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Published on: October 6, 2022
Syringaresinol Alleviates Oxaliplatin-Induced Neuropathic Pain Symptoms by Inhibiting the Inflammatory Responses of
Ji Hwan Lee1, Jong Hee Choi2, Jaihwan Kim3
1Department of Physiology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.
Abstract:
Oxaliplatin-induced peripheral neuropathy (OIPN) is a serious side effect that impairs the quality of life of patients treated with the chemotherapeutic agent, oxaliplatin. The underlying pathophysiology of OIPN remains unclear, and there are no effective therapeutics. This study aimed to investigate the causal relationship between spinal microglial activation and OIPN and explore the analgesic effects of syringaresinol, a phytochemical from the bark of Cinnamomum cassia, on OIPN symptoms. The causality between microglial activation and OIPN was investigated by assessing cold and mechanical allodynia in mice after intrathecal injection of the serum supernatant from a BV-2 microglial cell line treated with oxaliplatin. The microglial inflammatory response was measured based on inducible nitric oxide synthase (iNOS), phosphorylated extracellular signal-regulated kinase (p-ERK), and phosphorylated nuclear factor-kappa B (p-NF-κB) expression in the spinal dorsal horn. The effects of syringaresinol were tested using behavioral and immunohistochemical assays. We found that oxaliplatin treatment activated the microglia to increase inflammatory responses, leading to the induction of pain. Syringaresinol treatment significantly ameliorated oxaliplatin-induced pain and suppressed microglial expression of inflammatory signaling molecules. Thus, we concluded that the analgesic effects of syringaresinol on OIPN were achieved via the modulation of spinal microglial inflammatory responses.
Insights
Oxaliplatin-induced peripheral neuropathy (OIPN) causes pain by activating spinal microglia. Syringaresinol, a natural compound, effectively reduces this OIPN pain by calming the inflammatory response in microglia.
Area of Science:
- Neuroscience
- Pharmacology
- Immunology
Background:
- Oxaliplatin-induced peripheral neuropathy (OIPN) is a debilitating side effect of chemotherapy, significantly impacting patient quality of life.
- The precise mechanisms driving OIPN pathophysiology are not fully understood, and effective treatments are lacking.
Purpose of the Study:
- To establish a causal link between spinal microglial activation and the development of OIPN.
- To evaluate the potential of syringaresinol, a phytochemical, as an analgesic for OIPN symptoms.
Main Methods:
- Investigated OIPN causality by inducing allodynia in mice using oxaliplatin-treated microglial supernatant.
- Assessed microglial inflammatory markers including inducible nitric oxide synthase (iNOS), p-ERK, and p-NF-κB in the spinal dorsal horn.
- Evaluated syringaresinol's effects through behavioral tests and immunohistochemical analysis.
Main Results:
- Oxaliplatin treatment activated spinal microglia, triggering inflammatory responses and inducing pain.
- Syringaresinol administration significantly alleviated OIPN-associated pain behaviors in mice.
- Syringaresinol suppressed the expression of key inflammatory signaling molecules in spinal microglia.
Conclusions:
- Spinal microglial activation plays a critical role in the pathogenesis of OIPN.
- Syringaresinol demonstrates significant analgesic effects against OIPN.
- The therapeutic benefits of syringaresinol are mediated through the modulation of spinal microglial inflammatory pathways.
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Analgesia and Pain Management
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