PMID- 24886294 OWN - NLM STAT- MEDLINE DCOM- 20141017 LR - 20211021 IS - 1744-8069 (Electronic) IS - 1744-8069 (Linking) VI - 10 DP - 2014 May 5 TI - PAR2-mediated upregulation of BDNF contributes to central sensitization in bone cancer pain. PG - 28 LID - 10.1186/1744-8069-10-28 [doi] AB - BACKGROUND: Bone cancer pain is currently a major clinical challenge for the management of cancer patients, and the cellular and molecular mechanisms underlying the spinal sensitization remain unclear. While several studies demonstrated the critical role of proteinase-activated receptor (PAR2) in the pathogenesis of several types of inflammatory or neuropathic pain, the involvement of spinal PAR2 and the pertinent signaling in the central sensitization is not determined yet in the rodent model of bone cancer pain. FINDINGS: Implantation of tumor cells into the tibias induced significant thermal hyperalgesia and mechanical allodynia, and enhanced glutamatergic strength in the ipsilateral dorsal horn. Significantly increased brain-derived neurotrophic factor (BDNF) expression was detected in the dorsal horn, and blockade of spinal BDNF signaling attenuated the enhancement of glutamatergic strength, thermal hyperalgesia and mechanical allodynia in the rats with bone cancer pain. Significantly increased spinal PAR2 expression was also observed, and inhibition of PAR2 signaling ameliorated BDNF upsurge, enhanced glutamatergic strength, and thermal hyperalgesia and mechanical allodynia. Inhibition of NF-kappaB pathway, the downstream of PAR2 signaling, also significantly decreased the spinal BDNF expression, glutamatergic strength of dorsal horn neurons, and thermal hyperalgesia and mechanical allodynia. CONCLUSION: The present study demonstrated that activation of PAR2 triggered NF-kappaB signaling and significantly upregulated the BDNF function, which critically contributed to the enhancement of glutamatergic transmission in spinal dorsal horn and thermal and mechanical hypersensitivity in the rats with bone cancer. This indicated that PAR2 - NF-kappaB signaling might become a novel target for the treatment of pain in patients with bone cancer. FAU - Bao, Yanju AU - Bao Y FAU - Hou, Wei AU - Hou W FAU - Liu, Rui AU - Liu R FAU - Gao, Yebo AU - Gao Y FAU - Kong, Xiangying AU - Kong X FAU - Yang, Liping AU - Yang L FAU - Shi, Zhan AU - Shi Z FAU - Li, Weidong AU - Li W FAU - Zheng, Honggang AU - Zheng H FAU - Jiang, Shulong AU - Jiang S FAU - Li, Conghuang AU - Li C FAU - Qin, Yinggang AU - Qin Y FAU - Hua, Baojin AU - Hua B AD - Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beixiange 5, Xicheng District, 100053 Beijing, China. huabaojin01@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140505 PL - United States TA - Mol Pain JT - Molecular pain JID - 101242662 RN - 0 (Antineoplastic Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Excitatory Amino Acid Agents) RN - 0 (NF-kappa B) RN - 0 (Neuropeptides) RN - 0 (Receptor, PAR-2) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology MH - Bone Neoplasms/*complications MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Carcinoma/*complications MH - Disease Models, Animal MH - Excitatory Amino Acid Agents/pharmacology MH - Excitatory Postsynaptic Potentials/drug effects/physiology MH - Female MH - Hyperalgesia/etiology MH - In Vitro Techniques MH - NF-kappa B/chemistry/metabolism MH - Neoplasms, Experimental MH - Neuropeptides/pharmacology MH - Pain/*etiology MH - Rats MH - Rats, Wistar MH - Receptor, PAR-2/*metabolism MH - Signal Transduction/drug effects/physiology MH - Spinal Cord/cytology MH - Time Factors MH - Up-Regulation/*physiology PMC - PMC4027994 EDAT- 2014/06/03 06:00 MHDA- 2014/10/18 06:00 PMCR- 2014/05/05 CRDT- 2014/06/03 06:00 PHST- 2013/12/13 00:00 [received] PHST- 2014/04/28 00:00 [accepted] PHST- 2014/06/03 06:00 [entrez] PHST- 2014/06/03 06:00 [pubmed] PHST- 2014/10/18 06:00 [medline] PHST- 2014/05/05 00:00 [pmc-release] AID - 1744-8069-10-28 [pii] AID - 10.1186/1744-8069-10-28 [doi] PST - epublish SO - Mol Pain. 2014 May 5;10:28. doi: 10.1186/1744-8069-10-28.