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Updated: Aug 11, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Hydrogen attenuates postoperative pain through Trx1/ASK1/MMP9 signaling pathway
Juan Li1,2,3, Shirong Ruan4, Jinhui Jia5
1Department of Anesthesiology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, 210019, Jiangsu, China.
Hydrogen (H2) alleviates postoperative pain by reducing neuroinflammation via the Trx1/ASK1/MMP9 pathway. This study identifies MMP-9 and ASK1 as potential therapeutic targets for pain relief.
Area of Science:
- Neuroscience
- Pain Research
- Molecular Biology
Background:
- Postoperative pain presents a significant clinical challenge with incompletely understood mechanisms and limited effective treatments.
- Hydrogen (H2) exhibits anti-neuroinflammatory properties, suggesting its potential therapeutic role in pain management.
Purpose of the Study:
- To investigate the efficacy of hydrogen (H2) in alleviating postoperative pain.
- To elucidate the underlying molecular mechanisms, focusing on the Trx1/ASK1/MMP9 signaling pathway.
Main Methods:
- A postoperative pain model was established in mice using plantar incision surgery.
- Mechanical allodynia was assessed via the von Frey test.
- Cellular signaling pathways were analyzed using techniques including western blotting, immunohistochemistry, and gelatin zymography.
Main Results:
- Plantar incision surgery elevated MMP-9 activity and ASK1 phosphorylation in the spinal cord.
- Hydrogen (H2) treatment reduced pain, decreased ASK1, p38, and JNK phosphorylation, and lowered MMP-9 activity.
- The protective effects of H2 were mediated through the Trx1 pathway and abolished by Trx1 inhibitors.
Conclusions:
- This study demonstrates that hydrogen (H2) can effectively alleviate postoperative pain.
- The therapeutic effect of H2 is attributed to its modulation of the Trx1/ASK1/MMP9 signaling pathway.
- MMP-9 and ASK1 are identified as potential molecular targets for the relief of postoperative pain.
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