Naringenin alleviates bone cancer pain via NF-κB/uPA/PAR2 pathway in mice

Yaoyuan Li1, Guangda Zheng1, Yiting Tang2

  • 1Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

Abstract

Insights

Naringenin alleviates bone cancer pain and damage in mice by inhibiting the TNF-α-mediated NF-κB/uPA/PAR2 pathway. This study reveals a new therapeutic approach for bone cancer pain.

Area of Science:

  • Biomedical Science
  • Pain Research
  • Oncology

Background:

  • Bone cancer pain (BCP) poses a significant clinical challenge.
  • Existing treatments for BCP have limitations.
  • Understanding the molecular mechanisms of BCP is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the protective effects of Naringenin (Nar) against bone cancer pain (BCP).
  • To elucidate the role of the TNF-α-mediated NF-κB/uPA/PAR2 pathway in BCP.
  • To explore Naringenin as a potential therapeutic agent for BCP.

Main Methods:

  • Established a BCP mouse model by injecting LL2 cells into the femur.
  • Assessed pain behaviors using paw withdrawal latency (PWL) and paw withdrawal threshold (PWT).
  • Quantified molecular markers (TNF-α, uPA, PAR2, NF-κB pathway components, etc.) using ELISA, qPCR, Western blot, and immunohistochemistry.
  • Evaluated bone structure using radiological analysis, micro-CT, and HE staining.

Main Results:

  • Naringenin treatment significantly improved bone structure and reduced bone damage in BCP mice.
  • Naringenin alleviated pain sensitization, indicated by increased PWL and PWT.
  • Naringenin suppressed the TNF-α-mediated NF-κB/uPA/PAR2 pathway, reducing key molecular markers in bone tissue and serum.

Conclusions:

  • Naringenin demonstrates significant protective effects against bone cancer pain and associated bone damage.
  • The therapeutic mechanism involves the inhibition of the TNF-α-mediated NF-κB/uPA/PAR2 pathway.
  • Naringenin represents a promising novel therapeutic strategy for managing bone cancer pain.