Article ; Online: Esketamine inhibits the c-Jun N-terminal kinase pathway in the spinal dorsal horn to relieve bone cancer pain in rats.
2024 Volume 20, Page(s) 17448069241239231
Abstract: ... CXCL12/CXCR4 signals, and c-Jun, as activator protein AP-1 components, contribute to the development ... explored that CXCL12/CXCR4, p-MAPKs, and p-c-Jun were stably up-regulated in the spinal cord ... of CXCL12/CXCR4, p-MAPKs (p-JNK, p-ERK, p-p38 MAPK), and p-c-Jun in microglia. Intrathecal injection ...
Abstract | Cancer-induced bone pain (CIBP) is one of the most common and feared symptoms in patients with advanced tumors. The X-C motif chemokine ligand 12 (CXCL12) and the CXCR4 receptor have been associated with glial cell activation in bone cancer pain. Moreover, mitogen-activated protein kinases (MAPKs), as downstream CXCL12/CXCR4 signals, and c-Jun, as activator protein AP-1 components, contribute to the development of various types of pain. However, the specific CIBP mechanisms remain unknown. Esketamine is a non-selective N-methyl-d-aspartic acid receptor (NMDA) inhibitor commonly used as an analgesic in the clinic, but its analgesic mechanism in bone cancer pain remains unclear. We used a tumor cell implantation (TCI) model and explored that CXCL12/CXCR4, p-MAPKs, and p-c-Jun were stably up-regulated in the spinal cord. Immunofluorescence images showed activated microglia in the spinal cord on day 14 after TCI and co-expression of CXCL12/CXCR4, p-MAPKs (p-JNK, p-ERK, p-p38 MAPK), and p-c-Jun in microglia. Intrathecal injection of the CXCR4 inhibitor AMD3100 reduced JNK and c-Jun phosphorylations, and intrathecal injection of the JNK inhibitor SP600125 and esketamine also alleviated TCI-induced pain and reduced the expression of p-JNK and p-c-Jun in microglia. Overall, our data suggest that the CXCL12/CXCR4-JNK-c-Jun signaling pathway of microglia in the spinal cord mediates neuronal sensitization and pain hypersensitivity in cancer-induced bone pain and that esketamine exerts its analgesic effect by inhibiting the JNK-c-Jun pathway. |
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MeSH term(s) | Humans ; Rats ; Animals ; Cancer Pain/metabolism ; JNK Mitogen-Activated Protein Kinases/metabolism ; Rats, Sprague-Dawley ; Pain/metabolism ; Bone Neoplasms/complications ; Spinal Cord/metabolism ; Mitogen-Activated Protein Kinases/metabolism ; Spinal Cord Dorsal Horn/metabolism ; Analgesics/pharmacology ; Hyperalgesia/metabolism ; Ketamine |
Chemical Substances | Esketamine (50LFG02TXD) ; JNK Mitogen-Activated Protein Kinases (EC 2.7.11.24) ; Mitogen-Activated Protein Kinases (EC 2.7.11.24) ; Analgesics ; Ketamine (690G0D6V8H) |
Language | English |
Publishing date | 2024-02-27 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2174252-2 |
ISSN | 1744-8069 ; 1744-8069 |
ISSN (online) | 1744-8069 |
ISSN | 1744-8069 |
DOI | 10.1177/17448069241239231 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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