Abstract

Chronic pain and depression are intimately linked; the combination of the two leads to higher health care costs, lower quality of life, and worse treatment outcomes with both conditions exhibiting higher prevalence among women. In the current study, we examined the development of depressive-like behavior in male and female mice using the spared nerve injury (SNI) model of neuropathic pain. Males displayed increased immobility on the forced-swim test – a measure of depressive-like behavior – 2 weeks following injury, while females developed depressive-like behavior at 3-week. Since the pathogenesis of chronic pain and depression may involve overlapping mechanisms including the activation of microglial cells, we explored glial cell changes in brain regions associated with pain processing and affect. Immunohistochemical analyses revealed that microglial cells were more numerous in female SNI mice in the contralateral ventral anterior cingulate cortex (ACC), a brain region important for pain processing and affect behavior, 2-week following surgery. Microglial cell activation was not different between any of the groups for the dorsal ACC or nucleus accumbens. Analysis of astrocyte density did not reveal any significant changes in glial fibrillary acidic protein (GFAP) staining in the ACC or nucleus accumbens. Overall, the current study characterized peripheral nerve injury induced depression-like behavior in male and female mice, which may be associated with different patterns of glial cell activation in regions important for pain processing and affect.

Highlights

  • Chronic pain is one of the most prevalent and debilitating conditions affecting as many as 20% of the population worldwide (Goldberg and McGee, 2011)

  • In the contralateral vACC, microglia cell number was significantly greater for female spared nerve injury (SNI) mice than sham

  • Depressive-like behaviors have been shown to manifest in male mice at later time points (i.e., 8-week following injury) when the chronic constriction injury model of neuropathic pain was used (Barcelon et al, 2019)

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Summary

Introduction

Chronic pain is one of the most prevalent and debilitating conditions affecting as many as 20% of the population worldwide (Goldberg and McGee, 2011). It is the foremost cause of long-term sick leave, and disability imposing a profound health care burden that affects the individual and permeates throughout all avenues of social, work, and family life (Lynch, 2011; Gaskin and Richard, 2012). It is well known that chronic pain and depression are related; the neurobiological changes responsible for the co-occurrence of these conditions are not well-understood, and the sex-specific mechanisms that might help explain the high prevalence of these conditions in women remain unknown

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