Wnt3a/YTHDF1 Regulated Oxaliplatin-Induced Neuropathic Pain Via TNF-α/IL-18 Expression in the Spinal Cord

Xiaohui Bai1, Yongtian Huang2, Wan Huang2

  • 1Department of Anesthesiology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 107 Yanjiang Road West, Guangzhou, China.

Insights

Oxaliplatin chemotherapy can cause neuropathic pain (NP). This study reveals YTHDF1 upregulation promotes NP by activating Wnt3a signaling, leading to increased TNF-α and IL-18, offering new therapeutic targets for NP.

Area of Science:

  • Neuroscience
  • Oncology
  • Molecular Biology

Background:

  • Oxaliplatin is a crucial chemotherapy agent, but it frequently induces neuropathic pain (NP).
  • Understanding the molecular mechanisms behind oxaliplatin-induced NP is essential for developing effective pain management strategies.
  • YTHDF1, a key mediator in RNA modification, has emerged as a potential player in pathological processes.

Purpose of the Study:

  • To investigate the role of YTHDF1 in the development of oxaliplatin-induced neuropathic pain (NP).
  • To elucidate the molecular pathway involving YTHDF1 in this pain model.
  • To identify potential therapeutic targets for mitigating oxaliplatin-induced NP.

Main Methods:

  • Utilized immunohistochemistry and Western blotting to assess protein expression in mice.
  • Employed intrathecal siRNA injection and viral spinal microinjection in YTHDF1flox/flox mice for gene knockdown.
  • Assessed neuropathic pain behaviors using Von Frey, acetone, and ethyl chloride tests.

Main Results:

  • YTHDF1, Wnt3a, TNF-α, and IL-18 were significantly upregulated in mice treated with oxaliplatin.
  • Targeted inhibition of YTHDF1, Wnt3a, or downstream signaling pathways attenuated mechanical and cold allodynia.
  • Silencing YTHDF1 or inhibiting Wnt3a/Wnt signaling reduced TNF-α and IL-18 levels.

Conclusions:

  • YTHDF1 plays a critical role in mediating oxaliplatin-induced neuropathic pain.
  • A novel Wnt3a/YTHDF1-cytokine pathway contributes to NP pathogenesis.
  • YTHDF1 acts downstream of Wnt3a signaling to promote TNF-α and IL-18 translation, presenting a potential therapeutic target.

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