1 4698 100 NFATC2-DEPENDENT EPIGENETIC DOWNREGULATION OF THE TSC2/BECLIN-1 PATHWAY IS INVOLVED IN NEUROPATHIC PAIN INDUCED BY OXALIPLATIN. NEUROPATHIC PAIN IS A COMMON DOSE-LIMITING SIDE EFFECT OF OXALIPLATIN, WHICH HAMPERS THE EFFECTIVE TREATMENT OF TUMORS. HERE, WE FOUND THAT UPREGULATION OF TRANSCRIPTION FACTOR NFATC2 DECREASED THE EXPRESSION OF BECLIN-1, A CRITICAL MOLECULE IN AUTOPHAGY, IN THE SPINAL DORSAL HORN, AND CONTRIBUTED TO NEUROPATHIC PAIN FOLLOWING OXALIPLATIN TREATMENT. MEANWHILE, MANIPULATING AUTOPHAGY LEVELS BY INTRATHECAL INJECTION OF RAPAMYCIN (RAPA) OR 3-METHYLADENINE (3-MA) DIFFERENTIALLY ALTERED MECHANICAL ALLODYNIA IN OXALIPLATIN-TREATED OR NAIVE RATS. UTILIZING CHROMATIN IMMUNOPRECIPITATION-SEQUENCING (CHIP-SEQ) ASSAY COMBINED WITH BIOINFORMATICS ANALYSIS, WE FOUND THAT NFATC2 NEGATIVELY REGULATED THE TRANSCRIPTION OF TUBEROUS SCLEROSIS COMPLEX PROTEIN 2 (TSC2), WHICH CONTRIBUTED TO THE OXALIPLATIN-INDUCED BECLIN-1 DOWNREGULATION. FURTHER ASSAYS REVEALED THAT NFATC2 REGULATED HISTONE H4 ACETYLATION AND METHYLATION IN THE TSC2 PROMOTER SITE 1 IN RATS' DORSAL HORNS WITH OXALIPLATIN TREATMENT. THESE RESULTS SUGGESTED THAT NFATC2 MEDIATED THE EPIGENETIC DOWNREGULATION OF THE TSC2/BECLIN-1 AUTOPHAGY PATHWAY AND CONTRIBUTED TO OXALIPLATIN-INDUCED MECHANICAL ALLODYNIA, WHICH PROVIDED A NEW THERAPEUTIC INSIGHT FOR CHEMOTHERAPY-INDUCED NEUROPATHIC PAIN. 2023 2 2479 45 EPIGENETIC UPREGULATION OF CXCL12 EXPRESSION MEDIATES ANTITUBULIN CHEMOTHERAPEUTICS-INDUCED NEUROPATHIC PAIN. CLINICALLY, MICROTUBULE-TARGETED AGENTS-INDUCED NEUROPATHIC PAIN HAMPERS CHEMOTHERAPEUTICS FOR PATIENTS WITH CANCER. HERE, WE FOUND THAT APPLICATION OF PACLITAXEL OR VINCRISTINE INCREASED THE PROTEIN AND MRNA EXPRESSION OF CXCL12 AND FREQUENCY AND AMPLITUDE OF MINIATURE EXCITATORY POST SYNAPTIC CURRENTS (MEPSCS) IN SPINAL DORSAL HORN NEURONS. SPINAL LOCAL APPLICATION OF CXCL12 INDUCED THE LONG-TERM POTENTIATION OF NOCICEPTIVE SYNAPTIC TRANSMISSION AND INCREASED THE AMPLITUDE OF MEPSCS. INHIBITION OF CXCL12 USING THE TRANSGENIC MICE (CXCL12) OR NEUTRALIZING ANTIBODY OR SIRNA AMELIORATED THE MEPSC'S ENHANCEMENT AND MECHANICAL ALLODYNIA. IN ADDITION, PACLITAXEL AND VINCRISTINE BOTH COULD INCREASE THE PHOSPHORYLATION OF SIGNAL TRANSDUCER AND ACTIVATOR OF TRANSCRIPTION 3 (STAT3) AND THE ACETYLATION OF HISTONE H4 IN THE CXCL12-EXPRESSING NEURONS. IMMUNOPRECIPITATION AND CHROMATIN IMMUNOPRECIPITATION ASSAYS DEMONSTRATED THAT ANTITUBULIN CHEMOTHERAPEUTICS INCREASED THE BINDING OF STAT3 TO THE CXCL12 GENE PROMOTER AND THE INTERACTION BETWEEN STAT3 AND P300, AND CONTRIBUTED TO THE ENHANCED TRANSCRIPTION OF CXCL12 BY INCREASING THE ACETYLATION OF HISTONE H4 IN CXCL12 GENE PROMOTER. INHIBITION OF STAT3 BY INTRATHECAL INJECTION OF ADENO-ASSOCIATED VIRUS ENCODING CRE AND GREEN FLUORESCENT PROTEIN INTO STAT3 MICE OR INHIBITOR S3I-201 INTO RATS SUPPRESSED THE CXCL12 UPSURGE BY DECREASING THE ACETYLATION OF HISTONE H4. FINALLY, BLOCKADE OF CXCR4 BUT NOT CXCR7 AMELIORATED THE PACLITAXEL- OR VINCRISTINE-INDUCED MECHANICAL ALLODYNIA. TOGETHER, THESE RESULTS SUGGESTED THAT ENHANCED INTERACTION BETWEEN STAT3 AND P300 MEDIATED THE EPIGENETIC UPREGULATION OF CXCL12 IN DORSAL HORN NEURONS, WHICH CONTRIBUTED TO THE ANTITUBULIN CHEMOTHERAPEUTICS-INDUCED PERSISTENT PAIN. 2017 3 4699 55 NFATC2-DEPENDENT EPIGENETIC UPREGULATION OF CXCL14 IS INVOLVED IN THE DEVELOPMENT OF NEUROPATHIC PAIN INDUCED BY PACLITAXEL. BACKGROUND: THE MAJOR DOSE-LIMITING TOXICITY OF PACLITAXEL, ONE OF THE MOST COMMONLY USED DRUGS TO TREAT SOLID TUMOR, IS PAINFUL NEUROPATHY. HOWEVER, THE MOLECULAR MECHANISMS UNDERLYING PACLITAXEL-INDUCED PAINFUL NEUROPATHY ARE LARGELY UNCLARIFIED. METHODS: PAW WITHDRAWAL THRESHOLD WAS MEASURED IN THE RATS FOLLOWING INTRAPERITONEAL INJECTION OF PACLITAXEL. THE QPCR, WESTERN BLOTTING, PROTEIN OR CHROMATIN IMMUNOPRECIPITATION, CHIP-SEQ IDENTIFICATION OF NFATC2 BINDING SITES, AND MICROARRAY ANALYSIS WERE PERFORMED TO EXPLORE THE MOLECULAR MECHANISM. RESULTS: WE FOUND THAT PACLITAXEL TREATMENT INCREASED THE NUCLEAR EXPRESSION OF NFATC2 IN THE SPINAL DORSAL HORN, AND KNOCKDOWN OF NFATC2 WITH NFATC2 SIRNA SIGNIFICANTLY ATTENUATED THE MECHANICAL ALLODYNIA INDUCED BY PACLITAXEL. FURTHER BINDING SITE ANALYSIS UTILIZING CHIP-SEQ ASSAY COMBINING WITH GENE EXPRESSION PROFILE REVEALED A SHIFT OF NFATC2 BINDING SITE CLOSER TO TTS OF TARGET GENES IN DORSAL HORN AFTER PACLITAXEL TREATMENT. WE FURTHER FOUND THAT NFATC2 OCCUPANCY MAY DIRECTLY UPREGULATE THE CHEMOKINE CXCL14 EXPRESSION IN DORSAL HORN, WHICH WAS MEDIATED BY ENHANCED INTERACTION BETWEEN NFATC2 AND P300 AND CONSEQUENTLY INCREASED ACETYLATION OF HISTONE H4 IN CXCL14 PROMOTER REGION. ALSO, KNOCKDOWN OF CXCL14 IN DORSAL HORN SIGNIFICANTLY ATTENUATED MECHANICAL ALLODYNIA INDUCED BY PACLITAXEL. CONCLUSION: THESE RESULTS SUGGESTED THAT ENHANCED INTERACTION BETWEEN P300 AND NFATC2 MEDIATED THE EPIGENETIC UPREGULATION OF CXCL14 IN THE SPINAL DORSAL HORN, WHICH CONTRIBUTED TO THE CHEMOTHERAPEUTIC PACLITAXEL-INDUCED CHRONIC PAIN. 2020 4 2898 44 GATA3-DEPENDENT EPIGENETIC UPREGULATION OF CCL21 IS INVOLVED IN THE DEVELOPMENT OF NEUROPATHIC PAIN INDUCED BY BORTEZOMIB. THE INCIDENCE OF BORTEZOMIB-INDUCED NEUROPATHIC PAIN HAMPERS THE PROGRESS OF THERAPY FOR NEOPLASIA AND ALSO NEGATIVELY AFFECTS THE QUALITY OF LIFE OF PATIENTS. HOWEVER, THE MOLECULAR MECHANISM UNDERLYING BORTEZOMIB-INDUCED NEUROPATHIC PAIN REMAINS UNKNOWN. IN THIS STUDY, WE FOUND THAT THE APPLICATION OF BORTEZOMIB SIGNIFICANTLY INCREASED THE EXPRESSION OF GATA-BINDING PROTEIN 3 (GATA3) IN THE SPINAL DORSAL HORN, AND INTRATHECAL ADMINISTRATION OF GATA3 SIRNA ATTENUATED MECHANICAL ALLODYNIA. FURTHERMORE, CHROMATIN IMMUNOPRECIPITATION SEQUENCING SHOWED THAT BORTEZOMIB TREATMENT INDUCED THE REDISTRIBUTION OF GATA3 TO TRANSCRIPTIONAL RELEVANT REGIONS. NOTABLY, COMBINED WITH THE RESULTS OF MRNA MICROARRAY, WE FOUND THAT C-C MOTIF CHEMOKINE LIGAND 21 (CCL21) HAD AN INCREASED GATA3 BINDING AND UPREGULATED MRNA EXPRESSION IN THE DORSAL HORN AFTER BORTEZOMIB TREATMENT. NEXT, WE FOUND THAT BORTEZOMIB TREATMENT INDUCED CCL21 UPREGULATION IN THE SPINAL NEURONS, WHICH WAS SIGNIFICANTLY REDUCED UPON GATA3 SILENCING. BLOCKADE OF CCL21 USING THE NEUTRALIZING ANTIBODY OR SPECIAL SIRNA AMELIORATED MECHANICAL ALLODYNIA INDUCED BY BORTEZOMIB. IN ADDITION, BORTEZOMIB TREATMENT INCREASED THE ACETYLATION OF HISTONE H3 AND THE INTERACTION BETWEEN GATA3 AND CREB-BINDING PROTEIN. GATA3 SIRNA SUPPRESSED THE CCL21 UPREGULATION BY DECREASING THE ACETYLATION OF HISTONE H3. TOGETHER, THESE RESULTS SUGGESTED THAT ACTIVATION OF GATA3 MEDIATED THE EPIGENETIC UPREGULATION OF CCL21 IN DORSAL HORN NEURONS, WHICH CONTRIBUTED TO THE BORTEZOMIB-INDUCED NEUROPATHIC PAIN. 2019 5 5401 47 REDUCTION OF SIRT1 EPIGENETICALLY UPREGULATES NALP1 EXPRESSION AND CONTRIBUTES TO NEUROPATHIC PAIN INDUCED BY CHEMOTHERAPEUTIC DRUG BORTEZOMIB. BACKGROUND: BORTEZOMIB IS A FREQUENTLY USED CHEMOTHERAPEUTIC DRUG FOR THE TREATMENT OF MULTIPLE MYELOMA AND OTHER NONSOLID MALIGNANCIES. ACCUMULATING EVIDENCE HAS DEMONSTRATED THAT BORTEZOMIB-INDUCED PERSISTENT PAIN SERVES AS THE MOST FREQUENT REASON FOR TREATMENT DISCONTINUATION. METHODS: THE VON FREY TEST WAS PERFORMED TO EVALUATE NEUROPATHIC PAIN BEHAVIOR, AND REAL-TIME QUANTITATIVE REVERSE TRANSCRIPTION POLYMERASE CHAIN REACTION, CHROMATIN IMMUNOPRECIPITATION, WESTERN BLOT, IMMUNOHISTOCHEMISTRY, AND SMALL INTERFERING RNA WERE PERFORMED TO EXPLORE THE MOLECULAR MECHANISMS IN ADULT MALE SPRAGUE-DAWLEY RATS. RESULTS: WE FOUND THAT APPLICATION OF BORTEZOMIB SIGNIFICANTLY INCREASED THE EXPRESSION OF NALP1 PROTEIN AND MRNA LEVELS IN SPINAL DORSAL HORN NEURONS, AND INTRATHECAL APPLICATION OF NALP1 SIRNA ATTENUATED THE BORTEZOMIB-INDUCED MECHANICAL ALLODYNIA. IN ADDITION, BORTEZOMIB ALSO DECREASED THE SIRT1 EXPRESSION, AND TREATMENT WITH SIRT1 ACTIVATOR RESVERATROL AMELIORATED THE NALP1 UPREGULATION AND MECHANICAL ALLODYNIA INDUCED BY BORTEZOMIB. MEANWHILE, KNOCKDOWN OF SIRT1 USING THE SIRT1 SIRNA INDUCED THE NALP1 UPREGULATION IN DORSAL HORN AND MECHANICAL ALLODYNIA IN NORMAL ANIMAL. THESE RESULTS SUGGESTED THAT REDUCTION OF SIRT1 INDUCED THE NALP1 UPREGULATION IN DORSAL HORN NEURONS, AND PARTICIPATED IN BORTEZOMIB-INDUCED MECHANICAL ALLODYNIA. IMPORTANTLY, WE FOUND THAT THE BINDING OF SIRT1 AND NALP1 PROMOTER REGION DID NOT CHANGE BEFORE AND AFTER BORTEZOMIB TREATMENT, BUT SIRT1 DOWNREGULATION INCREASED P-STAT3 EXPRESSION. FURTHERMORE, THE ACTIVATION OF STAT3 ENHANCED THE RECRUITMENT OF P-STAT3 TO THE NALP1 GENE PROMOTER, WHICH INCREASED THE ACETYLATION OF HISTONE H3 AND H4 IN NALP1 PROMOTER REGIONS AND EPIGENETICALLY UPREGULATED NALP1 EXPRESSION IN THE RODENTS WITH BORTEZOMIB TREATMENT. CONCLUSION: THESE FINDINGS SUGGESTED A NEW EPIGENETIC MECHANISM FOR NALP1 UPREGULATION INVOLVING SIRT1 REDUCTION AND SUBSEQUENT STAT3-MEDIATED HISTONE HYPERACETYLATION IN NALP1 PROMOTER REGION IN DORSAL HORN NEURONS, WHICH CONTRIBUTED TO THE BORTEZOMIB-INDUCED MECHANICAL ALLODYNIA. 2018 6 5780 35 SPINAL RNF20-MEDIATED HISTONE H2B MONOUBIQUITYLATION REGULATES MGLUR5 TRANSCRIPTION FOR NEUROPATHIC ALLODYNIA. TO DATE, HISTONE H2B MONOUBIQUITINATION (H2BUB), A MARK ASSOCIATED WITH TRANSCRIPTIONAL ELONGATION AND ONGOING TRANSCRIPTION, HAS NOT BEEN LINKED TO THE DEVELOPMENT OR MAINTENANCE OF NEUROPATHIC PAIN STATES. HERE, USING MALE SPRAGUE DAWLEY RATS, WE DEMONSTRATED SPINAL NERVE LIGATION (SNL) INDUCED BEHAVIORAL ALLODYNIA AND PROVOKED RING FINGER PROTEIN 20 (RNF20)-DEPENDENT H2BUB IN DORSAL HORN. MOREOVER, SNL PROVOKED RNF20-MEDIATED H2BUB PHOSPHORYLATED RNA POLYMERASE II (RNAPII) IN THE PROMOTER FRAGMENTS OF MGLUR5, THEREBY ENHANCING MGLUR5 TRANSCRIPTION/EXPRESSION IN THE DORSAL HORN. CONVERSELY, FOCAL KNOCKDOWN OF SPINAL RNF20 EXPRESSION REVERSED NOT ONLY SNL-INDUCED ALLODYNIA BUT ALSO RNF20/H2BUB/RNAPII PHOSPHORYLATION-ASSOCIATED SPINAL MGLUR5 TRANSCRIPTION/EXPRESSION. NOTABLY, TNF-ALPHA INJECTION INTO NAIVE RATS AND SPECIFIC NEUTRALIZING ANTIBODY INJECTION INTO SNL-INDUCED ALLODYNIA RATS REVEALED THAT TNF-ALPHA-ASSOCIATED ALLODYNIA INVOLVES THE RNF20/H2BUB/RNAPII TRANSCRIPTIONAL AXIS TO UPREGULATE MGLUR5 EXPRESSION IN THE DORSAL HORN. COLLECTIVELY, OUR FINDINGS INDICATED TNF-ALPHA INDUCES RNF20-DRIVED H2B MONOUBIQUITINATION, WHICH FACILITATES PHOSPHORYLATED RNAPII-DEPENDENT MGLUR5 TRANSCRIPTION IN THE DORSAL HORN FOR THE DEVELOPMENT OF NEUROPATHIC ALLODYNIA.SIGNIFICANCE STATEMENT HISTONE H2B MONOUBIQUITINATION (H2BUB), AN EPIGENETIC POST-TRANSLATIONAL MODIFICATION, POSITIVELY CORRELATED WITH GENE EXPRESSION. HERE, TNF-ALPHA PARTICIPATED IN NEUROPATHIC PAIN DEVELOPMENT BY ENHANCING RNF20-MEDIATED H2BUB, WHICH FACILITATES PHOSPHORYLATED RNAPII-DEPENDENT MGLUR5 TRANSCRIPTION IN DORSAL HORN. OUR FINDING POTENTIALLY IDENTIFIED NEUROPATHIC ALLODYNIA PATHOPHYSIOLOGICAL PROCESSES UNDERPINNING ABNORMAL NOCICEPTION PROCESSING AND OPENS A NEW AVENUE FOR THE DEVELOPMENT OF NOVEL ANALGESICS. 2018 7 4366 29 MIRNA-23A/CXCR4 REGULATES NEUROPATHIC PAIN VIA DIRECTLY TARGETING TXNIP/NLRP3 INFLAMMASOME AXIS. BACKGROUND: CHEMOKINE CXC RECEPTOR 4 (CXCR4) IN SPINAL GLIAL CELLS HAS BEEN IMPLICATED IN NEUROPATHIC PAIN. HOWEVER, THE REGULATORY CASCADES OF CXCR4 IN NEUROPATHIC PAIN REMAIN ELUSIVE. HERE, WE INVESTIGATED THE FUNCTIONAL REGULATORY ROLE OF MIRNAS IN THE PAIN PROCESS AND ITS INTERPLAY WITH CXCR4 AND ITS DOWNSTREAM SIGNALING. METHODS: MIRNAS AND CXCR4 AND ITS DOWNSTREAM SIGNALING MOLECULES WERE MEASURED IN THE SPINAL CORDS OF MICE WITH SCIATIC NERVE INJURY VIA PARTIAL SCIATIC NERVE LIGATION (PSNL). IMMUNOBLOTTING, IMMUNOFLUORESCENCE, IMMUNOPRECIPITATION, AND MAMMAL TWO-HYBRID AND BEHAVIORAL TESTS WERE USED TO EXPLORE THE DOWNSTREAM CXCR4-DEPENDENT SIGNALING PATHWAY. RESULTS: CXCR4 EXPRESSION INCREASED IN SPINAL GLIAL CELLS OF MICE WITH PSNL-INDUCED NEUROPATHIC PAIN. BLOCKING CXCR4 ALLEVIATED THE PAIN BEHAVIOR; CONTRARILY, OVEREXPRESSING CXCR4 INDUCED PAIN HYPERSENSITIVITY. MICRORNA-23A-3P (MIR-23A) DIRECTLY BOUNDS TO 3' UTR OF CXCR4 MRNA. PSNL-INDUCED NEUROPATHIC PAIN SIGNIFICANTLY REDUCED MRNA EXPRESSION OF MIR-23A. OVEREXPRESSION OF MIR-23A BY INTRATHECAL INJECTION OF MIR-23A MIMICS OR LENTIVIRUS REDUCED SPINAL CXCR4 AND PREVENTED PSNL-INDUCED NEUROPATHIC PAIN. IN CONTRAST, KNOCKDOWN OF MIR-23A BY INTRATHECAL INJECTION OF MIR-23A INHIBITOR OR LENTIVIRUS INDUCED PAIN-LIKE BEHAVIOR, WHICH WAS REDUCED BY CXCR4 INHIBITION. ADDITIONALLY, MIR-23A KNOCKDOWN OR CXCR4 OVEREXPRESSION IN NAIVE MICE COULD INCREASE THE THIOREDOXIN-INTERACTING PROTEIN (TXNIP), WHICH WAS ASSOCIATED WITH INDUCTION OF NOD-LIKE RECEPTOR PROTEIN 3 (NLRP3) INFLAMMASOME. INDEED, CXCR4 AND TXNIP WERE CO-EXPRESSED. THE MAMMAL TWO-HYBRID ASSAY REVEALED THE DIRECT INTERACTION BETWEEN CXCR4 AND TXNIP, WHICH WAS INCREASED IN THE SPINAL CORD OF PSNL MICE. IN PARTICULAR, INHIBITION OF TXNIP REVERSED PAIN BEHAVIOR ELICITED BY PSNL, MIR-23A KNOCKDOWN, OR CXCR4 OVEREXPRESSION. MOREOVER, MIR-23A OVEREXPRESSION OR CXCR4 KNOCKDOWN INHIBITED THE INCREASE OF TXNIP AND NLRP3 INFLAMMASOME IN PSNL MICE. CONCLUSIONS: MIR-23A, BY DIRECTLY TARGETING CXCR4, REGULATES NEUROPATHIC PAIN VIA TXNIP/NLRP3 INFLAMMASOME AXIS IN SPINAL GLIAL CELLS. EPIGENETIC INTERVENTIONS AGAINST MIR-23A, CXCR4, OR TXNIP MAY POTENTIALLY SERVE AS NOVEL THERAPEUTIC AVENUES IN TREATING PERIPHERAL NERVE INJURY-INDUCED NOCICEPTIVE HYPERSENSITIVITY. 2018 8 4172 31 MELATONIN IMPEDES TET1-DEPENDENT MGLUR5 PROMOTER DEMETHYLATION TO RELIEVE PAIN. MELATONIN (N-ACETYL-5-METHOXYTRYPTAMINE)/MT2 RECEPTOR-DEPENDENT EPIGENETIC MODIFICATION REPRESENTS A NOVEL PATHWAY IN THE TREATMENT OF NEUROPATHIC PAIN. BECAUSE SPINAL TEN-ELEVEN TRANSLOCATION METHYLCYTOSINE DIOXYGENASE 1 (TET1)-DEPENDENT EPIGENETIC DEMETHYLATION HAS RECENTLY BEEN LINKED TO PAIN HYPERSENSITIVITY, WE HYPOTHESIZED THAT MELATONIN/MT2-DEPENDENT ANALGESIA INVOLVES SPINAL TET1-DEPENDENT DEMETHYLATION. HERE, WE SHOWED THAT SPINAL TET1 GENE TRANSFER BY INTRATHECAL DELIVERY OF TET1-ENCODING VECTORS TO NAIVE RATS PRODUCED PROFOUND AND LONG-LASTING NOCICEPTIVE HYPERSENSITIVITY. IN ADDITION, ENHANCED TET1 EXPRESSION, TET1-METABOTROPIC GLUTAMATE RECEPTOR SUBTYPE 5 (MGLUR5) PROMOTER COUPLING, DEMETHYLATION AT THE MGLUR5 PROMOTER, AND MGLUR5 EXPRESSION IN DORSAL HORN NEURONS WERE OBSERVED. RATS SUBJECTED TO SPINAL NERVE LIGATION AND INTRAPLANTAR COMPLETE FREUND'S ADJUVANT INJECTION DISPLAYED TACTILE ALLODYNIA AND BEHAVIORAL HYPERALGESIA ASSOCIATED WITH SIMILAR CHANGES IN THE DORSAL HORN. NOTABLY, INTRATHECAL MELATONIN INJECTION REVERSED THE PROTEIN EXPRESSION, PROTEIN-PROMOTER COUPLING, PROMOTER DEMETHYLATION, AND PAIN HYPERSENSITIVITY INDUCED BY TET1 GENE TRANSFER, SPINAL NERVE LIGATION, AND INTRAPLANTAR COMPLETE FREUND'S ADJUVANT INJECTION. ALL THE EFFECTS CAUSED BY MELATONIN WERE BLOCKED BY PRETREATMENT WITH A MT2 RECEPTOR-SELECTIVE ANTAGONIST. IN CONCLUSION, MELATONIN RELIEVES PAIN BY IMPEDING TET1-DEPENDENT DEMETHYLATION OF MGLUR5 IN DORSAL HORN NEURONS THROUGH THE MT2 RECEPTOR. OUR FINDINGS LINK MELATONIN/MT2 SIGNALING TO TET1-DEPENDENT EPIGENETIC DEMETHYLATION OF NOCICEPTIVE GENES FOR THE FIRST TIME AND SUGGEST MELATONIN AS A PROMISING THERAPY FOR THE TREATMENT OF PAIN. 2017 9 2475 41 EPIGENETIC UP-REGULATION OF ADAMTS4 IN SYMPATHETIC GANGLIA IS INVOLVED IN THE MAINTENANCE OF NEUROPATHIC PAIN FOLLOWING NERVE INJURY. SYMPATHETIC AXONAL SPROUTING INTO DORSAL ROOT GANGLIA IS A MAJOR PHENOMENON IMPLICATED IN NEUROPATHIC PAIN, AND SYMPATHETIC GANGLIA BLOCKAGE MAY RELIEVE SOME INTRACTABLE CHRONIC PAIN IN ANIMAL PAIN MODELS AND CLINICAL CONDITIONS. THESE SUGGEST THAT SYMPATHETIC GANGLIA PARTICIPATED IN THE MAINTENANCE OF CHRONIC PAIN. HOWEVER, THE MOLECULAR MECHANISM UNDERLYING SYMPATHETIC GANGLIA-MEDIATED CHRONIC PAIN IS NOT CLEAR. HERE, WE FOUND THAT SPARED NERVE INJURY TREATMENT UPREGULATED THE EXPRESSION OF ADAMTS4 AND AP-2ALPHA PROTEIN AND MRNA IN THE NORADRENERGIC NEURONS OF SYMPATHETIC GANGLIA DURING NEUROPATHIC PAIN MAINTENANCE. KNOCKDOWN THE ADAMTS4 OR AP-2ALPHA BY INJECTING SPECIFIC RETRO SCAAV-TH (TYROSINE HYDROXYLASE)-SHRNA AMELIORATED THE MECHANICAL ALLODYNIA INDUCED BY SPARED NERVE INJURY ON DAY 21 AND 28. FURTHERMORE, CHROMATIN IMMUNOPRECIPITATION AND COIMMUNOPRECIPITATION ASSAYS FOUND THAT SPARED NERVE INJURY INCREASED THE RECRUITMENT OF AP-2ALPHA TO THE ADAMTS4 GENE PROMOTER, THE INTERACTION BETWEEN AP-2ALPHA AND HISTONE ACETYLTRANSFERASE P300 AND THE HISTONE H4 ACETYLATION ON DAY 28. FINALLY, KNOCKDOWN THE AP-2ALPHA REDUCED THE ACETYLATION OF H4 ON THE PROMOTER REGION OF ADAMTS4 GENE AND SUPPRESSED THE INCREASE OF ADAMTS4 EXPRESSION INDUCED BY SPARED NERVE INJURY. TOGETHER, THESE RESULTS SUGGESTED THAT THE ENHANCED INTERACTION BETWEEN AP-2ALPHA AND P300 MEDIATED THE EPIGENETIC UPREGULATION OF ADAMTS4 IN SYMPATHETIC GANGLIA NORADRENERGIC NEURONS, WHICH CONTRIBUTED TO THE MAINTENANCE OF SPARED NERVE INJURY INDUCED NEUROPATHIC PAIN. 2023 10 5402 46 REDUCTION OF SIRT1-MEDIATED EPIGENETIC UPREGULATION OF NAV1.7 CONTRIBUTES TO OXALIPLATIN-INDUCED NEUROPATHIC PAIN. BACKGROUND: CLINICALLY, NEUROPATHIC PAIN IS A SEVERE SIDE EFFECT OF OXALIPLATIN CHEMOTHERAPY, WHICH USUALLY LEADS TO DOSE REDUCTION OR CESSATION OF TREATMENT. DUE TO THE UNAWARENESS OF DETAILED MECHANISMS OF OXALIPLATIN-INDUCED NEUROPATHIC PAIN, IT IS DIFFICULT TO DEVELOP AN EFFECTIVE THERAPY AND LIMITS ITS CLINICAL USE. OBJECTIVES: THE AIM OF THE PRESENT STUDY WAS TO IDENTIFY THE ROLE OF SIRTUIN 1 (SIRT1) REDUCTION IN EPIGENETIC REGULATION OF THE EXPRESSION OF VOLTAGE-GATED SODIUM CHANNELS 1.7 (NAV1.7) IN THE DORSAL ROOT GANGLION (DRG) DURING OXALIPLATIN-INDUCED NEUROPATHIC PAIN. STUDY DESIGN: CONTROLLED ANIMAL STUDY. SETTING: UNIVERSITY LABORATORY. METHODS: THE VON FREY TEST WAS PERFORMED TO EVALUATE PAIN BEHAVIOR IN RATS. REAL-TIME QUANTITATIVE POLYMERASE CHAIN REACTION, WESTERN BLOTTING, ELECTROPHYSIOLOGICAL RECORDING, CHROMATIN IMMUNOPRECIPITATION, AND SMALL INTERFERING RNA (SIRNA) WERE USED TO ILLUSTRATE THE MECHANISMS. RESULTS: IN THE PRESENT STUDY, WE FOUND THAT BOTH THE ACTIVITY AND EXPRESSION OF SIRT1 WERE SIGNIFICANTLY DECREASED IN RAT DRG FOLLOWING OXALIPLATIN TREATMENT. THE ACTIVATOR OF SIRT1, RESVERATROL, NOT ONLY INCREASED THE ACTIVITY AND EXPRESSION OF SIRT1, BUT ALSO ATTENUATED THE MECHANICAL ALLODYNIA FOLLOWING OXALIPLATIN TREATMENT. IN ADDITION, LOCAL KNOCKDOWN OF SIRT1 BY INTRATHECAL INJECTION OF SIRT1 SIRNA CAUSED MECHANICAL ALLODYNIA IN NAIVE RATS. BESIDES, OXALIPLATIN TREATMENT ENHANCED THE ACTION POTENTIAL FIRING FREQUENCY OF DRG NEURONS AND THE EXPRESSION OF NAV1.7 IN DRG AND ACTIVATION OF SIRT1 BY RESVERATROL REVERSED THIS EFFECT. FURTHERMORE, BLOCKING NAV1.7 BY PROTX II (A SELECTIVE NAV1.7 CHANNEL BLOCKER) REVERSED OXALIPLATIN-INDUCED MECHANICAL ALLODYNIA. IN ADDITION, HISTONE H3 HYPERACETYLATION AT THE NAV1.7 PROMOTER IN DRG OF RATS FOLLOWING OXALIPLATIN TREATMENT WAS SIGNIFICANTLY SUPPRESSED BY ACTIVATION OF SIRT1 WITH RESVERATROL. MOREOVER, BOTH THE EXPRESSION OF NAV1.7 AND HISTONE H3 ACETYLATION AT THE NAV1.7 PROMOTER WERE UPREGULATED IN THE DRG BY LOCAL KNOCKDOWN OF SIRT1 WITH SIRT1 SIRNA IN NAIVE RATS. LIMITATIONS: MORE UNDERLYING MECHANISM(S) OF SIRT1 REDUCTION AFTER OXALIPLATIN TREATMENT NEEDS TO BE EXPLORED IN FUTURE RESEARCH. CONCLUSIONS: THESE FINDINGS SUGGEST THAT REDUCTION OF SIRT1-MEDIATED EPIGENETIC UPREGULATION OF NAV1.7 IN THE DRG CONTRIBUTES TO THE DEVELOPMENT OF OXALIPLATIN-INDUCED NEUROPATHIC PAIN IN RATS. THE INTRATHECAL DRUG DELIVERY TREATMENT OF ACTIVATING SIRT1 MIGHT BE A NOVEL THERAPEUTIC OPTION FOR OXALIPLATIN-INDUCED NEUROPATHIC PAIN. 2023 11 742 34 CANNABINOID CB2 RECEPTORS ARE UPREGULATED VIA BIVALENT HISTONE MODIFICATIONS AND CONTROL PRIMARY AFFERENT INPUT TO THE SPINAL CORD IN NEUROPATHIC PAIN. TYPE-2 CANNABINOID RECEPTORS (CB2, ENCODED BY THE CNR2 GENE) ARE MAINLY EXPRESSED IN IMMUNE CELLS, AND CB2 AGONISTS NORMALLY HAVE NO ANALGESIC EFFECT. HOWEVER, NERVE INJURY UPREGULATES CB2 IN THE DORSAL ROOT GANGLION (DRG), FOLLOWING WHICH CB2 STIMULATION REDUCES NEUROPATHIC PAIN. IT IS UNCLEAR HOW NERVE INJURY INCREASES CB2 EXPRESSION OR HOW CB2 ACTIVITY IS TRANSFORMED IN NEUROPATHIC PAIN. IN THIS STUDY, IMMUNOBLOTTING SHOWED THAT SPINAL NERVE LIGATION (SNL) INDUCED A DELAYED AND SUSTAINED INCREASE IN CB2 EXPRESSION IN THE DRG AND DORSAL SPINAL CORD SYNAPTOSOMES. RNASCOPE IN SITU HYBRIDIZATION ALSO SHOWED THAT SNL SUBSTANTIALLY INCREASED CB2 MRNA LEVELS, MOSTLY IN MEDIUM AND LARGE DRG NEURONS. FURTHERMORE, WE FOUND THAT THE SPECIFIC CB2 AGONIST JWH-133 SIGNIFICANTLY INHIBITS THE AMPLITUDE OF DORSAL ROOT-EVOKED GLUTAMATERGIC EXCITATORY POSTSYNAPTIC CURRENTS IN SPINAL DORSAL HORN NEURONS IN SNL RATS, BUT NOT IN SHAM CONTROL RATS; INTRATHECAL INJECTION OF JWH-133 REVERSED PAIN HYPERSENSITIVITY IN SNL RATS, BUT HAD NO EFFECT IN SHAM CONTROL RATS. IN ADDITION, CHROMATIN IMMUNOPRECIPITATION-QPCR ANALYSIS SHOWED THAT SNL INCREASED ENRICHMENT OF TWO ACTIVATING HISTONE MARKS (H3K4ME3 AND H3K9AC) AND DIMINISHED OCCUPANCY OF TWO REPRESSIVE HISTONE MARKS (H3K9ME2 AND H3K27ME3) AT THE CNR2 PROMOTER IN THE DRG. IN CONTRAST, SNL HAD NO EFFECT ON DNA METHYLATION LEVELS AROUND THE CNR2 PROMOTER. OUR FINDINGS SUGGEST THAT PERIPHERAL NERVE INJURY PROMOTES CB2 EXPRESSION IN PRIMARY SENSORY NEURONS VIA EPIGENETIC BIVALENT HISTONE MODIFICATIONS AND THAT CB2 ACTIVATION REDUCES NEUROPATHIC PAIN BY ATTENUATING NOCICEPTIVE TRANSMISSION FROM PRIMARY AFFERENT NERVES TO THE SPINAL CORD. 2022 12 2751 29 EXPRESSION OF ACETYL-HISTONE H3 AND ACETYL-HISTONE H4 IN DORSAL ROOT GANGLION AND SPINAL DORSAL HORN IN RAT CHRONIC PAIN MODELS. AIMS: HISTONE ACETYLATION AND DEACETYLATION ARE TWO HISTONE POSTTRANSLATIONAL MODIFICATIONS THAT ARE USUALLY CONTROLLED BY HISTONE ACETYLTRANSFERASES (HATS) AND HISTONE DEACETYLASES (HDACS). ALTHOUGH HATS OR HDACS INHIBITORS COULD RELIEVE PAIN HYPERSENSITIVITIES IN CHRONIC PAIN ANIMAL MODELS, IT IS NOT CLEAR ON THE EXPRESSION OF GLOBAL HISTONE ACETYLATION IN THE DORSAL ROOT GANGLION (DRG) OR SPINAL DORSAL HORN IN CHRONIC PAIN CONDITIONS. MAIN METHODS: A SPINAL NERVE LIGATION (SNL)-INDUCED NEUROPATHIC PAIN MODEL AND A COMPLETE FREUND'S ADJUVANT (CFA)-INDUCED INFLAMMATORY PAIN MODEL IN RATS WERE USED TO EXAMINE THE EXPRESSION OF TOTAL ACETYL-HISTONE H3 (ACH3) AND TOTAL ACETYL-HISTONE H4 (ACH4) BY IMMUNOFLUORESCENCE OR WESTERN BLOT. KEY FINDINGS: ACH3 AND ACH4 NOT ONLY LOCALIZED IN NEURONAL NUCLEI, BUT ALSO IN NUCLEI OF GLIAL CELLS IN THE DRG. UNILATERAL SNL INDUCED THE INCREASE OF ACH3 AND ACH4 EXPRESSION IN THE INJURED LUMBAR 5 (L5) DRG, BUT NOT IN THE UNINJURED L5 DRG OR THE SPINAL DORSAL HORN, WHILE UNILATERAL INTRAPLANTAR INJECTION OF CFA INCREASED ACH3 AND ACH4 EXPRESSION IN THE IPSILATERAL L4/5 SPINAL DORSAL HORN, BUT NOT IN THE L4/5 DRG. SIGNIFICANCE: THESE RESULTS PROVIDE MORPHOLOGICAL EVIDENCE FOR GLOBAL HISTONE ACETYLATION EXPRESSION IN THE DRG AND SPINAL CORD AND INDICATE THE DIFFERENTIAL EXPRESSION IN THE DRG AND SPINAL DORSAL HORN IN DIFFERENT CHRONIC PAIN MODELS. MORE PRECISE EPIGENETIC MECHANISMS OF HISTONE ACETYLATION ON THE TARGET GENES NEED TO BE REVEALED. 2018 13 1630 30 DNMT3A CONTRIBUTES TO THE DEVELOPMENT AND MAINTENANCE OF BONE CANCER PAIN BY SILENCING KV1.2 EXPRESSION IN SPINAL CORD DORSAL HORN. METASTATIC BONE TUMOR-INDUCED CHANGES IN GENE TRANSCRIPTION AND TRANSLATION IN PAIN-RELATED REGIONS OF THE NERVOUS SYSTEM MAY PARTICIPATE IN THE DEVELOPMENT AND MAINTENANCE OF BONE CANCER PAIN. EPIGENETIC MODIFICATIONS INCLUDING DNA METHYLATION REGULATE GENE TRANSCRIPTION. HERE, WE REPORT THAT INTRATHECAL INJECTION OF DECITABINE, A DNA METHYLTRANSFERASE (DNMT) INHIBITOR, DOSE DEPENDENTLY ATTENUATED THE DEVELOPMENT AND MAINTENANCE OF BONE CANCER PAIN INDUCED BY INJECTING PROSTATE CANCER CELLS INTO THE TIBIA. THE LEVEL OF THE DE NOVO DNMT3A, BUT NOT DNMT3B, TIME DEPENDENTLY INCREASED IN THE IPSILATERAL L4/5 DORSAL HORN (NOT L4/5 DORSAL ROOT GANGLION) AFTER PROSTATE CANCER CELLS INJECTION. BLOCKING THIS INCREASE THROUGH MICROINJECTION OF RECOMBINANT ADENO-ASSOCIATED VIRUS 5 (AAV5) EXPRESSING DNMT3A SHRNA INTO DORSAL HORN RESCUED PROSTATE CANCER CELLS-INDUCED DOWNREGULATION OF DORSAL HORN KV1.2 EXPRESSION AND IMPAIRED PROSTATE CANCER CELLS-INDUCED PAIN HYPERSENSITIVITY. IN TURN, MIMICKING THIS INCREASE THROUGH MICROINJECTION OF AAV5 EXPRESSING FULL-LENGTH DNMT3A INTO DORSAL HORN REDUCED DORSAL HORN KV1.2 EXPRESSION AND PRODUCED PAIN HYPERSENSITIVITY IN THE ABSENCE OF PROSTATE CANCER CELLS INJECTION. ADMINISTRATION OF NEITHER DECITABINE NOR VIRUS AFFECTED LOCOMOTOR FUNCTION AND ACUTE RESPONSES TO MECHANICAL, THERMAL, OR COLD STIMULI. GIVEN THAT DNMT3A MRNA IS CO-EXPRESSED WITH KCNA2 MRNA (ENCODING KV1.2) IN INDIVIDUAL DORSAL HORN NEURONS, OUR FINDINGS SUGGEST THAT INCREASED DORSAL HORN DNMT3A CONTRIBUTES TO BONE CANCER PAIN THROUGH SILENCING DORSAL HORN KV1.2 EXPRESSION. DNMT3A MAY REPRESENT A POTENTIAL NEW TARGET FOR CANCER PAIN MANAGEMENT. 2017 14 2565 32 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 15 5574 28 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 16 657 35 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 17 743 37 CANNABINOID TYPE 2 RECEPTOR SYSTEM MODULATES PACLITAXEL-INDUCED MICROGLIAL DYSREGULATION AND CENTRAL SENSITIZATION IN RATS. PACLITAXEL INDUCES MICROGLIAL ACTIVATION AND PRODUCTION OF PROINFLAMMATORY MEDIATORS IN THE DORSAL HORN, WHICH CONTRIBUTE TO THE DEVELOPMENT AND MAINTENANCE OF CENTRAL SENSITIZATION AND PAIN BEHAVIOR. MDA7, 1-([3-BENZYL-3-METHYL-2,3-DIHYDRO-1-BENZOFURAN-6-YL]CARBONYL) PIPERIDINE, IS A NOVEL HIGHLY SELECTIVE CANNABINOID TYPE 2 (CB2) AGONIST. WE TESTED THE HYPOTHESIS THAT ACTIVATION OF CB2 RECEPTOR BY MDA7 MODULATES MICROGLIAL DYSREGULATION, SUPPRESSES THE OVEREXPRESSION OF BRAIN-DERIVED NEUROTROPHIC FACTOR (BDNF) IN MICROGLIA IN THE DORSAL HORN, AND ATTENUATES THE CENTRAL SENSITIZATION AND PAIN BEHAVIOR INDUCED BY PACLITAXEL. FOR 4 CONSECUTICE DAYS, GROUPS OF RATS RANDOMLY RECEIVED SALINE OR 1.0 MG/KG OF PACLITAXEL DAILY INTRAPERITONEALLY FOR A TOTAL CUMULATIVE DOSE OF 4 MG/KG. MDA7 15 MG/KG INTRAPERITONEALLY OR VEHICLE WERE ADMINISTERED 15 MIN BEFORE ADMINISTERING PACLITAXEL FOR 4 DAYS AND THEN CONTINUED FOR ANOTHER 10 DAYS. BEHAVIORAL AND MOLECULAR STUDIES WERE PERFORMED. PACLITAXEL INDUCED THE EXPRESSION OF CB2 RECEPTORS AND PRODUCTION OF INTERLEUKIN (IL)-6 IN MICROGLIA IN THE DORSAL HORN. MDA7 ATTENUATED THE EXPRESSION OF IL-6 AND PROMOTED THE EXPRESSION OF IL-10. PACLITAXEL INDUCED EPIGENETIC UPREGULATION OF IRF8 AND P2X PURINOCEPTOR 4 (P2X4) IN MICROGLIA AND SUBSEQUENTLY INCREASED THE EXPRESSION OF ALPHA ISOFORM OF CALCIUM/CALMODULIN-DEPENDENT PROTEIN KINASE II (CAMKIIALPHA), TRANSCRIPTIONAL FACTORS P-CREB AND DELTAFOSB, LEADING TO THE OVERPRODUCTION OF BDNF IN MICROGLIA. PACLITAXEL ALSO UPREGULATED THE EXPRESSION OF GLUTAMATE RECEPTOR SUBUNITS GLUR1 AND NR2B, DECREASED THE EXPRESSION OF K(+)-CL(-) COTRANSPORTER, AND INDUCED MECHANICAL ALLODYNIA IN RATS. ALL OF THE AFOREMENTIONED MOLECULAR CHANGES WERE ATTENUATED BY MDA7. OUR DATA SHOW THAT MDA7 ATTENUATED PACLITAXEL-INDUCED MOLECULAR AND BEHAVIORAL CHANGES IN RATS. PERSPECTIVE: THIS STUDY PROVIDES EVIDENCE THAT PACLITAXEL INDUCED MICROGLIA DYSREGULATION AND EPIGENETICALLY UPREGULATED THE MICROGLIAL EXPRESSION OF BDNF, WHICH LED TO SENSITIZATION OF DORSAL HORN NEURONS AND MECHANICAL ALLODYNIA IN RATS. THE CB2 AGONIST MDA7 ALLEVIATED THESE PATHOLOGICAL PROCESSES. MDA7 REPRESENTS AN INNOVATIVE THERAPEUTIC APPROACH FOR TREATMENT OF CHEMOTHERAPY-INDUCED NEUROPATHY. 2019 18 2477 33 EPIGENETIC UPREGULATION OF CDK5 IN THE DORSAL HORN CONTRIBUTES TO NEUROPATHIC PAIN IN RATS. NUMEROUS REPORTS HAVE SHOWN THAT CYCLIN-DEPENDENT KINASE 5 (CDK5), A PROLINE-DIRECTED SERINE/THREONINE KINASE, CRITICALLY CONTRIBUTES TO THE INDUCTION AND MAINTENANCE OF CHRONIC PAIN INDUCED BY PERIPHERAL INFLAMMATION AND NERVE INJURY. RECENT EVIDENCE HAS ALSO SUGGESTED THE CRITICAL ROLE OF AN EPIGENETIC MECHANISM IN THE SETTING OF CHRONIC PAIN. THE PRESENT STUDY AIMS TO ELUCIDATE THE CYCLIC AMP RESPONSE ELEMENT-BINDING PROTEIN (CREB)-MEDIATED UPREGULATION OF CDK5 AND ITS FUNCTIONAL SIGNIFICANCE IN RATS WITH NEUROPATHIC PAIN INDUCED BY CHRONIC CONSTRICTION INJURY (CCI) IN THE SCIATIC NERVE. SIGNIFICANTLY INCREASED EXPRESSION OF CDK5 WAS OBSERVED IN THE DORSAL HORN OF RATS WITH CCI, AND INTRATHECAL DELIVERY OF CDK5 INHIBITOR ROSCOVITINE SIGNIFICANTLY ATTENUATED THE MECHANICAL ALLODYNIA IN THESE RATS. PHOSPHORYLATION OF CREB AND ITS OCCUPANCY IN THE CDK5 PROMOTER REGION WAS ALSO INCREASED IN THE DORSAL HORN, WHICH LED TO INCREASED HISTONE H4 ACETYLATION IN THE CDK5 PROMOTER REGION AND THE UPREGULATED TRANSCRIPTION OF CDK5. INHIBITION OF CREB ACTIVITY ATTENUATED THE UPREGULATION OF CDK5 AND ALLEVIATED THE MECHANICAL ALLODYNIA IN RATS WITH CCI. THESE RESULTS DEMONSTRATED A CREB-MEDIATED EPIGENETIC UPREGULATION OF CDK5 IN THE DORSAL HORN, WHICH CRITICALLY CONTRIBUTED TO THE MAINTENANCE OF PAINFUL BEHAVIOR IN THE RATS WITH NEUROPATHIC PAIN. 2014 19 3832 30 INVOLVEMENT OF SPINAL SIRT1 IN DEVELOPMENT OF CHRONIC CONSTRICTION INJURY INDUCED NEUROPATHIC PAIN IN RATS. IT IS KNOWN THAT THE EPIGENETIC PROCESS OF HISTONE ACETYLATION IS INVOLVED IN THE NEUROPATHIC PAIN. THE AIM OF THIS STUDY WAS TO DETERMINE WHETHER SIRTUIN TYPE 1 (SIRT1), AN NAD(+) DEPENDENT DEACETYLASE, AFFECTED ALLODYNIA AND HYPERALGESIA IN NEUROPATHIC PAIN. THE NEUROPATHIC PAIN MODEL WAS ESTABLISHED BY LIGATURE OF THE RIGHT SCIATIC NERVE TO INDUCE CHRONIC CONSTRICTION INJURY (CCI) IN RATS. HISTONE ACETYLTRANSFERASE (HAT) ACTIVITY WAS INCREASED AND, AND HISTONE DEACETYLASE (HDAC) ACTIVITY WAS DECLINED IN TISSUE OF THE SPINAL DORSA HORN IN CCI RATES BY MEANS OF ENZYME-LINKED IMMUNOSORBENT ASSAY (ELISA). THE PERSISTENT HYPERALGESIA AND ALLODYNIA CAUSED BY CCI WERE ASSOCIATED WITH DOWNREGULATION OF SIRT1 AND UPREGULATION OF ACETYLATED-H3 (AC-H3) IN TISSUE OF THE SPINAL CORD BY WESTERN BLOT ASSAY, WHICH WAS REVERSED AFTER INTRATHECAL INJECTION OF SIRT1 AGONIST SRT1720. SRT1720 TREATMENT ACHIEVED ANALGESIC THROUGH INHIBITING THE ACETYLATION OF NUCLEAR FACTOR KAPPA B (NF-KAPPAB) AND BLOCKING THE RELEASES OF THE INFLAMMATORY FACTORS INCLUDING TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA) AND INTERLEUKIN (IL)-6 BY MEANS OF WESTERN BLOT AND REAL-TIME QUANTITATIVE PCR (RT-PCR), RESPECTIVELY. TAKEN TOGETHER, THESE DATA SUGGEST THAT SIRT1 IN THE SPINAL CORD PLAYS AN IMPORTANT ROLE IN THE NEUROPATHIC PAIN IN THE RAT MODEL. 2018 20 4906 37 P300 EXERTS AN EPIGENETIC ROLE IN CHRONIC NEUROPATHIC PAIN THROUGH ITS ACETYLTRANSFERASE ACTIVITY IN RATS FOLLOWING CHRONIC CONSTRICTION INJURY (CCI). BACKGROUND: NEUROPATHIC PAIN IS DETRIMENTAL TO HUMAN HEALTH; HOWEVER, ITS PATHOGENESIS STILL REMAINS LARGELY UNKNOWN. OVEREXPRESSION OF PAIN-ASSOCIATED GENES AND INCREASED NOCICEPTIVE SOMATO-SENSITIVITY ARE WELL OBSERVED IN NEUROPATHIC PAIN. THE IMPORTANCE OF EPIGENETIC MECHANISMS IN REGULATING THE EXPRESSION OF PRO- OR ANTI-NOCICEPTIVE GENES HAS BEEN REVEALED BY STUDIES RECENTLY, AND WE HYPOTHESIZE THAT THE TRANSCRIPTIONAL COACTIVATOR AND THE HISTONE ACETYLTRANSFERASE E1A BINDING PROTEIN P300 (P300), AS A PART OF THE EPIGENETIC MECHANISMS OF GENE REGULATION, MAY BE INVOLVED IN THE PATHOGENESIS OF NEUROPATHIC PAIN INDUCED BY CHRONIC CONSTRICTION INJURY (CCI). TO TEST THIS HYPOTHESIS, TWO DIFFERENT APPROACHES WERE USED IN THIS STUDY: (I) DOWN-REGULATING P300 WITH SPECIFIC SMALL HAIRPIN RNA (SHRNA) AND (II) CHEMICAL INHIBITION OF P300 ACETYLTRANSFERASE ACTIVITY BY A SMALL MOLECULE INHIBITOR, C646. RESULTS: USING THE CCI RAT MODEL, WE FOUND THAT THE P300 EXPRESSION WAS INCREASED IN THE LUMBAR SPINAL CORD ON DAY 14 AFTER CCI. THE TREATMENT WITH INTRATHECAL P300 SHRNA REVERSED CCI-INDUCED MECHANICAL ALLODYNIA AND THERMAL HYPERALGESIA, AND SUPPRESSED THE EXPRESSION OF CYCLOOXYGENASE-2 (COX-2), A NEUROPATHIC PAIN-ASSOCIATED FACTOR. FURTHERMORE, C646, AN INHIBITOR OF P300 ACETYLTRANSFERASE, ALSO ATTENUATED MECHANICAL ALLODYNIA AND THERMAL HYPERALGESIA, ACCOMPANIED BY A SUPPRESSED COX-2 EXPRESSION, IN THE SPINAL CORD. CONCLUSIONS: THE RESULTS SUGGEST THAT, THROUGH ITS ACETYLTRANSFERASE ACTIVITY IN THE SPINAL CORD AFTER CCI, P300 EPIGENETICALLY PLAYS AN IMPORTANT ROLE IN NEUROPATHIC PAIN. INHIBITING P300, USING INTERFERING RNA OR C646, MAY BE A PROMISING APPROACH TO THE DEVELOPMENT OF NEW NEUROPATHIC PAIN THERAPIES. 2012