Abstract

Activation of nuclear factor-kappa B (NF-κB) in microglia plays a decisive role in the progress of neuropathic pain, and the inhibitor of kappa B (IκB) is a protein that blocks the activation of NF-κB and is degraded by the inhibitor of NF-κB kinase subunit beta (IKBKB). The role of IKBKB is to break down IκB, which blocks the activity of NF-kB. Therefore, it prevents the activity of NK-kB. This study investigated whether neuropathic pain can be reduced in spinal nerve ligation (SNL) rats by reducing the activity of microglia by delivering IKBKB small interfering RNA (siRNA)-encapsulated poly (lactic-co-glycolic acid) (PLGA) nanoparticles. PLGA nanoparticles, as a carrier for the delivery of IKBKB genes silencer, were used because they have shown potential to enhance microglial targeting. SNL rats were injected with IKBKB siRNA-encapsulated PLGA nanoparticles intrathecally for behavioral tests on pain response. IKBKB siRNA was delivered for suppressing the expression of IKBKB. In rats injected with IKBKB siRNA-encapsulated PLGA nanoparticles, allodynia caused by mechanical stimulation was reduced, and the secretion of pro-inflammatory mediators due to NF-κB was reduced. Delivering IKBKB siRNA through PLGA nanoparticles can effectively control the inflammatory response and is worth studying as a treatment for neuropathic pain.

Highlights

  • Neuropathic pain is caused by tissue or nerve damage, which may result in chronic pain, such as spontaneous pain, allodynia, or hyperalgesia [1]

  • This study investigated the inhibition of microglial activation using IKBKB siRNAencapsulated PLGA nanoparticles and investigated whether neuropathic pain is reduced in spinal nerve ligation (SNL) rat models, which showed spinal cord proliferation of microglial cells after nerve injury [23]

  • We investigated whether IKBKB small interfering RNA (siRNA)-encapsulated PLGA nanoparticles can attenuate microglial activity in the spinal cord of SNL-induced rats

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Summary

Introduction

Neuropathic pain is caused by tissue or nerve damage, which may result in chronic pain, such as spontaneous pain, allodynia, or hyperalgesia [1]. Postherpetic neuralgia, trigeminal neuralgia, and cancer pain have causes other than simple nerve damage or trauma [2]. These pains often do not respond to general nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids. Pregabalin, and gabapentin, which are commonly used medications, do not provide adequate treatment owing to a lack of understanding of the mechanisms of neuropathic pain generation and development. To effectively treat chronic neuropathic pain, it is important to investigate its mechanisms. Recent studies have shown that microglia play an important role in initiating, maintaining, and mediating neuropathic pain

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