Pain control in inflammation governed by selectins

H Machelska, PJ Cabot, SA Mousa, Q Zhang… - Nature medicine, 1998 - nature.com
H Machelska, PJ Cabot, SA Mousa, Q Zhang, C Stein
Nature medicine, 1998nature.com
Opioid-containing immune cells migrate preferentially to inflamed sites, where they release
β-endorphin which activates peripheral opioid receptors to inhibit pain 1, 2. Immunocyte
recruitment is a multistep, sequential engagement of various adhesion molecules located on
immune cells and vascular endothelium. Selectins mediate the initial phase of immunoctye
extravasation into inflamed sites 3, 4. Here we show that anti-selectin treatment abolishes
peripheral opioid analgesia elicited either endogenously (by stress) or by corticotropin …
Abstract
Opioid-containing immune cells migrate preferentially to inflamed sites, where they release β-endorphin which activates peripheral opioid receptors to inhibit pain 1, 2. Immunocyte recruitment is a multistep, sequential engagement of various adhesion molecules located on immune cells and vascular endothelium. Selectins mediate the initial phase of immunoctye extravasation into inflamed sites 3, 4. Here we show that anti-selectin treatment abolishes peripheral opioid analgesia elicited either endogenously (by stress) or by corticotropin-releasing factor. This results from a blockade of the infiltration of immunocytes containing β-endorphin and the consequent decrease of the β-endorphin content in the inflamed tissue. These findings indicate that the immune system uses mechanisms of cell migration not only to fight pathogens but also to control pain in injured tissue. Thus, pain is exacerbated by measures inhibiting the immigration of opioid-producing cells or, conversely, analgesia might be conveyed by adhesive interactions that recruit those cells to injured tissue.
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