1 4297 125 MICRORNA-1224 SPLICING CIRCULARRNA-FILIP1L IN AN AGO2-DEPENDENT MANNER REGULATES CHRONIC INFLAMMATORY PAIN VIA TARGETING UBR5. DYSFUNCTIONS OF GENE TRANSCRIPTION AND TRANSLATION IN THE NOCICEPTIVE PATHWAYS PLAY THE CRITICAL ROLE IN DEVELOPMENT AND MAINTENANCE OF CHRONIC PAIN. CIRCULAR RNAS (CIRCRNAS) ARE EMERGING AS NEW PLAYERS IN REGULATION OF GENE EXPRESSION, BUT WHETHER AND HOW CIRCRNAS ARE INVOLVED IN CHRONIC PAIN REMAIN ELUSIVE. WE SHOWED HERE THAT COMPLETE FREUND'S ADJUVANT-INDUCED CHRONIC INFLAMMATION PAIN SIGNIFICANTLY INCREASED CIRCRNA-FILIP1L (FILAMIN A INTERACTING PROTEIN 1-LIKE) EXPRESSION IN SPINAL NEURONS OF MICE. BLOCKAGE OF THIS INCREASE ATTENUATED COMPLETE FREUND'S ADJUVANT-INDUCED NOCICEPTIVE BEHAVIORS, AND OVEREXPRESSION OF SPINAL CIRCRNA-FILIP1L IN NAIVE MICE MIMICKED THE NOCICEPTIVE BEHAVIORS AS EVIDENCED BY DECREASED THERMAL AND MECHANICAL NOCICEPTIVE THRESHOLD. FURTHERMORE, WE FOUND THAT MATURE CIRCRNA-FILIP1L EXPRESSION WAS NEGATIVELY REGULATED BY MIRNA-1224 VIA BINDING AND SPLICING OF PRECURSOR OF CIRCRNA-FILIP1L (PRE-CIRCRNA-FILIP1L) IN THE ARGONAUTE-2 (AGO2)-DEPENDENT MANNER. INCREASE OF SPINAL CIRCRNA-FILIP1L EXPRESSION RESULTED FROM THE DECREASE OF MIRNA-1224 EXPRESSION UNDER CHRONIC INFLAMMATION PAIN STATE. MIRNA-1224 KNOCKDOWN OR AGO2 OVEREXPRESSION INDUCED NOCICEPTIVE BEHAVIORS IN NAIVE MICE, WHICH WAS PREVENTED BY THE KNOCKDOWN OF SPINAL CIRCRNA-FILIP1L. FINALLY, WE DEMONSTRATED THAT A UBIQUITIN PROTEIN LIGASE E3 COMPONENT N-RECOGNIN 5 (UBR5), VALIDATED AS A TARGET OF CIRCRNA-FILIP1L, PLAYS A PIVOTAL ROLE IN REGULATION OF NOCICEPTION BY SPINAL CIRCRNA-FILIP1L. THESE DATA SUGGEST THAT MIRNA-1224-MEDIATED AND AGO2-DEPENDENT MODULATION OF SPINAL CIRCRNA-FILIP1L EXPRESSION REGULATES NOCICEPTION VIA TARGETING UBR5, REVEALING A NOVEL EPIGENETIC MECHANISM OF INTERACTION BETWEEN MIRNA AND CIRCRNA IN CHRONIC INFLAMMATION PAIN.SIGNIFICANCE STATEMENT CIRCRNAS ARE EMERGING AS NEW PLAYERS IN REGULATION OF GENE EXPRESSION. HERE, WE FOUND THAT THE INCREASE OF CIRCRNA-FILIP1L MEDIATED BY MIRNA-1224 IN AN AGO2-DEPENDENT WAY IN THE SPINAL CORD IS INVOLVED IN REGULATION OF NOCICEPTION VIA TARGETING UBR5 OUR STUDY REVEALS A NOVEL EPIGENETIC MECHANISM OF INTERACTION BETWEEN MIRNA AND CIRCRNA IN CHRONIC INFLAMMATION PAIN. 2019 2 772 29 CDYL DEFICIENCY BRAKES NEURONAL EXCITABILITY AND NOCICEPTION THROUGH PROMOTING KCNB1 TRANSCRIPTION IN PERIPHERAL SENSORY NEURONS. EPIGENETIC MODIFICATIONS ARE INVOLVED IN THE ONSET, DEVELOPMENT, AND MAINTENANCE OF PAIN; HOWEVER, THE PRECISE EPIGENETIC MECHANISM UNDERLYING PAIN REGULATION REMAINS ELUSIVE. HERE IT IS REPORTED THAT THE EPIGENETIC FACTOR CHROMODOMAIN Y-LIKE (CDYL) IS CRUCIAL FOR PAIN PROCESSING. SELECTIVE KNOCKOUT OF CDYL IN SENSORY NEURONS RESULTS IN DECREASED NEURONAL EXCITABILITY AND NOCICEPTION. MOREOVER, CDYL FACILITATES HISTONE 3 LYSINE 27 TRIMETHYLATION (H3K27ME3) DEPOSITION AT THE KCNB1 INTRON REGION THUS SILENCING VOLTAGE-GATED POTASSIUM CHANNEL (K(V) ) SUBFAMILY MEMBER K(V) 2.1 TRANSCRIPTION. LOSS FUNCTION OF CDYL ENHANCES TOTAL K(V) AND K(V) 2.1 CURRENT DENSITY IN DORSAL ROOT GANGLIA AND KNOCKDOWN OF K(V) 2.1 REVERSES THE PAIN-RELATED PHENOTYPES OF CDYL DEFICIENCY MICE. FURTHERMORE, FOCAL ADMINISTRATION OF A NOVEL POTENT CDYL ANTAGONIST BLUNTS NOCICEPTION AND ATTENUATES NEUROPATHIC PAIN. THESE FINDINGS REVEAL THAT CDYL IS A CRITICAL REGULATOR OF PAIN SENSATION AND SHED LIGHT ON THE DEVELOPMENT OF NOVEL ANALGESICS TARGETING EPIGENETIC MECHANISMS. 2022 3 2883 29 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 4 4098 36 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 5 5574 35 ROLE OF MICRORNA-143 IN NERVE INJURY-INDUCED UPREGULATION OF DNMT3A EXPRESSION IN PRIMARY SENSORY NEURONS. PERIPHERAL NERVE INJURY INCREASED THE EXPRESSION OF THE DNA METHYLTRANSFERASE 3A (DNMT3A) MRNA AND ITS ENCODING DNMT3A PROTEIN IN INJURED DORSAL ROOT GANGLIA (DRG). THIS INCREASE IS CONSIDERED AS AN ENDOGENOUS INSTIGATOR IN NEUROPATHIC PAIN GENESIS THROUGH EPIGENETIC SILENCING OF PAIN-ASSOCIATED GENES (SUCH AS OPRM1) IN INJURED DRG. HOWEVER, HOW DRG DNMT3A IS INCREASED FOLLOWING PERIPHERAL NERVE INJURY IS STILL ELUSIVE. WE REPORTED HERE THAT PERIPHERAL NERVE INJURY CAUSED BY THE FIFTH SPINAL NERVE LIGATION (SNL) DOWNREGULATED MICRORNA (MIR)-143 EXPRESSION IN INJURED DRG. THIS DOWNREGULATION WAS REQUIRED FOR SNL-INDUCED DRG DNMT3A INCREASE AS RESCUING MIR-143 DOWNREGULATION THROUGH MICROINJECTION OF MIR-143 MIMICS INTO INJURED DRG BLOCKED THE SNL-INDUCED INCREASE IN DNMT3A AND RESTORED THE SNL-INDUCED DECREASES IN OPRM1 MRNA AND ITS ENCODING MU OPIOID RECEPTOR (MOR) IN INJURED DRG, IMPAIRED SPINAL CORD CENTRAL SENSITIZATION AND NEUROPATHIC PAIN, AND IMPROVED MORPHINE ANALGESIC EFFECTS FOLLOWING SNL. MIMICKING SNL-INDUCED DRG MIR-143 DOWNREGULATION THROUGH DRG MICROINJECTION OF MIR143 INHIBITORS IN NAIVE RATS INCREASED THE EXPRESSION OF DNMT3A AND REDUCED THE EXPRESSION OF OPRM1 MRNA AND MOR IN INJECTED DRG AND PRODUCED NEUROPATHIC PAIN-LIKE SYMPTOMS. THESE FINDINGS SUGGEST THAT MIR-143 IS A NEGATIVE REGULATOR IN DNMT3A EXPRESSION IN THE DRG UNDER NEUROPATHIC PAIN CONDITIONS AND MAY BE A POTENTIAL TARGET FOR THERAPEUTIC MANAGEMENT OF NEUROPATHIC PAIN. 2017 6 657 33 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 7 4637 30 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 8 5535 36 ROLE OF BRD4 PHOSPHORYLATION IN THE NUCLEUS ACCUMBENS IN RELAPSE TO COCAINE-SEEKING BEHAVIOR IN MICE. COCAINE ADDICTION IS A CHRONIC RELAPSING BRAIN DISORDER CHARACTERIZED BY COMPULSIVE DRUG SEEKING. PRELIMINARY STUDY SUGGESTED THAT BROMODOMAIN-CONTAINING PROTEIN 4 (BRD4), AN EPIGENETIC READER PROTEIN, PARTICIPATES IN COCAINE-INDUCED REWARD AND NEUROPLASTICITY. HOWEVER, THE EXACT ROLE OF BRD4 IN COCAINE ADDICTION, PARTICULARLY COCAINE RELAPSE, REMAINS ELUSIVE. IN THIS STUDY, WE FOUND THAT BRD4 PHOSPHORYLATION IN THE NUCLEUS ACCUMBENS (NAC) WAS CLOSELY RELATED TO THE MAINTENANCE OF COCAINE REINFORCEMENT AND RELAPSE IN DIFFERENT COCAINE EXPOSURE PARADIGMS. COCAINE SIGNIFICANTLY INCREASED THE BINDING OF PHOSPHORYLATED BRD4 (PBRD4) AT THE PROMOTER OF GRIA2 AND BDNF GENES IN THE NAC. (+)JQ1, A SELECTIVE BRD4 INHIBITOR, MARKEDLY REDUCED THE REINFORCEMENT AND REINSTATEMENT OF COCAINE-SEEKING BEHAVIORS, WHICH WAS ACCOMPANIED BY THE DECREASED EXPRESSIONS OF GRIA2 AND BDNF. FURTHERMORE, CHROMATIN IMMUNOPRECIPITATION ASSAY SHOWED THAT (+)JQ1 CLEARLY ATTENUATED COCAINE-ENHANCED BINDING OF PBRD4 AT THE PROMOTOR OF GRIA2 AND BDNF GENES. BLOCKADE OF CASEIN KINASE II SIGNIFICANTLY ATTENUATED BRD4 PHOSPHORYLATION AND COCAINE RELAPSE-LIKE BEHAVIORS, SUGGESTING THE IMPORTANT ROLE OF PBRD4 IN MODULATING COCAINE EFFECT. TOGETHER, OUR FINDINGS SUGGEST THAT BRD4 PHOSPHORYLATION IN THE NAC MODULATES MULTIPLE ADDICTION-RELATED BEHAVIORS OF COCAINE AND PARTICULARLY RELAPSE TO COCAINE-SEEKING BEHAVIORS. INHIBITION OF BRD4 ACTIVITY MAY BE A NOVEL TARGET AGAINST COCAINE ADDICTION AND RELAPSE. 2020 9 532 29 ASTROCYTIC C-JUN N-TERMINAL KINASE-HISTONE DEACETYLASE-2 CASCADE CONTRIBUTES TO GLUTAMATE TRANSPORTER-1 DECREASE AND MECHANICAL ALLODYNIA FOLLOWING PERIPHERAL NERVE INJURY IN RATS. DECREASE OF GLUTAMATE TRANSPORTER-1 (GLT-1) IN THE SPINAL DORSAL HORN AFTER NERVE INJURY INDUCES ENHANCED EXCITATORY TRANSMISSION AND CAUSES PERSISTENT PAIN. HISTONE DEACETYLASES (HDACS)-CATALYZED DEACETYLATION MIGHT CONTRIBUTE TO THE DECREASE OF GLT-1, WHILE THE DETAILED MECHANISMS HAVE YET TO BE FULLY ELABORATED. SPINAL NERVE LIGATION (SNL) INDUCED SIGNIFICANT INCREASES OF HDAC2 AND DECREASES OF GLT-1 IN SPINAL ASTROCYTES. INTRATHECAL INFUSION OF THE HDAC2 INHIBITORS ATTENUATED THE DECREASE OF GLT-1 AND ENHANCED PHOSPHORYLATION OF GLUTAMATE RECEPTORS. GLT-1 AND PHOSPHORYLATED C-JUN N-TERMINAL KINASE (JNK) WERE HIGHLY COLOCALIZED IN THE SPINAL CORD, AND A LARGE NUMBER OF PJNK POSITIVE CELLS WERE HDAC2 POSITIVE. INTRATHECALLY INFUSION OF THE JNK INHIBITOR SP600125 SIGNIFICANTLY INHIBITED SNL-INDUCED UPREGULATION OF HDAC2. SNL-INDUCED HDAC2 UP-REGULATION COULD BE INHIBITED BY THE NEUTRALIZING ANTI-TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA) BINDING PROTEIN ETANERCEPT OR THE MICROGLIAL INHIBITOR MINOCYCLINE. IN CULTURED ASTROCYTES, TNF-ALPHA INDUCED ENHANCED PHOSPHORYLATION OF JNK AND A SIGNIFICANT INCREASE OF HDAC2, AS WELL AS A REMARKABLE DECREASE OF GLT-1, WHICH COULD BE PREVENTED BY SP600125 OR THE HDAC2 SPECIFIC INHIBITOR CAY10683. OUR DATA SUGGEST THAT ASTROCYTIC JNK-HDAC2 CASCADE CONTRIBUTES TO GLT-1 DECREASE AND MECHANICAL ALLODYNIA FOLLOWING PERIPHERAL NERVE INJURY. NEUROIMMUNE ACTIVATION AFTER PERIPHERAL NERVE INJURY COULD INDUCE EPIGENETIC MODIFICATION CHANGES IN ASTROCYTES AND CONTRIBUTE TO CHRONIC PAIN MAINTENANCE. 2021 10 4861 33 ORGANIC ANION TRANSPORTER 1 IS AN HDAC4-REGULATED MEDIATOR OF NOCICEPTIVE HYPERSENSITIVITY IN MICE. PERSISTENT PAIN IS SUSTAINED BY MALADAPTIVE CHANGES IN GENE TRANSCRIPTION RESULTING IN ALTERED FUNCTION OF THE RELEVANT CIRCUITS; THERAPIES ARE STILL UNSATISFACTORY. THE EPIGENETIC MECHANISMS AND AFFECTED GENES LINKING NOCICEPTIVE ACTIVITY TO TRANSCRIPTIONAL CHANGES AND PATHOLOGICAL SENSITIVITY ARE UNCLEAR. HERE, WE FOUND THAT, AMONG SEVERAL HISTONE DEACETYLASES (HDACS), SYNAPTIC ACTIVITY SPECIFICALLY AFFECTS HDAC4 IN MURINE SPINAL CORD DORSAL HORN NEURONS. NOXIOUS STIMULI THAT INDUCE LONG-LASTING INFLAMMATORY HYPERSENSITIVITY CAUSE NUCLEAR EXPORT AND INACTIVATION OF HDAC4. THE DEVELOPMENT OF INFLAMMATION-ASSOCIATED MECHANICAL HYPERSENSITIVITY, BUT NEITHER ACUTE NOR BASAL SENSITIVITY, IS IMPAIRED BY THE EXPRESSION OF A CONSTITUTIVELY NUCLEAR LOCALIZED HDAC4 MUTANT. NEXT GENERATION RNA-SEQUENCING REVEALED AN HDAC4-REGULATED GENE PROGRAM COMPRISING MEDIATORS OF SENSITIZATION INCLUDING THE ORGANIC ANION TRANSPORTER OAT1, KNOWN FOR ITS RENAL TRANSPORT FUNCTION. USING PHARMACOLOGICAL AND MOLECULAR TOOLS TO MODULATE OAT1 ACTIVITY OR EXPRESSION, WE CAUSALLY LINK OAT1 TO PERSISTENT INFLAMMATORY HYPERSENSITIVITY IN MICE. THUS, HDAC4 IS A KEY EPIGENETIC REGULATOR THAT TRANSLATES NOCICEPTIVE ACTIVITY INTO SENSITIZATION BY REGULATING OAT1, WHICH IS A POTENTIAL TARGET FOR PAIN-RELIEVING THERAPIES. 2022 11 4713 25 NON-CODING RNA AND N6-METHYLADENOSINE MODIFICATION PLAY CRUCIAL ROLES IN NEUROPATHIC PAIN. AFTER PERIPHERAL NERVE INJURY, PAIN SIGNALS ARE TRANSMITTED FROM PRIMARY SENSORY NEURONS IN THE DORSAL ROOT GANGLION (DRG) TO THE CENTRAL NERVOUS SYSTEM. EPIGENETIC MODIFICATION AFFECTS NEUROPATHIC PAIN THROUGH ALTERATIONS IN THE GENE EXPRESSION IN PAIN-RELATED AREAS AND GLIAL CELL ACTIVATION. RECENT STUDIES HAVE SHOWN THAT NON-CODING RNA AND N6-METHYLADENOSINE (M6A) METHYLATION MODIFICATION PLAY PIVOTAL REGULATORY ROLES IN THE OCCURRENCE AND MAINTENANCE OF NEUROPATHIC PAIN. DYSREGULATION OF THE RNA M6A LEVEL VIA DYNAMIC CHANGES IN METHYLTRANSFERASE AND DEMETHYLASE AFTER CENTRAL OR PERIPHERAL NERVE INJURY COMMONLY REGULATES PAIN-ASSOCIATED GENES, CONTRIBUTING TO THE INDUCTION AND MAINTENANCE OF NEUROPATHIC PAIN. THE DYNAMIC PROCESS HAS SIGNIFICANT IMPLICATIONS FOR THE DEVELOPMENT AND MAINTENANCE OF NEUROPATHIC PAIN. HOWEVER, THE UNDERLYING MECHANISMS BY WHICH NON-CODING RNA AND M6A RNA MODIFICATION REGULATE NEUROPATHIC PAIN ARE NOT WELL-CHARACTERIZED. THIS ARTICLE ELUCIDATES THE MULTIPLE MECHANISMS OF NON-CODING RNA AND M6A METHYLATION IN THE CONTEXT OF NEUROPATHIC PAIN, AND SUMMARIZES ITS POTENTIAL FUNCTIONS AS WELL AS RECENT ADVANCES. 2022 12 2783 32 EZH2 METHYLTRANSFERASE REGULATES NEUROINFLAMMATION AND NEUROPATHIC PAIN. RECENT STUDIES BY US AND OTHERS HAVE SHOWN THAT ENHANCER OF ZESTE HOMOLOG-2 (EZH2), A HISTONE METHYLTRANSFERASE, IN GLIAL CELLS REGULATES THE GENESIS OF NEUROPATHIC PAIN BY MODULATING THE PRODUCTION OF PROINFLAMMATORY CYTOKINES AND CHEMOKINES. IN THIS REVIEW, WE SUMMARIZE RECENT ADVANCES IN THIS RESEARCH AREA. EZH2 IS A SUBUNIT OF POLYCOMB REPRESSIVE COMPLEX 2 (PRC2), WHICH PRIMARILY SERVES AS A HISTONE METHYLTRANSFERASE TO CATALYZE METHYLATION OF HISTONE 3 ON LYSINE 27 (H3K27), ULTIMATELY RESULTING IN TRANSCRIPTIONAL REPRESSION. ANIMALS WITH NEUROPATHIC PAIN EXHIBIT INCREASED EZH2 ACTIVITY AND NEUROINFLAMMATION OF THE INJURED NERVE, SPINAL CORD, AND ANTERIOR CINGULATE CORTEX. INHIBITION OF EZH2 WITH DZNEP OR GSK-126 AMELIORATES NEUROINFLAMMATION AND NEUROPATHIC PAIN. EZH2 PROTEIN EXPRESSION INCREASES UPON ACTIVATION OF TOLL-LIKE RECEPTOR 4 AND CALCITONIN GENE-RELATED PEPTIDE RECEPTORS, DOWNREGULATION OF MIR-124-3P AND MIR-378 MICRORNAS, OR UPREGULATION OF LNCENC1 AND MALAT1 LONG NONCODING RNAS. GENES SUPPRESSED BY EZH2 INCLUDE SUPPRESSOR OF CYTOKINE SIGNALING 3 (SOCS3), NUCLEAR FACTOR (ERYTHROID-DERIVED 2)-LIKE-2 FACTOR (NRF2), MIR-29B-3P, MIR-146A-5P, AND BRAIN-SPECIFIC ANGIOGENESIS INHIBITOR 1 (BAI1). PRO-INFLAMMATORY MEDIATORS FACILITATE NEURONAL ACTIVATION ALONG PAIN-SIGNALING PATHWAYS BY SENSITIZING NOCICEPTORS IN THE PERIPHERY, AS WELL AS ENHANCING EXCITATORY SYNAPTIC ACTIVITIES AND SUPPRESSING INHIBITORY SYNAPTIC ACTIVITIES IN THE CNS. THESE STUDIES COLLECTIVELY REVEAL THAT EZH2 IS IMPLICATED IN SIGNALING PATHWAYS KNOWN TO BE KEY PLAYERS IN THE PROCESS OF NEUROINFLAMMATION AND GENESIS OF NEUROPATHIC PAIN. THEREFORE, TARGETING THE EZH2 SIGNALING PATHWAY MAY OPEN A NEW AVENUE TO MITIGATE NEUROINFLAMMATION AND NEUROPATHIC PAIN. 2023 13 863 35 CHROMODOMAIN Y-LIKE PROTEIN-MEDIATED HISTONE CROTONYLATION REGULATES STRESS-INDUCED DEPRESSIVE BEHAVIORS. BACKGROUND: MAJOR DEPRESSIVE DISORDER IS A PREVALENT AND LIFE-THREATENING ILLNESS IN MODERN SOCIETY. THE SUSCEPTIBILITY TO MAJOR DEPRESSIVE DISORDER IS PROFOUNDLY INFLUENCED BY ENVIRONMENTAL FACTORS, SUCH AS STRESSFUL LIFESTYLE OR TRAUMATIC EVENTS, WHICH COULD IMPOSE MALADAPTIVE TRANSCRIPTIONAL PROGRAM THROUGH EPIGENETIC REGULATION. HOWEVER, THE UNDERLYING MOLECULAR MECHANISMS REMAIN ELUSIVE. HERE, WE EXAMINED THE ROLE OF HISTONE CROTONYLATION, A NOVEL TYPE OF HISTONE MODIFICATION, AND CHROMODOMAIN Y-LIKE PROTEIN (CDYL), A CROTONYL-COENZYME A HYDRATASE AND HISTONE METHYLLYSINE READER, IN THIS PROCESS. METHODS: WE USED CHRONIC SOCIAL DEFEAT STRESS AND MICRODEFEAT STRESS TO EXAMINE THE DEPRESSIVE BEHAVIORS. IN ADDITION, WE COMBINED PROCEDURES THAT DIAGNOSE BEHAVIORAL STRATEGY IN MALE MICE WITH HISTONE EXTRACTION, VIRAL-MEDIATED CDYL MANIPULATIONS, RNA SEQUENCING, CHROMATIN IMMUNOPRECIPITATION, WESTERN BLOT, AND MESSENGER RNA QUANTIFICATION. RESULTS: THE RESULTS INDICATE THAT STRESS-SUSCEPTIBLE RODENTS EXHIBIT LOWER LEVELS OF HISTONE CROTONYLATION IN THE MEDIAL PREFRONTAL CORTEX CONCURRENT WITH SELECTIVE UPREGULATION OF CDYL. OVEREXPRESSION OF CDYL IN THE PRELIMBIC CORTEX, A SUBREGION OF THE MEDIAL PREFRONTAL CORTEX, INCREASES MICRODEFEAT-INDUCED SOCIAL AVOIDANCE BEHAVIORS AND ANHEDONIA IN MICE. CONVERSELY, KNOCKDOWN OF CDYL IN THE PRELIMBIC CORTEX PREVENTS CHRONIC SOCIAL DEFEAT STRESS-INDUCED DEPRESSION-LIKE BEHAVIORS. MECHANISTICALLY, WE SHOW THAT CDYL INHIBITS STRUCTURAL SYNAPTIC PLASTICITY MAINLY BY TRANSCRIPTIONAL REPRESSION OF NEUROPEPTIDE VGF NERVE GROWTH FACTOR INDUCIBLE, AND THIS ACTIVITY IS DEPENDENT ON ITS DUAL EFFECT ON HISTONE CROTONYLATION AND H3K27 TRIMETHYLATION ON THE VGF PROMOTER. CONCLUSIONS: OUR RESULTS DEMONSTRATE THAT CDYL-MEDIATED HISTONE CROTONYLATION PLAYS A CRITICAL ROLE IN REGULATING STRESS-INDUCED DEPRESSION, PROVIDING A POTENTIAL THERAPEUTIC TARGET FOR MAJOR DEPRESSIVE DISORDER. 2019 14 2328 28 EPIGENETIC REGULATION OF IMMEDIATE-EARLY GENE NR4A2/NURR1 IN THE MEDIAL HABENULA DURING REINSTATEMENT OF COCAINE-ASSOCIATED BEHAVIOR. PROPENSITY TO RELAPSE FOLLOWING LONG PERIODS OF ABSTINENCE IS A KEY FEATURE OF SUBSTANCE USE DISORDER. DRUGS OF ABUSE, SUCH AS COCAINE, CAUSE LONG-TERM CHANGES IN THE NEURAL CIRCUITRY REGULATING REWARD, MOTIVATION, AND MEMORY PROCESSES THROUGH DYSREGULATION OF VARIOUS MOLECULAR MECHANISMS, INCLUDING EPIGENETIC REGULATION OF ACTIVITY-DEPENDENT GENE EXPRESSION. UNDERLYING DRUG-INDUCED CHANGES TO NEURAL CIRCUIT FUNCTION ARE THE MOLECULAR MECHANISMS REGULATING ACTIVITY-DEPENDENT GENE EXPRESSION. OF NOTE, HISTONE ACETYLTRANSFERASES AND HISTONE DEACETYLASES (HDACS), POWERFUL EPIGENETIC REGULATORS OF GENE EXPRESSION, ARE DYSREGULATED FOLLOWING BOTH ACUTE AND CHRONIC COCAINE EXPOSURE AND ARE LINKED TO COCAINE-INDUCED CHANGES IN NEURAL CIRCUIT FUNCTION. TO BETTER UNDERSTAND THE EFFECT OF DRUG-INDUCED CHANGES ON EPIGENETIC FUNCTION AND BEHAVIOR, WE INVESTIGATED HDAC3-MEDIATED REGULATION OF NR4A2/NURR1 IN THE MEDIAL HABENULA, AN UNDERSTUDIED PATHWAY IN COCAINE-ASSOCIATED BEHAVIORS. NR4A2, A TRANSCRIPTION FACTOR CRITICAL IN COCAINE-ASSOCIATED BEHAVIORS AND NECESSARY FOR MHB DEVELOPMENT, IS ENRICHED IN THE CHOLINERGIC CELL-POPULATION OF THE MHB; YET, THE ROLE OF NR4A2 WITHIN THE MHB IN THE ADULT BRAIN REMAINS ELUSIVE. HERE, WE EVALUATED WHETHER EPIGENETIC REGULATION OF NR4A2 IN THE MHB HAS A ROLE IN REINSTATEMENT OF COCAINE-ASSOCIATED BEHAVIORS. WE FOUND THAT HDAC3 DISENGAGES FROM NR4A2 IN THE MHB IN RESPONSE TO COCAINE-PRIMED REINSTATEMENT. WHEREAS ENHANCING HDAC3 FUNCTION IN THE MHB HAD NO EFFECT ON REINSTATEMENT, WE FOUND, USING A DOMINANT-NEGATIVE SPLICE VARIANT (NURR2C), THAT LOSS OF NR4A2 FUNCTION IN THE MHB BLOCKED REINSTATEMENT BEHAVIORS. THESE RESULTS SHOW FOR THE FIRST TIME THAT REGULATION OF NR4A2 FUNCTION IN THE MHB IS CRITICAL IN RELAPSE-LIKE BEHAVIORS. 2019 15 3154 39 GLUN2B/CAMKII MEDIATES CFA-INDUCED HYPERALGESIA VIA HDAC4-MODIFIED SPINAL COX2 TRANSCRIPTION. HISTONE DEACETYLASE 4 (HDAC4), WHICH ACTIVELY SHUTTLES BETWEEN THE NUCLEUS AND CYTOPLASM, IS AN ATTRACTIVE CANDIDATE FOR A REPRESSOR MECHANISM IN EPIGENETIC MODIFICATION. HOWEVER, THE POTENTIAL ROLE OF HDAC4-DEPENDENT EPIGENETICS IN THE NEURAL PLASTICITY UNDERLYING THE DEVELOPMENT OF INFLAMMATORY PAIN HAS NOT BEEN WELL ESTABLISHED. BY INJECTING COMPLETE FREUND'S ADJUVANT (CFA) INTO THE HIND-PAW OF SPRAGUE-DAWLEY RATS (200-250 G), WE FOUND ANIMALS DISPLAYED BEHAVIORAL HYPERALGESIA WAS ACCOMPANIED WITH HDAC4 PHOSPHORYLATION AND CYTOPLASMIC REDISTRIBUTION IN THE DORSAL HORN NEURONS. CYTOPLASMIC HDAC4 RETENTION LED TO ITS UNCOUPLING WITH THE COX2 PROMOTER, HENCE PROMPTING SPINAL COX2 TRANSCRIPTION AND EXPRESSION IN THE DORSAL HORN. MOREOVER, THE GLUN2B-BEARING N-METHYL-D-ASPARTATE RECEPTOR (GLUN2B-NMDAR)/CALMODULIN-DEPENDENT PROTEIN KINASE II (CAMKII) ACTED AS AN UPSTREAM CASCADE TO FACILITATE HDAC4 PHOSPHORYLATION/REDISTRIBUTION-ASSOCIATED SPINAL COX2 EXPRESSION AFTER INFLAMMATORY INSULTS. THE RESULTS OF THIS PILOT STUDY DEMONSTRATED THAT THE DEVELOPMENT AND/OR MAINTENANCE OF INFLAMMATORY PAIN INVOLVED THE SPINAL HDAC4-DEPENDENT EPIGENETIC MECHANISMS. OUR FINDINGS OPEN UP A NEW AVENUE FOR THE DEVELOPMENT OF A NOVEL MEDICAL STRATEGY FOR THE RELIEF OF INFLAMMATORY PAIN. 2018 16 2203 46 EPIGENETIC MODIFICATION OF SPINAL MIR-219 EXPRESSION REGULATES CHRONIC INFLAMMATION PAIN BY TARGETING CAMKIIGAMMA. EMERGING EVIDENCE HAS SHOWN THAT MIRNA-MEDIATED GENE EXPRESSION MODULATION CONTRIBUTES TO CHRONIC PAIN, BUT ITS FUNCTIONAL REGULATORY MECHANISM REMAINS UNKNOWN. HERE, WE FOUND THAT COMPLETE FREUND'S ADJUVANT (CFA)-INDUCED CHRONIC INFLAMMATION PAIN SIGNIFICANTLY REDUCED MIRNA-219 (MIR-219) EXPRESSION IN MICE SPINAL NEURONS. FURTHERMORE, THE EXPRESSION OF SPINAL CAMKIIGAMMA, AN EXPERIMENTALLY VALIDATED TARGET OF MIR-219, WAS INCREASED IN CFA MICE. OVEREXPRESSION OF SPINAL MIR-219 PREVENTED AND REVERSED THERMAL HYPERALGESIA AND MECHANICAL ALLODYNIA AND SPINAL NEURONAL SENSITIZATION INDUCED BY CFA. CONCURRENTLY, INCREASED EXPRESSION OF SPINAL CAMKIIGAMMA WAS REVERSED BY MIR-219 OVEREXPRESSION. DOWNREGULATION OF SPINAL MIR-219 IN NAIVE MICE INDUCED PAIN-RESPONSIVE BEHAVIORS AND INCREASED P-NMDAR1 EXPRESSION, WHICH COULD BE INHIBITED BY KNOCKDOWN OF CAMKIIGAMMA. BISULFITE SEQUENCING SHOWED THAT CFA INDUCED THE HYPERMETHYLATION OF CPG ISLANDS IN THE MIR-219 PROMOTER. TREATMENT WITH DEMETHYLATION AGENT 5'-AZA-2'-DEOXYCYTIDINE MARKEDLY ATTENUATED PAIN BEHAVIOR AND SPINAL NEURONAL SENSITIZATION, WHICH WAS ACCOMPANIED WITH THE INCREASE OF SPINAL MIR-219 AND DECREASE OF CAMKIIGAMMA EXPRESSION. TOGETHER, WE CONCLUDE THAT METHYLATION-MEDIATED EPIGENETIC MODIFICATION OF SPINAL MIR-219 EXPRESSION REGULATES CHRONIC INFLAMMATORY PAIN BY TARGETING CAMKIIGAMMA. 2014 17 1166 34 CONTRIBUTION OF DNMT1 TO NEUROPATHIC PAIN GENESIS PARTIALLY THROUGH EPIGENETICALLY REPRESSING KCNA2 IN PRIMARY AFFERENT NEURONS. EXPRESSIONAL CHANGES OF PAIN-ASSOCIATED GENES IN PRIMARY SENSORY NEURONS OF DRG ARE CRITICAL FOR NEUROPATHIC PAIN GENESIS. DNA METHYLTRANSFERASE (DNMT)-TRIGGERED DNA METHYLATION SILENCES GENE EXPRESSION. WE SHOW HERE THAT DNMT1, A CANONICAL MAINTENANCE METHYLTRANSFERASE, ACTS AS THE DE NOVO DNMT AND IS REQUIRED FOR NEUROPATHIC PAIN GENESIS LIKELY THROUGH REPRESSING AT LEAST DRG KCNA2 GENE EXPRESSION IN MALE MICE. PERIPHERAL NERVE INJURY UPREGULATED DNMT1 EXPRESSION IN THE INJURED DRG THROUGH THE TRANSCRIPTION FACTOR CAMP RESPONSE ELEMENT BINDING PROTEIN-TRIGGERED TRANSCRIPTIONAL ACTIVATION OF DNMT1 GENE. BLOCKING THIS UPREGULATION PREVENTED NERVE INJURY-INDUCED DNA METHYLATION WITHIN THE PROMOTER AND 5'-UNTRANSLATED REGION OF KCNA2 GENE, RESCUED KCNA2 EXPRESSION AND TOTAL KV CURRENT, ATTENUATED HYPEREXCITABILITY IN THE INJURED DRG NEURONS, AND ALLEVIATED NERVE INJURY-INDUCED PAIN HYPERSENSITIVITIES. GIVEN THAT KCNA2 IS A KEY PLAYER IN NEUROPATHIC PAIN, OUR FINDINGS SUGGEST THAT DRG DNMT1 MAY BE A POTENTIAL TARGET FOR NEUROPATHIC PAIN MANAGEMENT.SIGNIFICANCE STATEMENT IN THE PRESENT STUDY, WE REPORTED THAT DNMT1, A CANONICAL DNA MAINTENANCE METHYLTRANSFERASE, IS UPREGULATED VIA THE ACTIVATION OF THE TRANSCRIPTION FACTOR CREB IN THE INJURED DRG AFTER PERIPHERAL NERVE INJURY. THIS UPREGULATION WAS RESPONSIBLE FOR NERVE INJURY-INDUCED DE NOVO DNA METHYLATION WITHIN THE PROMOTER AND 5'-UNTRANSLATED REGION OF THE KCNA2 GENE, REDUCTIONS IN KCNA2 EXPRESSION AND KV CURRENT AND INCREASES IN NEURONAL EXCITABILITY IN THE INJURED DRG. SINCE PHARMACOLOGICAL INHIBITION OR GENETIC KNOCKDOWN OF DRG DNMT1 ALLEVIATED NERVE INJURY-INDUCED PAIN HYPERSENSITIVITIES, DRG DNMT1 CONTRIBUTES TO NEUROPATHIC PAIN GENESIS PARTIALLY THROUGH REPRESSION OF DRG KCNA2 GENE EXPRESSION. 2019 18 4618 37 NERVE INJURY-INDUCED EPIGENETIC SILENCING OF OPIOID RECEPTORS CONTROLLED BY DNMT3A IN PRIMARY AFFERENT NEURONS. OPIOIDS ARE THE GOLD STANDARD FOR PHARMACOLOGICAL TREATMENT OF NEUROPATHIC PAIN, BUT THEIR ANALGESIC EFFECTS ARE UNSATISFACTORY IN PART DUE TO NERVE INJURY-INDUCED DOWNREGULATION OF OPIOID RECEPTORS IN DORSAL ROOT GANGLIA (DRG) NEURONS. HOW NERVE INJURY DRIVES SUCH DOWNREGULATION REMAINS ELUSIVE. DNA METHYLTRANSFERASE (DNMT)-TRIGGERED DNA METHYLATION REPRESSES GENE EXPRESSION. WE SHOW HERE THAT BLOCKING THE NERVE INJURY-INDUCED INCREASE IN DRG DNMT3A (A DE NOVO DNMT) RESCUED THE EXPRESSION OF OPRM1 AND OPRK1 MRNAS AND THEIR RESPECTIVE ENCODING MU-OPIOID RECEPTOR (MOR) AND KAPPA-OPIOID RECEPTOR (KOR) PROTEINS IN THE INJURED DRG. BLOCKING THIS INCREASE ALSO PREVENTED THE NERVE INJURY-INDUCED INCREASE IN DNA METHYLATION IN THE PROMOTER AND 5'-UNTRANSLATED REGION OF THE OPRM1 GENE IN THE INJURED DRG, RESTORED MORPHINE OR LOPERAMIDE (A PERIPHERAL ACTING MOR PREFERRING AGONIST) ANALGESIC EFFECTS, AND ATTENUATED THE DEVELOPMENT OF THEIR ANALGESIC TOLERANCE UNDER NEUROPATHIC PAIN CONDITIONS. MIMICKING THIS INCREASE REDUCED THE EXPRESSION OF OPRM1 AND OPRK1 MRNAS AND THEIR CODING MOR AND KOR IN DRG AND AUGMENTED MOR-GATED NEUROTRANSMITTER RELEASE FROM THE PRIMARY AFFERENTS. MECHANISTICALLY, DNMT3A REGULATION OF OPRM1 GENE EXPRESSION REQUIRED THE METHYL-CPG-BINDING PROTEIN 1, MBD1, AS MBD1 KNOCKOUT RESULTED IN THE DECREASED BINDING OF DNMT3A TO THE OPRM1 GENE PROMOTER AND BLOCKED THE DNMT3A-TRIGGERED REPRESSION OF OPRM1 GENE EXPRESSION IN DRG NEURONS. THESE DATA SUGGEST THAT DNMT3A IS REQUIRED FOR NERVE INJURY-INDUCED AND MBD1-MEDIATED EPIGENETIC SILENCING OF THE MOR AND KOR IN THE INJURED DRG. DNMT3A INHIBITION MAY SERVE AS A PROMISING ADJUVANT THERAPY FOR OPIOID USE IN NEUROPATHIC PAIN MANAGEMENT. 2017 19 5354 41 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 20 2112 29 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