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ILP4 and InR regulate paclitaxel-induced hypersensitivity differently in Drosophila larvae
Sreepradha Sridharan1,2,3, Yogesh Srivastava1,4, Ashleigh Ogg1
1Department of Genetics, University of Texas MD Anderson Cancer Center, Houston, TX 77030.
Molecular Biology of the Cell
|November 5, 2025
Summary
Paclitaxel causes pain hypersensitivity by affecting sensory neurons. This study reveals the insulin-like peptide 4 (ILP4) is crucial for this effect, independent of the insulin receptor (InR) in neurons.
Area of Science:
- Neuroscience
- Molecular Biology
- Pharmacology
Background:
- Paclitaxel (PTX) is a chemotherapy drug known to cause nerve damage and pain hypersensitivity.
- The precise molecular mechanisms underlying PTX-induced nociceptive hypersensitivity are not fully understood.
Purpose of the Study:
- To investigate the molecular and genetic basis of paclitaxel-induced nociceptive hypersensitivity.
- To explore the role of specific signaling pathways and molecules in PTX effects on sensory neurons.
Main Methods:
- Dose-dependent administration of PTX to Drosophila larvae.
- Live imaging of peripheral thermal nociceptors to observe dendritic morphology.
- Genetic manipulation using RNA interference (RNAi) and gene mutants (ILP4, InR).
Main Results:
- PTX induced dose-dependent thermal hypersensitivity and altered dendritic morphology (hyper-sprouting and beading) in nociceptors.
- PTX-induced hypersensitivity was independent of previously known acute injury pathways.
- Insulin-like peptide 4 (ILP4) was required for PTX hypersensitivity, but the insulin receptor (InR) in nociceptors did not mediate this effect.
- Salivary glands were identified as a likely source of ILP4.
Conclusions:
- PTX-induced hypersensitivity involves a complex interplay of neuronal and molecular factors, including ILP4.
- There is a dissociation between hypersensitivity and neuronal structural changes (dendritic morphology) in response to PTX.
- The findings suggest a novel signaling pathway involving ILP4, separate from InR in nociceptors, contributes to PTX-induced pain sensitization.

