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Evidence for glial reactivity using positron-emission tomography imaging of translocator Protein-18 kD [TSPO] in both sham and nerve-injured rats in a preclinical model of orofacial neuropathic pain 假手术和神经损伤大鼠口腔面神经病变性疼痛临床前模型中转运蛋白- 18kd [TSPO]的正电子发射断层成像证明神经胶质反应性。
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.ynpai.2024.100175
Gaelle M. Emvalomenos , James W.M. Kang , Sabrina Salberg , Crystal Li , Bianca Jupp , Matthew Long , Mohammad B. Haskali , Sunil Kellapatha , OIivia I. Davanzo , Hyunsol Lim , Richelle Mychasiuk , Kevin A. Keay , Luke A. Henderson
Chronic neuropathic pain is a debilitating condition that results from damage to the nervous system. Current treatments are largely ineffective, with limited understanding of the underlying mechanisms hindering development of effective treatments. Preclinical models of neuropathic pain have revealed that non-neural changes are important for the development of neuropathic pain, although these data are derived almost exclusively from post-mortem histological analyses. Although these static snapshots have provided valuable data, they cannot provide insights into non-neural cell changes that could be also assessed in human patients with chronic pain. In this study we used translocator protein 18 kDa (TSPO) PET imaging with [18F]PBR06 to visualise in-vivo, the activity of macrophages and microglia in a rodent preclinical model of trigeminal neuropathic pain. Using chronic constriction injury of the infraorbital nerve (ION-CCI) we compared temporal changes in TSPO binding in male rats, prior to, and up to 28 days after ION-CCI compared with both sham-injured and naïve counterparts. Unexpectedly, we found significant increases in TSPO signal in both ION-CCI and sham-injured rats within the trigeminal ganglion, spinal trigeminal nucleus and paratrigeminal nucleus during the initial phase following surgery and/or nerve injury. This increased TSPO binding returned to control levels by day 28. Qualitative histological appraisal of macrophage accumulation and glial reactivity in both ION-CCI and sham-injured rats indicated macrophage accumulation in the trigeminal ganglion and microglial reactivity in the brainstem trigeminal complex. These findings show, glial changes in the peripheral nerve and brain in both nerve-injured and sham-injured rats in a preclinical model of neuropathic pain which provides a platform for translation into human patients.
慢性神经性疼痛是由神经系统损伤引起的一种使人衰弱的疾病。目前的治疗在很大程度上是无效的,对潜在机制的了解有限,阻碍了有效治疗的发展。神经性疼痛的临床前模型显示,非神经变化对神经性疼痛的发展很重要,尽管这些数据几乎完全来自死后的组织学分析。尽管这些静态快照提供了有价值的数据,但它们不能提供非神经细胞变化的见解,而非神经细胞变化也可以在人类慢性疼痛患者中进行评估。在这项研究中,我们使用转运蛋白18 kDa (TSPO) PET成像与[18F]PBR06来观察三叉神经性疼痛啮齿动物临床前模型中巨噬细胞和小胶质细胞的活体活性。利用慢性眶下神经收缩损伤(ION-CCI),我们比较了雄性大鼠在ION-CCI之前和之后28天TSPO结合的时间变化,与假损伤和naïve对照相比。出乎意料的是,我们发现在手术和/或神经损伤后的初始阶段,离子- cci和假损伤大鼠三叉神经节、三叉神经脊髓核和叉旁核内的TSPO信号显著增加。这种增加的TSPO结合在第28天恢复到对照水平。对离子- cci和假损伤大鼠巨噬细胞积累和神经胶质反应性的定性组织学评价表明,三叉神经节巨噬细胞积累和脑干三叉神经复合体小胶质反应性。这些发现表明,在神经性疼痛的临床前模型中,神经损伤和假损伤大鼠的周围神经和大脑的胶质细胞变化为转化为人类患者提供了平台。
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引用次数: 0
Keratinocyte-derived extracellular vesicles in painful diabetic neuropathy 疼痛性糖尿病神经病变中角质细胞来源的细胞外囊泡。
Q2 Medicine Pub Date : 2025-01-01 DOI: 10.1016/j.ynpai.2024.100176
James Coy-Dibley , Nirupa D. Jayaraj , Dongjun Ren , Paola Pacifico , Abdelhak Belmadani , Yi-Zhi Wang , Kamil K. Gebis , Jeffrey N. Savas , Amy S. Paller , Richard J. Miller , Daniela M. Menichella
Painful diabetic neuropathy (PDN) is a challenging complication of diabetes with patients experiencing a painful and burning sensation in their extremities. Existing treatments provide limited relief without addressing the underlying mechanisms of the disease. PDN involves the gradual degeneration of nerve fibers in the skin. Keratinocytes, the most abundant epidermal cell type, are closely positioned to cutaneous nerve terminals, suggesting the possibility of bi-directional communication. Extracellular vesicles are lipid-bilayer encapsulated nanovesicles released from many cell types that mediate cell to cell communication. The role of keratinocyte-derived extracellular vesicles (KDEVs) in influencing signaling between the skin and cutaneous nerve terminals and their contribution to the genesis of PDN has not been explored. In this study, we characterized KDEVs in a well-established high-fat diet mouse model of PDN using primary adult mouse keratinocyte cultures. We obtained highly enriched KDEVs through size-exclusion chromatography and then analyzed their molecular cargo using proteomic analysis and small RNA sequencing. We found significant differences in the protein and microRNA content of high-fat diet KDEVs compared to KDEVs obtained from control mice on a regular diet, including pathways involved in axon guidance and synaptic transmission. Additionally, using an in vivo conditional extracellular vesicle reporter mouse model, we demonstrated that epidermal-originating GFP-tagged KDEVs are retrogradely trafficked into the dorsal root ganglion (DRG) neuron cell bodies. This study presents the first comprehensive isolation and molecular characterization of the KDEV protein and microRNA cargo in RD and HFD mice. Our findings suggest a potential novel communication pathway between keratinocytes and DRG neurons in the skin, which could have implications for PDN.
疼痛性糖尿病神经病变(PDN)是一种具有挑战性的糖尿病并发症,患者在其四肢经历疼痛和烧灼感。现有的治疗方法提供有限的缓解,没有解决疾病的潜在机制。PDN涉及皮肤神经纤维的逐渐退化。角化细胞是最丰富的表皮细胞类型,靠近皮神经末梢,提示可能存在双向通讯。细胞外囊泡是由多种细胞释放的脂质双分子层包裹的纳米囊泡,介导细胞间的通讯。角化细胞来源的细胞外囊泡(KDEVs)在影响皮肤和皮神经末梢之间的信号传导中的作用及其对PDN发生的贡献尚未被探索。在这项研究中,我们利用原代成年小鼠角质细胞培养物,在成熟的高脂肪饮食小鼠PDN模型中表征了KDEVs。我们通过尺寸排除层析获得高富集的KDEVs,然后使用蛋白质组学分析和小RNA测序对其分子货物进行分析。我们发现,与常规饮食的对照组小鼠相比,高脂肪饮食的KDEVs的蛋白质和microRNA含量存在显著差异,包括参与轴突引导和突触传递的途径。此外,使用体内条件细胞外囊泡报告小鼠模型,我们证明表皮源性gfp标记的KDEVs可逆行转运到背根神经节(DRG)神经元细胞体中。本研究首次对RD和HFD小鼠的KDEV蛋白和microRNA货物进行了全面的分离和分子表征。我们的研究结果表明,皮肤中角质形成细胞和DRG神经元之间可能存在一种新的通信途径,这可能对PDN有影响。
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引用次数: 0
Neuronal activation patterns during self-referential pain imagination 自我参照疼痛想象过程中的神经元激活模式
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100158
Annabel Vetterlein , Thomas Plieger , Merlin Monzel , Svea A. Hogeterp , Lilli Wagner , Thomas Grünhage , Andrea Felten , Peter Trautner , Jana Karneboge , Martin Reuter

In clinical assessments and pain therapy, patients are asked to imagine themselves in pain. However, the underlying neuronal processes remain poorly understood. Prior research has focused on empathy for pain or reported small sample sizes. Thus, the present study aimed to promote the neurobiological understanding of self-referential pain imagination. We hypothesised to find activation contrasts (pain vs. no pain) across pain-related areas and expected two of the most prominent predictors of chronic pain, pain sensitivity (PS) and locus of control (LoC), to be moderators.

In an fMRI study, N = 82 participants completed a pain imagination task, in which they were asked to imagine themselves in painful and non-painful situations presented in the form of pictures and texts. After each trial, they were instructed to give painfulness ratings. As a laboratory measure of PS, electrical pain thresholds were assessed. A questionnaire was completed to measure LoC.

Across presentation modes we found activity contrasts in previously pain-related regions, such as the prefrontal, supplementary motor, primary motor, somatosensory and posterior parietal cortices, and the cerebellum. We found positive associations of PS and external LoC with painfulness ratings, and a negative correlation between PS and internal LoC. Despite our hypotheses, neither PS nor internal LoC were significant predictors of the BOLD-signal contrasts.

Though future studies are needed to draw further conclusions, our results provide preliminary evidence of a potential neuronal imagination-perception overlap in pain.

在临床评估和疼痛治疗中,患者会被要求想象自己处于疼痛之中。然而,人们对其背后的神经元过程仍然知之甚少。之前的研究主要集中在对疼痛的移情方面,或者报告的样本量较小。因此,本研究旨在促进对自我疼痛想象的神经生物学理解。我们假设会发现疼痛相关区域的激活对比(疼痛与无痛),并预期慢性疼痛最主要的两个预测因素--疼痛敏感性(PS)和控制点(LoC)会成为调节因素。
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引用次数: 0
Novel therapies for cancer-induced bone pain 治疗癌症引起的骨痛的新疗法
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100167
Rayan Haroun , Samuel J. Gossage , Federico Iseppon , Alexander Fudge , Sara Caxaria , Manuel Arcangeletti , Charlotte Leese , Bazbek Davletov , James J. Cox , Shafaq Sikandar , Fraser Welsh , Iain P. Chessell , John N. Wood
Cancer pain is a growing problem, especially with the substantial increase in cancer survival. Reports indicate that bone metastasis, whose primary symptom is bone pain, occurs in 65–75% of patients with advanced breast or prostate cancer. We optimized a preclinical in vivo model of cancer-induced bone pain (CIBP) involving the injection of Lewis Lung Carcinoma cells into the intramedullary space of the femur of C57BL/6 mice or transgenic mice on a C57BL/6 background. Mice gradually reduce the use of the affected limb, leading to altered weight bearing. Symptoms of secondary cutaneous heat sensitivity also manifest themselves. Following optimization, three potential analgesic treatments were assessed; 1) single ion channel targets (targeting the voltage-gated sodium channels NaV1.7, NaV1.8, or acid-sensing ion channels), 2) silencing µ-opioid receptor-expressing neurons by modified botulinum compounds, and 3) targeting two inflammatory mediators simultaneously (nerve growth factor (NGF) and tumor necrosis factor (TNF)). Unlike global NaV1.8 knockout mice which do not show any reduction in CIBP-related behavior, embryonic conditional NaV1.7 knockout mice in sensory neurons exhibit a mild reduction in CIBP-linked behavior. Modified botulinum compounds also failed to cause a detectable analgesic effect. In contrast, inhibition of NGF and/or TNF resulted in a significant reduction in CIBP-driven weight-bearing alterations and prevented the development of secondary cutaneous heat hyperalgesia. Our results support the inhibition of these inflammatory mediators, and more strongly their dual inhibition to treat CIBP, given the superiority of combination therapies in extending the time needed to reach limb use score zero in our CIBP model.
癌症疼痛是一个日益严重的问题,尤其是随着癌症存活率的大幅提高。有报告显示,65%-75%的晚期乳腺癌或前列腺癌患者会出现骨转移,其主要症状是骨痛。我们优化了癌症诱导骨痛(CIBP)的临床前体内模型,将路易斯肺癌细胞注射到 C57BL/6 小鼠或 C57BL/6 背景的转基因小鼠的股骨髓内间隙。小鼠会逐渐减少患肢的使用,导致负重能力改变。继发性皮肤热敏感症状也会显现出来。经过优化后,评估了三种潜在的镇痛疗法:1)单一离子通道靶点(靶向电压门控钠通道 NaV1.7、NaV1.8 或酸感应离子通道);2)通过改良肉毒杆菌化合物沉默表达μ-阿片受体的神经元;3)同时靶向两种炎症介质(神经生长因子(NGF)和肿瘤坏死因子(TNF))。全基因敲除 NaV1.8 小鼠的 CIBP 相关行为并未减少,而胚胎条件性 NaV1.7 感觉神经元敲除小鼠的 CIBP 相关行为则轻微减少。改良肉毒杆菌化合物也未能产生可检测到的镇痛效果。相反,抑制 NGF 和/或 TNF 可显著减少 CIBP 驱动的负重改变,并防止继发性皮肤热痛。我们的研究结果支持抑制这些炎症介质,而且鉴于联合疗法在延长我们的 CIBP 模型中达到肢体使用零分所需的时间方面具有优势,我们更支持通过双重抑制来治疗 CIBP。
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引用次数: 0
B-cell and plasma cell activation in a mouse model of chronic muscle pain 慢性肌肉疼痛小鼠模型中的 B 细胞和浆细胞活化
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100169
Melissa E. Lenert , Audrey R. Green , Ericka N. Merriwether , Michael D. Burton
Fibromyalgia (FM) is a complex chronic musculoskeletal pain disorder with an elusive pathogenesis, with a strong implication of immune interactions. We recently found that IL-5 and the adaptive immune system mediates pain outcomes in fibromyalgia (FM) patients and preclinical models of FM-like chronic widespread pain (CWP). However, there is an active debate if FM/CWP has an autoimmune etiology. Preclinical models of CWP utilize a repeated insult paradigm, which resembles a primary, then secondary response similarly observed in the antibody response, in which the subsequent event causes a potentiated pain response. Recent translational studies have implicated immunoglobulins (Ig) and B-cells in FM/CWP pathophysiology. To understand if these are involved in preclinical models of CWP, we performed comprehensive B-cell phenotyping in the bone marrow, circulation, and popliteal (draining) lymph nodes in the two-hit acidic saline model of CWP. We found increased MHC class II-expressing B-cells in peripheral blood, increased activated plasma cells in peripheral blood, and increased memory B-cells in the bone marrow. Interestingly, acidic pH (4.0) injected mice have reduced levels of IgG1, independent of treatment with IL-5. We have demonstrated that the acidic saline model of CWP induces T-cell mediated activation of B-cells, increased active plasma cells, and increased memory B-cells in female mice.
纤维肌痛(FM)是一种复杂的慢性肌肉骨骼疼痛疾病,其发病机制难以捉摸,与免疫相互作用有密切关系。我们最近发现,IL-5 和适应性免疫系统介导了纤维肌痛(FM)患者和 FM 类慢性广泛性疼痛(CWP)临床前模型的疼痛结果。然而,FM/CWP 是否具有自身免疫病因学还存在激烈的争论。慢性广泛性疼痛的临床前模型采用了一种重复侮辱范式,这种范式类似于抗体反应中观察到的先原发后继反应,在这种范式中,随后发生的事件会导致疼痛反应增强。最近的转化研究表明,免疫球蛋白(Ig)和 B 细胞与 FM/CWP 病理生理学有关。为了了解临床前 CWP 模型是否与这些因素有关,我们在两击酸性盐水 CWP 模型中对骨髓、血液循环和腘窝(引流)淋巴结进行了全面的 B 细胞表型分析。我们发现外周血中表达 MHC II 类的 B 细胞增多,外周血中活化浆细胞增多,骨髓中记忆性 B 细胞增多。有趣的是,注射酸性 pH 值(4.0)的小鼠 IgG1 水平降低,与 IL-5 治疗无关。我们已经证明,CWP 的酸性生理盐水模型可诱导 T 细胞介导的 B 细胞活化、活性浆细胞增加以及雌性小鼠记忆性 B 细胞增加。
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引用次数: 0
Adult zymosan re-exposure exacerbates the molecular alterations in the brainstem rostral ventromedial medulla of rats with early life zymosan-induced cystitis 成年后再次接触紫杉醇会加剧早期紫杉醇诱导的膀胱炎大鼠脑干喙腹内侧髓质的分子改变
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100160
Bhavana Talluri , Sankar Addya , Maia Terashvili , Bidyut K Medda , Anjishnu Banerjee , Reza Shaker , Jyoti N Sengupta , Banani Banerjee

Recent evidence suggests that the descending modulatory pathways from the brainstem rostral ventromedial medulla (RVM) are important for bladder inflammatory pain. This study aimed to identify the long-term molecular changes in RVM neurons due to early life cystitis during neuronal development and the effect of reexposure later in adulthood. RVM tissues from two treatment protocols were used: (1) neonatal zymosan exposures with acute adult rechallenge (RC) and (2) only neonatal zymosan exposures (NRC). RNAseq analysis showed upregulation of several genes associated with synaptic plasticity (Grin1, Grip2, Notch1, Arc, and Scn2b) in the cystitis groups compared to controls in both protocols. The RC protocol exhibited a stronger treatment effect with significantly higher fold differences between the groups compared to the NRC protocol (p < 0.001, fold differences RC vs NRC). In microarrays, miR-34a-5p showed cystitis-induced downregulation in both protocols. Bioinformatics analysis identified multiple 3′UTRs complementary binding sites for miR-34a-5p on Grin2b, Notch1, Grip2, Scn2b, and Arc genes. The enhanced response in the RC protocol indicates a possible priming effect of early life cystitis on rechallenge in adulthood. These long-term molecular alterations may play a critical role in the development of chronic bladder pain conditions as seen in patients with Interstitial Cystitis/Bladder pain syndrome.

最近的证据表明,来自脑干喙腹内侧延髓(RVM)的降序调节通路对膀胱炎性疼痛非常重要。本研究旨在确定早期膀胱炎在RVM神经元发育过程中引起的长期分子变化,以及成年后再次接触膀胱炎的影响。研究使用了两种治疗方案的 RVM 组织:(1)新生儿接触伊莫散和急性成人再接触(RC);(2)仅接触新生儿伊莫散(NRC)。RNAseq分析显示,与对照组相比,两种方案中膀胱炎组与突触可塑性相关的几个基因(Grin1、Grip2、Notch1、Arc和Scn2b)都出现了上调。与 NRC 方案相比,RC 方案表现出更强的治疗效果,组间的折差显著高于 NRC 方案(< 0.001,折差 RC vs NRC)。在微阵列中,miR-34a-5p 在两种方案中都出现了膀胱炎诱导的下调。生物信息学分析确定了 miR-34a-5p 在 Grin2b、Notch1、Grip2、Scn2b 和 Arc 基因上的多个 3′UTRs 互补结合位点。RC 方案中反应的增强表明,早期膀胱炎可能会对成年后的再挑战产生引物效应。这些长期的分子变化可能在慢性膀胱疼痛的发展过程中起到关键作用,就像间质性膀胱炎/膀胱疼痛综合征患者一样。
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引用次数: 0
Activating transcription factor 3 (ATF3) and calcitonin gene-related peptide (CGRP) increase in trigeminal ganglion neurons in female rats after photorefractive keratectomy (PRK)-like corneal abrasion 光屈光性角膜切除术(PRK)类角膜擦伤后雌性大鼠三叉神经节神经元中激活转录因子 3(ATF3)和降钙素基因相关肽(CGRP)的增加
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100165
Clem Gunter , Cody L. Jiang , Shae O. Zeimantz , Deborah M. Hegarty , Catherine W. Morgans , Tally M. Largent-Milnes , Sue A. Aicher

Photorefractive keratectomy (PRK) is a type of eye surgery that involves removal of the corneal epithelium and its associated nerves, which causes intense acute pain in most people. We used a rat model of corneal epithelium removal (corneal abrasion) to examine underlying cellular and molecular mechanisms. In this study, we used immunohistochemistry of trigeminal ganglion (TG) to assess neuronal content of CGRP and ATF3, as well as orbital tightening (OT) to assess spontaneous pain behaviors. CGRP is an important neuropeptide in pain modulation and ATF3 is often used as a nerve injury marker. We found dynamic changes in CGRP and ATF3 in TG; both increased significantly at 24 h following corneal abrasion and females had a more pronounced increase at 24 h compared to males. Interestingly, there was no sex difference in OT behaviors. Additionally, the number of cells containing either CGRP or ATF3 in each animal correlate significantly with their OT behavior at the assessed timepoint. Since CGRP increased most in females, we tested the effectiveness of Olcegepant, a CGRP antagonist, at reducing OT behaviors following corneal abrasion in female rats. Olcegepant (1 mg/kg) was given prior to and again at 24 h after abrasion but did not change OT behaviors at any time over a 1-week period. Examination of CGRP and ATF3 together in TG showed that they rarely colocalized, indicating that the cells with upregulated CGRP are distinct from those responding to epithelial nerve injury. The studies also show that underlying molecular responses may be sex specific.

角膜屈光手术(PRK)是一种需要切除角膜上皮及其相关神经的眼科手术,会给大多数人带来剧烈的急性疼痛。我们利用大鼠角膜上皮切除(角膜擦伤)模型来研究潜在的细胞和分子机制。在这项研究中,我们使用三叉神经节(TG)的免疫组化技术评估神经元中 CGRP 和 ATF3 的含量,并使用眼眶紧缩术(OT)评估自发性疼痛行为。CGRP 是调节疼痛的重要神经肽,而 ATF3 常被用作神经损伤标志物。我们发现 TG 中 CGRP 和 ATF3 的动态变化;两者在角膜擦伤后 24 小时内均显著增加,女性在 24 小时内的增加比男性更明显。有趣的是,OT行为没有性别差异。此外,每只动物体内含有 CGRP 或 ATF3 的细胞数量与它们在评估时间点的 OT 行为有显著相关性。由于 CGRP 在雌性大鼠中增加最多,我们测试了 CGRP 拮抗剂 Olcegepant 在减少雌性大鼠角膜擦伤后 OT 行为方面的效果。在角膜擦伤前和擦伤后 24 小时分别给予 Olcegepant(1 毫克/千克),但在一周内的任何时间都不会改变 OT 行为。对 TG 中 CGRP 和 ATF3 一起进行的检查显示,它们很少发生共定位,这表明 CGRP 上调的细胞不同于那些对上皮神经损伤做出反应的细胞。研究还表明,潜在的分子反应可能具有性别特异性。
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引用次数: 0
Clinical and biobehavioral phenotypic assessments and data harmonization for the RE-JOIN research consortium: Recommendations for common data element selection RE-JOIN 研究联盟的临床和生物行为表型评估及数据协调:通用数据元素选择建议
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100163
Yenisel Cruz-Almeida , Bella Mehta , Nele A. Haelterman , Alisa J. Johnson , Chloe Heiting , Malin Ernberg , Dana Orange , Martin Lotz , Jacqueline Boccanfuso , Shad B. Smith , Marlena Pela , Jyl Boline , Miguel Otero , Kyle Allen , Daniel Perez , Christopher Donnelly , Alejandro Almarza , Merissa Olmer , Henah Balkhi , Joost Wagenaar , Maryann Martone

Background

The Restoring Joint Health and Function to Reduce Pain (RE-JOIN) Consortium is part of the Helping to End Addiction Long-term® (HEAL) Initiative. HEAL is an ambitious, NIH-wide initiative to speed scientific solutions to stem the national opioid public health crisis. The RE-JOIN consortium’s over-arching goal is to define how chronic joint pain-mediating neurons innervate different articular and peri-articular tissues, with a focus on the knee and temporomandibular joints (TMJ) across species employing the latest neuroscience approaches. The aim of this manuscript is to elucidate the human data gathered by the RE-JOIN consortium, as well as to expound upon its underlying rationale and the methodologies and protocols for harmonization and standardization that have been instituted by the RE-JOIN Consortium.

Methods

The consortium-wide human models working subgroup established the RE-JOIN minimal harmonized data elements that will be collected across all human studies and set the stage to develop parallel pre-clinical data collection standards. Data harmonization considerations included requirements from the HEAL program and recommendations from the consortium’s researchers and experts on informatics, knowledge management, and data curation.

Results

Multidisciplinary experts − including preclinical and clinical researchers, with both clinician-scientists- developed the RE-JOIN’s Minimal Human Data Standard with required domains and outcome measures to be collected across projects and institutions. The RE-JOIN minimal data standard will include HEAL Common Data Elements (CDEs) (e.g., standardized demographics, general pain, psychosocial and functional measures), and RE-JOIN common data elements (R-CDE) (i.e., both general and joint-specific standardized and clinically important self-reported pain and function measures, as well as pressure pain thresholds part of quantitative sensory testing). In addition, discretionary, site-specific measures will be collected by individual institutions (e.g., expanded quantitative sensory testing and gait biomechanical assessments), specific to the knee or TMJ. Research teams will submit datasets of standardized metadata to the RE-JOIN Data Coordinating Center (DCG) via a secure cloud-based central data repository and computing infrastructure for researchers to share and conduct analyses on data collected by or acquired for RE-JOIN. RE-JOIN datasets will have protected health information (PHI) removed and be publicly available on the SPARC portal and accessible through the HEAL Data Ecosystem.

Conclusion

Data Harmonization efforts provide the multidisciplinary consortium with an opportunity to effectively collaborate across decentralized research teams, and data standardization sets the framework for efficient future analyses of RE-JOIN data collected by the consortium. The harmonized phenotypic information

背景恢复关节健康和功能以减轻疼痛(RE-JOIN)联盟是 "长期帮助戒毒®(HEAL)计划 "的一部分。HEAL 是一项雄心勃勃的全美国国立卫生研究院(NIH)倡议,旨在加快科学解决方案的步伐,以遏制全国阿片类药物公共卫生危机。RE-JOIN联盟的总体目标是采用最新的神经科学方法,确定慢性关节疼痛介导神经元如何支配不同的关节和关节周围组织,重点是跨物种的膝关节和颞下颌关节(TMJ)。本手稿旨在阐明 RE-JOIN 联合体收集的人类数据,并阐述其基本原理以及 RE-JOIN 联合体制定的协调和标准化方法和协议。方法整个联合体的人类模型工作分组制定了 RE-JOIN 最低协调数据元素,将在所有人类研究中收集这些元素,并为制定平行的临床前数据收集标准奠定基础。数据协调方面的考虑因素包括 HEAL 计划的要求,以及联盟研究人员和信息学、知识管理和数据整理专家的建议。结果多学科专家(包括临床前和临床研究人员,以及临床科学家)制定了 RE-JOIN 最低人体数据标准,其中包括跨项目和跨机构收集的所需领域和结果测量。RE-JOIN 最低数据标准将包括 HEAL 通用数据元素 (CDE)(如标准化人口统计学、一般疼痛、社会心理和功能测量)和 RE-JOIN 通用数据元素 (R-CDE)(即一般和特定关节的标准化和临床重要的自我报告疼痛和功能测量,以及定量感官测试的压力痛阈值)。此外,各研究机构还将收集针对膝关节或颞下颌关节的特定部位测量数据(如扩大的定量感觉测试和步态生物力学评估)。研究团队将通过一个安全的云端中央数据存储库和计算基础设施,向 RE-JOIN 数据协调中心 (DCG) 提交标准化元数据集,供研究人员共享和分析由 RE-JOIN 收集或为 RE-JOIN 获取的数据。RE-JOIN 数据集将去除受保护的健康信息 (PHI),并在 SPARC 门户网站上公开发布,同时可通过 HEAL 数据生态系统访问。所获得的统一表型信息将极大地提高我们对人类疼痛与病理关系的神经生物学的理解,为与临床前模型进行比较提供宝贵的见解。
{"title":"Clinical and biobehavioral phenotypic assessments and data harmonization for the RE-JOIN research consortium: Recommendations for common data element selection","authors":"Yenisel Cruz-Almeida ,&nbsp;Bella Mehta ,&nbsp;Nele A. Haelterman ,&nbsp;Alisa J. Johnson ,&nbsp;Chloe Heiting ,&nbsp;Malin Ernberg ,&nbsp;Dana Orange ,&nbsp;Martin Lotz ,&nbsp;Jacqueline Boccanfuso ,&nbsp;Shad B. Smith ,&nbsp;Marlena Pela ,&nbsp;Jyl Boline ,&nbsp;Miguel Otero ,&nbsp;Kyle Allen ,&nbsp;Daniel Perez ,&nbsp;Christopher Donnelly ,&nbsp;Alejandro Almarza ,&nbsp;Merissa Olmer ,&nbsp;Henah Balkhi ,&nbsp;Joost Wagenaar ,&nbsp;Maryann Martone","doi":"10.1016/j.ynpai.2024.100163","DOIUrl":"10.1016/j.ynpai.2024.100163","url":null,"abstract":"<div><h3>Background</h3><p>The Restoring Joint Health and Function to Reduce Pain (RE-JOIN) Consortium is part of the Helping to End Addiction Long-term® (HEAL) Initiative. HEAL is an ambitious, NIH-wide initiative to speed scientific solutions to stem the national opioid public health crisis. The RE-JOIN consortium’s over-arching goal is to define how chronic joint pain-mediating neurons innervate different articular and <em>peri</em>-articular tissues, with a focus on the knee and temporomandibular joints (TMJ) across species employing the latest neuroscience approaches. The aim of this manuscript is to elucidate the human data gathered by the RE-JOIN consortium, as well as to expound upon its underlying rationale and the methodologies and protocols for harmonization and standardization that have been instituted by the RE-JOIN Consortium.</p></div><div><h3>Methods</h3><p>The consortium-wide human models working subgroup established the RE-JOIN minimal harmonized data elements that will be collected across all human studies and set the stage to develop parallel pre-clinical data collection standards. Data harmonization considerations included requirements from the HEAL program and recommendations from the consortium’s researchers and experts on informatics, knowledge management, and data curation.</p></div><div><h3>Results</h3><p>Multidisciplinary experts − including preclinical and clinical researchers, with both clinician-scientists- developed the RE-JOIN’s Minimal Human Data Standard with required domains and outcome measures to be collected across projects and institutions. The RE-JOIN minimal data standard will include HEAL Common Data Elements (CDEs) (e.g., standardized demographics, general pain, psychosocial and functional measures), and RE-JOIN common data elements (R-CDE) (i.e., both general and joint-specific standardized and clinically important self-reported pain and function measures, as well as pressure pain thresholds part of quantitative sensory testing). In addition, discretionary, site-specific measures will be collected by individual institutions (e.g., expanded quantitative sensory testing and gait biomechanical assessments), specific to the knee or TMJ. Research teams will submit datasets of standardized metadata to the RE-JOIN Data Coordinating Center (DCG) via a secure cloud-based central data repository and computing infrastructure for researchers to share and conduct analyses on data collected by or acquired for RE-JOIN. RE-JOIN datasets will have protected health information (PHI) removed and be publicly available on the SPARC portal and accessible through the HEAL Data Ecosystem.</p></div><div><h3>Conclusion</h3><p>Data Harmonization efforts provide the multidisciplinary consortium with an opportunity to effectively collaborate across decentralized research teams, and data standardization sets the framework for efficient future analyses of RE-JOIN data collected by the consortium. The harmonized phenotypic information","PeriodicalId":52177,"journal":{"name":"Neurobiology of Pain","volume":"16 ","pages":"Article 100163"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2452073X2400014X/pdfft?md5=d0191c1c3bd2ea8857132f5af2a7e280&pid=1-s2.0-S2452073X2400014X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142087283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sodium channels Nav1.7, Nav1.8 and pain; two distinct mechanisms for Nav1.7 null analgesia 钠通道 Nav1.7、Nav1.8 与疼痛;Nav1.7 空镇痛的两种不同机制
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100168
Federico Iseppon , Alexandros H. Kanellopoulos , Naxi Tian , Jun Zhou , Gozde Caan , Riccardo Chiozzi , Konstantinos Thalassinos , Cankut Çubuk , Myles J. Lewis , James J. Cox , Jing Zhao , Christopher G. Woods , John N. Wood
Genetic deletion and pharmacological inhibition are distinct approaches to unravelling pain mechanisms, identifying targets and developing new analgesics. Both approaches have been applied to the voltage-gated sodium channels Nav1.7 and Nav1.8. Genetic deletion of Nav1.8 in mice leads to a loss of pain and antagonists are effective analgesics. The situation with Nav1.7 is more complex. Complete embryonic loss of Nav1.7 in humans or in mouse sensory neurons leads to anosmia as well as profound analgesia as a result of diminished neurotransmitter release. This is mediated by enhanced endogenous opioid signaling in humans and mice. In contrast, anosmia is opioid-independent. Sensory neuron excitability and autonomic function appear to be normal.
Adult deletion of Nav1.7 in sensory neurons also leads to analgesia, but through diminished sensory and autonomic neuron excitability. There is no opioid component of analgesia or anosmia as shown by a lack of effect of naloxone. Pharmacological inhibition of Nav1.7 in mice and humans leads both to analgesia and dramatic side-effects on the autonomic nervous system with no therapeutic window. These data demonstrate that specific Nav1.7 channel blockers will fail as analgesic drugs. The viability of embryonic null mutants suggests that there are compensatory changes to replace the lost Nav1.7 channel. Here we show that sensory neuron sodium channels Nav1.1, Nav1.2 and β4 subunits detected by Mass Spectrometry are upregulated in Nav1.7 embryonic null neurons and, together with other proteome changes, potentially compensate for the loss of Nav1.7. Interestingly, many of the upregulated proteins are known to interact with Nav1.7.
基因缺失和药理抑制是揭示疼痛机制、确定靶点和开发新型镇痛药的不同方法。这两种方法都适用于电压门控钠通道 Nav1.7 和 Nav1.8。在小鼠中遗传性缺失 Nav1.8 会导致疼痛消失,而拮抗剂是有效的镇痛剂。Nav1.7 的情况则更为复杂。人类或小鼠感觉神经元胚胎期完全缺失 Nav1.7,会导致无嗅觉以及因神经递质释放减少而产生的深度镇痛。在人类和小鼠中,这是由内源性阿片信号增强介导的。相比之下,嗅觉缺失则与阿片无关。感觉神经元的兴奋性和自律神经功能似乎正常。成人感觉神经元中 Nav1.7 的缺失也会导致镇痛,但这是通过降低感觉神经元和自律神经元的兴奋性来实现的。纳洛酮(Naloxone)缺乏作用表明,镇痛或嗅觉失灵中没有阿片类成分。在小鼠和人体内对 Nav1.7 进行药理抑制既会导致镇痛,又会对自律神经系统产生剧烈的副作用,而且没有治疗窗口期。这些数据表明,特异性 Nav1.7 通道阻断剂不能作为镇痛药物。胚胎空突变体的存活率表明,存在代偿性变化以替代失去的 Nav1.7 通道。在这里,我们展示了通过质谱法检测到的感觉神经元钠通道 Nav1.1、Nav1.2 和 β4 亚基在 Nav1.7 胚胎无效神经元中上调,连同其他蛋白质组的变化,有可能补偿 Nav1.7 的损失。 有趣的是,许多上调的蛋白质已知与 Nav1.7 相互作用。
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引用次数: 0
The role of androgens in migraine pathophysiology 雄激素在偏头痛病理生理学中的作用
Q2 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.ynpai.2024.100171
Adam J. Dourson , Rachel S. Darken , Thomas J. Baranski , Robert W. Gereau 4th , Whitney Trotter Ross , Hadas Nahman-Averbuch
Migraine affects ∼12 % of the worldwide population and is more prevalent in females, which suggests a role of sex hormones in migraine pathophysiology. Most studies have focused on estrogen and progesterone, and the involvement of androgens has been less studied. However, due to the recent advances in androgen interventions, which could advance new androgen-based migraine treatments, it is critical to better understand the role of androgens in migraine. Testosterone, the most studied androgen, was found to have an antinociceptive effect in various animal and human pain studies. Thus, it could also have a protective effect related to lower migraine severity and prevalence. In this review, we discuss studies examining the role of androgens on migraine-related symptoms in migraine animal models. Additionally, we summarize the results of human studies comparing androgen levels between patients with migraine and healthy controls, studies assessing the relationships between androgen levels and migraine severity, and intervention studies examining the impact of testosterone treatment on migraine severity. Many of the studies have limitations, however, the results suggest that androgens may have a minor effect on migraine. Still, it is possible that androgens are involved in migraine pathophysiology in a sub-group of patients such as in adolescents or postmenopausal women. We discuss potential mechanisms in which testosterone, as the main androgen tested, can impact migraine. These mechanisms range from the cellular level to systems and behavior and include the effect of testosterone on sensory neurons, the immune and vascular systems, the stress response, brain function, and mood. Lastly, we suggest future directions to advance this line of research.
偏头痛影响着全球12%的人口,女性发病率更高,这表明性激素在偏头痛的病理生理学中发挥作用。大多数研究侧重于雌激素和孕激素,而对雄激素的参与研究较少。然而,由于最近在雄激素干预方面取得了进展,这可能会推动基于雄激素的偏头痛新疗法,因此更好地了解雄激素在偏头痛中的作用至关重要。睾酮是研究最多的雄激素,在各种动物和人类疼痛研究中被发现具有抗痛觉作用。因此,睾酮也可能具有降低偏头痛严重程度和发病率的保护作用。在这篇综述中,我们讨论了有关雄激素在偏头痛动物模型中对偏头痛相关症状的作用的研究。此外,我们还总结了比较偏头痛患者与健康对照组之间雄激素水平的人体研究结果、评估雄激素水平与偏头痛严重程度之间关系的研究结果,以及检查睾酮治疗对偏头痛严重程度影响的干预研究结果。许多研究都存在局限性,但研究结果表明,雄激素对偏头痛的影响可能较小。不过,在青少年或绝经后妇女等亚群患者中,雄激素仍有可能参与偏头痛的病理生理学。我们将讨论睾酮作为主要的雄激素可能对偏头痛产生影响的潜在机制。这些机制从细胞水平到系统和行为,包括睾酮对感觉神经元、免疫和血管系统、应激反应、大脑功能和情绪的影响。最后,我们提出了推进这一研究方向的未来方向。
{"title":"The role of androgens in migraine pathophysiology","authors":"Adam J. Dourson ,&nbsp;Rachel S. Darken ,&nbsp;Thomas J. Baranski ,&nbsp;Robert W. Gereau 4th ,&nbsp;Whitney Trotter Ross ,&nbsp;Hadas Nahman-Averbuch","doi":"10.1016/j.ynpai.2024.100171","DOIUrl":"10.1016/j.ynpai.2024.100171","url":null,"abstract":"<div><div>Migraine affects ∼12 % of the worldwide population and is more prevalent in females, which suggests a role of sex hormones in migraine pathophysiology. Most studies have focused on estrogen and progesterone, and the involvement of androgens has been less studied. However, due to the recent advances in androgen interventions, which could advance new androgen-based migraine treatments, it is critical to better understand the role of androgens in migraine. Testosterone, the most studied androgen, was found to have an antinociceptive effect in various animal and human pain studies. Thus, it could also have a protective effect related to lower migraine severity and prevalence. In this review, we discuss studies examining the role of androgens on migraine-related symptoms in migraine animal models. Additionally, we summarize the results of human studies comparing androgen levels between patients with migraine and healthy controls, studies assessing the relationships between androgen levels and migraine severity, and intervention studies examining the impact of testosterone treatment on migraine severity. Many of the studies have limitations, however, the results suggest that androgens may have a minor effect on migraine. Still, it is possible that androgens are involved in migraine pathophysiology in a sub-group of patients such as in adolescents or postmenopausal women. We discuss potential mechanisms in which testosterone, as the main androgen tested, can impact migraine. These mechanisms range from the cellular level to systems and behavior and include the effect of testosterone on sensory neurons, the immune and vascular systems, the stress response, brain function, and mood. Lastly, we suggest future directions to advance this line of research.</div></div>","PeriodicalId":52177,"journal":{"name":"Neurobiology of Pain","volume":"16 ","pages":"Article 100171"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Neurobiology of Pain
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