IL-35 promotes microglial M2 polarization in a rat model of diabetic neuropathic pain

Yinghai Jiang1, Jing Wang1, Haiqin Li1

  • 1Department of Pain, Henan Provincial People's Hospital, Zhengzhou, 450003, Henan, China.

Insights

Interleukin-35 (IL-35) alleviates diabetic neuropathic pain by shifting microglia from a pro-inflammatory M1 state to an anti-inflammatory M2 state. This involves regulating JNK and JAK2/STAT6 signaling pathways.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Diabetic neuropathic pain (DNP) is a debilitating condition.
  • Microglial polarization plays a crucial role in DNP pathogenesis.
  • Shifting microglia from M1 to M2 phenotype is a potential therapeutic strategy.

Purpose of the Study:

  • To investigate the role of interleukin-35 (IL-35) in regulating microglial polarization in DNP.
  • To elucidate the underlying molecular mechanisms of IL-35's therapeutic effects.

Main Methods:

  • A rat model of DNP was established using streptozocin.
  • Recombinant IL-35 (rIL-35) was administered intrathecally.
  • Pain behaviors were assessed using mechanical withdrawal threshold (MWT) and thermal withdrawal latency (TWL).
  • In vitro studies used a rat microglia cell line (HAPI) stimulated with LPS or IL-4.
  • Microglial polarization markers and signaling pathways (JNK, JAK2/STAT6) were analyzed.

Main Results:

  • Intrathecal rIL-35 administration significantly improved MWT and TWL in DNP rats.
  • rIL-35 promoted microglial M2 polarization in vivo and in vitro.
  • IL-35 suppressed JNK signaling and activated JAK2/STAT6 signaling in microglia.
  • These signaling pathways were confirmed to mediate IL-35's effect on M2 polarization.

Conclusions:

  • IL-35 exerts a therapeutic effect on DNP by promoting microglial M2 polarization.
  • The mechanism involves the regulation of JNK and JAK2/STAT6 signaling pathways.
  • IL-35 represents a promising therapeutic agent for DNP.

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