Abstract

Neuropathic pain resulting from nerve lesions or dysfunction represents one of the most challenging neurological diseases to treat. A better understanding of the molecular mechanisms responsible for causing these maladaptive responses can help develop novel therapeutic strategies and biomarkers for neuropathic pain. We performed a miRNA expression profiling study of dorsal root ganglion (DRG) tissue from rats four weeks post spinal nerve ligation (SNL), a model of neuropathic pain. TaqMan low density arrays identified 63 miRNAs whose level of expression was significantly altered following SNL surgery. Of these, 59 were downregulated and the ipsilateral L4 DRG, not the injured L5 DRG, showed the most significant downregulation suggesting that miRNA changes in the uninjured afferents may underlie the development and maintenance of neuropathic pain. TargetScan was used to predict mRNA targets for these miRNAs and it was found that the transcripts with multiple predicted target sites belong to neurologically important pathways. By employing different bioinformatic approaches we identified neurite remodeling as a significantly regulated biological pathway, and some of these predictions were confirmed by siRNA knockdown for genes that regulate neurite growth in differentiated Neuro2A cells. In vitro validation for predicted target sites in the 3′-UTR of voltage-gated sodium channel Scn11a, alpha 2/delta1 subunit of voltage-dependent Ca-channel, and purinergic receptor P2rx ligand-gated ion channel 4 using luciferase reporter assays showed that identified miRNAs modulated gene expression significantly. Our results suggest the potential for miRNAs to play a direct role in neuropathic pain.

Highlights

  • Neuropathic pain arises from nerve damage or dysfunction, adversely impacting quality of life and imposing a large healthcare burden [1,2,3]

  • We used the ligature of L5 (Figure 1a) and tested for tactile allodynia to confirm the success of the surgery in eliciting a pain response

  • A Taqman Low Density Array (TLDA) miRNA expression profiling study was performed on RNA extracted from these dorsal root ganglion (DRG) samples

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Summary

Introduction

Neuropathic pain arises from nerve damage or dysfunction, adversely impacting quality of life and imposing a large healthcare burden [1,2,3]. A deeper understanding of the molecular mechanisms underlying neuropathic pain could provide a first step toward the development of better treatment options for patients. A frequently used rat model to study the molecular mechanisms of neuropathic pain is spinal nerve ligation (SNL) wherein one or more spinal nerves innervating the hind limb are ligated [4], typically unilaterally. The injury, which results in hyperalgesia, an enhanced response to mechanical stimuli, has a well-characterized time course. Since they represent a primary site for pain processing, dorsal root ganglion (DRG) neurons have been the focus of much research to identify molecular targets of pain neurotransmission. 67 proteins have been shown to be regulated in the SNL model [7]

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