PMID- 27287221 OWN - NLM STAT- MEDLINE DCOM- 20170309 LR - 20200124 IS - 1559-1166 (Electronic) IS - 0895-8696 (Linking) VI - 59 IP - 4 DP - 2016 Aug TI - Effect of Epac1 on pERK and VEGF Activation in Postoperative Persistent Pain in Rats. PG - 554-64 LID - 10.1007/s12031-016-0776-x [doi] AB - The function of guanine nucleotide exchange protein conversion factor (Epac1) in regenerating nerves, stimulating insulin release, controlling vascular pressure, and controlling other metabolic activities has been recognized; however, few studies have addressed the potential role of Epac1 in controlling chronic postoperative pain. Using a rat model of skin/muscle incision and retraction (SMIR), our study tested the hypothesis that increased Epac1 signaling is a factor in postoperative chronic pain. Rats were randomly divided into normal, sham operation, SMIR, SMIR + Epac1 siRNA (Epac1 inhibitor), and normal + 8-pCPT (Epac1 agonist) groups. The mechanical withdrawal threshold (MWT) was used as an index of pain sensitivity. Epac1 expression in the incision-site muscle, DRG, and spinal cord was assessed using western blotting and immunofluorescence. The effects of Epac1 agonists and Epac1 siRNA on MWT and phosphorylated extracellular signal-regulated kinase (pERK), vascular endothelial growth factor (VEGF), protein release in the spinal cord, and DRG levels were also studied. SMIR increased Epac1 expression in the incision-site muscle, spinal cord, and DRG, and decreased MWT. 8-pCPT induced the development of hypersensitivity and increased pERK and VEGF expression in normal rats, whereas siRNA decreased the expression of pERK and VEGF. This study suggests that activation of the Epac1 signal might induce local postoperative recovery process, which could be an important mechanism by which to control postoperative chronic pain. Our data suggest that therapy targeted at decreasing Epac1 levels provides promise for the prevention and treatment of chronic postoperative pain. FAU - Cao, Su AU - Cao S AD - Department of Anesthesiology, Affiliated Hospital of Nantong University, No.20 Xisi Road, Nantong, Jiangsu, 226001, People's Republic of China. FAU - Bian, Zhen AU - Bian Z AD - Department of Anesthesiology, Affiliated Hospital of Nantong University, No.20 Xisi Road, Nantong, Jiangsu, 226001, People's Republic of China. AD - Nantong University, No.19 Qixiu Road, Nantong, Jiangsu, 226001, People's Republic of China. FAU - Zhu, Xiang AU - Zhu X AD - Department of Anesthesiology, Affiliated Hospital of Nantong University, No.20 Xisi Road, Nantong, Jiangsu, 226001, People's Republic of China. FAU - Shen, Shi-Ren AU - Shen SR AD - Department of Anesthesiology, Affiliated Hospital of Nantong University, No.20 Xisi Road, Nantong, Jiangsu, 226001, People's Republic of China. 823312378@qq.com. LA - eng PT - Journal Article DEP - 20160610 PL - United States TA - J Mol Neurosci JT - Journal of molecular neuroscience : MN JID - 9002991 RN - 0 (Guanine Nucleotide Exchange Factors) RN - 0 (Rapgef3 protein, rat) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) SB - IM MH - Animals MH - Chronic Pain/*metabolism MH - Extracellular Signal-Regulated MAP Kinases/genetics/*metabolism MH - Ganglia, Spinal/metabolism MH - Guanine Nucleotide Exchange Factors/agonists/genetics/*metabolism MH - Male MH - Pain, Postoperative/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Spinal Cord/metabolism MH - Vascular Endothelial Growth Factor A/genetics/*metabolism OTO - NOTNLM OT - Chronic postoperative pain OT - Epac1 OT - VEGF OT - pERK EDAT- 2016/06/12 06:00 MHDA- 2017/03/10 06:00 CRDT- 2016/06/12 06:00 PHST- 2016/02/24 00:00 [received] PHST- 2016/06/02 00:00 [accepted] PHST- 2016/06/12 06:00 [entrez] PHST- 2016/06/12 06:00 [pubmed] PHST- 2017/03/10 06:00 [medline] AID - 10.1007/s12031-016-0776-x [pii] AID - 10.1007/s12031-016-0776-x [doi] PST - ppublish SO - J Mol Neurosci. 2016 Aug;59(4):554-64. doi: 10.1007/s12031-016-0776-x. Epub 2016 Jun 10.