2021
DOI: 10.1186/s12974-020-02066-y
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Suppression of TLR4-MyD88 signaling pathway attenuated chronic mechanical pain in a rat model of endometriosis

Abstract: Background As a classic innate immunity pathway, Toll-like receptor 4 (TLR4) signaling has been intensively investigated for its function of pathogen recognition. The receptor is located not only on immune cells but also on sensory neurons and spinal glia. Recent studies revealed the involvement of neuronal TLR4 in different types of pain. However, the specific role of TLR4 signaling in the pain symptom of endometriosis (EM) remains obscure. Methods … Show more

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Cited by 30 publications
(16 citation statements)
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“…Therefore, we speculated that the inhibition role of MS19 on HMGB1 secretion is partially mediated through NF-κB signaling and TNF-α-dependent mechanism, since that ODN exhibited a strong inhibition against the NF-κB activation and TNF-α production in this study. In addition, after its release, extracellular HMGB1 usually acts as a DAMP molecule and transmits signals to the cell interior via the activation of receptors including TLR4, resulting in the formation of a positive feedback loop that potentially amplifies local inflammatory responses ( Su et al, 2021 ; Teo Hansen Selno et al, 2021 ). Thus, MS19 might also interact with the secreted HMGB1, leading to the functional inactivation by the induction of a conformational change.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, we speculated that the inhibition role of MS19 on HMGB1 secretion is partially mediated through NF-κB signaling and TNF-α-dependent mechanism, since that ODN exhibited a strong inhibition against the NF-κB activation and TNF-α production in this study. In addition, after its release, extracellular HMGB1 usually acts as a DAMP molecule and transmits signals to the cell interior via the activation of receptors including TLR4, resulting in the formation of a positive feedback loop that potentially amplifies local inflammatory responses ( Su et al, 2021 ; Teo Hansen Selno et al, 2021 ). Thus, MS19 might also interact with the secreted HMGB1, leading to the functional inactivation by the induction of a conformational change.…”
Section: Discussionmentioning
confidence: 99%
“…The method of quantification for immunofluorescence staining referred to previous studies. 29 , 30 Briefly, two non-adjacent spinal cord sections were randomly selected from the spinal cord segment (L3–L5) of each rat, and three rats were selected for each group. The intensity of GFAP and IBA1 staining was measured with Image J.…”
Section: Methodsmentioning
confidence: 99%
“…Extracellular high mobility group box-1 (HMGB-1), a prototypical molecule of damage-associated molecular patterns, activates NF-κB in endometriotic cells by binding to its receptor, Toll-like receptor 4 (TLR4), and induces inflammatory responses in the environment of endometriosis with sustained oxidative stress [52,53]. In addition, the HMGB-1/TLR4/NF-κB axis can also induce the proliferation and invasion of endometriotic cells and contribute to endometriosis-induced pain [52][53][54]. During retrograde menstruation, erythrocytes are carried into the pelvic cavity of patients with endometriosis, and the lysis of erythrocytes results in iron release, with free iron serving as a source of ROS [55].…”
Section: Oxidative Stressmentioning
confidence: 99%
“…In an SD rat model of endometriosis, NF-κB overexpression was found in the DRG and spinal dorsal horn (SDH), which was induced by the HMGB-1/TLR4/MyD88 pathway and contributed to mechanical hyperalgesia at the graft site of ectopic endometrium 54 . Inhibiting the expression of TLR4 or MyD88 could decrease NF-κB p65 phosphorylation in the DRG, alleviating chronic endometriosis-induced pain 54 .…”
Section: Role Of Nf-κb In Endometriosis Pathogenesismentioning
confidence: 99%