Microvesicles shed from microglia activated by the P2X7-p38 pathway are involved in neuropathic pain induced by

Jian Li1, Xiangnan Li2, Xin Jiang1

  • 1Department of Anesthesiology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.

Purinergic Signalling
|September 30, 2016
PubMed

Insights

Microglia-derived microvesicles exacerbate neuropathic pain by delivering interleukin-1β. Inhibiting this pathway and microvesicles shows therapeutic potential for pain management.

Area of Science:

  • Neuroscience
  • Immunology
  • Pain Research

Background:

  • Microglia play a key role in neuropathic pain development.
  • Microvesicles (MVs) are emerging mediators of intercellular communication.
  • The specific role of microglial MVs in neuropathic pain remains unclear.

Purpose of the Study:

  • To investigate the role of microvesicles (MVs) shed from microglia in the pathogenesis of neuropathic pain.
  • To elucidate the molecular mechanisms underlying MV release and their effects on neuronal activity.

Main Methods:

  • Induction of neuropathic pain via spinal nerve ligation (SNL) in a rat model.
  • Quantification of microglial MVs in cerebrospinal fluid and spinal cord dorsal horn.
  • Assessment of MVs' impact on pain behaviors (paw withdrawal threshold and latency).
  • Analysis of the P2X7-p38 pathway and interleukin-1β (IL-1β) content within MVs.
  • Electrophysiological recordings of synaptic currents following MV stimulation.

Main Results:

  • SNL significantly increased microglial MVs in the cerebrospinal fluid and dorsal horn.
  • Administered MVs reduced paw withdrawal threshold and latency, indicating increased pain sensitivity.
  • The P2X7-p38 pathway was implicated in MV shedding post-SNL.
  • Interleukin-1β was upregulated in MVs; its inhibition reversed pain hypersensitivity.
  • MVs increased spontaneous excitatory postsynaptic currents, suggesting enhanced neuronal excitability.

Conclusions:

  • Microglial MVs are significantly involved in neuropathic pain pathogenesis.
  • The P2X7-p38 pathway regulates the shedding of MVs from microglia during neuropathic pain.
  • MVs contribute to neuropathic pain by modulating microglia-neuron interactions, partly via IL-1β delivery.