altmetric score of 20

A TRPV4-dependent neuroimmune axis in the spinal cord promotes neuropathic pain

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Abstract

Microglia, resident macrophages of the CNS, are essential to brain development, homeostasis, and disease. Microglial activation and proliferation are hallmarks of many CNS diseases, including neuropathic pain. However, molecular mechanisms that govern the spinal neuroimmune axis in the setting of neuropathic pain remain incompletely understood. Here, we show that genetic ablation or pharmacological blockade of transient receptor potential vanilloid type 4 (TRPV4) markedly attenuated neuropathic pain-like behaviors in a mouse model of spared nerve injury. Mechanistically, microglia-expressed TRPV4 mediated microglial activation and proliferation and promoted functional and structural plasticity of excitatory spinal neurons through release of lipocalin-2. Our results suggest that microglial TRPV4 channels reside at the center of the neuroimmune axis in the spinal cord, which transforms peripheral nerve injury into central sensitization and neuropathic pain, thereby identifying TRPV4 as a potential new target for the treatment of chronic pain.

Authors

Xueming Hu, Lixia Du, Shenbin Liu, Zhou Lan, Kaikai Zang, Jing Feng, Yonghui Zhao, Xingliang Yang, Zili Xie, Peter L. Wang, Aaron M. Ver Heul, Lvyi Chen, Vijay K. Samineni, Yan-Qing Wang, Kory J. Lavine, Robert W. Gereau IV, Gregory F. Wu, Hongzhen Hu

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Figure 7

Activation of TRPV4 by GSK101 induces pain hypersensitivity and hyperactivity of spinal excitatory neurons.

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Activation of TRPV4 by GSK101 induces pain hypersensitivity and hyperact...
(A– D) Time course of paw withdrawal threshold following i.t. injection of GSK101 in vehicle-treated and GSK219-treated WT mice (A), WT control littermates and Trpv4–/– mice (B), Trpv4fl/fl control littermates and Cx3cr1CreER/+:Trpv4fl/fl mice (C); Trpv4fl/fl control littermates and Cdh5Cre/+:Trpv4fl/fl mice (D). GSK219 (25 μg) was i.t. injected 1.5 hours after GSK101 (1 μM) administration. n = 7–10 mice per group. #P < 0.05 versus vehicle group; *P < 0.05, **P < 0.01, ***P < 0.001 versus GSK101 group by 2-way repeated ANOVA with Bonferroni’s post hoc test. (E–H) Schematic illustration of in vivo 2-photon Ca2+ imaging (E), representative 2-photon images (F), ΔF/F hot map (G), and ΔF/F peak amplitude (H) of spinal Vglut2+ neurons responses to GSK101 (1 μM) and GSK219 (25 μg) i.t. injection. n = 105–120 neurons from 4 mice. ***P < 0.001 by unpaired 2-tailed Student’s t test. Scale bar: 50 μm. (I–K) Representative recorded Vglut2-tdTomato+ neuron in the lamina IIo of spinal cord slice (I), ramp protocol of depolarizing current was applied to assess the rheobase, RMP, and threshold (J), and step protocol of depolarizing currents was applied to assess the number of AP firings (K). (L–S) Representative traces and quantification of AP firings from Vglut2Cre/+:tdTomato mice with GSK101 (300 nM) and GSK219 (300 nM) perfusion. n = 10–15 neurons from 3–4 mice. (T–W) Representative traces and quantification of AP firings from Cx3cr1CreER/+:Trpv4fl/fl mice with GSK101 perfusion. n = 10 neurons from 3 mice. ***P < 0.001 by paired 2-tailed Student’s t test (M, Q, and U), *P < 0.05, **P < 0.01, ***P < 0.001 by 2-way repeated ANOVA with Bonferroni’s post hoc test (O, S, and W). Data are presented as mean ± SEM.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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