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Updated: Jun 4, 2026

Teasing Out the Interplay Between Natural Killer Cells and Nociceptor Neurons
Published on: June 30, 2022
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.
Abstract:
Neutrophil-involved neuroinflammation in dorsal root ganglion (DRG) plays double-sword roles in chronic pain. How DRG neuron-neutrophil interaction contributes to chronic pain remains unclear. Here, we report that MLKL, a key molecule in necroptosis, is constitutively expressed in the nucleus of nociceptive neurons and binds to histone H3. Periphery inflammation disrupted MLKL/H3 interaction, leading to cytoplasmic translocation of MLKL and release of histone H3. Extracellular histone H3 induces neuronal hyperactivity, neutrophil extracellular trap (NET), and hyperalgesia, possibly through P2X7 receptor and Toll-like receptor 4. Nociceptive-specific depletion of Mlkl significantly decreased pain threshold and exacerbated NET formation independent of cell death. Neutralizing extracellular histone, clearing extracellular DNA or restoring nuclear localization of MLKL can reduce both NET formation and hyperalgesia in Mlkl-/-mice. These data demonstrated that the nociceptive neuron-neutrophil interaction mediated by this MLKL-histone-NET cascade may serve as a potential therapeutic target for chronic inflammatory pain.
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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