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Endothelin-Converting Enzyme-Like 1 Regulated by LIF Contributes to Chronic Constriction Injury-Induced Neuropathic
Feng Gao1, Yuchen Pan2, Yong Huang3
1Department of Orthopedics, Jiangsu Provincial Corps Hospital, Chinese People's Armed Police Force, Yangzhou, China.
CNS Neuroscience & Therapeutics
|September 4, 2025
Summary
Endothelin-converting enzyme-like 1 (ECEL1) promotes neuropathic pain by increasing nerve sensitivity. Inhibiting ECEL1 or blocking leukemia inhibitory factor (LIF) alleviates pain, suggesting ECEL1 as a potential therapeutic target.
Area of Science:
- Neuroscience
- Pain Research
- Molecular Biology
Background:
- Neuropathic pain (NP) is a debilitating condition with limited treatment options.
- Endothelin-converting enzyme-like 1 (ECEL1) is implicated in various physiological processes, but its role in NP remains unclear.
Purpose of the Study:
- To investigate the role of ECEL1 in the development and maintenance of neuropathic pain.
- To explore the regulatory relationship between ECEL1 and leukemia inhibitory factor (LIF) in the context of NP.
Main Methods:
- Utilized a chronic constriction injury (CCI) mouse model to induce neuropathic pain.
- Modulated ECEL1 expression in dorsal root ganglion (DRG) neurons using adeno-associated virus 5 (AAV5) vectors.
- Administered intrathecal leukemia inhibitory factor (LIF) or LIF blockers to assess their effect on ECEL1 expression and pain.
Main Results:
- Downregulating ECEL1 in DRG neurons alleviated CCI-induced pain and neuronal hyperexcitability by inhibiting sympathetic sprouting.
- Overexpressing ECEL1 exacerbated pain hypersensitivity in the CCI model.
- LIF was found to upregulate ECEL1 expression, while LIF blockade reduced ECEL1 levels and mitigated nociception.
Conclusions:
- ECEL1 plays a critical role in promoting hyperalgesia following chronic constriction injury.
- ECEL1 expression is regulated by LIF, highlighting a novel signaling pathway in neuropathic pain.
- ECEL1 represents a promising therapeutic target for the treatment of neuropathic pain.

