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@ARTICLE{Gonalves:284085,
author = {Gonçalves, William Antonio and Rezende, Barbara Maximino
and Oliveira, Marcos Paulo Esteves de and Secchim Ribeiro,
Lucas and Fattori, Victor and Silva, Walison Nunes da and
Prazeres, Pedro Henrique Dias Moura and Queiroz-Junior,
Celso Martins and Santana, Karina Talita de Oliveira and
Costa, Walyson Coelho and Beltrami, Vinícius Amorim and
Costa, Vivian Vasconcelos and Birbrair, Alexander and Verri,
Waldiceu A. and Lopes, Fernando and Cunha, Thiago Mattar and
Teixeira, Mauro Martins and Amaral, Flávio Almeida and
Pinho, Vanessa},
title = {{S}ensory {G}anglia-{S}pecific {TNF} {E}xpression {I}s
{A}ssociated {W}ith {P}ersistent {N}ociception {A}fter
{R}esolution of {I}nflammation},
journal = {Frontiers in immunology},
volume = {10},
issn = {1664-3224},
address = {Lausanne},
publisher = {Frontiers Media},
reportid = {DZNE-2026-00093},
pages = {3120},
year = {2020},
abstract = {Joint pain is a distressing symptom of arthritis, and it is
frequently persistent even after treatments which reduce
local inflammation. Continuous production of algogenic
factors activate/sensitize nociceptors in the joint
structures and contribute to persistent pain, a challenging
and difficult condition to treat. TNF is a crucial cytokine
for the pathogenesis of several rheumatic diseases, and its
inhibition is a mainstay of treatment to control joint
symptoms, including pain. Here, we sought to investigate the
inflammatory changes and the role of TNF in dorsal root
ganglia (DRG) during persistent hypernociception after the
resolution of acute joint inflammation. Using a model of
antigen-induced arthritis, the peak of joint inflammation
occurred 12-24 h after local antigen injection and was
characterized by an intense influx of neutrophils,
pro-inflammatory cytokine production, and joint damage. We
found that inflammatory parameters in the joint returned to
basal levels between 6 and 8 days after antigen-challenge,
characterizing the resolving phase of joint inflammation.
Mechanical hyperalgesia was persistent up to 14 days after
joint insult. The persistent nociception was associated with
the inflammatory status of DRG after cessation of acute
joint inflammation. The late state of neuroinflammation in
the ipsilateral side was evidenced by gene expression of
TNF, TNFR2, IL-6, IL-1β, CXCL2, COX2, and iNOS in lumbar
DRG (L3-L5) and leukocyte adhesion in the lumbar intumescent
vessels between days 6 and 8. Moreover, there were signs of
resident macrophage activation in DRG, as evidenced by an
increase in Iba1-positive cells. Intrathecal or systemic
injection of etanercept, an agent clinically utilized for
TNF neutralization, at day 7 post arthritis induction,
alleviated the persistent joint hyperalgesia by specific
action in DRG. Our data suggest that neuroinflammation in
DRG after the resolution of acute joint inflammation drives
continuous neural sensitization resulting in persistent
joint nociception in a TNF-dependent mechanism.},
keywords = {Animals / Arthralgia: etiology / Arthralgia: metabolism /
Arthralgia: pathology / Biomarkers / Biopsy / Disease
Models, Animal / Disease Susceptibility / Ganglia, Spinal:
metabolism / Gene Expression / Inflammation: etiology /
Inflammation: metabolism / Inflammation: pathology / Male /
Mice / Nociception / Spinal Cord / Tumor Necrosis
Factor-alpha: genetics / Tumor Necrosis Factor-alpha:
metabolism / TNF (Other) / arthritis (Other) / dorsal root
ganglia (Other) / neuroinflammation (Other) / pain (Other) /
resolution of inflammation (Other) / Biomarkers (NLM
Chemicals) / Tumor Necrosis Factor-alpha (NLM Chemicals)},
ddc = {610},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
doi = {10.3389/fimmu.2019.03120},
url = {https://pub.dzne.de/record/284085},
}