PMID- 23726937 OWN - NLM STAT- MEDLINE DCOM- 20140508 LR - 20220408 IS - 1528-8447 (Electronic) IS - 1526-5900 (Print) IS - 1526-5900 (Linking) VI - 14 IP - 10 DP - 2013 Oct TI - Induction of monocyte chemoattractant protein-1 (MCP-1) and its receptor CCR2 in primary sensory neurons contributes to paclitaxel-induced peripheral neuropathy. PG - 1031-44 LID - S1526-5900(13)00961-9 [pii] LID - 10.1016/j.jpain.2013.03.012 [doi] AB - The use of paclitaxel (Taxol), a microtubule stabilizer, for cancer treatment is often limited by its associated peripheral neuropathy (chemotherapy-induced peripheral neuropathy [CIPN]), which predominantly results in sensory dysfunction, including chronic pain. Here we show that paclitaxel CIPN was associated with induction of chemokine monocyte chemoattractant protein-1 (MCP-1) and its cognate receptor CCR2 in primary sensory neurons of dorsal root ganglia. Immunostaining revealed that MCP-1 was mainly expressed in small nociceptive neurons whereas CCR2 was expressed in large and medium-sized myelinated neurons. Direct application of MCP-1 consistently induced intracellular calcium increases in dorsal root ganglia large and medium-sized neurons but not in small neurons mainly dissociated from paclitaxel-treated but not vehicle-treated animals. Paclitaxel also induced increased expression of MCP-1 in spinal astrocytes, but no CCR2 signal was detected in the spinal cord. Local blockade of MCP-1/CCR2 signaling by anti-MCP-1 antibody or CCR2 antisense oligodeoxynucleotides significantly attenuated paclitaxel CIPN phenotypes including mechanical hypersensitivity and loss of intraepidermal nerve fibers in hindpaw glabrous skin. These results suggest that activation of paracrine MCP-1/CCR2 signaling between dorsal root ganglion neurons plays a critical role in the development of paclitaxel CIPN, and targeting MCP-1/CCR2 signaling could be a novel therapeutic approach. PERSPECTIVE: CIPN is a severe side effect accompanying paclitaxel chemotherapy and lacks effective treatments. The current study suggests that blocking MCP-1/CCR2 signaling could be a new therapeutic strategy to prevent or reverse paclitaxel CIPN. This preclinical evidence encourages future clinical evaluation of this strategy. CI - Copyright (c) 2013 American Pain Society. Published by Elsevier Inc. All rights reserved. FAU - Zhang, Haijun AU - Zhang H AD - Department of Anesthesia and Pain Medicine Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas. Electronic address: haijun.zhang@mdanderson.org. FAU - Boyette-Davis, Jessica A AU - Boyette-Davis JA FAU - Kosturakis, Alyssa K AU - Kosturakis AK FAU - Li, Yan AU - Li Y FAU - Yoon, Seo-Yeon AU - Yoon SY FAU - Walters, Edgar T AU - Walters ET FAU - Dougherty, Patrick M AU - Dougherty PM LA - eng GR - R01 NS046606/NS/NINDS NIH HHS/United States GR - P01 CA124787/CA/NCI NIH HHS/United States GR - CA12487/CA/NCI NIH HHS/United States GR - NS046606/NS/NINDS NIH HHS/United States GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130531 PL - United States TA - J Pain JT - The journal of pain JID - 100898657 RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Receptors, CCR2) RN - P88XT4IS4D (Paclitaxel) RN - SY7Q814VUP (Calcium) SB - IM MH - Animals MH - Antineoplastic Agents, Phytogenic/*adverse effects MH - Calcium/metabolism MH - Chemokine CCL2/*drug effects MH - Female MH - Ganglia, Spinal/drug effects/pathology MH - Immunohistochemistry MH - Injections, Spinal MH - Paclitaxel/*adverse effects MH - Pain Threshold/drug effects MH - Peripheral Nervous System Diseases/*chemically induced/pathology MH - Physical Stimulation MH - Posterior Horn Cells/drug effects MH - Rats MH - Rats, Sprague-Dawley MH - Real-Time Polymerase Chain Reaction MH - Receptors, CCR2/*drug effects MH - Sensory Receptor Cells/*drug effects PMC - PMC3791166 MID - NIHMS469592 OTO - NOTNLM OT - CCR2 OT - MCP-1 OT - Paclitaxel OT - dorsal root ganglion OT - neuropathy EDAT- 2013/06/04 06:00 MHDA- 2014/05/09 06:00 PMCR- 2014/10/01 CRDT- 2013/06/04 06:00 PHST- 2012/09/23 00:00 [received] PHST- 2013/01/15 00:00 [revised] PHST- 2013/03/05 00:00 [accepted] PHST- 2013/06/04 06:00 [entrez] PHST- 2013/06/04 06:00 [pubmed] PHST- 2014/05/09 06:00 [medline] PHST- 2014/10/01 00:00 [pmc-release] AID - S1526-5900(13)00961-9 [pii] AID - 10.1016/j.jpain.2013.03.012 [doi] PST - ppublish SO - J Pain. 2013 Oct;14(10):1031-44. doi: 10.1016/j.jpain.2013.03.012. Epub 2013 May 31.