Neutrophils infiltrate sensory ganglia and mediate chronic widespread pain in fibromyalgia.

Neutrophils infiltrate sensory ganglia and mediate chronic widespread pain in fibromyalgia.
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DOI:
10.1073/pnas.2211631120
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发表时间:
2023-04-25
影响因子:
11.1
通讯作者:
Sikandar, Shafaq
Sikandar, Shafaq
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Caxaria, Sara;Bharde, Sabah;Fuller, Alice M.;Evans, Romy;Thomas, Bethan;Celik, Petek;Dell'Accio, Francesco;Yona, Simon;Gilroy, Derek;Voisin, Mathieu-Benoit;Wood, John N.;Sikandar, Shafaq

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We used a back-translational approach in mice to demonstrate the pronociceptive role of neutrophils in fibromyalgia. Adoptive transfer of neutrophils from mice with chronic widespread pain or from patients with fibromyalgia can confer mechanical pain to recipient naïve mice, sensitize evoked action potential firing of spinal cord neurons, and produce phenotypic changes in cell surface expression of neutrophil proteins that cause infiltration of neutrophils into dorsal root ganglia. These data provide the framework for an immunological basis of chronic widespread pain in fibromyalgia mediated by polymorphonuclear granulocytes. Fibromyalgia is a debilitating widespread chronic pain syndrome that occurs in 2 to 4% of the population. The prevailing view that fibromyalgia results from central nervous system dysfunction has recently been challenged with data showing changes in peripheral nervous system activity. Using a mouse model of chronic widespread pain through hyperalgesic priming of muscle, we show that neutrophils invade sensory ganglia and confer mechanical hypersensitivity on recipient mice, while adoptive transfer of immunoglobulin, serum, lymphocytes, or monocytes has no effect on pain behavior. Neutrophil depletion abolishes the establishment of chronic widespread pain in mice. Neutrophils from patients with fibromyalgia also confer pain on mice. A link between neutrophil-derived mediators and peripheral nerve sensitization is already established. Our observations suggest approaches for targeting fibromyalgia pain via mechanisms that cause altered neutrophil activity and interactions with sensory neurons.
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