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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Neurosci
2016 ; 36
(18
): 5055-70
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The Complement System Component C5a Produces Thermal Hyperalgesia via
Macrophage-to-Nociceptor Signaling That Requires NGF and TRPV1
#MMPMID27147658
Shutov LP
; Warwick CA
; Shi X
; Gnanasekaran A
; Shepherd AJ
; Mohapatra DP
; Woodruff TM
; Clark JD
; Usachev YM
J Neurosci
2016[May]; 36
(18
): 5055-70
PMID27147658
show ga
The complement cascade is a principal component of innate immunity. Recent
studies have underscored the importance of C5a and other components of the
complement system in inflammatory and neuropathic pain, although the underlying
mechanisms are largely unknown. In particular, it is unclear how the complement
system communicates with nociceptors and which ion channels and receptors are
involved. Here we demonstrate that inflammatory thermal and mechanical
hyperalgesia induced by complete Freund's adjuvant was accompanied by C5a
upregulation and was markedly reduced by C5a receptor (C5aR1) knock-out or
treatment with the C5aR1 antagonist PMX53. Direct administration of C5a into the
mouse hindpaw produced strong thermal hyperalgesia, an effect that was absent in
TRPV1 knock-out mice, and was blocked by the TRPV1 antagonist AMG9810.
Immunohistochemistry of mouse plantar skin showed prominent expression of C5aR1
in macrophages. Additionally, C5a evoked strong Ca(2+) mobilization in
macrophages. Macrophage depletion in transgenic macrophage Fas-induced apoptosis
mice abolished C5a-dependent thermal hyperalgesia. Examination of inflammatory
mediators following C5a injection revealed a rapid upregulation of NGF, a
mediator known to sensitize TRPV1. Preinjection of an NGF-neutralizing antibody
or Trk inhibitor GNF-5837 prevented C5a-induced thermal hyperalgesia. Notably,
NGF-induced thermal hyperalgesia was unaffected by macrophage depletion.
Collectively, these results suggest that complement fragment C5a induces thermal
hyperalgesia by triggering macrophage-dependent signaling that involves
mobilization of NGF and NGF-dependent sensitization of TRPV1. Our findings
highlight the importance of macrophage-to-neuron signaling in pain processing and
identify C5a, NGF, and TRPV1 as key players in this cross-cellular communication.
SIGNIFICANCE STATEMENT: This study provides mechanistic insight into how the
complement system, a key component of innate immunity, regulates the development
of pain hypersensitivity. We demonstrate a crucial role of the C5a receptor,
C5aR1, in the development of inflammatory thermal and mechanical sensitization.
By focusing on the mechanisms of C5a-induced thermal hyperalgesia, we show that
this process requires recruitment of macrophages and initiation of
macrophage-to-nociceptor signaling. At the molecular level, we demonstrate that
this signaling depends on NGF and is mediated by the heat-sensitive nociceptive
channel TRPV1. This deeper understanding of how immune cells and neurons interact
to regulate pain processing is expected to facilitate mechanism-based approaches
in the development of new analgesics.