Overexpression of MicroRNA-182-5p Alleviates Pain in Rats with Lumbar Disc Herniation

Maimaitiaili Niyazi, Jie Dai, Xin Eric Wang, Aikeremujiang Muheremu
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Abstract

Inflammatory factor stimulation secondary to lumbar disc herniation (LDH) is considered to be the main cause of lumbar back and lower extremity pain in patients with LDH. In the meanwhile, microRNAs have been reported to be effective in inhibiting the expression of several inflammatory factors. In the current study, we used rat LDH model to explore the feasibility of MSCs overexpressing microRNA-182-5p as a treatment option for LDH. Changes of inflammatory factors and changes of histological properties of dorsal root ganglion were observed to test the efficacy of this treatment option for lower back and extremity pain due secondary to LDH. All the rats survived by the end of eight week study period. The expression of TNF-α, IL-1, IL-6 both in dorsal root ganglia and blood serum were significantly lower in the experimental group than the control group (P <0.01). Histopathologic examination results showed better preserved tissue structural integrity of nerve ganglion in rats treated with BMSCs overexpressing microRNA-182-5p. Those results indicated that, BMSCs overexpressing microRNA-182-5p can significantly inhibit inflammatory reaction after LDH, and may be used as a therapeutic option to alleviate pain in patients with neurogenic pain after LDH.
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MicroRNA-182-5p过表达减轻腰椎间盘突出症大鼠疼痛
继发于腰椎间盘突出症(LDH)的炎症因子刺激被认为是LDH患者腰背部和下肢疼痛的主要原因。与此同时,有报道称microRNAs可以有效抑制几种炎症因子的表达。在本研究中,我们利用大鼠LDH模型来探讨MSCs过表达microRNA-182-5p作为LDH治疗方案的可行性。观察炎症因子的变化和背根神经节组织学特性的变化,以检验该治疗方案对LDH继发性腰背部和四肢疼痛的疗效。8周的研究结束后,所有的大鼠都存活了下来。实验组大鼠背根神经节及血清中TNF-α、IL-1、IL-6的表达均显著低于对照组(P <0.01)。组织病理学检查结果显示,过表达microRNA-182-5p的骨髓间充质干细胞处理后,大鼠神经节组织结构完整性得到较好的保存。这些结果表明,过表达microRNA-182-5p的骨髓间充质干细胞可以显著抑制LDH后的炎症反应,可以作为缓解LDH后神经性疼痛患者疼痛的治疗选择。
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