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Published on: April 11, 2018
Unexpected Role of TNFα Signaling in the Resolution of Postoperative Pain in Mice
Sophie Laumet1, Aaryn M Edwards1, Kufreobong E Inyang1
1Department of Physiology, Michigan State University, East Lansing, MI, USA.
Abstract:
The mechanisms that govern the transition from acute to chronic pain remain poorly defined. Emerging evidence suggests that immune cells and acute inflammatory responses are not merely pathological but actively contribute to pain resolution and the prevention of chronic pain. Using a mouse model of postoperative pain induced by plantar incision, we demonstrate that inhibition of tumor necrosis factor (TNFα) signaling prolongs pain hypersensitivity. Intraplantar administration of either monoclonal or polyclonal neutralizing anti-TNFα antibodies or Etanercept, a TNF receptor decoy, significantly delayed the resolution of pain in both female and male mice. Unexpectedly, early blockade of TNFα signaling did not reduce pain hypersensitivity but instead extended its duration. These findings underscore a paradoxical yet critical role for TNFα and immune signaling in promoting the resolution of acute pain and preventing its persistence. Together it supports the concept that acute inflammation and immune cells are essential for initiating the resolution of pain.
Insights
Tumor necrosis factor (TNFα) signaling is crucial for resolving acute pain. Blocking TNFα paradoxically prolongs pain hypersensitivity, highlighting its essential role in preventing chronic pain development.
Area of Science:
- Immunology
- Neuroscience
- Pain research
Background:
- The transition from acute to chronic pain is not well understood.
- Immune cells and inflammation may play a role in pain resolution.
Purpose of the Study:
- To investigate the role of tumor necrosis factor alpha (TNFα) signaling in the resolution of acute postoperative pain.
- To determine if inhibiting TNFα signaling affects pain duration and prevents chronic pain.
Main Methods:
- A mouse model of postoperative pain (plantar incision) was used.
- Mice were treated with anti-TNFα antibodies or Etanercept to block TNFα signaling.
- Pain hypersensitivity was measured in male and female mice.
Main Results:
- Inhibition of TNFα signaling significantly delayed the resolution of pain hypersensitivity.
- Early blockade of TNFα did not reduce pain but extended its duration.
- These effects were observed in both male and female mice.
Conclusions:
- TNFα signaling plays a critical, albeit paradoxical, role in resolving acute pain.
- Blocking TNFα early in the pain process can prolong pain and potentially contribute to chronicity.
- Immune signaling is essential for initiating pain resolution and preventing pain persistence.
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