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Effect of the conditioned medium of mesenchymal stem cells on the expression levels of P2X4 and P2X7 purinergic receptors in the spinal cord of rats with neuropathic pain

Abstract

Recent studies have shown that mesenchymal stem cells (MSCs) and their conditioned medium (CM) have potential therapeutic effects in animal models of neuropathic pain (NP). However, the mechanisms underlying these effects are not fully understood. Because of the leading involvement of purinergic receptors in the pathogenesis of NP, this study aimed to investigate the effect of MSCs-CM on the expression levels of P2X4 and P2X7 receptors in a rat model of NP induced by chronic constriction injury (CCI) of the sciatic nerve. CM was prepared from the rats’ bone marrow–derived MSCs culture. After that, NP rats were treated by intraperitoneal injection of CM, or Dulbecco’s modified Eagle’s medium (DMEM) 1 day before and 7 and 11 days after CCI surgery. The NP status was assessed in the treated animals using behavioral tests, including mechanical allodynia and thermal hyperalgesia, on days − 1, 3, 6, 9, 12, and 15 of the study. At the end of the study (Day 15), the animals were sacrificed, and the relative gene expression of P2X4 and P2X7 receptors were measured in the spinal cord using quantitative real-time PCR. The results demonstrated that in the CM-treated NP rats, mechanical allodynia and thermal hyperalgesia were significantly reduced compared with the DMEM-treated group. In addition, the expression levels of P2X4 and P2X7 receptors were noticeably prevented in the CM-treated group than the control group. These findings indicate that the antinociceptive effects of CM in the NP rats are partly mediated through preventing the upregulation of P2X4 and P2X7 receptors in the spinal cord.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

References

  1. Baron R (2006) Mechanisms of disease: neuropathic pain—a clinical perspective. Nat Clin Pract Neurol 2(2):95–106

    PubMed  Article  Google Scholar 

  2. Colloca L, Ludman T, Bouhassira D, Baron R, Dickenson AH, Yarnitsky D, Freeman R, Truini A, Attal N, Finnerup NB (2017) Neuropathic pain. Nat Rev Dis Primers 3(1):1–19

    Article  Google Scholar 

  3. Gilron I, Baron R, Jensen T Neuropathic pain: principles of diagnosis and treatment. In: Mayo Clinic Proceedings, 2015. vol 4. Elsevier, pp 532–545

  4. Inoue K, Tsuda M (2018) Microglia in neuropathic pain: cellular and molecular mechanisms and therapeutic potential. Nat Rev Neurosci 19(3):138–152

    CAS  PubMed  Article  Google Scholar 

  5. Tsuda M, Kuboyama K, Inoue T, Nagata K, Tozaki-Saitoh H, Inoue K (2009) Behavioral phenotypes of mice lacking purinergic P2X4 receptors in acute and chronic pain assays. Mol Pain 5:1744-8069-1745-1728

  6. Ulmann L, Hatcher JP, Hughes JP, Chaumont S, Green PJ, Conquet F, Buell GN, Reeve AJ, Chessell IP, Rassendren F (2008) Up-regulation of P2X4 receptors in spinal microglia after peripheral nerve injury mediates BDNF release and neuropathic pain. J Neurosci 28(44):11263–11268

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  7. He W-J, Cui J, Du L, Zhao Y-D, Burnstock G, Zhou H-D, Ruan H-Z (2012) Spinal P2X7 receptor mediates microglia activation-induced neuropathic pain in the sciatic nerve injury rat model. Behav Brain Res 226(1):163–170

    CAS  PubMed  Article  Google Scholar 

  8. Honore P, Donnelly-Roberts D, Namovic MT, Hsieh G, Zhu CZ, Mikusa JP, Hernandez G, Zhong C, Gauvin DM, Chandran P (2006) A-740003 [N-(1-{[(cyanoimino)(5-quinolinylamino) methyl] amino}-2, 2-dimethylpropyl)-2-(3, 4-dimethoxyphenyl) acetamide], a novel and selective P2X7 receptor antagonist, dose-dependently reduces neuropathic pain in the rat. J Pharmacol Exp Ther 319(3):1376–1385

    CAS  PubMed  Article  Google Scholar 

  9. Makoto T, Hidetoshi TS, Kazuhide I (2012) P2X4R and P2X7R in neuropathic pain. Wiley Interdisciplinary Reviews: Membrane Transport and Signaling 1 (4):513–521

  10. Ellis A, Bennett D (2013) Neuroinflammation and the generation of neuropathic pain. Br J Anaesth 111(1):26–37

    CAS  PubMed  Article  Google Scholar 

  11. Munoz FM, Patel PA, Gao X, Mei Y, Xia J, Gilels S, Hu H (2020) Reactive oxygen species play a role in P2X7 receptor-mediated IL-6 production in spinal astrocytes. Purinergic Signal:1–11

  12. Leung L, Cahill CM (2010) TNF-α and neuropathic pain-a review. J Neuroinflammation 7(1):1–11

    Article  Google Scholar 

  13. Xu L, Zhang Y, Huang Y (2016) Advances in the treatment of neuropathic pain. Adv Exp Med Biol 904:117–129. https://doi.org/10.1007/978-94-017-7537-3_9

    CAS  PubMed  Article  Google Scholar 

  14. Alipour R, Sadeghi F, Hashemi-Beni B, Zarkesh-Esfahani SH, Heydari F, Mousavi SB, Adib M, Narimani M, Esmaeili N (2010) Phenotypic characterizations and comparison of adult dental stem cells with adipose-derived stem cells. Int J Prev Med 1(3):164–171

    PubMed  PubMed Central  Google Scholar 

  15. Al-Massri KF, Ahmed LA, El-Abhar HS (2019) Mesenchymal stem cells therapy enhances the efficacy of pregabalin and prevents its motor impairment in paclitaxel-induced neuropathy in rats: role of Notch1 receptor and JAK/STAT signaling pathway. Behav Brain Res 360:303–311. https://doi.org/10.1016/j.bbr.2018.12.013

    CAS  PubMed  Article  Google Scholar 

  16. Honczarenko M, Le Y, Swierkowski M, Ghiran I, Glodek AM, Silberstein LE (2006) Human bone marrow stromal cells express a distinct set of biologically functional chemokine receptors. Stem Cells 24(4):1030–1041. https://doi.org/10.1634/stemcells.2005-0319

    CAS  PubMed  Article  Google Scholar 

  17. Zhou H, Zhang H, Yan Z, Xu R (2016) Transplantation of human amniotic mesenchymal stem cells promotes neurological recovery in an intracerebral hemorrhage rat model. Biochem Biophys Res Commun 475(2):202–208

    CAS  PubMed  Article  Google Scholar 

  18. Patel AN, Genovese J (2011) Potential clinical applications of adult human mesenchymal stem cell (Prochymal®) therapy. Stem Cells Cloning 4:61

    PubMed  PubMed Central  Google Scholar 

  19. Gama KB, Santos DS, Evangelista AF, Silva DN, de Alcântara AC, dos Santos RR, Soares MBP, Villarreal CF (2018) Conditioned medium of bone marrow-derived mesenchymal stromal cells as a therapeutic approach to neuropathic pain: a preclinical evaluation. Stem Cells Int 2018

  20. Evangelista AF, Vannier-Santos MA, de Assis Silva GS, Silva DN, Juiz PJL, Nonaka CKV, dos Santos RR, Soares MBP, Villarreal CF (2018) Bone marrow-derived mesenchymal stem/stromal cells reverse the sensorial diabetic neuropathy via modulation of spinal neuroinflammatory cascades. J Neuroinflammation 15(1):1–17

    Article  Google Scholar 

  21. De Gregorio C, Contador D, Díaz D, Cárcamo C, Santapau D, Lobos-Gonzalez L, Acosta C, Campero M, Carpio D, Gabriele C (2020) Human adipose-derived mesenchymal stem cell-conditioned medium ameliorates polyneuropathy and foot ulceration in diabetic BKS db/db mice. Stem Cell Res Ther 11:1–21

    Article  Google Scholar 

  22. Brini AT, Amodeo G, Ferreira LM, Milani A, Niada S, Moschetti G, Franchi S, Borsani E, Rodella LF, Panerai AE, Sacerdote P (2017) Therapeutic effect of human adipose-derived stem cells and their secretome in experimental diabetic pain. Sci Rep 7(1):9904. https://doi.org/10.1038/s41598-017-09487-5

    PubMed  PubMed Central  Article  Google Scholar 

  23. Nazemi S, Jafari F, Amin B, Gholami O, Kafami M, Mojadadi M-S (2020) Effect of Umbelliprenin on antinociceptive activity of morphine in a rat model of neuropathic pain induced by chronic constriction injury of the sciatic nerve. Nat Prod J 10:1

    Google Scholar 

  24. Nazemi S, Rudsarabi H, Amin B, Farahani H, Azhdari Zarmehri H, Mojadadi M-S (2020) Anti-neuropathic pain effects of ethyl acetate extract of Ferula asafoetida oleo-gum-resin in streptozotocin-induced diabetic rats. Nat Prod J 10:1

    Google Scholar 

  25. Deuis JR, Dvorakova LS, Vetter I (2017) Methods used to evaluate pain behaviors in rodents. Front Mol Neurosci 10:284. https://doi.org/10.3389/fnmol.2017.00284

    PubMed  PubMed Central  Article  Google Scholar 

  26. Mittal R, Ocak E, Zhu A, Perdomo MM, Pena SA, Mittal J, Bohorquez J, Eshraghi AA (2020) Effect of bone marrow-derived mesenchymal stem cells on cochlear function in an experimental rat model. Anat Rec 303(3):487–493

    CAS  Article  Google Scholar 

  27. Tsuda M (2016) Microglia in the spinal cord and neuropathic pain. J Diabetes Investig 7(1):17–26. https://doi.org/10.1111/jdi.12379

    CAS  PubMed  Article  Google Scholar 

  28. Masuda T, Iwamoto S, Yoshinaga R, Tozaki-Saitoh H, Nishiyama A, Mak TW, Tamura T, Tsuda M, Inoue K (2014) Transcription factor IRF5 drives P2X4R+-reactive microglia gating neuropathic pain. Nat Commun 5(1):1–11

    Article  Google Scholar 

  29. Tsuda M, Shigemoto-Mogami Y, Koizumi S, Mizokoshi A, Kohsaka S, Salter MW, Inoue K (2003) P2X 4 receptors induced in spinal microglia gate tactile allodynia after nerve injury. Nature 424(6950):778–783

    CAS  PubMed  Article  Google Scholar 

  30. Jin S-X, Zhuang Z-Y, Woolf CJ, Ji R-R (2003) p38 mitogen-activated protein kinase is activated after a spinal nerve ligation in spinal cord microglia and dorsal root ganglion neurons and contributes to the generation of neuropathic pain. J Neurosci 23(10):4017–4022

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  31. Tsuda M, Mizokoshi A, Shigemoto-Mogami Y, Koizumi S, Inoue K (2004) Activation of p38 mitogen-activated protein kinase in spinal hyperactive microglia contributes to pain hypersensitivity following peripheral nerve injury. Glia 45(1):89–95

    PubMed  Article  Google Scholar 

  32. Teng Y, Zhang Y, Yue S, Chen H, Qu Y, Wei H, Jia X (2019) Intrathecal injection of bone marrow stromal cells attenuates neuropathic pain via inhibition of P2X 4 R in spinal cord microglia. J Neuroinflammation 16(1):1–15

    Article  Google Scholar 

  33. Chen G, Park C-K, Xie R-G, Ji R-R (2015) Intrathecal bone marrow stromal cells inhibit neuropathic pain via TGF-β secretion. J Clin Invest 125(8):3226–3240

    PubMed  PubMed Central  Article  Google Scholar 

  34. Yang H, Wu L, Deng H, Chen Y, Zhou H, Liu M, Wang S, Zheng L, Zhu L, Lv X (2020) Anti-inflammatory protein TSG-6 secreted by bone marrow mesenchymal stem cells attenuates neuropathic pain by inhibiting the TLR2/MyD88/NF-κB signaling pathway in spinal microglia. J Neuroinflammation 17:1–21

    Article  Google Scholar 

  35. Shen Y, Ding Z, Ma S, Ding Z, Zhang Y, Zou Y, Xu F, Yang X, Schäfer MK, Guo Q (2019) SETD7 mediates spinal microgliosis and neuropathic pain in a rat model of peripheral nerve injury. Brain Behav Immun 82:382–395

    CAS  PubMed  Article  Google Scholar 

  36. Rosenberg GA (2012) Neurological diseases in relation to the blood–brain barrier. J Cereb Blood Flow Metab 32(7):1139–1151

    CAS  PubMed  PubMed Central  Article  Google Scholar 

  37. Al Shoyaib A, Archie SR, Karamyan VT (2020) Intraperitoneal route of drug administration: should it be used in experimental animal studies? Pharm Res 37(1):12

    Article  Google Scholar 

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Acknowledgments

We thank Mrs. Falanji for her help on RT-PCR analysis.

Funding

This work was supported financially by the deputy of research and technology at Arak University of Medical Sciences.

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Correspondence to Saeed Hajihashemi or Mohammad-Shafi Mojadadi.

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The authors declare that they have no conflict of interest.

Ethical approval

All experiments were conducted in accordance with the Guide for the Care and Use of Laboratory Animals published by the National Academy of Sciences (The National Academies Press, Washington, D.C, 8th edition) and the Basel Declaration. In addition, all methods were approved by the Research Ethics Committee of Arak University of Medical Sciences (IR.ARAKMU.1397.333).

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Masoodifar, M., Hajihashemi, S., Pazhoohan, S. et al. Effect of the conditioned medium of mesenchymal stem cells on the expression levels of P2X4 and P2X7 purinergic receptors in the spinal cord of rats with neuropathic pain. Purinergic Signalling 17, 143–150 (2021). https://doi.org/10.1007/s11302-020-09756-5

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  • DOI: https://doi.org/10.1007/s11302-020-09756-5

Keywords

  • Neuropathic pain
  • Mesenchymal stem cells
  • Conditioned medium
  • P2X4 receptor
  • P2X7 receptor
  • Hyperalgesia
  • Allodynia