1 2667 125 ESTROGEN AND SEROTONIN ENHANCE STRESS-INDUCED VISCERAL HYPERSENSITIVITY IN FEMALE RATS BY UP-REGULATING BRAIN-DERIVED NEUROTROPHIC FACTOR IN SPINAL CORD. BACKGROUND: WE PREVIOUSLY REPORTED THAT FEMALE OFFSPRING OF DAMS SUBJECTED TO CHRONIC PRENATAL STRESS (CPS) DEVELOP ENHANCED VISCERAL HYPERSENSITIVITY (VHS) FOLLOWING EXPOSURE TO CHRONIC STRESS IN ADULT LIFE THAT IS MEDIATED BY UP-REGULATION OF SPINAL CORD BDNF. THE AIMS OF THIS STUDY WERE TO EXAMINE THE ROLES OF ESTROGEN RECEPTOR ALPHA (ERALPHA) AND AN INCREASE IN SPINAL SEROTONIN SIGNALING IN PROMOTING THIS ENHANCED VHS IN FEMALE RATS AND UP-REGULATION OF SPINAL CORD BDNF TRANSCRIPTION. METHODS: PREGNANT DAMS WERE EXPOSED TO CHRONIC STRESS FROM E11 UNTIL DELIVERY. AT 8 WEEKS, A CHRONIC ADULT STRESS (CAS) PROTOCOL WAS APPLIED FOR NINE DAYS. KEY RESULTS: OVARIECTOMY BEFORE CAS OR TREATMENT WITH LETROZOLE BEFORE AND DURING CAS SIGNIFICANTLY PREVENTED THE DEVELOPMENT OF ENHANCED VHS IN FEMALE CPS+CAS RATS. INTRATHECAL APPLICATION OF ERALPHA SIRNA SIGNIFICANTLY REDUCED VHS, DECREASED LUMBAR-SACRAL SPINAL CORD EXPRESSION OF BOTH ERALPHA AND BDNF, AND REVERSED PRO-TRANSCRIPTIONAL EPIGENETIC MODIFICATIONS AT BDNF PROMOTER LX. CEREBROSPINAL FLUID SEROTONIN LEVELS AND 5HT3A RECEPTOR EXPRESSION IN THE LS SPINAL CORD WERE BOTH SIGNIFICANTLY INCREASED IN FEMALE CPS+CAS RATS. DURING CAS, INTRATHECAL INFUSION OF ALOSETRON SIGNIFICANTLY DECREASED VHS, REDUCED BDNF AND ERALPHA EXPRESSION IN THE LS SPINAL CORD, AND ATTENUATED RNA POL II AND ERALPHA BINDING TO THE BNDF CORE PROMOTER IX. CONCLUSIONS & INFERENCES: SEROTONIN-MEDIATED ACTIVATION OF 5HT3A RECEPTORS IN THE SPINAL CORD DRIVES THE DEVELOPMENT OF ENHANCED FEMALE-SPECIFIC VHS IN OUR TWO HIT CPS+CAS THROUGH UP-REGULATION OF SPINAL CORD ERALPHA. 2021 2 6148 43 THE EXPRESSION OF TRANSCRIPTION FACTORS MECP2 AND CREB IS MODULATED IN INFLAMMATORY PELVIC PAIN. EARLY ACTIVATION OF TRANSCRIPTION FACTORS IS ONE OF THE EPIGENETIC MECHANISMS CONTRIBUTING TO THE INDUCTION AND MAINTENANCE OF CHRONIC PAIN STATES. PREVIOUS STUDIES IDENTIFIED THE CHANGES IN A NUMBER OF NOCICEPTION-RELATED GENES, SUCH AS CALCITONIN GENE-RELATED PEPTIDE (CGRP), SUBSTANCE P (SP), AND BRAIN-DERIVED NEUROTROPIC FACTOR (BDNF) IN THE PELVIC ORGANS AFTER TRANSIENT COLONIC INFLAMMATION. THE GENE AND PROTEIN EXPRESSION OF THESE NEUROPEPTIDES COULD BE MODULATED BY TRANSCRIPTION FACTORS METHYL-CPG-BINDING PROTEIN 2 (MECP2) AND CAMP RESPONSE ELEMENT-BINDING PROTEIN (CREB). IN THIS STUDY, WE AIMED TO EVALUATE TIME-DEPENDENT CHANGES IN THE EXPRESSION LEVELS OF MECP2 AND CREB IN THE LUMBOSACRAL (LS) SPINAL CORD AND SENSORY GANGLIA AFTER INFLAMMATION-INDUCED PELVIC PAIN IN RAT. ADULT SPRAGUE-DAWLEY RATS WERE TREATED WITH 2,4,6-TRINITROBENZENESULFONIC ACID (TNBS) TO INDUCE TRANSIENT COLONIC INFLAMMATION. LS (L6-S2) SPINAL CORD SEGMENTS AND RESPECTIVE DORSAL ROOT GANGLIAS (DRGS) WERE ISOLATED FROM CONTROL AND EXPERIMENTAL ANIMALS AT 1, 2, 6, 24 H AND 3 DAYS POST-TNBS TREATMENT. IMMUNOHISTOCHEMICAL (IHC) LABELING AND WESTERN BLOTTING EXPERIMENTS WERE PERFORMED TO ASSESS THE EXPRESSION OF MECP2, CREB AND THEIR PHOSPHORYLATED FORMS. TOTAL MECP2 EXPRESSION, BUT NOT PHOSPHORYLATED P-MECP2 (PS421MECP2) EXPRESSION WAS DETECTED IN THE CELLS OF THE SPINAL DORSAL HORN UNDER CONTROL CONDITIONS. COLONIC INFLAMMATION TRIGGERED A SIGNIFICANT DECREASE IN THE NUMBER OF MECP2-EXPRESSING NEURONS IN PARALLEL WITH ELEVATED NUMBERS OF PS421MECP2-EXPRESSING CELLS AT 2 H AND 6 H POST-TNBS. THE MAJORITY OF MECP2-POSITIVE CELLS (80 +/- 6%) CO-EXPRESSED CREB. TNBS TREATMENT CAUSED A TRANSIENT UP-REGULATION OF CREB-EXPRESSING CELLS AT 1 H POST-TNBS ONLY. THE NUMBER OF CELLS EXPRESSING PHOSPHORYLATED CREB (PS133CREB) DID NOT CHANGE AT 1 H AND 2 H POST-TNBS, BUT WAS DOWN-REGULATED BY THREE FOLDS AT 6 H POST-TNBS. ANALYSIS OF DRG SECTIONS REVEALED THAT THE NUMBER OF MECP2-POSITIVE NEURONS WAS UP-REGULATED BY TNBS TREATMENT, REACHING THREE-FOLD INCREASE AT 2 H POST-TNBS, AND EIGHT-FOLD INCREASE AT 6 H POST-TNBS (P