Nociceptive neurons inhibit neutrophil extracellular trap formation via MLKL-licensed histone release

Han Meng1, Wenchao Hu1, Enming Kang1

  • 1Department of Neurobiology and Institute of Neurosciences, School of Basic Medicine, the Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China; The Shaanxi Province Key Laboratory of Brain Function Analysis and Modulation, Xi'an 710032 Shaanxi, P.R. China.

Cell Reports
|June 2, 2026
PubMed

Insights

MLKL

Area of Science:

  • Neuroscience
  • Immunology
  • Pain Research

Background:

  • Neuroinflammation in the dorsal root ganglion (DRG) has complex roles in chronic pain.
  • The precise mechanisms of DRG neuron-neutrophil interactions in pain are not fully understood.

Purpose of the Study:

  • To investigate the role of MLKL in DRG neuron-neutrophil interactions and chronic pain.
  • To elucidate the molecular cascade linking MLKL, histone H3, and neutrophil extracellular traps (NETs) in pain.

Main Methods:

  • Examined MLKL localization and histone H3 binding in nociceptive neurons.
  • Investigated the effects of peripheral inflammation on MLKL/H3 interaction and histone H3 release.
  • Assessed the impact of extracellular histone H3 on neuronal activity, NET formation, and hyperalgesia.
  • Utilized nociceptive-specific MLKL depletion and genetic MLKL knockout (Mlkl-/-) mouse models.
  • Tested therapeutic interventions including extracellular histone neutralization and DNA clearance.

Main Results:

  • MLKL is constitutively nuclear in nociceptive neurons, binding to histone H3.
  • Inflammation disrupts MLKL/H3 interaction, causing MLKL translocation and histone H3 release.
  • Extracellular histone H3 promotes neuronal hyperactivity, NET formation, and hyperalgesia via P2X7R and TLR4.
  • Nociceptive MLKL depletion reduces pain threshold and enhances NET formation independently of cell death.
  • Targeting extracellular histone, DNA, or MLKL nuclear localization ameliorates hyperalgesia and NETosis.

Conclusions:

  • A novel MLKL-histone H3-NET cascade in nociceptive neurons mediates DRG neuron-neutrophil interactions.
  • This pathway contributes significantly to chronic inflammatory pain.
  • The MLKL-histone-NET axis represents a potential therapeutic target for managing chronic pain.

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