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Long-Lasting Activation of the Transcription Factor CREB in Sensory Neurons by Interleukin-1β During Antigen-Induced Arthritis in Rats: A Mechanism of Persistent Arthritis Pain? | LitMetric

AI Article Synopsis

  • - The study aimed to explore whether antigen-induced arthritis (AIA) in rats leads to lasting changes in sensory neurons, contributing to prolonged pain even after inflammation subsides.
  • - Researchers found that AIA resulted in a persistent increase of a protein called phospho-CREB in sensory neurons, suggesting neuroplastic alterations, with pain-related behaviors reemerging after inflammation resolved.
  • - The findings highlighted that while tumor necrosis factor (TNF) neutralization reduced pain during AIA, interleukin-1β (IL-1β) plays a crucial role in the up-regulation of phospho-CREB and may lead to ongoing pain post-inflammation, indicating that effective pain management might require targeting IL-1β.

Article Abstract

Objective: In spite of successful treatment of immune-mediated arthritis, many patients still experience pain. We undertook this study to investigate whether antigen-induced arthritis (AIA) in rats triggers neuronal changes in sensory neurons that outlast the inflammatory process.

Methods: We induced unilateral AIA in the knee joint and assessed in sensory neurons the expression of CREB, a transcription factor that regulates genes involved in neuronal plasticity. We tested whether neutralization of the effects of tumor necrosis factor (TNF) by etanercept or infliximab or neutralization of the effects of interleukin-1β (IL-1β) by anakinra influences the up-regulation of phospho-CREB, and we studied the up-regulation of phospho-CREB by IL-1β and TNF in cultured dorsal root ganglion (DRG) neurons.

Results: Unilateral AIA caused bilateral up-regulation of phospho-CREB in lumbar DRG neurons. While inflammation and pain subsided within 21 days, the up-regulation of phospho-CREB still persisted on day 42. At this time point mechanical hyperalgesia at the knee reappeared in the absence of swelling. TNF neutralization during AIA significantly reduced pain-related behavior but did not prevent phospho-CREB up-regulation. In contrast, anakinra, which only reduced thermal hyperalgesia, prevented phospho-CREB up-regulation, suggesting a role of IL-1β in this process. In cultured DRG neurons the application of IL-1β significantly enhanced phospho-CREB.

Conclusion: Immune-mediated arthritis causes neuroplastic changes in sensory neurons that outlast the inflammatory phase. Such changes may facilitate the persistence or recurrence of pain after remission of arthritis. IL-1β is an important trigger in this process, although its neutralization barely reduced mechanical hyperalgesia during inflammation.

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Source
http://dx.doi.org/10.1002/art.39445DOI Listing

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