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Published on: May 2, 2025
[cAMP response-element binding protein participates in the phosphorylated extracellular signal-regulate kinase
Xue-Song Song1, Yan-Bing Xu, Jun-Li Cao
1Department of Anesthesiology, First Clinical College of N. Bethune Centre Health Sciences, Jilin University, Changchun 130021, China.
Abstract:
It has been reported that extracellular signal-regulate kinase (ERK) is involved in the modulation of nociceptive information and central sensitization produced by intense noxious stimuli and/or peripheral tissue inflammation. Few studies have explored the relationship between ERK and cAMP response-element binding protein (CREB) in neuropathic pain after nerve injury, such as chronic constriction injury (CCI) of the sciatic nerve. In the present study, CCI model was employed to investigate the activation of ERK on the expression of phosphorylated CREB (pCREB) in chronic neuropathic pain. Lumbar intrathecal catheters were chronically implanted in male Sprague-Dawley rats. The left sciatic nerve was loosely ligated proximal to the sciatica's trifurcation at around 1.0- mm intervals with 4-0 silk suture. Mitogen-activated protein kinase kinase (MEK) inhibitor U0126 and phosphorothioate-modified antisense oligonucleotides (ODN) were intrathecally administered one day before and three consecutive days after CCI. Thermal and mechanical nociceptive thresholds were assessed with the paw withdrawal lantency (PWL) to radiant heat and von Frey filaments respectively. The expression of pCREB and Fos were assessed by both Western blot and immunohistochemical analysis. The results showed that intrathecal injection of U0126 or ERK antisense ODN attenuated significantly CCI-induced mechanical and thermal hyperalgesia. Correlating with behavior results, the injection also markedly suppressed the increase of CCI-induced pCREB and c-Fos expression. The results obtained suggest that CREB participates in the pERK-mediated neuropathic pain.
Insights
Extracellular signal-regulated kinase (ERK) activation is crucial for neuropathic pain development following nerve injury. Inhibiting ERK signaling reduces pain hypersensitivity by decreasing phosphorylated cAMP response-element binding protein (pCREB) expression.
Area of Science:
- Neuroscience
- Molecular Biology
- Pain Research
Context:
- Neuropathic pain, often resulting from nerve injury like chronic constriction injury (CCI), involves complex signaling pathways.
- Extracellular signal-regulated kinase (ERK) is implicated in processing nociceptive information and central sensitization.
- The interplay between ERK and cAMP response-element binding protein (CREB) in neuropathic pain remains underexplored.
Purpose:
- To investigate the role of ERK activation in regulating phosphorylated CREB (pCREB) expression in the context of chronic neuropathic pain.
- To examine the therapeutic potential of inhibiting ERK signaling on pain behaviors and molecular markers in a rat CCI model.
Summary:
- Chronic constriction injury (CCI) in rats induced mechanical and thermal hyperalgesia.
- Intrathecal administration of a MEK inhibitor (U0126) or ERK antisense oligonucleotides significantly attenuated CCI-induced pain hypersensitivity.
- These treatments also suppressed the increased expression of pCREB and c-Fos, key markers of neuronal activation, in the spinal cord.
Impact:
- The findings suggest that CREB is a critical downstream mediator in the ERK-dependent pathway contributing to neuropathic pain.
- Targeting the ERK/pCREB signaling pathway presents a potential therapeutic strategy for managing neuropathic pain.
- This study elucidates a key molecular mechanism underlying nerve injury-induced pain.
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