Spinal Neuronal miR-124 Inhibits Microglial Activation and Contributes to Preventive Effect of Electroacupuncture on Chemotherapy-Induced Peripheral Neuropathy in Mice

Xiao-Chen Li, Hui Chen, Yu Chen, Yu-Xia Chu, Wen-Li Mi, Yan-Qing Wang, Qi-Liang Mao-Ying
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Abstract Chemotherapy-induced peripheral neuropathy (CIPN) is a persistent and irreversible side effect of antineoplastic agents. Patients with CIPN usually show chronic pain and sensory deficits with glove-and-stocking distribution. However, whether spinal neuronal microRNA (miR)-124 is involved in cisplatin-induced peripheral neuropathy remains to be studied. In this study, miR-124 was significantly reduced in the spinal dorsal horn in CIPN mice. Overexpression of neuronal miR-124 induced by injecting adeno-associated virus with neuron-specific promoter into the spinal cord of mice prevented the development of mechanical allodynia, sensory deficits, and the loss of intraepidermal nerve fibers induced by cisplatin. Meanwhile, cisplatin-induced M1 microglia activation and the release of proinflammatory cytokines were significantly inhibited by overexpression of neuronal miR-124. Furthermore, electroacupuncture (EA) treatment upregulated miR-124 expression in the spinal dorsal horn of CIPN mice. Interestingly, downregulation of spinal neuronal miR-124 significantly inhibited the regulatory effect of EA on CIPN and microglia activity as well as spinal neuroinflammation induced by cisplatin. These results demonstrate that spinal neuronal miR-124 is involved in the prevention and treatment of EA on cisplatin-induced peripheral neuropathy in mice. Our findings suggest that spinal neuronal miR-124 might be a potential target for EA effect, and we provide, to our knowledge, a new experimental basis for EA prevention of CIPN.
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脊髓神经元 miR-124 抑制小胶质细胞活化,促进电针对化疗诱发的小鼠周围神经病变的预防作用
化疗诱导的周围神经病变(CIPN)是抗肿瘤药物持续且不可逆的副作用。CIPN患者通常表现为慢性疼痛和感觉缺陷,并伴有手套和袜子分布。然而,脊髓神经元microRNA (miR)-124是否参与顺铂诱导的周围神经病变仍有待研究。在这项研究中,miR-124在CIPN小鼠的脊髓背角中显著降低。将带有神经元特异性启动子的腺相关病毒注入小鼠脊髓诱导神经元miR-124过表达,可阻止顺铂诱导的机械性异常痛、感觉缺陷和表皮内神经纤维丢失的发生。同时,顺铂诱导的M1小胶质细胞的激活和促炎细胞因子的释放被神经元miR-124的过表达显著抑制。此外,电针(EA)治疗上调了CIPN小鼠脊髓背角中miR-124的表达。有趣的是,脊髓神经元miR-124的下调显著抑制了EA对CIPN和小胶质细胞活性以及顺铂诱导的脊髓神经炎症的调节作用。这些结果表明脊髓神经元miR-124参与EA对小鼠顺铂诱导的周围神经病变的预防和治疗。我们的研究结果表明,脊髓神经元miR-124可能是EA效应的潜在靶点,据我们所知,我们为EA预防CIPN提供了新的实验基础。
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