PMID- 38390390 OWN - NLM STAT- MEDLINE DCOM- 20240226 LR - 20240226 IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 12 DP - 2024 TI - Xenon ameliorates chronic post-surgical pain by regulating mitophagy in microglia and rats mediated by PINK1/Parkin pathway. PG - e16855 LID - 10.7717/peerj.16855 [doi] LID - e16855 AB - BACKGROUND: Chronic post-surgical pain (CPSP) is one of the important causes of poor postoperative outcomes, the activation of microglia in the spinal cord is closely related to the generation, transmission and maintenance of CPSP. Xenon (Xe), an anesthetic gas, has been reported to be able to significantly reduce intraoperative analgesia and postoperative pain sensation at low doses. However, the mechanism of the regulatory effect of xenon on activated microglia after CPSP remains unclear. METHODS: In this study, CPSP model rats were treated with 50% Xe inhalation for 1 h following skin/muscle incision and retraction (SMIR), once a day for 5 consecutive days, and then the painbehavioraltests (pain behavior indexes paw withdrawal mechanical threshold, PWMT and thermal withdrawal latency, TWL), microglial activation, oxidative stress-related indexes (malondialdehyde, MDA; superoxide dismutase, SOD; hydrogen peroxide, H(2)O(2); and catalase, CAT), mitophagy and PINK1/Parkin pathway were examined. RESULTS: The present results showed that a single dose of Xe treatment in SMIR rat model could significantly improve PWMT and TWL in the short-term at a single treatment and long-term at multiple treatments. Xe treatment inhibited microglia activation and oxidative stress in the spinal dorsal horn of SMIR rats, as indicated by the decrease of Iba1 and MDA/H(2)O(2) levels and the increase of SOD/CAT levels. Compared with the control group, Xe further increased the CPSP promoted Mito-Tracker (a mitochondrial marker) and LC3 (an autophagy marker) co-localization positive spots and PINK1/Parkin/ATG5/BECN1 (autophagy-related proteins) protein expression levels, and inhibited the Mito-SOX (a mitochondrial reactive oxygen species marker) positive signal, indicating that Xe promoted microglia mitophagy and inhibited oxidative stress in CPSP. Mechanistically, we verified that Xe promoted PINK1/Parkin signaling pathway activation. CONCLUSION: Xe plays a role in ameliorating chronic post-surgical pain by regulating the PINK1/Parkin pathway mediated microglial mitophagy and provide new ideas and targets for the prevention and treatment of CPSP. CI - (c)2024 Lv et al. FAU - Lv, Hu AU - Lv H AD - Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Huang, Jiaojiao AU - Huang J AD - Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhang, Xin AU - Zhang X AD - Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - He, Zhiyong AU - He Z AD - Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhang, Jun AU - Zhang J AD - Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Chen, Wei AU - Chen W AD - Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. LA - eng PT - Journal Article DEP - 20240219 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 RN - 3H3U766W84 (Xenon) RN - BBX060AN9V (Hydrogen Peroxide) RN - EC 1.15.1.1 (Superoxide Dismutase) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 2.7.- (Protein Kinases) SB - IM MH - Rats MH - Animals MH - *Mitophagy MH - *Microglia/metabolism MH - Xenon/pharmacology MH - Hydrogen Peroxide/metabolism MH - Superoxide Dismutase/metabolism MH - Pain, Postoperative/drug therapy MH - Ubiquitin-Protein Ligases/metabolism MH - Protein Kinases/metabolism PMC - PMC10883148 OTO - NOTNLM OT - Chronic post-surgical pain OT - Mitophagy OT - PINK1/Parkin pathway OT - Xenon COIS- The authors declare there are no competing interests. EDAT- 2024/02/23 06:44 MHDA- 2024/02/26 06:43 PMCR- 2024/02/19 CRDT- 2024/02/23 03:57 PHST- 2023/06/07 00:00 [received] PHST- 2024/01/08 00:00 [accepted] PHST- 2024/02/26 06:43 [medline] PHST- 2024/02/23 06:44 [pubmed] PHST- 2024/02/23 03:57 [entrez] PHST- 2024/02/19 00:00 [pmc-release] AID - 16855 [pii] AID - 10.7717/peerj.16855 [doi] PST - epublish SO - PeerJ. 2024 Feb 19;12:e16855. doi: 10.7717/peerj.16855. eCollection 2024.