Hsieh Ming-Chun, Ho Yu-Cheng, Lai Cheng-Yuan, Wang Hsueh-Hsiao, Lee An-Sheng, Cheng Jen-Kun, Chau Yat-Pang, Peng Hsien-Yu
From the Department of Physiology, College of Medicine, National Taiwan University, Taipei, Taiwan (M.-C.H.); Department of Medicine, Mackay Medical College, New Taipei, Taiwan (M.-C.H., Y.-C.H., C.-Y.L., H.-H.W., A.-S.L., J.-K.C., Y.-P.C., H.-Y.P.); Department of Veterinary Medicine, College of Veterinary Medicine, National Chung-Hsing University, Taichung, Taiwan (C.-Y.L.); and Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan (J.-K.C.).
Anesthesiology. 2017 Nov;127(5):862-877. doi: 10.1097/ALN.0000000000001809.
Bromodomain-containing protein 4 binds acetylated promoter histones and promotes transcription; however, the role of bromodomain-containing protein 4 in inflammatory hyperalgesia remains unclear.
Male Sprague-Dawley rats received hind paw injections of complete Freund's adjuvant to induce hyperalgesia. The dorsal root ganglia were examined to detect changes in bromodomain-containing protein 4 expression and the activation of genes involved in the expression of voltage-gated sodium channel 1.7, which is a key pain-related ion channel.
The intraplantar complete Freund's adjuvant injections resulted in thermal hyperalgesia (4.0 ± 1.5 s; n = 7). The immunohistochemistry and immunoblotting results demonstrated an increase in the bromodomain-containing protein 4-expressing dorsal root ganglia neurons (3.78 ± 0.38 fold; n = 7) and bromodomain-containing protein 4 protein levels (2.62 ± 0.39 fold; n = 6). After the complete Freund's adjuvant injection, histone H3 protein acetylation was enhanced in the voltage-gated sodium channel 1.7 promoter, and cyclin-dependent kinase 9 and phosphorylation of RNA polymerase II were recruited to this area. Furthermore, the voltage-gated sodium channel 1.7-mediated currents were enhanced in neurons of the complete Freund's adjuvant rats (55 ± 11 vs. 19 ± 9 pA/pF; n = 4 to 6 neurons). Using bromodomain-containing protein 4-targeted antisense small interfering RNA to the complete Freund's adjuvant-treated rats, the authors demonstrated a reduction in the expression of bromodomain-containing protein 4 (0.68 ± 0.16 fold; n = 7), a reduction in thermal hyperalgesia (7.5 ± 1.5 s; n = 7), and a reduction in the increased voltage-gated sodium channel 1.7 currents (21 ± 4 pA/pF; n = 4 to 6 neurons).
Complete Freund's adjuvant triggers enhanced bromodomain-containing protein 4 expression, ultimately leading to the enhanced excitability of nociceptive neurons and thermal hyperalgesia. This effect is likely mediated by the enhanced expression of voltage-gated sodium channel 1.7.
含溴结构域蛋白4与乙酰化启动子组蛋白结合并促进转录;然而,含溴结构域蛋白4在炎性痛觉过敏中的作用仍不清楚。
雄性Sprague-Dawley大鼠后爪注射完全弗氏佐剂以诱导痛觉过敏。检测背根神经节中含溴结构域蛋白4的表达变化以及与电压门控钠通道1.7表达相关的基因激活情况,电压门控钠通道1.7是一种关键的疼痛相关离子通道。
足底注射完全弗氏佐剂导致热痛觉过敏(4.0±1.5秒;n = 7)。免疫组织化学和免疫印迹结果显示,表达含溴结构域蛋白4的背根神经节神经元增加(3.78±0.38倍;n = 7),含溴结构域蛋白4的蛋白水平增加(2.62±0.39倍;n = 6)。完全弗氏佐剂注射后,电压门控钠通道1.7启动子中的组蛋白H3蛋白乙酰化增强,细胞周期蛋白依赖性激酶9和RNA聚合酶II的磷酸化被募集到该区域。此外,完全弗氏佐剂处理大鼠的神经元中电压门控钠通道1.7介导的电流增强(55±11对19±9 pA/pF;n = 4至6个神经元)。对完全弗氏佐剂处理的大鼠使用靶向含溴结构域蛋白4的反义小干扰RNA,作者证明含溴结构域蛋白4的表达降低(0.68±0.16倍;n = 7),热痛觉过敏减轻(7.5±1.5秒;n = 7),电压门控钠通道1.7电流增加减少(21±4 pA/pF;n = 4至6个神经元)。
完全弗氏佐剂引发含溴结构域蛋白4表达增强,最终导致伤害性神经元兴奋性增强和热痛觉过敏。这种效应可能由电压门控钠通道1.7的表达增强介导。