Long-Lasting Activation of the Transcription Factor CREB in Sensory Neurons by Interleukin-1β During Antigen-Induced Arthritis in Rats: A Mechanism of Persistent Arthritis Pain?
| Autor: | Johannes Leuchtweis, Christian König, Gisela Segond von Banchet, Hans-Georg Schaible, Jessica Patzer, Matthias Ebbinghaus, Michael Karl Boettger, Annett Eitner |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
0301 basic medicine medicine.medical_specialty Immunology Arthritis CREB Etanercept 03 medical and health sciences 0302 clinical medicine Rheumatology Dorsal root ganglion Internal medicine medicine Immunology and Allergy Anakinra biology business.industry medicine.disease Infliximab 030104 developmental biology medicine.anatomical_structure Endocrinology Hyperalgesia biology.protein Tumor necrosis factor alpha medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Arthritis & Rheumatology. 68:532-541 |
| ISSN: | 2326-5191 |
| DOI: | 10.1002/art.39445 |
| Popis: | Objective In spite of successful treatment of immune-mediated arthritis, many patients still experience pain. We undertook this study to investigate whether antigen-induced arthritis (AIA) in rats triggers neuronal changes in sensory neurons that outlast the inflammatory process. Methods We induced unilateral AIA in the knee joint and assessed in sensory neurons the expression of CREB, a transcription factor that regulates genes involved in neuronal plasticity. We tested whether neutralization of the effects of tumor necrosis factor (TNF) by etanercept or infliximab or neutralization of the effects of interleukin-1β (IL-1β) by anakinra influences the up-regulation of phospho-CREB, and we studied the up-regulation of phospho-CREB by IL-1β and TNF in cultured dorsal root ganglion (DRG) neurons. Results Unilateral AIA caused bilateral up-regulation of phospho-CREB in lumbar DRG neurons. While inflammation and pain subsided within 21 days, the up-regulation of phospho-CREB still persisted on day 42. At this time point mechanical hyperalgesia at the knee reappeared in the absence of swelling. TNF neutralization during AIA significantly reduced pain-related behavior but did not prevent phospho-CREB up-regulation. In contrast, anakinra, which only reduced thermal hyperalgesia, prevented phospho-CREB up-regulation, suggesting a role of IL-1β in this process. In cultured DRG neurons the application of IL-1β significantly enhanced phospho-CREB. Conclusion Immune-mediated arthritis causes neuroplastic changes in sensory neurons that outlast the inflammatory phase. Such changes may facilitate the persistence or recurrence of pain after remission of arthritis. IL-1β is an important trigger in this process, although its neutralization barely reduced mechanical hyperalgesia during inflammation. |
| Databáze: | OpenAIRE |
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