Spinal Cathepsin S promotes visceral hypersensitivity via FKN/CX3CR1/p38 MAPK signaling pathways

Pei Sun1,2, Wei Lin3, Yuxuan Weng1

  • 1Pain Research Institute, School of Basic Medical Sciences, Fujian Provincial Key Laboratory of Brain Aging and Neurodegenerative Diseases, Fujian Medical University, Fuzhou, China.

Molecular Pain
|June 22, 2023
PubMed
Abstract

Insights

Spinal Cathepsin S (Cat S) activation in microglia contributes to visceral hypersensitivity in irritable bowel syndrome (IBS)-like rats. Inhibiting Cat S may offer a new therapeutic approach for IBS.

Area of Science:

  • Neuroscience
  • Gastroenterology
  • Immunology

Background:

  • Irritable bowel syndrome (IBS) is a chronic functional visceral pain disorder with limited effective treatments.
  • Spinal microglia activation and Cathepsin S (Cat S) release are implicated in IBS pathophysiology.
  • The precise role of spinal Cat S in IBS-related visceral hypersensitivity requires further investigation.

Purpose of the Study:

  • To investigate the role of spinal Cat S in the mechanisms of visceral hypersensitivity in a rat model of IBS.
  • To elucidate the molecular pathways regulated by Cat S in the context of IBS-like symptoms.

Main Methods:

  • Development of an IBS-like rat model and assessment of visceral sensitivity using electromyography (EMG) during colorectal distention (CRD).
  • Analysis of protein expression using Western blot and immunofluorescence.
  • Evaluation of the effects of Cat S inhibitors and pathway-specific inhibitors on visceral pain and molecular markers.
  • Assessment of behavioral changes, including locomotor activity and anxiety, using the open-field test.

Main Results:

  • Spinal Cat S expression was upregulated and colocalized with microglia in IBS-like rats.
  • Selective Cat S inhibition (LY3000328) dose-dependently reduced EMG amplitude and Fractalkine (FKN) expression.
  • Elevated expressions of FKN, CX3CR1, and phosphorylated p38 mitogen-activated protein kinase (p-p38 MAPK) were observed in IBS-like rats, and their inhibition alleviated visceral pain.
  • FKN-induced CX3CR1 activation promoted p38 MAPK phosphorylation, which in turn enhanced Cat S expression, suggesting a positive feedback loop.

Conclusions:

  • Neonatal adverse stimulation may increase spinal microglial Cat S, activating the FKN/CX3CR1/p38 MAPK pathway and causing visceral hypersensitivity in IBS-like rats.
  • The selective Cat S inhibitor LY3000328 demonstrates potential as a therapeutic agent for IBS by targeting this pathway.