Sexually Dimorphic Role of Toll-like Receptor 4 (TLR4) in High Molecular Weight Hyaluronan (HMWH)-induced Anti-hyperalgesia.

Sexually Dimorphic Role of Toll-like Receptor 4 (TLR4) in High Molecular Weight Hyaluronan (HMWH)-induced Anti-hyperalgesia.
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DOI:
10.1016/j.jpain.2021.03.152
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发表时间:
2021-10
期刊:
The journal of pain
影响因子:
--
通讯作者:
Levine JD
Levine JD
中科院分区:
其他
文献类型:
--
作者:
Bonet IJM;Araldi D;Green PG;Levine JD

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高分子量透明质酸(HMWH)是细胞外基质的重要组成部分,通过多种受体结合并传递信号,其中包括分化簇44(CD44)和Toll样受体4(TLR4)。我们测试了假设,在炎症的背景下,HMWH在TLR4起作用以减轻痛觉过敏。我们发现,高分子肝素对前列腺素E_2(PGE_2)引起的痛敏的减弱作用可被TLR4拮抗剂(NBP_2-26245)减弱,但仅对雄性和去卵巢雌性大鼠有效。在这项研究中,我们试图评估TLR4信号通路在HMWH诱导的雄性大鼠抗痛敏中的作用。鞘内注射TLR4反义寡核苷酸(ODN)减少伤害性感受器中TLR4的表达,也可减轻HMWH对雄性和去卵巢雌性大鼠的镇痛作用。在卵巢切除的女性中,雌激素替代重建了性腺完整的表型。TLR4第二信使髓系分化因子88(MyD88)的抑制剂可减弱HMWH诱导的抗痛觉过敏,而非MyD88的TLR4信号通路的抑制剂则不能。由于先前研究表明HMWH诱导的抗痛觉过敏也是由CD44介导的,我们评估了TLR4反义ODN和CD44mRNA联合应用的效果。该疗法完全逆转了HMWH诱导的雄性大鼠的抗痛敏反应。我们的结果表明,在HMWH诱导的抗痛敏中,TLR4的性激素依赖、性二态参与,即MyD88依赖。
High molecular weight hyaluronan (HMWH), a prominent component of the extracellular matrix binds to and signals via multiple receptors, including cluster of differentiation 44 (CD44), and toll-like receptor 4 (TLR4). We tested the hypothesis that, in the setting of inflammation, HMWH acts at TLR4 to attenuate hyperalgesia. We found that the attenuation of prostaglandin E2 (PGE2)-induced hyperalgesia by HMWH was attenuated by a TLR4 antagonist (NBP2–26245), but only in male and ovariectomized female rats. In this study we sought to evaluated the role of the TLR4 signaling pathway in anti-hyperalgesia induced by HMWH in male rats. Decreasing expression of TLR4 in nociceptors, by intrathecal administration of an oligodeoxynucleotide (ODN) antisense to TLR4 mRNA, also attenuated HMWH-induced anti-hyperalgesia, in male and ovariectomized female rats. Estrogen replacement in ovariectomized females reconstituted the gonad-intact phenotype. The administration of an inhibitor of myeloid differentiation factor 88 (MyD88), a TLR4 second messenger, attenuated HMWH-induced anti-hyperalgesia, while an inhibitor of the MyD88-independent TLR4 signaling pathway did not. Since it has previously been shown that HMWH-induced anti-hyperalgesia is also mediated, in part by CD44 we evaluated the effect of the combination of ODN antisense to TLR4 and CD44 mRNA. This treatment completely reversed HMWH-induced anti-hyperalgesia in male rats. Our results demonstrate a sex hormone-dependent, sexually dimorphic involvement of TLR4 in HMWH-induced anti-hyperalgesia, that is MyD88 dependent.
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