Granulocyte-macrophage colony-stimulating factor receptor expression in clinical pain disorder tissues and role in

Philippe Donatien1, Uma Anand1,2, Yiangos Yiangou1

  • 1Peripheral Neuropathy Unit, Centre for Clinical Translation, Department of Medicine, Hammersmith Hospital, Imperial College London, London, United Kingdom.

Pain Reports
|December 12, 2018
PubMed
Abstract

Insights

Granulocyte-macrophage colony-stimulating factor receptor (GM-CSFR) is increased in inflammatory conditions like multiple sclerosis and osteoarthritis, suggesting it as a therapeutic target for pain. However, GM-CSFR decreases in injured peripheral nerves.

Area of Science:

  • Neuroscience
  • Immunology
  • Pain Research

Background:

  • Granulocyte-macrophage colony-stimulating factor receptor (GM-CSFR) is implicated in pain pathways and inflammation in animal models.
  • Limited data exists on GM-CSFR expression in human central nervous system (CNS), peripheral nerves, and dorsal root ganglia (DRG), especially in chronic pain states.

Purpose of the Study:

  • To investigate GM-CSFR expression in human CNS, peripheral nerves, and DRG.
  • To explore the functional role of GM-CSF in sensory neurons and its potential as a therapeutic target for pain.

Main Methods:

  • Immunohistochemistry was employed to quantify GM-CSFR levels in human tissues, including spinal cords, DRG, peripheral nerves, and synovium.
  • Functional studies involved cultured adult rat DRG neurons, assessing responses to GM-CSF and the effects of inhibitors (p38 MAPK, TrkA).

Main Results:

  • GM-CSFR was significantly elevated in microglia at lesional sites in multiple sclerosis spinal cords and in macrophages of painful osteoarthritis synovium.
  • In human DRG, GM-CSFR was found in a subset of small/medium neurons, with no change in avulsion-injured DRG.
  • Peripheral nerves showed decreased axonal GM-CSFR after chronic painful injury and in neuromas, despite increased macrophages.
  • GM-CSF treatment sensitized cultured DRG neurons' responses to capsaicin, an effect reduced by p38 MAPK or TrkA inhibition.

Conclusions:

  • GM-CSFR is a potential therapeutic target for pain and hypersensitivity in CNS and peripheral inflammatory conditions.
  • Despite decreased expression in injured peripheral nerves, GM-CSFR's role in CNS neuroinflammation warrants further investigation.

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