NADPH oxidase 2-derived reactive oxygen species in spinal cord microglia contribute to peripheral nerve injury-induced neuropathic pain

D Kim, B You, EK Jo, SK Han… - Proceedings of the …, 2010 - National Acad Sciences
D Kim, B You, EK Jo, SK Han, MI Simon, SJ Lee
Proceedings of the National Academy of Sciences, 2010National Acad Sciences
Increasing evidence supports the notion that spinal cord microglia activation plays a causal
role in the development of neuropathic pain after peripheral nerve injury; yet the
mechanisms for microglia activation remain elusive. Here, we provide evidence that NADPH
oxidase 2 (Nox2)-derived ROS production plays a critical role in nerve injury-induced spinal
cord microglia activation and subsequent pain hypersensitivity. Nox2 expression was
induced in dorsal horn microglia immediately after L5 spinal nerve transection (SNT) …
Increasing evidence supports the notion that spinal cord microglia activation plays a causal role in the development of neuropathic pain after peripheral nerve injury; yet the mechanisms for microglia activation remain elusive. Here, we provide evidence that NADPH oxidase 2 (Nox2)-derived ROS production plays a critical role in nerve injury-induced spinal cord microglia activation and subsequent pain hypersensitivity. Nox2 expression was induced in dorsal horn microglia immediately after L5 spinal nerve transection (SNT). Studies using Nox2-deficient mice show that Nox2 is required for SNT-induced ROS generation, microglia activation, and proinflammatory cytokine expression in the spinal cord. SNT-induced mechanical allodynia and thermal hyperalgesia were similarly attenuated in Nox2-deficient mice. In addition, reducing microglial ROS level via intrathecal sulforaphane administration attenuated mechanical allodynia and thermal hyperalgesia in SNT-injured mice. Sulforaphane also inhibited SNT-induced proinflammatory gene expression in microglia, and studies using primary microglia indicate that ROS generation is required for proinflammatory gene expression in microglia. These studies delineate a pathway involving nerve damage leading to microglial Nox2-generated ROS, resulting in the expression of proinflammatory cytokines that are involved in the initiation of neuropathic pain.
National Acad Sciences