PMID- 35121012 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 1872-9754 (Electronic) IS - 0197-0186 (Linking) VI - 154 DP - 2022 Mar TI - Dimethyl itaconate inhibits neuroinflammation to alleviate chronic pain in mice. PG - 105296 LID - S0197-0186(22)00021-3 [pii] LID - 10.1016/j.neuint.2022.105296 [doi] AB - The metabolite itaconate has both anti-inflammatory and immunomodulatory effects. However, its influence on chronic pain is unclear. Here, we demonstrated that intraperitoneal injection of the itaconate derivative dimethyl itaconate (DI) alleviated chronic pain symptoms, such as allodynia and hyperalgesia, in spinal nerve ligation (SNL) and inflammatory pain models. Moreover, intraperitoneal DI reduced the secretion of inflammatory cytokines (i.e., interleukin-1beta, tumour necrosis factor-alpha) in dorsal root ganglion (DRG), spinal cord and hind paw tissues, suppressed the activation of macrophages in the DRG and glial cells in the spinal dorsal horn and decreased the phosphorylation of extracellular signal-regulated kinase 1/2 (ERK1/2) in the DRG and spinal cord. DI boosted nuclear factor-erythroid 2 p45-related factor 2 (Nrf2) levels in the DRG and spinal cord of SNL mice. Intraperitoneal administration of the Nrf2 inhibitor ML385 abolished the analgesic effect of DI and decreased the expression of Nrf2 in the DRG and spinal cord. Similarly, administration of DI potently reversed the lipopolysaccharide (LPS)-induced inflammatory effect in microglia. Reduction of endogenous itaconate levels by pretreatment with immune-responsive gene 1 (IRG1) siRNA blocked Nrf2 expression, which impaired the analgesic and anti-inflammatory effects of DI in vitro. Therefore, our findings revealed for the first time that intraperitoneal DI elicited anti-inflammatory effect and sustained chronic pain relief, which may be regarded as a promising therapeutic agent for chronic pain treatment. CI - Copyright (c) 2022 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Ren, Jinxuan AU - Ren J AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Yu, Lina AU - Yu L AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Lin, Jiaqi AU - Lin J AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Ma, Longfei AU - Ma L AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Gao, Dave Schwinn AU - Gao DS AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Sun, Na AU - Sun N AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Liu, Ying AU - Liu Y AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Fang, Lili AU - Fang L AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Cheng, Zhenzhen AU - Cheng Z AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Sun, Kai AU - Sun K AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Yan, Min AU - Yan M AD - Department of Anesthesiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Electronic address: zryanmin@zju.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220202 PL - England TA - Neurochem Int JT - Neurochemistry international JID - 8006959 RN - 0 (Succinates) RN - 11JIB0YI93 (dimethyl itaconate) SB - IM MH - Animals MH - *Chronic Pain/drug therapy MH - Ganglia, Spinal/metabolism MH - Hyperalgesia/metabolism MH - Mice MH - *Neuralgia/metabolism MH - Neuroinflammatory Diseases MH - Rats MH - Rats, Sprague-Dawley MH - Spinal Cord/metabolism MH - Spinal Cord Dorsal Horn MH - Succinates OTO - NOTNLM OT - Dimethyl itaconate OT - Inflammatory pain OT - Neuroinflammation OT - Neuropathic pain OT - Nuclear factor-erythroid 2 p45-related factor 2 EDAT- 2022/02/06 06:00 MHDA- 2022/04/08 06:00 CRDT- 2022/02/05 05:37 PHST- 2021/09/01 00:00 [received] PHST- 2022/01/21 00:00 [revised] PHST- 2022/01/29 00:00 [accepted] PHST- 2022/02/06 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PHST- 2022/02/05 05:37 [entrez] AID - S0197-0186(22)00021-3 [pii] AID - 10.1016/j.neuint.2022.105296 [doi] PST - ppublish SO - Neurochem Int. 2022 Mar;154:105296. doi: 10.1016/j.neuint.2022.105296. Epub 2022 Feb 2.