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P2X4 Receptors on Muscle Macrophages Are Required for Development of Hyperalgesia in an Animal Model of Activity-Induced Muscle Pain
Journal article   Peer reviewed

P2X4 Receptors on Muscle Macrophages Are Required for Development of Hyperalgesia in an Animal Model of Activity-Induced Muscle Pain

Maria Claudia Oliveira-Fusaro, Nicholas S Gregory, Sandra J Kolker, Lynn Rasmussen, Lee-Ann H Allen and Kathleen A Sluka
Molecular neurobiology, Vol.57(4), pp.1917-1929
04/2020
DOI: 10.1007/s12035-019-01852-x
PMCID: PMC7124976
PMID: 31898158
url
https://link.springer.com/article/10.1007%2Fs12035-019-01852-xView
Open Access

Abstract

Activity-induced pain is common in those with chronic musculoskeletal pain and limits participation in daily activities and exercise. Our laboratory developed a model of activity-induced pain and shows that depletion of muscle macrophages prevents development of hyperalgesia. Adenosine triphosphate (ATP) is released from fatiguing muscle and activates purinergic receptors (P2X), and P2X4 receptors are expressed on macrophages. We hypothesized that exercise releases ATP to activate P2X4 receptors on muscle macrophages, which subsequently release interleukin-1β (IL-1β) to produce hyperalgesia. In an animal model of activity-induced pain, using male and female C57BL6/J mice, we show increased expression of P2X4 on muscle macrophages, and blockade of P2X4 receptors in muscle prevented development of hyperalgesia. Using a lentivirus expressing an artificial micro-RNA to P2X4 under the control of a CD68 promoter, we decreased expression of P2X4 mRNA in cultured macrophages, decreased expression of P2X4 protein in muscle macrophages in vivo, and prevented development of activity-induced hyperalgesia. We further show that macrophages primed with LPS differentially released IL-1β when treated with ATP in neutral or acidic pH. Lastly, blockade of IL-1β in muscle prevented development of hyperalgesia in this model. Thus, our data suggest that P2X4 receptors could be a valid pharmacological target to control activity-induced muscle pain experienced by patients with chronic musculoskeletal pain.
Hyperalgesia - metabolism Hyperalgesia - complications Mice, Inbred C57BL Cells, Cultured Male Gene Knockdown Techniques Lipopolysaccharides Adenosine Triphosphate - pharmacology Macrophages - metabolism Animals Interleukin-1beta - metabolism Myalgia - metabolism Female Macrophages - drug effects Myalgia - complications Muscles - metabolism Receptors, Purinergic P2X4 - metabolism Disease Models, Animal

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