TLR8 and its endogenous ligand miR-21 contribute to neuropathic pain in murine DRG

ZJ Zhang, JS Guo, SS Li, XB Wu, DL Cao… - Journal of Experimental …, 2018 - rupress.org
ZJ Zhang, JS Guo, SS Li, XB Wu, DL Cao, BC Jiang, PB Jing, XQ Bai, CH Li, ZH Wu, Y Lu…
Journal of Experimental Medicine, 2018rupress.org
Toll-like receptors (TLRs) are nucleic acid–sensing receptors and have been implicated in
mediating pain and itch. Here we report that Tlr8−/− mice show normal itch behaviors, but
have defects in neuropathic pain induced by spinal nerve ligation (SNL) in mice. SNL
increased TLR8 expression in small-diameter IB4+ DRG neurons. Inhibition of TLR8 in the
DRG attenuated SNL-induced pain hypersensitivity. Conversely, intrathecal or intradermal
injection of TLR8 agonist, VTX-2337, induced TLR8-dependent pain hypersensitivity …
Toll-like receptors (TLRs) are nucleic acid–sensing receptors and have been implicated in mediating pain and itch. Here we report that Tlr8−/− mice show normal itch behaviors, but have defects in neuropathic pain induced by spinal nerve ligation (SNL) in mice. SNL increased TLR8 expression in small-diameter IB4+ DRG neurons. Inhibition of TLR8 in the DRG attenuated SNL-induced pain hypersensitivity. Conversely, intrathecal or intradermal injection of TLR8 agonist, VTX-2337, induced TLR8-dependent pain hypersensitivity. Mechanistically, TLR8, localizing in the endosomes and lysosomes, mediated ERK activation, inflammatory mediators’ production, and neuronal hyperexcitability after SNL. Notably, miR-21 was increased in DRG neurons after SNL. Intrathecal injection of miR-21 showed the similar effects as VTX-2337 and inhibition of miR-21 in the DRG attenuated neuropathic pain. The present study reveals a previously unknown role of TLR8 in the maintenance of neuropathic pain, suggesting that miR-21–TLR8 signaling may be potential new targets for drug development against this type of chronic pain.
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