Peripheral FGFR1 Regulates Myofascial Pain in Rats via the PI3K/AKT Pathway

Mingyang Zhang1, Feihong Jin2, Yuchang Zhu3

  • 1Department of Anesthesiology and Pain Clinic, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Ji'nan, Shandong 250012, China; Department of Anesthesiology, Tengzhou Central People's Hospital, 181 Xingtan Road, Tengzhou, Shandong 277500, China.

Neuroscience
|April 12, 2020
PubMed

Insights

Fibroblast growth factor receptor 1 (FGFR1) is upregulated in myofascial pain syndrome (MPS). Targeting FGFR1 with PD173074 or LY294002 may alleviate pain by inhibiting the PI3K/AKT pathway.

Area of Science:

  • Biomedical research
  • Pain management
  • Molecular biology

Background:

  • Myofascial pain syndrome (MPS) is characterized by myofascial trigger points (MTrPs) linked to muscle damage.
  • Fibroblast growth factor receptor 1 (FGFR1) plays a role in pain sensitivity during tissue repair.
  • The precise mechanism of FGFR1 in MTrPs requires further investigation.

Purpose of the Study:

  • To explore the role and mechanism of FGFR1 in the development of myofascial trigger points (MTrPs).
  • To investigate the involvement of the PI3K/AKT pathway in FGFR1-mediated myofascial pain.

Main Methods:

  • Measured phosphorylated FGFR1 (p-FGFR1) levels in human MPS patients and controls using a phosphorylation array.
  • Established a rat model of MPS via blunt strike and eccentric exercise, followed by morphological and molecular analysis.
  • Assessed p-FGFR1 expression in peripheral nerves and dorsal root ganglion neurons, spinal Fos protein, and mechanical pain thresholds.

Main Results:

  • p-FGFR1 was upregulated in human MPS patients and in the rat MPS model, particularly on peripheral nerves and dorsal root ganglion neurons.
  • MPS rats showed reduced mechanical pain thresholds and increased expression of FGF2, p-FGFR1, PI3K-p110γ, and p-AKT.
  • Inhibition of FGFR1 (PD173074) or PI3K (LY294002) pathways increased mechanical pain thresholds in MPS rats.

Conclusions:

  • FGFR1 signaling is upregulated in myofascial pain syndrome.
  • FGFR1 appears to regulate myofascial pain in rats, potentially through activation of the PI3K/AKT pathway.
  • Targeting FGFR1 may offer a therapeutic strategy for managing myofascial pain.

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