Abstract

BackgroundAlthough the mechanism of chronic migraine (CM) is unclear, it might be related to central sensitization and neuronal persistent hyperexcitability. The tyrosine phosphorylation of NR2B (NR2B-pTyr) reportedly contributes to the development of central sensitization and persistent pain in the spinal cord. Central sensitization is thought to be associated with an increase in synaptic efficiency, but the mechanism through which NR2B-pTyr regulates synaptic participation in CM-related central sensitization is unknown. In this study, we aim to investigate the role of NR2B-pTyr in regulating synaptic plasticity in CM-related central sensitization.MethodsMale Sprague-Dawley rats were subjected to seven inflammatory soup (IS) injections to model recurrent trigeminovascular or dural nociceptor activation, which is assumed to occur in patients with CM. We used the von Frey test to detect changes in mechanical withdrawal thresholds, and western blotting and immunofluorescence staining assays were performed to detect the expression of NR2B-pTyr in the trigeminal nucleus caudalis (TNC). NR2B-pTyr was blocked with the Src family kinase inhibitor 4-amino-5-(4-chlorophenyl)-7-(t-butyl)-pyrazolo [3,4-d] pyrimidine (PP2) and the protein tyrosine kinase inhibitor genistein to detected the changes in calcitonin gene-related peptide (CGRP), substance P (SP), and the synaptic proteins postsynaptic density 95 (PSD95), synaptophysin (Syp), synaptotagmin1 (Syt-1). The synaptic ultrastructures were observed by transmission electron microscopy (TEM), and the dendritic architecture of TNC neurons was observed by Golgi-Cox staining.ResultsStatistical analyses revealed that repeated infusions of IS induced mechanical allodynia and significantly increased the expression of NR2B Tyr-1472 phosphorylation (pNR2B-Y1472) and NR2B Tyr-1252 phosphorylation (pNR2B-Y1252) in the TNC. Furthermore, the inhibition of NR2B-pTyr by PP2 and genistein relieved allodynia and reduced the expression of CGRP, SP, PSD95, Syp and Syt-1 and synaptic transmission.ConclusionsThese data indicate that NR2B-pTyr might regulate synaptic plasticity in central sensitization in a CM rat model. The inhibition of NR2B tyrosine phosphorylation has a protective effect on threshold dysfunction and migraine attacks through the regulation of synaptic plasticity in central sensitization.

Highlights

  • The mechanism of chronic migraine (CM) is unclear, it might be related to central sensitization and neuronal persistent hyperexcitability

  • We aimed to explore the possible activity-dependent synaptic plasticity of NMDA receptors in CM, and our findings indicated that inhibition of N-methyl D-aspartate receptor subtype 2B (NR2B)-pTyr regulation of synaptic plasticity in central sensitization might be a novel and promising candidate for future treatment or prevention of CM

  • Western blot analysis We examined the expression of total NR2B, pNR2B-Y1472, pNR2B-Y1252, postsynaptic density 95 (PSD95), Syp, Syt-1, and calcitonin gene-related peptide (CGRP) through a western blot assay (n = 6 in each group)

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Summary

Introduction

The mechanism of chronic migraine (CM) is unclear, it might be related to central sensitization and neuronal persistent hyperexcitability. The tyrosine phosphorylation of NR2B (NR2B-pTyr) reportedly contributes to the development of central sensitization and persistent pain in the spinal cord. We aim to investigate the role of NR2B-pTyr in regulating synaptic plasticity in CM-related central sensitization. Migraine is an incapacitating neurovascular disorder that substantially affects the quality of both life and work of patients. The prevalence of CM is 1–3% in the general population and 2.5% of migraine patients develop CM each year, which seriously affects their life and work of patients [1, 2]. The severe headache and high morbidity in CM seriously harm patients’ physical and mental health. The World Health Organization (WHO) has listed CM as one of the four most serious chronic dysfunction diseases [3]

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