PMID- 37322625 OWN - NLM STAT- MEDLINE DCOM- 20230619 LR - 20230619 IS - 0304-4920 (Print) IS - 0304-4920 (Linking) VI - 66 IP - 3 DP - 2023 May-Jun TI - Upregulated TNF-alpha and lactate following ERK-SGK1 activation in the spinal dorsal horn underlies chronic postsurgical pain. PG - 144-152 LID - 10.4103/cjop.CJOP-D-22-00085 [doi] AB - Skin/muscle incision and retraction (SMIR) during surgeries can lead to chronic postsurgical pain (CPSP). The underlying mechanisms are still unclear. In the present study, we showed that SMIR of the thigh induced phosphorylation of extracellular signal-regulated kinase (ERK), followed by serum- and glucocorticoid-inducible kinase-1 (SGK1) activation in the spinal dorsal horn. Intrathecal injection of PD98059, an ERK inhibitor, or GSK650394, a SGK1 inhibitor, significantly attenuated mechanical pain hypersensitivity in SMIR rats. The level of tumor necrosis factor alpha and lactate in spinal cord was significantly decreased by PD98059 or GSK650394 injection. Furthermore, PD98059 decreased the activation of SGK1 in the spinal dorsal horn. These results indicate that ERK-SGK1 activation followed by proinflammatory mediator release in the spinal dorsal horn underlies CPSP. FAU - Li, Yuying AU - Li Y AD - School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, Guangdong, China. FAU - Shi, Wenjuan AU - Shi W AD - Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, Guangdong, China. FAU - Dai, Juanli AU - Dai J AD - Department of Neurology, Xiehe Shenzhen Hospital, Huazhong University of Science and Technology, Shenzhen, Guangdong, China. FAU - Jia, Qi AU - Jia Q AD - School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, Guangdong, China. FAU - Guo, Gang AU - Guo G AD - School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, Guangdong, China. FAU - Zhang, Yanling AU - Zhang Y AD - Shenzhen Eye Hospital, Shenzhen, Guangdong, China. FAU - Zhang, Weihong AU - Zhang W AD - School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, Guangdong, China. LA - eng PT - Journal Article PL - India TA - Chin J Physiol JT - The Chinese journal of physiology JID - 7804502 RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) RN - 56887611DJ (2-cyclopentyl-4-(5-phenyl-1H-pyrrolo(2,3-b)pyridin-3-yl)-benzoic acid) RN - 0 (Tumor Necrosis Factor-alpha) RN - 33X04XA5AT (Lactic Acid) SB - IM MH - Rats MH - Animals MH - *Extracellular Signal-Regulated MAP Kinases MH - *Tumor Necrosis Factor-alpha MH - Rats, Sprague-Dawley MH - Hyperalgesia MH - Lactic Acid MH - Pain, Postoperative MH - Spinal Cord Dorsal Horn MH - Spinal Cord OTO - NOTNLM OT - Chronic postsurgical pain OT - ERK OT - SGK1 OT - lactate OT - spinal dorsal horn OT - tumor necrosis factor alpha COIS- None EDAT- 2023/06/16 06:42 MHDA- 2023/06/19 13:08 CRDT- 2023/06/16 00:23 PHST- 2023/06/19 13:08 [medline] PHST- 2023/06/16 06:42 [pubmed] PHST- 2023/06/16 00:23 [entrez] AID - ChinJPhysiol_2023_66_3_144_377576 [pii] AID - 10.4103/cjop.CJOP-D-22-00085 [doi] PST - ppublish SO - Chin J Physiol. 2023 May-Jun;66(3):144-152. doi: 10.4103/cjop.CJOP-D-22-00085.