400038 重庆,陆军军医大学(第三军医大学)第一附属医院疼痛科
Received:27 March 2024,
Revised:2024-04-05,
Published:30 September 2024
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Li LI, Penghui HUANG, Jian CUI. Oxidative stress triggers neuronal injury and mouse pain sensitization by up-regulating TDP-43 to activate mtDNA-cGAS/STING pathway[J]. Journal of Army Medical University, 2024, 46(18): 2036-2045.
Li LI, Penghui HUANG, Jian CUI. Oxidative stress triggers neuronal injury and mouse pain sensitization by up-regulating TDP-43 to activate mtDNA-cGAS/STING pathway[J]. Journal of Army Medical University, 2024, 46(18): 2036-2045. DOI: 10.16016/j.2097-0927.202403103.
目的
2
探索TAR DNA结合蛋白43(transactive response DNA binding protein 43,TDP-43)在氧化应激诱导的小鼠神经元(neuro-2a,N2a)细胞损伤及小鼠痛觉敏化中的作用及机制。
方法
2
① 为评估最佳诱导浓度,不同浓度的H
2
O
2
处理N2a细胞分为4组:对照组、200 μmol/L H
2
O
2
组、400 μmol/L H
2
O
2
组和800 μmol/L H
2
O
2
组。②为评估最佳诱导时间,400 μmol/L H
2
O
2
处理N2a细胞分为4组:对照组、6 h H
2
O
2
组、12 h H
2
O
2
组和24 h H
2
O
2
组。③为验证线粒体DNA(mitochondria DNA,mtDNA)释放途径,使用环孢素(cyclosporin,CsA)抑制线粒体通透性转换孔(mitochondrial permeability transition pore,mPTP)分为3组:对照组、24 h H
2
O
2
组和24 h H
2
O
2
+CsA组。④为验证TDP-43介导的细胞损伤机制,siRNA抑制TDP-43后分为3组:对照组、24 h H
2
O
2
组、24 h H
2
O
2
+siTDP-43组。⑤采用CCK-8检测细胞活性,EdU检测细胞增殖,Western blot检测TDP-43、神经元标志物(neuronal nuclei,NeuN)、环状GMP-AMP合酶(cylic GMP-AMP synthase,cGAS)和干扰素基因刺激因子(stimulator of interferon,STING)表达,qPCR检测mtDNA,免疫染色观察细胞内TDP-43表达变化,Calcein AM染色评估mPTP开放。⑥为验证TDP-43在神经病理性疼痛(neuropathic pain,NP)中的作用,将24只6~8周健康SPF级雄性C57BL/6J小鼠(体质量25~30 g)使用随机数字表法分为3组:对照组、慢性压迫性损伤(chronic constriction injury,CCI)组、CCI+siTDP-43组,术前1 d和术后7、14、21 d进行鞘内注射siTDP-43;术前1 d和术后1、3、5、7、14、21 d通过von Frey纤维丝和热辐射法测定小鼠机械痛阈值和热痛阈值,免疫荧光检测术后21 d腰段(L5-L6)脊髓背角中TDP-43与NeuN的变化。
结果
2
氧化应激刺激诱导N2a中TDP-43蛋白表达增加,刺激mtDNA通过mPTP释放,上调cGAS、STING的表达,影响N2a的细胞活性(
P
<
0.05);CsA抑制mPTP通道的开放并减少mtDNA释放(
P
<
0.05);下调TDP-43的表达后可显著降低mtDNA的释放,抑制cGAS和STING的表达,并恢复N2a细胞的增殖能力(
P
<
0.05)。CCI术后5 d,小鼠机械痛阈值和热痛阈值出现明显下降并持续至21 d(
P
<
0.05);CCI小鼠术后21 d脊髓背角神经元中TDP-43表达增加(
P
<
0.05);鞘内注射siRNA抑制TDP-43后,可提高CCI小鼠的机械痛阈值和热痛阈值(
P
<
0.05)。
结论
2
氧化应激诱导神经元细胞TDP-43蛋白增加,刺激mtDNA通过mPTP释放到细胞质,激活cGAS/STING通路,导致神经元损伤并加重CCI小鼠痛觉敏化。
Objective
2
To investigate the role and possible mechanisms of transactive response DNA binding protein 43 (TDP-43) in mediating neuronal injury induced by oxidative stress in mouse neuro-2a (N2a) cells and mouse pain sensitization.
Methods
2
① To evaluate the optimal induction concentration
N2a cells were treated with different concentrations of H
2
O
2
and the cells were divided into control group
200
400 and 800 μmol/L H
2
O
2
groups. ②To assess the optimal induction duration
N2a cells were treated with 400 μmol/L H
2
O
2
and the cells were divided into control group
and the cell groups treated for 6
12 and 24 h
respectively. ③To validate the mitochondrial DNA (mtDNA) release pathway
cyclosporin A (CsA) was used to inhibit the mitochondrial permeability transition pore (mPTP)
and the cells were divided into control group
24 h H
2
O
2
group and 24 h H
2
O
2
+CsA group. ④To validate TDP-43-mediated cellular damage
the cells were divided into control group
24 h H
2
O
2
group and 24 h H
2
O
2
+siTDP-43 group. ⑤ Cell viability was assessed using CCK-8 assay
while cell proliferation was determined using EdU assay. Western blot analysis was employed to examine the expression levels of TDP-43
neuronal nuclei (NeuN)
cyclic GMP-AMP synthase (cGAS)
and stimulator of interferon genes (STING). qPCR was utilized to measure the release of mtDNA. Immunostaining was conducted to observe intracellular expression of TDP-43
and Calcein AM staining was employed to evaluate mPTP opening status. ⑥To elucidate the role of TDP-43 in neuropathic pain (NP)
24 healthy SPF male C57BL/6J mice (6~8 weeks old
25~30 g) were randomly divided into control group
chronic cons
triction injury (CCI) group
and CCI+siTDP-43 group. In 1 d before and 7
14 and 21 d after surgery
intrathecal injections of siTDP-43 were administered. Mechanical and thermal pain thresholds of the mice were assessed using von Frey filaments and radiant heat
respectively
on 1 preoperatively and 1
3
5
7
14 and 21 d postoperatively. Immunofluorescence assay was conducted on 21 d postoperatively to examine the changes in TDP-43 and NeuN in the lumbar spinal dorsal horn (L5-L6).
Results
2
Oxidative stress induced a significant increase in TDP-43 protein level in N2a cells
prompted mtDNA release through mPTP
markedly up-regulated the expression of cGAS and STING
and consequently impacted the viability of N2a cells (
P
<
0.05). CsA treatment inhibited mPTP channel opening and thus effectively blocked mtDNA release (
P
<
0.05)
down-regulated TDP-43 and thus significantly reduced mtDNA release
suppressed the expression of cGAS and STING
and finally restored the proliferation ability of N2a cells (
P
<
0.05). The mechanical and thermal pain thresholds exhibited a significant decrease since 5 d after CCI
which then persisted until 21 d (
P
<
0.05). The expression of TDP-43 in spinal cord dorsal horn neurons was increased in the mice in 21 d after CCI (
P
<
0.05)
and intrathecal injection of siRNA inhibited TDP-43 expression and effectively increased the mechanical and thermal pain thresholds in the CCI mice (
P
<
0.05).
Conclusion
2
Oxidative stress induces an up-regulation in TDP-43 protein in neurons
which stimulates the release of mtDNA into the cytoplasm through mPTP
and subsequently activates the cGAS/STING pathway
and finally
results in neuronal injury and pain sensitization in CCI mice.
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