1 2112 94 EPIGENETIC GENE SILENCING UNDERLIES C-FIBER DYSFUNCTIONS IN NEUROPATHIC PAIN. PERIPHERAL NERVE INJURY CAUSES NEUROPATHIC PAIN, WHICH IS CHARACTERIZED BY THE PARADOXICAL SENSATIONS OF POSITIVE AND NEGATIVE SYMPTOMS. CLINICALLY, NEGATIVE SIGNS ARE FREQUENTLY OBSERVED; HOWEVER, THEIR UNDERLYING MOLECULAR MECHANISMS ARE LARGELY UNKNOWN. DYSFUNCTION OF C-FIBERS IS ASSUMED TO UNDERLIE NEGATIVE SYMPTOMS AND IS ACCOMPANIED BY LONG-LASTING DOWNREGULATION OF NA(V)1.8 SODIUM CHANNEL AND MU-OPIOID RECEPTOR (MOP) IN THE DORSAL ROOT GANGLION (DRG). IN THE PRESENT STUDY, WE FOUND THAT NERVE INJURY UPREGULATES NEURON-RESTRICTIVE SILENCER FACTOR (NRSF) EXPRESSION IN THE DRG NEURONS MEDIATED THROUGH EPIGENETIC MECHANISMS. IN ADDITION, CHROMATIN IMMUNOPRECIPITATION ANALYSIS REVEALED THAT NERVE INJURY PROMOTES NRSF BINDING TO THE NEURON-RESTRICTIVE SILENCER ELEMENT WITHIN MOP AND NA(V)1.8 GENES, THEREBY CAUSING EPIGENETIC SILENCING. FURTHERMORE, NRSF KNOCKDOWN SIGNIFICANTLY BLOCKED NERVE INJURY-INDUCED DOWNREGULATIONS OF MOP AND NA(V)1.8 GENE EXPRESSIONS, C-FIBER HYPOESTHESIA, AND THE LOSSES OF PERIPHERAL MORPHINE ANALGESIA AND NA(V)1.8-SELECTIVE BLOCKER-INDUCED HYPOESTHESIA. TOGETHER, THESE DATA SUGGEST THAT NRSF CAUSES PATHOLOGICAL AND PHARMACOLOGICAL DYSFUNCTION OF C-FIBERS, WHICH UNDERLIES THE NEGATIVE SYMPTOMS IN NEUROPATHIC PAIN. 2010 2 4637 49 NEURON-RESTRICTIVE SILENCER FACTOR CAUSES EPIGENETIC SILENCING OF KV4.3 GENE AFTER PERIPHERAL NERVE INJURY. PERIPHERAL NERVE INJURY CAUSES A VARIETY OF ALTERATIONS IN PAIN-RELATED GENE EXPRESSION IN PRIMARY AFFERENT, WHICH UNDERLIE THE NEURONAL PLASTICITY IN NEUROPATHIC PAIN. ONE OF THE CHARACTERISTIC ALTERATIONS IS A LONG-LASTING DOWNREGULATION OF VOLTAGE-GATED POTASSIUM (K(V)) CHANNEL, INCLUDING K(V)4.3, IN THE DORSAL ROOT GANGLION (DRG). THE PRESENT STUDY SHOWED THAT NERVE INJURY REDUCES THE MESSENGER RNA (MRNA) EXPRESSION LEVEL OF K(V)4.3 GENE, WHICH CONTAINS A CONSERVED NEURON-RESTRICTIVE SILENCER ELEMENT (NRSE), A BINDING SITE FOR NEURON-RESTRICTIVE SILENCER FACTOR (NRSF). MOREOVER, WE FOUND THAT INJURY CAUSES AN INCREASE IN DIRECT NRSF BINDING TO K(V)4.3-NRSE IN THE DRG, USING CHROMATIN IMMUNOPRECIPITATION (CHIP) ASSAY. CHIP ASSAY FURTHER REVEALED THAT ACETYLATION OF HISTONE H4, BUT NOT H3, AT K(V)4.3-NRSE IS MARKEDLY REDUCED AT DAY 7 POST-INJURY. FINALLY, THE INJURY-INDUCED K(V)4.3 DOWNREGULATION WAS SIGNIFICANTLY BLOCKED BY ANTISENSE-KNOCKDOWN OF NRSF. TAKEN TOGETHER, THESE DATA SUGGEST THAT NERVE INJURY CAUSES AN EPIGENETIC SILENCING OF K(V)4.3 GENE MEDIATED THROUGH TRANSCRIPTIONAL SUPPRESSOR NRSF IN THE DRG. 2010 3 2565 36 EPIGENETICS INVOLVEMENT IN OXALIPLATIN-INDUCED POTASSIUM CHANNEL TRANSCRIPTIONAL DOWNREGULATION AND HYPERSENSITIVITY. PERIPHERAL NEUROPATHY IS THE MOST FREQUENT DOSE-LIMITING ADVERSE EFFECT OF OXALIPLATIN. ACUTE PAIN SYMPTOMS THAT ARE INDUCED OR EXACERBATED BY COLD OCCUR IN ALMOST ALL PATIENTS IMMEDIATELY FOLLOWING THE FIRST INFUSIONS. EVIDENCE HAS SHOWN THAT OXALIPLATIN CAUSES ION CHANNEL EXPRESSION MODULATIONS IN DORSAL ROOT GANGLIA NEURONS, WHICH ARE THOUGHT TO CONTRIBUTE TO PERIPHERAL HYPERSENSITIVITY. MOST DYSREGULATED GENES ENCODE ION CHANNELS INVOLVED IN COLD AND MECHANICAL PERCEPTION, NOTEWORTHY MEMBERS OF A SUB-GROUP OF POTASSIUM CHANNELS OF THE K2P FAMILY, TREK AND TRAAK. DOWNREGULATION OF THESE K2P CHANNELS HAS BEEN IDENTIFIED AS AN IMPORTANT TUNER OF ACUTE OXALIPLATIN-INDUCED HYPERSENSITIVITY. WE INVESTIGATED THE MOLECULAR MECHANISMS UNDERLYING THIS PERIPHERAL DYSREGULATION IN A MURINE MODEL OF NEUROPATHIC PAIN TRIGGERED BY A SINGLE OXALIPLATIN ADMINISTRATION. WE FOUND THAT OXALIPLATIN-MEDIATED TREK-TRAAK DOWNREGULATION, AS WELL AS DOWNREGULATION OF OTHER K(+) CHANNELS OF THE K2P AND KV FAMILIES, INVOLVES A TRANSCRIPTION FACTOR KNOWN AS THE NEURON-RESTRICTIVE SILENCER FACTOR (NRSF) AND ITS EPIGENETIC CO-REPRESSORS HISTONE DEACETYLASES (HDACS). NRSF KNOCKDOWN WAS ABLE TO PREVENT MOST OF THESE K(+) CHANNEL MRNA DOWNREGULATION IN MICE DORSAL ROOT GANGLION NEURONS AS WELL AS OXALIPLATIN-INDUCED ACUTE COLD AND MECHANICAL HYPERSENSITIVITY. INTERESTINGLY, PHARMACOLOGICAL INHIBITION OF CLASS I HDAC REPRODUCES THE ANTINOCICEPTIVE EFFECTS OF NRSF KNOCKDOWN AND LEADS TO AN INCREASED K(+) CHANNEL EXPRESSION IN OXALIPLATIN-TREATED MICE. 2021 4 2883 34 G9A INHIBITS CREB-TRIGGERED EXPRESSION OF MU OPIOID RECEPTOR IN PRIMARY SENSORY NEURONS FOLLOWING PERIPHERAL NERVE INJURY. NEUROPATHIC PAIN, A DISTRESSING AND DEBILITATING DISORDER, IS STILL POORLY MANAGED IN CLINIC. OPIOIDS, LIKE MORPHINE, REMAIN THE MAINSTAY OF PRESCRIBED MEDICATIONS IN THE TREATMENT OF THIS DISORDER, BUT THEIR ANALGESIC EFFECTS ARE HIGHLY UNSATISFACTORY IN PART DUE TO NERVE INJURY-INDUCED REDUCTION OF OPIOID RECEPTORS IN THE FIRST-ORDER SENSORY NEURONS OF DORSAL ROOT GANGLIA. G9A IS A REPRESSOR OF GENE EXPRESSION. WE FOUND THAT NERVE INJURY-INDUCED INCREASES IN G9A AND ITS CATALYZED REPRESSIVE MARKER H3K9M2 ARE RESPONSIBLE FOR EPIGENETIC SILENCING OF OPRM1, OPRK1, AND OPRD1 GENES IN THE INJURED DORSAL ROOT GANGLIA. BLOCKING THESE INCREASES RESCUED DORSAL ROOT GANGLIA OPRM1, OPRK1, AND OPRD1 GENE EXPRESSION AND MORPHINE OR LOPERAMIDE ANALGESIA AND PREVENTED THE DEVELOPMENT OF MORPHINE OR LOPERAMIDE-INDUCED ANALGESIC TOLERANCE UNDER NEUROPATHIC PAIN CONDITIONS. CONVERSELY, MIMICKING THESE INCREASES REDUCED THE EXPRESSION OF THREE OPIOID RECEPTORS AND PROMOTED THE MU OPIOID RECEPTOR-GATED RELEASE OF PRIMARY AFFERENT NEUROTRANSMITTERS. MECHANISTICALLY, NERVE INJURY-INDUCED INCREASES IN THE BINDING ACTIVITY OF G9A AND H3K9ME2 TO THE OPRM1 GENE WERE ASSOCIATED WITH THE REDUCED BINDING OF CYCLIC AMP RESPONSE ELEMENT BINDING PROTEIN TO THE OPRM1 GENE. THESE FINDINGS SUGGEST THAT G9A PARTICIPATES IN THE NERVE INJURY-INDUCED REDUCTION OF THE OPRM1 GENE LIKELY THROUGH G9A-TRIGGERED BLOCKAGE IN THE ACCESS OF CYCLIC AMP RESPONSE ELEMENT BINDING PROTEIN TO THIS GENE. 2016 5 4098 32 MBD1 CONTRIBUTES TO THE GENESIS OF ACUTE PAIN AND NEUROPATHIC PAIN BY EPIGENETIC SILENCING OF OPRM1 AND KCNA2 GENES IN PRIMARY SENSORY NEURONS. THE TRANSMISSION OF NORMAL SENSORY AND/OR ACUTE NOXIOUS INFORMATION REQUIRES INTACT EXPRESSION OF PAIN-ASSOCIATED GENES WITHIN THE PAIN PATHWAYS OF NERVOUS SYSTEM. EXPRESSIONAL CHANGES OF THESE GENES AFTER PERIPHERAL NERVE INJURY ARE ALSO CRITICAL FOR NEUROPATHIC PAIN INDUCTION AND MAINTENANCE. METHYL-CPG-BINDING DOMAIN PROTEIN 1 (MBD1), AN EPIGENETIC REPRESSOR, REGULATES GENE TRANSCRIPTIONAL ACTIVITY. WE REPORT HERE THAT MBD1 IN THE PRIMARY SENSORY NEURONS OF DRG IS CRITICAL FOR THE GENESIS OF ACUTE PAIN AND NEUROPATHIC PAIN AS DRG MBD1-DEFICIENT MICE EXHIBIT THE REDUCED RESPONSES TO ACUTE MECHANICAL, HEAT, COLD, AND CAPSAICIN STIMULI AND THE BLUNTED NERVE INJURY-INDUCED PAIN HYPERSENSITIVITIES. FURTHERMORE, DRG OVEREXPRESSION OF MBD1 LEADS TO SPONTANEOUS PAIN AND EVOKED PAIN HYPERSENSITIVITIES IN THE WT MICE AND RESTORES ACUTE PAIN SENSITIVITIES IN THE MBD1-DEFICIENT MICE. MECHANISTICALLY, MDB1 REPRESSES OPRM1 AND KCNA2 GENE EXPRESSION BY RECRUITING DNA METHYLTRANSFERASE DNMT3A INTO THESE TWO GENE PROMOTERS IN THE DRG NEURONS. DRG MBD1 IS LIKELY A KEY PLAYER UNDER THE CONDITIONS OF ACUTE PAIN AND NEUROPATHIC PAIN.SIGNIFICANCE STATEMENT IN THE PRESENT STUDY, WE REVEALED THAT THE MICE WITH DEFICIENCY OF METHYL-CPG-BINDING DOMAIN PROTEIN 1 (MBD1), AN EPIGENETIC REPRESSOR, IN THE DRG DISPLAYED THE REDUCED RESPONSES TO ACUTE NOXIOUS STIMULI AND THE BLUNTED NEUROPATHIC PAIN. WE ALSO SHOWED THAT DRG OVEREXPRESSION OF MBD1 PRODUCED THE HYPERSENSITIVITIES TO NOXIOUS STIMULI IN THE WT MICE AND RESCUED ACUTE PAIN SENSITIVITIES IN THE MBD1-DEFICIENT MICE. WE HAVE ALSO PROVIDED THE EVIDENCE THAT MDB1 REPRESSES OPRM1 AND KCNA2 GENE EXPRESSION BY RECRUITING DNA METHYLTRANSFERASE DNMT3A INTO THESE TWO GENE PROMOTERS IN THE DRG NEURONS. DRG MBD1 MAY PARTICIPATE IN THE GENESIS OF ACUTE PAIN AND NEUROPATHIC PAIN LIKELY THROUGH REGULATING DNMT3A-CONTROLLED OPRM1 AND KCNA2 GENE EXPRESSION IN THE DRG NEURONS. 2018 6 5599 31 ROLES OF THE NEURON-RESTRICTIVE SILENCER FACTOR IN THE PATHOPHYSIOLOGICAL PROCESS OF THE CENTRAL NERVOUS SYSTEM. THE NEURON-RESTRICTIVE SILENCER FACTOR (NRSF), ALSO KNOWN AS REPRESSOR ELEMENT 1 (RE-1) SILENCING TRANSCRIPTION FACTOR (REST) OR X2 BOX REPRESSOR (XBR), IS A ZINC FINGER TRANSCRIPTION FACTOR THAT IS WIDELY EXPRESSED IN NEURONAL AND NON-NEURONAL CELLS. IT IS A MASTER REGULATOR OF THE NERVOUS SYSTEM, AND THE FUNCTION OF NRSF IS THE BASIS OF NEURONAL DIFFERENTIATION, DIVERSITY, PLASTICITY, AND SURVIVAL. NRSF CAN BIND TO THE NEURON-RESTRICTIVE SILENCER ELEMENT (NRSE), RECRUIT SOME CO-REPRESSORS, AND THEN INHIBIT TRANSCRIPTION OF NRSE DOWNSTREAM GENES THROUGH EPIGENETIC MECHANISMS. IN NEUROGENESIS, NRSF FUNCTIONS NOT ONLY AS A TRANSCRIPTIONAL SILENCER THAT CAN MEDIATE THE TRANSCRIPTIONAL INHIBITION OF NEURON-SPECIFIC GENES IN NON-NEURONAL CELLS AND THUS GIVE NEURON CELLS SPECIFICITY, BUT ALSO AS A TRANSCRIPTIONAL ACTIVATOR TO INDUCE NEURONAL DIFFERENTIATION. MANY STUDIES HAVE CONFIRMED THE ASSOCIATION BETWEEN NRSF AND BRAIN DISORDERS, SUCH AS BRAIN INJURY AND NEURODEGENERATIVE DISEASES. OVEREXPRESSION, UNDEREXPRESSION, OR MUTATION MAY LEAD TO NEUROLOGICAL DISORDERS. IN TUMORIGENESIS, NRSF FUNCTIONS AS AN ONCOGENE IN NEURONAL TUMORS, SUCH AS NEUROBLASTOMAS, MEDULLOBLASTOMAS, AND PHEOCHROMOCYTOMAS, STIMULATING THEIR PROLIFERATION, WHICH RESULTS IN POOR PROGNOSIS. ADDITIONALLY, NRSF-MEDIATED SELECTIVE TARGETS GENE REPRESSION PLAYS AN IMPORTANT ROLE IN THE DEVELOPMENT AND MAINTENANCE OF NEUROPATHIC PAIN CAUSED BY NERVE INJURY, CANCER, AND DIABETES. AT PRESENT, SEVERAL COMPOUNDS THAT TARGET NRSF OR ITS CO-REPRESSORS, SUCH AS REST-VP16 AND X5050, HAVE BEEN SHOWN TO BE CLINICALLY EFFECTIVE AGAINST MANY BRAIN DISEASES, SUCH AS SEIZURES, IMPLYING THAT NRSF AND ITS CO-REPRESSORS MAY BE POTENTIAL AND PROMISING THERAPEUTIC TARGETS FOR NEURAL DISORDERS. IN THE PRESENT REVIEW, WE INTRODUCED THE BIOLOGICAL CHARACTERISTICS OF NRSF; REVIEWED THE PROGRESS TO DATE IN UNDERSTANDING THE ROLES OF NRSF IN THE PATHOPHYSIOLOGICAL PROCESSES OF THE NERVOUS SYSTEM, SUCH AS NEUROGENESIS, BRAIN DISORDERS, NEURAL TUMORIGENESIS, AND NEUROPATHIC PAIN; AND SUGGESTED NEW THERAPEUTIC APPROACHES TO SUCH BRAIN DISEASES. 2022 7 5354 36 RE1-SILENCING TRANSCRIPTION FACTOR CONTROLS THE ACUTE-TO-CHRONIC NEUROPATHIC PAIN TRANSITION AND CHRM2 RECEPTOR GENE EXPRESSION IN PRIMARY SENSORY NEURONS. NEUROPATHIC PAIN IS ASSOCIATED WITH PERSISTENT CHANGES IN GENE EXPRESSION IN PRIMARY SENSORY NEURONS, BUT THE UNDERLYING EPIGENETIC MECHANISMS THAT CAUSE THESE CHANGES REMAIN UNCLEAR. THE MUSCARINIC CHOLINERGIC RECEPTORS (MACHRS), PARTICULARLY THE M2 SUBTYPE (ENCODED BY THE CHOLINERGIC RECEPTOR MUSCARINIC 2 (CHRM2) GENE), ARE CRITICALLY INVOLVED IN THE REGULATION OF SPINAL NOCICEPTIVE TRANSMISSION. HOWEVER, LITTLE IS KNOWN ABOUT HOW CHRM2 EXPRESSION IS TRANSCRIPTIONALLY REGULATED. HERE WE SHOW THAT NERVE INJURY PERSISTENTLY INCREASED THE EXPRESSION OF RE1-SILENCING TRANSCRIPTION FACTOR (REST, ALSO KNOWN AS NEURON-RESTRICTIVE SILENCING FACTOR [NRSF]), A GENE-SILENCING TRANSCRIPTION FACTOR, IN THE DORSAL ROOT GANGLION (DRG). REMARKABLY, NERVE INJURY-INDUCED CHRONIC BUT NOT ACUTE PAIN HYPERSENSITIVITY WAS ATTENUATED IN MICE WITH REST KNOCKOUT IN DRG NEURONS. ALSO, SIRNA-MEDIATED REST KNOCKDOWN REVERSED NERVE INJURY-INDUCED CHRONIC PAIN HYPERSENSITIVITY IN RATS. NERVE INJURY PERSISTENTLY REDUCED CHRM2 EXPRESSION IN THE DRG AND DIMINISHED THE ANALGESIC EFFECT OF MUSCARINE. THE RE1 BINDING SITE ON THE CHRM2 PROMOTER IS REQUIRED FOR REST-MEDIATED CHRM2 REPRESSION, AND NERVE INJURY INCREASED THE ENRICHMENT OF REST IN THE CHRM2 PROMOTER IN THE DRG. FURTHERMORE, REST KNOCKDOWN OR GENETIC ABLATION IN DRG NEURONS NORMALIZED CHRM2 EXPRESSION AND AUGMENTED MUSCARINE'S ANALGESIC EFFECT ON NEUROPATHIC PAIN AND FULLY REVERSED THE NERVE INJURY-INDUCED REDUCTION IN THE INHIBITORY EFFECT OF MUSCARINE ON GLUTAMATERGIC INPUT TO SPINAL DORSAL HORN NEURONS. OUR FINDINGS INDICATE THAT NERVE INJURY-INDUCED REST UP-REGULATION IN DRG NEURONS PLAYS AN IMPORTANT ROLE IN THE ACUTE-TO-CHRONIC PAIN TRANSITION AND IS ESSENTIAL FOR THE TRANSCRIPTIONAL REPRESSION OF CHRM2 IN NEUROPATHIC PAIN. 2018 8 4160 37 MECP2 EPIGENETIC SILENCING OF OPRM1 GENE IN PRIMARY SENSORY NEURONS UNDER NEUROPATHIC PAIN CONDITIONS. OPIOIDS ARE THE LAST OPTION FOR THE PHARMACOLOGICAL TREATMENT OF NEUROPATHIC PAIN, BUT THEIR ANTINOCICEPTIVE EFFECTS ARE LIMITED. DECREASED MU OPIOID RECEPTOR (MOR) EXPRESSION IN THE PERIPHERAL NERVOUS SYSTEM MAY CONTRIBUTE TO THIS. HERE, WE SHOWED THAT NERVE INJURY INDUCED HYPERMETHYLATION OF THE OPRM1 GENE PROMOTER AND AN INCREASED EXPRESSION OF METHYL-CPG BINDING PROTEIN 2 (MECP2) IN INJURED DORSAL ROOT GANGLION (DRG). THE DOWNREGULATION OF MOR IN THE DRG IS CLOSELY RELATED TO THE AUGMENTATION OF MECP2, AN EPIGENETIC REPRESSOR, WHICH COULD RECRUIT HDAC1 AND BIND TO THE METHYLATED REGIONS OF THE OPRM1 GENE PROMOTER. MECP2 KNOCKDOWN RESTORED THE EXPRESSION OF MOR IN INJURED DRG AND ENHANCED THE ANALGESIC EFFECT OF MORPHINE, WHILE THE MIMICKING OF THIS INCREASE VIA THE INTRATHECAL INFUSION OF VIRAL VECTOR-MEDIATED MECP2 WAS SUFFICIENT TO REDUCE MOR IN THE DRG. MOREOVER, HDAC1 INHIBITION WITH SUBEROYLANILIDE HYDROXAMIC ACID, AN HDAC INHIBITOR, ALSO PREVENTED MOR REDUCTION IN THE DRG OF NEUROPATHIC PAIN MICE, CONTRIBUTING TO THE AUGMENTATION OF MORPHINE ANALGESIA EFFECTS. MECHANISTICALLY, UPREGULATED MECP2 PROMOTES THE BINDING OF A HIGH LEVEL OF HDCA1 TO HYPERMETHYLATED REGIONS OF THE OPRM1 GENE PROMOTER, REDUCES THE ACETYLATION OF HISTONE H3 (ACH3) LEVELS OF THE OPRM1 GENE PROMOTER, AND ATTENUATES OPRM1 TRANSCRIPTION IN INJURED DRG. THUS, UPREGULATED MECP2 AND HDAC1 IN OPRM1 GENE PROMOTER SITES, NEGATIVELY REGULATES MOR EXPRESSION IN INJURED DRG, MITIGATING THE ANALGESIC EFFECT OF THE OPIOIDS. TARGETING MECP2/HDAC1 MAY THUS PROVIDE A NEW SOLUTION FOR IMPROVING THE THERAPEUTIC EFFECT OF OPIOIDS IN A CLINICAL SETTING. 2021 9 2785 26 EZH2 REGULATES SPINAL NEUROINFLAMMATION IN RATS WITH NEUROPATHIC PAIN. ALTERATION IN GENE EXPRESSION ALONG THE PAIN SIGNALING PATHWAY IS A KEY MECHANISM CONTRIBUTING TO THE GENESIS OF NEUROPATHIC PAIN. ACCUMULATING STUDIES HAVE SHOWN THAT EPIGENETIC REGULATION PLAYS A CRUCIAL ROLE IN NOCICEPTIVE PROCESS IN THE SPINAL DORSAL HORN. IN THIS PRESENT STUDY, WE INVESTIGATED THE ROLE OF ENHANCER OF ZESTE HOMOLOG-2 (EZH2), A SUBUNIT OF THE POLYCOMB REPRESSIVE COMPLEX 2, IN THE SPINAL DORSAL HORN IN THE GENESIS OF NEUROPATHIC PAIN IN RATS INDUCED BY PARTIAL SCIATIC NERVE LIGATION. EZH2 IS A HISTONE METHYLTRANSFERASE, WHICH CATALYZES THE METHYLATION OF HISTONE H3 ON K27 (H3K27), RESULTING IN GENE SILENCING. WE FOUND THAT LEVELS OF EZH2 AND TRI-METHYLATED H3K27 (H3K27TM) IN THE SPINAL DORSAL HORN WERE INCREASED IN RATS WITH NEUROPATHIC PAIN ON DAY 3 AND DAY 10 POST NERVE INJURIES. EZH2 WAS PREDOMINANTLY EXPRESSED IN NEURONS IN THE SPINAL DORSAL HORN UNDER NORMAL CONDITIONS. THE NUMBER OF NEURONS WITH EZH2 EXPRESSION WAS INCREASED AFTER NERVE INJURY. MORE STRIKINGLY, NERVE INJURY DRASTICALLY INCREASED THE NUMBER OF MICROGLIA WITH EZH2 EXPRESSION BY MORE THAN SEVENFOLD. INTRATHECAL INJECTION OF THE EZH2 INHIBITOR ATTENUATED THE DEVELOPMENT AND MAINTENANCE OF MECHANICAL AND THERMAL HYPERALGESIA IN RATS WITH NERVE INJURY. SUCH ANALGESIC EFFECTS WERE CONCURRENTLY ASSOCIATED WITH THE REDUCED LEVELS OF EZH2, H3K27TM, IBA1, GFAP, TNF-ALPHA, IL-1BETA, AND MCP-1 IN THE SPINAL DORSAL HORN IN RATS WITH NERVE INJURY. OUR RESULTS HIGHLY SUGGEST THAT TARGETING THE EZH2 SIGNALING PATHWAY COULD BE AN EFFECTIVE APPROACH FOR THE MANAGEMENT OF NEUROPATHIC PAIN. 2017 10 710 32 C-TERMINAL DOMAIN SMALL PHOSPHATASE 1 (CTDSP1) REGULATES GROWTH FACTOR EXPRESSION AND AXONAL REGENERATION IN PERIPHERAL NERVE TISSUE. PERIPHERAL NERVE INJURY (PNI) REPRESENTS A MAJOR CLINICAL AND ECONOMIC BURDEN. DESPITE THE ABILITY OF PERIPHERAL NEURONS TO REGENERATE THEIR AXONS AFTER AN INJURY, PATIENTS ARE OFTEN LEFT WITH MOTOR AND/OR SENSORY DISABILITY AND MAY DEVELOP CHRONIC PAIN. SUCCESSFUL REGENERATION AND TARGET ORGAN REINNERVATION REQUIRE COMPREHENSIVE TRANSCRIPTIONAL CHANGES IN BOTH INJURED NEURONS AND SUPPORT CELLS LOCATED AT THE SITE OF INJURY. THE EXPRESSION OF MOST OF THE GENES REQUIRED FOR AXON GROWTH AND GUIDANCE AND FOR SYNAPSIS FORMATION IS REPRESSED BY A SINGLE MASTER TRANSCRIPTIONAL REGULATOR, THE REPRESSOR ELEMENT 1 SILENCING TRANSCRIPTION FACTOR (REST). SUSTAINED INCREASE OF REST LEVELS AFTER INJURY INHIBITS AXON REGENERATION AND LEADS TO CHRONIC PAIN. AS TARGETING OF TRANSCRIPTION FACTORS IS CHALLENGING, WE TESTED WHETHER MODULATION OF REST ACTIVITY COULD BE ACHIEVED THROUGH KNOCKDOWN OF CARBOXY-TERMINAL DOMAIN SMALL PHOSPHATASE 1 (CTDSP1), THE ENZYME THAT STABILIZES REST BY PREVENTING ITS TARGETING TO THE PROTEASOME. TO TEST WHETHER KNOCKDOWN OF CTDSP1 PROMOTES NEUROTROPHIC FACTOR EXPRESSION IN BOTH SUPPORT CELLS LOCATED AT THE SITE OF INJURY AND IN PERIPHERAL NEURONS, WE TRANSFECTED MESENCHYMAL PROGENITOR CELLS (MPCS), A TYPE OF SUPPORT CELLS THAT ARE PRESENT AT HIGH CONCENTRATIONS AT THE SITE OF INJURY, AND DORSAL ROOT GANGLION (DRG) NEURONS WITH REST OR CTDSP1 SPECIFIC SIRNA. WE QUANTIFIED NEUROTROPHIC FACTOR EXPRESSION BY RT-QPCR AND WESTERN BLOT, AND BRAIN-DERIVED NEUROTROPHIC FACTOR (BDNF) RELEASE IN THE CELL CULTURE MEDIUM BY ELISA, AND WE MEASURED NEURITE OUTGROWTH OF DRG NEURONS IN CULTURE. OUR RESULTS SHOW THAT CTDSP1 KNOCKDOWN PROMOTES NEUROTROPHIC FACTOR EXPRESSION IN BOTH DRG NEURONS AND THE SUPPORT CELLS MPCS, AND PROMOTES DRG NEURON REGENERATION. THERAPEUTICS TARGETING CTDSP1 ACTIVITY MAY, THEREFORE, REPRESENT A NOVEL EPIGENETIC STRATEGY TO PROMOTE PERIPHERAL NERVE REGENERATION AFTER PNI BY PROMOTING THE REGENERATIVE PROGRAM REPRESSED BY INJURY-INDUCED INCREASED LEVELS OF REST IN BOTH NEURONS AND SUPPORT CELLS. 2021 11 657 25 BLOCKING THE SPINAL FBXO3/CARM1/K(+) CHANNEL EPIGENETIC SILENCING PATHWAY AS A STRATEGY FOR NEUROPATHIC PAIN RELIEF. MANY EPIGENETIC REGULATORS ARE INVOLVED IN PAIN-ASSOCIATED SPINAL PLASTICITY. COACTIVATOR-ASSOCIATED ARGININE METHYLTRANSFERASE 1 (CARM1), AN EPIGENETIC REGULATOR OF HISTONE ARGININE METHYLATION, IS A HIGHLY INTERESTING TARGET IN NEUROPLASTICITY. HOWEVER, ITS POTENTIAL CONTRIBUTION TO SPINAL PLASTICITY-ASSOCIATED NEUROPATHIC PAIN DEVELOPMENT REMAINS POORLY EXPLORED. HERE, WE REPORT THAT NERVE INJURY DECREASED THE EXPRESSION OF SPINAL CARM1 AND INDUCED ALLODYNIA. MOREOVER, DECREASING SPINAL CARM1 EXPRESSION BY FBXO3-MEDIATED CARM1 UBIQUITINATION PROMOTED H3R17ME2 DECREMENT AT THE K(+) CHANNEL PROMOTER, THEREBY CAUSING K(+) CHANNEL EPIGENETIC SILENCING AND THE DEVELOPMENT OF NEUROPATHIC PAIN. REMARKABLY, IN NAIVE RATS, DECREASING SPINAL CARM1 USING CARM1 SIRNA OR A CARM1 INHIBITOR RESULTED IN SIMILAR EPIGENETIC SIGNALING AND ALLODYNIA. FURTHERMORE, INTRATHECAL ADMINISTRATION OF BC-1215 (A NOVEL FBXO3 INHIBITOR) PREVENTED CARM1 UBIQUITINATION TO BLOCK K(+) CHANNEL GENE SILENCING AND AMELIORATE ALLODYNIA AFTER NERVE INJURY. COLLECTIVELY, THE RESULTS REVEAL THAT THIS NEWLY IDENTIFIED SPINAL FBXO3-CARM1-K(+) CHANNEL GENE FUNCTIONAL AXIS PROMOTES NEUROPATHIC PAIN. THESE FINDINGS PROVIDE ESSENTIAL INSIGHTS THAT WILL AID IN THE DEVELOPMENT OF MORE EFFICIENT AND SPECIFIC THERAPIES AGAINST NEUROPATHIC PAIN. 2021 12 5708 26 SIRT1 ATTENUATES NEUROPATHIC PAIN BY EPIGENETIC REGULATION OF MGLUR1/5 EXPRESSIONS IN TYPE 2 DIABETIC RATS. ACCUMULATING EVIDENCE HAS DEMONSTRATED THAT EPIGENETIC MODIFICATION-MEDIATED CHANGES IN PAIN-RELATED GENE EXPRESSIONS PLAY AN IMPORTANT ROLE IN THE DEVELOPMENT AND MAINTENANCE OF NEUROPATHIC PAIN. SIRTUIN 1 (SIRT1), A NICOTINAMIDE ADENINE DINUCLEOTIDE (NAD)-DEPENDENT DEACETYLASE, IS INVOLVED IN THE DEVELOPMENT OF CHRONIC PAIN. MOREOVER, SIRT1 MAY BE A NOVEL THERAPEUTIC TARGET FOR THE PREVENTION OF TYPE 2 DIABETES MELLITUS (T2DM). BUT THE ROLE OF SIRT1 IN T2DM-INDUCED NEUROPATHIC PAIN REMAINS UNKNOWN. IN THIS STUDY, WE FOUND THAT SPINAL SIRT1 EXPRESSION AND ACTIVITY WERE DOWNREGULATED SIGNIFICANTLY IN HIGH-FAT-FED/LOW-DOSE STREPTOZOTOCIN-INDUCED NEUROPATHIC PAIN RATS. SIRT1 LOCALIZED IN SPINAL NEURONS BUT NOT IN ASTROCYTES OR MICROGLIA. FURTHERMORE, THE EXPRESSIONS OF METABOTROPIC GLUTAMATE RECEPTOR (MGLUR1) AND MGLUR5, WHICH PLAY A KEY ROLE IN CENTRAL SENSITIZATION AND NEUROPATHIC PAIN, AND H3 ACETYLATION LEVELS AT GRM1/5 (ENCODING MGLUR1/5) PROMOTER REGIONS WERE INCREASED IN DIABETIC NEUROPATHIC PAIN RATS. SIRT1 ACTIVATOR SRT1720 REVERSED THERMAL HYPERALGESIA AND MECHANICAL ALLODYNIA AND SPINAL NEURONAL ACTIVATION IN DIABETIC NEUROPATHIC PAIN RATS. CONCURRENTLY, INCREASED EXPRESSIONS OF MGLUR1/5 AND H3 ACETYLATION LEVELS AT GRM1/5 PROMOTER REGIONS WERE REVERSED BY SIRT1 ACTIVATION. IN ADDITION, KNOCKDOWN OF SIRT1 BY AD-SIRT1-SHRNA INDUCED PAIN BEHAVIORS AND SPINAL NEURONAL ACTIVATION IN NORMAL RATS, WHICH WAS ACCOMPANIED BY THE INCREASED EXPRESSIONS OF MGLUR1/5 AND H3 ACETYLATION LEVELS AT GRM1/5 PROMOTER REGIONS. THEREFORE, WE CONCLUDED THAT SIRT1-MEDIATED EPIGENETIC REGULATION OF MGLUR1/5 EXPRESSIONS WAS INVOLVED IN THE DEVELOPMENT OF NEUROPATHIC PAIN IN TYPE 2 DIABETIC RATS. 2017 13 4617 31 NERVE INJURY-INDUCED CHRONIC PAIN IS ASSOCIATED WITH PERSISTENT DNA METHYLATION REPROGRAMMING IN DORSAL ROOT GANGLION. NERVE INJURY-INDUCED HYPERACTIVITY OF PRIMARY SENSORY NEURONS IN THE DORSAL ROOT GANGLION (DRG) CONTRIBUTES TO CHRONIC PAIN DEVELOPMENT, BUT THE UNDERLYING EPIGENETIC MECHANISMS REMAIN POORLY UNDERSTOOD. HERE WE DETERMINED GENOME-WIDE CHANGES IN DNA METHYLATION IN THE NERVOUS SYSTEM IN NEUROPATHIC PAIN. SPINAL NERVE LIGATION (SNL), BUT NOT PACLITAXEL TREATMENT, IN MALE SPRAGUE DAWLEY RATS INDUCED A CONSISTENT LOW-LEVEL HYPOMETHYLATION IN THE CPG SITES IN THE DRG DURING THE ACUTE AND CHRONIC PHASES OF NEUROPATHIC PAIN. DNA METHYLATION REMODELING IN THE DRG OCCURRED EARLY AFTER SNL AND PERSISTED FOR AT LEAST 3 WEEKS. SNL CAUSED DNA METHYLATION CHANGES AT 8% OF CPG SITES WITH PREVAILING HYPOMETHYLATION OUTSIDE OF CPG ISLANDS, IN INTRONS, INTERGENIC REGIONS, AND REPETITIVE SEQUENCES. IN CONTRAST, SNL CAUSED MORE GAINS OF METHYLATION IN THE SPINAL CORD AND PREFRONTAL CORTEX. THE DNA METHYLATION CHANGES IN THE INJURED DRGS RECAPITULATED DEVELOPMENTAL REPROGRAMMING AT THE NEONATAL STAGE. METHYLATION REPROGRAMMING WAS CORRELATED WITH INCREASED GENE EXPRESSION VARIABILITY. A DIET DEFICIENT IN METHYL DONORS INDUCED HYPOMETHYLATION AND PAIN HYPERSENSITIVITY. INTRATHECAL ADMINISTRATION OF THE DNA METHYLTRANSFERASE INHIBITOR RG108 CAUSED LONG-LASTING PAIN HYPERSENSITIVITY. DNA METHYLATION REPROGRAMMING IN THE DRG THUS CONTRIBUTES TO NERVE INJURY-INDUCED CHRONIC PAIN. RESTORING DNA METHYLATION MAY REPRESENT A NEW THERAPEUTIC APPROACH TO TREAT NEUROPATHIC PAIN.SIGNIFICANCE STATEMENT EPIGENETIC MECHANISMS ARE CRITICALLY INVOLVED IN THE TRANSITION FROM ACUTE TO CHRONIC PAIN AFTER NERVE INJURY. HOWEVER, GENOME-WIDE CHANGES IN DNA METHYLATION IN THE NERVOUS SYSTEM AND THEIR ROLES IN NEUROPATHIC PAIN DEVELOPMENT REMAIN UNCLEAR. HERE WE USED DIGITAL RESTRICTION ENZYME ANALYSIS OF METHYLATION TO QUANTITATIVELY DETERMINE GENOME-WIDE DNA METHYLATION CHANGES CAUSED BY NERVE INJURY. WE SHOWED THAT NERVE INJURY CAUSED DNA METHYLATION CHANGES AT 8% OF CPG SITES WITH PREVAILING HYPOMETHYLATION OUTSIDE OF CPG ISLANDS IN THE DORSAL ROOT GANGLION. REDUCING DNA METHYLATION INDUCED PAIN HYPERSENSITIVITY, WHEREAS INCREASING DNA METHYLATION ATTENUATED NEUROPATHIC PAIN. THESE FINDINGS EXTEND OUR UNDERSTANDING OF THE EPIGENETIC MECHANISM OF CHRONIC NEUROPATHIC PAIN AND SUGGEST NEW STRATEGIES TO TREAT NERVE INJURY-INDUCED CHRONIC PAIN. 2018 14 1167 30 CONTRIBUTION OF DORSAL ROOT GANGLION OCTAMER TRANSCRIPTION FACTOR 1 TO NEUROPATHIC PAIN AFTER PERIPHERAL NERVE INJURY. NEUROPATHIC PAIN GENESIS IS RELATED TO GENE ALTERATIONS IN THE DORSAL ROOT GANGLION (DRG) AFTER PERIPHERAL NERVE INJURY. TRANSCRIPTION FACTORS CONTROL GENE EXPRESSION. IN THIS STUDY, WE INVESTIGATED WHETHER OCTAMER TRANSCRIPTION FACTOR 1 (OCT1), A TRANSCRIPTION FACTOR, CONTRIBUTED TO NEUROPATHIC PAIN CAUSED BY CHRONIC CONSTRICTION INJURY (CCI) OF THE SCIATIC NERVE. CHRONIC CONSTRICTION INJURY PRODUCED A TIME-DEPENDENT INCREASE IN THE LEVEL OF OCT1 PROTEIN IN THE IPSILATERAL L4/5 DRG, BUT NOT IN THE SPINAL CORD. BLOCKING THIS INCREASE THROUGH MICROINJECTION OF OCT1 SIRNA INTO THE IPSILATERAL L4/5 DRG ATTENUATED THE INITIATION AND MAINTENANCE OF CCI-INDUCED MECHANICAL ALLODYNIA, HEAT HYPERALGESIA, AND COLD ALLODYNIA AND IMPROVED MORPHINE ANALGESIA AFTER CCI, WITHOUT AFFECTING BASAL RESPONSES TO ACUTE MECHANICAL, HEAT, AND COLD STIMULI AS WELL AS LOCOMOTOR FUNCTIONS. MIMICKING THIS INCREASE THROUGH MICROINJECTION OF RECOMBINANT ADENO-ASSOCIATED VIRUS 5 HARBORING FULL-LENGTH OCT1 INTO THE UNILATERAL L4/5 DRG LED TO MARKED MECHANICAL ALLODYNIA, HEAT HYPERALGESIA, AND COLD ALLODYNIA IN NAIVE RATS. MECHANISTICALLY, OCT1 PARTICIPATED IN CCI-INDUCED INCREASES IN DNMT3A MRNA AND ITS PROTEIN AND DNMT3A-MEDIATED DECREASES IN OPRM1 AND KCNA2 MRNAS AND THEIR PROTEINS IN THE INJURED DRG. THESE FINDINGS INDICATE THAT OCT1 MAY PARTICIPATE IN NEUROPATHIC PAIN AT LEAST IN PART BY TRANSCRIPTIONALLY ACTIVATING DNMT3A AND SUBSEQUENTLY EPIGENETIC SILENCING OF OPRM1 AND KCAN2 IN THE DRG. OCT1 MAY SERVE AS A POTENTIAL TARGET FOR THERAPEUTIC TREATMENTS AGAINST NEUROPATHIC PAIN. 2019 15 2884 35 G9A IS ESSENTIAL FOR EPIGENETIC SILENCING OF K(+) CHANNEL GENES IN ACUTE-TO-CHRONIC PAIN TRANSITION. NEUROPATHIC PAIN IS A DEBILITATING CLINICAL PROBLEM AND DIFFICULT TO TREAT. NERVE INJURY CAUSES A LONG-LASTING REDUCTION IN K(+) CHANNEL EXPRESSION IN THE DORSAL ROOT GANGLION (DRG), BUT LITTLE IS KNOWN ABOUT THE EPIGENETIC MECHANISMS INVOLVED. WE FOUND THAT NERVE INJURY INCREASED DIMETHYLATION OF LYS9 ON HISTONE H3 (H3K9ME2) AT KCNA4, KCND2, KCNQ2 AND KCNMA1 PROMOTERS BUT DID NOT AFFECT LEVELS OF DNA METHYLATION ON THESE GENES IN DRGS. NERVE INJURY INCREASED ACTIVITY OF EUCHROMATIC HISTONE-LYSINE N-METHYLTRANSFERASE-2 (G9A), HISTONE DEACETYLASES AND ENHANCER OF ZESTE HOMOLOG-2 (EZH2), BUT ONLY G9A INHIBITION CONSISTENTLY RESTORED K(+) CHANNEL EXPRESSION. SELECTIVE KNOCKOUT OF THE GENE ENCODING G9A IN DRG NEURONS COMPLETELY BLOCKED K(+) CHANNEL SILENCING AND CHRONIC PAIN DEVELOPMENT AFTER NERVE INJURY. REMARKABLY, RNA SEQUENCING ANALYSIS REVEALED THAT G9A INHIBITION NOT ONLY REACTIVATED 40 OF 42 SILENCED GENES ASSOCIATED WITH K(+) CHANNELS BUT ALSO NORMALIZED 638 GENES DOWN- OR UPREGULATED BY NERVE INJURY. THUS G9A HAS A DOMINANT FUNCTION IN TRANSCRIPTIONAL REPRESSION OF K(+) CHANNELS AND IN ACUTE-TO-CHRONIC PAIN TRANSITION AFTER NERVE INJURY. 2015 16 3194 26 HDAC INHIBITORS ATTENUATE THE DEVELOPMENT OF HYPERSENSITIVITY IN MODELS OF NEUROPATHIC PAIN. HISTONE DEACETYLASE INHIBITORS (HDACIS) INTERFERE WITH THE EPIGENETIC PROCESS OF HISTONE ACETYLATION AND ARE KNOWN TO HAVE ANALGESIC PROPERTIES IN MODELS OF CHRONIC INFLAMMATORY PAIN. THE AIM OF THIS STUDY WAS TO DETERMINE WHETHER THESE COMPOUNDS COULD ALSO AFFECT NEUROPATHIC PAIN. DIFFERENT CLASS I HDACIS WERE DELIVERED INTRATHECALLY INTO RAT SPINAL CORD IN MODELS OF TRAUMATIC NERVE INJURY AND ANTIRETROVIRAL DRUG-INDUCED PERIPHERAL NEUROPATHY (STAVUDINE, D4T). MECHANICAL AND THERMAL HYPERSENSITIVITY WAS ATTENUATED BY 40% TO 50% AS A RESULT OF HDACI TREATMENT, BUT ONLY IF STARTED BEFORE ANY INSULT. THE DRUGS GLOBALLY INCREASED HISTONE ACETYLATION IN THE SPINAL CORD, BUT APPEARED TO HAVE NO MEASURABLE EFFECTS IN RELEVANT DORSAL ROOT GANGLIA IN THIS TREATMENT PARADIGM, SUGGESTING THAT ANY POTENTIAL MECHANISM SHOULD BE SOUGHT IN THE CENTRAL NERVOUS SYSTEM. MICROARRAY ANALYSIS OF DORSAL CORD RNA REVEALED THE SIGNATURE OF THE SPECIFIC COMPOUND USED (MS-275) AND SUGGESTED THAT ITS MAIN EFFECT WAS MEDIATED THROUGH HDAC1. TAKEN TOGETHER, THESE DATA SUPPORT A ROLE FOR HISTONE ACETYLATION IN THE EMERGENCE OF NEUROPATHIC PAIN. 2013 17 4614 27 NERVE EXCITABILITY AND NEUROPATHIC PAIN IS REDUCED BY BET PROTEIN INHIBITION AFTER SPARED NERVE INJURY. NEUROPATHIC PAIN IS A COMMON DISABILITY PRODUCED BY ENHANCED NEURONAL EXCITABILITY AFTER NERVOUS SYSTEM INJURY. THE PATHOPHYSIOLOGICAL CHANGES THAT UNDERLIE THE GENERATION AND MAINTENANCE OF NEUROPATHIC PAIN REQUIRE MODIFICATIONS OF TRANSCRIPTIONAL PROGRAMS. IN PARTICULAR, THERE IS AN INDUCTION OF PRO-INFLAMMATORY NEUROMODULATORS LEVELS, AND CHANGES IN THE EXPRESSION OF ION CHANNELS AND OTHER FACTORS INTERVENING IN THE DETERMINATION OF THE MEMBRANE POTENTIAL IN NEURONAL CELLS. WE HAVE PREVIOUSLY FOUND THAT INHIBITION OF THE BET PROTEINS EPIGENETIC READERS REDUCED NEUROINFLAMMATION AFTER SPINAL CORD INJURY. WITHIN THE PRESENT STUDY WE AIMED TO DETERMINE IF BET PROTEIN INHIBITION MAY ALSO AFFECT NEUROINFLAMMATION AFTER A PERIPHERAL NERVE INJURY, AND IF THIS WOULD BENEFICIALLY ALTER NEURONAL EXCITABILITY AND NEUROPATHIC PAIN. FOR THIS PURPOSE, C57BL/6 FEMALE MICE UNDERWENT SPARED NERVE INJURY (SNI), AND WERE TREATED WITH THE BET INHIBITOR JQ1, OR VEHICLE. ELECTROPHYSIOLOGICAL AND ALGESIMETRY TESTS WERE PERFORMED ON THESE MICE. WE ALSO DETERMINED THE EFFECTS OF JQ1 TREATMENT AFTER INJURY ON NEUROINFLAMMATION, AND THE EXPRESSION OF NEURONAL COMPONENTS IMPORTANT FOR THE MAINTENANCE OF AXON MEMBRANE POTENTIAL. WE FOUND THAT TREATMENT WITH JQ1 AFFECTED NEURONAL EXCITABILITY AND MECHANICAL HYPERALGESIA AFTER SNI IN MICE. BET PROTEIN INHIBITION REGULATED CYTOKINE EXPRESSION AND REDUCED MICROGLIAL REACTIVITY AFTER INJURY. IN ADDITION, JQ1 TREATMENT ALTERED THE EXPRESSION OF SCN3A, SCN9A, KCNA1, KCNQ2, KCNQ3, HCN1 AND HCN2 ION CHANNELS, AS WELL AS THE EXPRESSION OF THE NA(+)/K(+) ATPASE PUMP SUBUNITS. IN CONCLUSION, BOTH, ALTERATION OF INFLAMMATION, AND NEURONAL TRANSCRIPTION, COULD BE THE RESPONSIBLE EPIGENETIC MECHANISMS FOR THE REDUCTION OF EXCITABILITY AND HYPERALGESIA OBSERVED AFTER BET INHIBITION. INHIBITION OF BET PROTEINS IS A PROMISING THERAPY FOR REDUCING NEUROPATHIC PAIN AFTER NEURAL INJURY. PERSPECTIVE: NEUROPATHIC PAIN IS A COMMON DISABILITY PRODUCED BY ENHANCED NEURONAL EXCITABILITY AFTER NERVOUS SYSTEM INJURY. THE UNDERLYING PATHOPHYSIOLOGICAL CHANGES REQUIRE MODIFICATIONS OF TRANSCRIPTIONAL PROGRAMS. THIS STUDY NOTES THAT INHIBITION OF BET PROTEINS IS A PROMISING THERAPY FOR REDUCING NEUROPATHIC PAIN AFTER NEURAL INJURY. 2021 18 2470 32 EPIGENETIC TRANSCRIPTIONAL ACTIVATION OF MONOCYTE CHEMOTACTIC PROTEIN 3 CONTRIBUTES TO LONG-LASTING NEUROPATHIC PAIN. A MULTIPLEX ANALYSIS FOR PROFILING THE EXPRESSION OF CANDIDATE GENES ALONG WITH EPIGENETIC MODIFICATION MAY LEAD TO A BETTER UNDERSTANDING OF THE COMPLEX MACHINERY OF NEUROPATHIC PAIN. IN THE PRESENT STUDY, WE FOUND THAT PARTIAL SCIATIC NERVE LIGATION MOST REMARKABLY INCREASED THE EXPRESSION OF MONOCYTE CHEMOTACTIC PROTEIN 3 (MCP-3, KNOWN AS CCL7) A TOTAL OF 33 541 GENES IN THE SPINAL CORD, WHICH LASTED FOR 4 WEEKS. THIS INCREASE IN MCP-3 GENE TRANSCRIPTION WAS ACCOMPANIED BY THE DECREASED TRIMETHYLATION OF HISTONE H3 AT LYS27 AT THE MCP-3 PROMOTER. THE INCREASED MCP-3 EXPRESSION ASSOCIATED WITH ITS EPIGENETIC MODIFICATION OBSERVED IN THE SPINAL CORD WAS ALMOST ABOLISHED IN INTERLEUKIN 6 KNOCKOUT MICE WITH PARTIAL SCIATIC NERVE LIGATION. CONSISTENT WITH THESE FINDINGS, A SINGLE INTRATHECAL INJECTION OF RECOMBINANT PROTEINS OF INTERLEUKIN 6 SIGNIFICANTLY INCREASED MCP-3 MESSENGER RNA WITH A DECREASE IN THE LEVEL OF LYS27 TRIMETHYLATION OF HISTONE H3 AT THE MCP-3 PROMOTER IN THE SPINAL CORD OF MICE. FURTHERMORE, DELETION OF THE C-C CHEMOKINE RECEPTOR TYPE 2 (CCR2) GENE, WHICH ENCODES A RECEPTOR FOR MCP-3, FAILED TO AFFECT THE ACCELERATION OF MCP-3 EXPRESSION IN THE SPINAL CORD AFTER PARTIAL SCIATIC NERVE LIGATION. A ROBUST INCREASE IN MCP-3 PROTEIN, WHICH LASTED FOR UP TO 2 WEEKS AFTER SURGERY, IN THE DORSAL HORN OF THE SPINAL CORD OF MICE WITH PARTIAL SCIATIC NERVE LIGATION WAS SEEN MOSTLY IN ASTROCYTES, BUT NOT MICROGLIA OR NEURONS. ON THE OTHER HAND, THE INCREASES IN BOTH MICROGLIA AND ASTROCYTES IN THE SPINAL CORD BY PARTIAL SCIATIC NERVE LIGATION WERE MOSTLY ABOLISHED IN INTERLEUKIN 6 KNOCKOUT MICE. MOREOVER, THIS INCREASE IN MICROGLIA WAS ALMOST ABOLISHED BY CCR2 GENE DELETION, WHEREAS THE INCREASE IN ASTROCYTES WAS NOT AFFECTED IN NERVE-LIGATED MICE THAT LACKED THE CCR2 GENE. WE ALSO FOUND THAT EITHER IN VIVO OR IN VITRO TREATMENT WITH MCP-3 CAUSED ROBUST MICROGLIA ACTIVATION. UNDER THESE CONDITIONS, INTRATHECAL ADMINISTRATION OF MCP-3 ANTIBODY SUPPRESSED THE INCREASE IN MICROGLIA WITHIN THE MOUSE SPINAL CORD AND NEUROPATHIC PAIN-LIKE BEHAVIOURS AFTER NERVE INJURY. WITH THE USE OF A FUNCTIONAL MAGNETIC RESONANCE IMAGING ANALYSIS, WE DEMONSTRATED THAT A SINGLE INTRATHECAL INJECTION OF MCP-3 INDUCED DRAMATIC INCREASES IN SIGNAL INTENSITY IN PAIN-RELATED BRAIN REGIONS. THESE FINDINGS SUGGEST THAT INCREASED MCP-3 EXPRESSION ASSOCIATED WITH INTERLEUKIN 6 DEPENDENT EPIGENETIC MODIFICATION AT THE MCP-3 PROMOTER AFTER NERVE INJURY, MOSTLY IN SPINAL ASTROCYTES, MAY SERVE TO FACILITATE ASTROCYTE-MICROGLIA INTERACTION IN THE SPINAL CORD AND COULD PLAY A CRITICAL ROLE IN THE NEUROPATHIC PAIN-LIKE STATE. 2013 19 4619 28 NERVE TRAUMA-CAUSED DOWNREGULATION OF OPIOID RECEPTORS IN PRIMARY AFFERENT NEURONS: MOLECULAR MECHANISMS AND POTENTIAL MANAGEMENTS. NEUROPATHIC PAIN IS THE MOST COMMON CLINICAL DISORDER DESTROYING THE QUALITY OF PATIENT LIFE AND LEADING TO A MARKED ECONOMIC AND SOCIAL BURDEN. OPIOIDS ARE STILL LAST OPTION FOR PHARMACOLOGICAL TREATMENT OF THIS DISORDER, BUT THEIR ANTINOCICEPTIVE EFFECTS ARE LIMITED IN PART DUE TO THE DOWNREGULATION OF OPIOID RECEPTORS IN THE PRIMARY AFFERENT NEURONS AFTER PERIPHERAL NERVE TRAUMA. HOW THIS DOWNREGULATION OCCURS IS NOT COMPLETELY UNDERSTOOD, BUT RECENT STUDIES HAVE DEMONSTRATED THAT PERIPHERAL NERVE TRAUMA DRIVES THE ALTERATIONS IN EPIGENETIC MODIFICATIONS (INCLUDING DNA METHYLATION, HISTONE METHYLATION AND MCIRORNAS), EXPRESSION OF TRANSCRIPTION FACTORS, POST-TRANSCRIPTIONAL MODIFICATIONS (E.G., RNA METHYLATION) AND PROTEIN TRANSLATION INITIATION IN THE NEURONS OF NERVE TRAUMA-RELATED DORSAL ROOT GANGLION (DRG) AND THAT THESE ALTERNATIONS MAY BE ASSOCIATED WITH NERVE TRAUMA-CAUSED DOWNREGULATION OF DRG OPIOID RECEPTORS. THIS REVIEW PRESENTS HOW OPIOID RECEPTORS ARE DOWNREGULATED IN THE DRG AFTER PERIPHERAL NERVE TRAUMA, SPECIFICALLY FOCUSING ON DISTINCT MOLECULAR MECHANISMS UNDERLYING TRANSCRIPTIONAL AND TRANSLATIONAL PROCESSES. THIS REVIEW ALSO DISCUSSES HOW THIS DOWNREGULATION CONTRIBUTES TO THE INDUCTION AND MAINTENANCE OF NEUROPATHIC PAIN. A DEEPER UNDERSTANDING OF THESE MOLECULAR MECHANISMS LIKELY PROVIDES A NOVEL AVENUE FOR PREVENTION AND/OR TREATMENT OF NEUROPATHIC PAIN. 2021 20 3141 29 GLOBAL GENE EXPRESSION AND CHROMATIN ACCESSIBILITY OF THE PERIPHERAL NERVOUS SYSTEM IN ANIMAL MODELS OF PERSISTENT PAIN. BACKGROUND: EFFORTS TO UNDERSTAND GENETIC VARIABILITY INVOLVED IN AN INDIVIDUAL'S SUSCEPTIBILITY TO CHRONIC PAIN SUPPORT A ROLE FOR UPSTREAM REGULATION BY EPIGENETIC MECHANISMS. METHODS: TO EXAMINE THE TRANSCRIPTOMIC AND EPIGENETIC BASIS OF CHRONIC PAIN THAT RESIDES IN THE PERIPHERAL NERVOUS SYSTEM, WE USED RNA-SEQ AND ATAC-SEQ OF THE RAT DORSAL ROOT GANGLION (DRG) TO IDENTIFY NOVEL MOLECULAR PATHWAYS ASSOCIATED WITH PAIN HYPERSENSITIVITY IN TWO WELL-STUDIED PERSISTENT PAIN MODELS INDUCED BY CHRONIC CONSTRICTION INJURY (CCI) OF THE SCIATIC NERVE AND INTRA-PLANTAR INJECTION OF COMPLETE FREUND'S ADJUVANT (CFA) IN RATS. RESULTS: OUR RNA-SEQ STUDIES IDENTIFY A VARIETY OF BIOLOGICAL PROCESS RELATED TO SYNAPSE ORGANIZATION, MEMBRANE POTENTIAL, TRANSMEMBRANE TRANSPORT, AND ION BINDING. INTERESTINGLY, GENES THAT ENCODE TRANSCRIPTIONAL REGULATORS WERE DISPROPORTIONATELY DOWNREGULATED IN BOTH MODELS. OUR ATAC-SEQ DATA PROVIDE A COMPREHENSIVE MAP OF CHROMATIN ACCESSIBILITY CHANGES IN THE DRG. A TOTAL OF 1123 REGIONS SHOWED CHANGES IN CHROMATIN ACCESSIBILITY IN ONE OR BOTH MODELS WHEN COMPARED TO THE NAIVE AND 31 SHARED DIFFERENTIALLY ACCESSIBLE REGIONS (DAR)S. FUNCTIONAL ANNOTATION OF THE DARS IDENTIFIED DISPARATE MOLECULAR FUNCTIONS ENRICHED FOR EACH PAIN MODEL WHICH SUGGESTS THAT CHROMATIN STRUCTURE MAY BE ALTERED DIFFERENTLY FOLLOWING SCIATIC NERVE INJURY AND HIND PAW INFLAMMATION. MOTIF ANALYSIS IDENTIFIED 17 DNA SEQUENCES KNOWN TO BIND TRANSCRIPTION FACTORS IN THE CCI DARS AND 33 IN THE CFA DARS. TWO MOTIFS WERE SIGNIFICANTLY ENRICHED IN BOTH MODELS. CONCLUSIONS: OUR IMPROVED UNDERSTANDING OF THE CHANGES IN CHROMATIN ACCESSIBILITY THAT OCCUR IN CHRONIC PAIN STATES MAY IDENTIFY REGULATORY GENOMIC ELEMENTS THAT PLAY ESSENTIAL ROLES IN MODULATING GENE EXPRESSION IN THE DRG. 2021