Massage ameliorates lumbar disc herniation-related radicular pain in rats by suppressing TLR4/NLRP3 inflammasome signaling transduction

BACKGROUND: Lumbar disc herniation (LDH) is a common spinal disease that can cause severe radicular pain. Massage, also known as Tuina in Chinese, has been indicated to exert an analgesic effect in patients with LDH. Nonetheless, the mechanism underlying this effect of massage on LDH remains unclarified.

METHODS: Forty Sprague-Dawley rats were randomly divided into four groups. A rat LDH model was established by autologous nucleus pulpous (NP) implantation, followed by treatment with or without massage. A toll-like receptor 4 (TLR4) antagonist TAK-242 was administrated to rats for blocking TLR4. Behavioral tests were conducted to examine rat mechanical and thermal sensitivities. Western blotting was employed for determining TLR4 and NLRP3 inflammasome-associated protein levels in the spinal dorsal horn (SDH). Immunofluorescence staining was implemented for estimating the microglial marker Iba-1 expression in rat SDH tissue.

RESULTS: NP implantation induced mechanical allodynia and thermal hyperalgesia in rat ipsilateral hindpaws and activated TLR4/NLRP3 inflammasome signaling transduction in the ipsilateral SDH. Massage therapy or TAK-242 administration relieved NP implantation-triggered pain behaviors in rats. Massage or TAK-242 hindered microglia activation and blocked TLR4/NLRP3 inflammasome activation in ipsilateral SDH of LDH rats.

CONCLUSION: Massage ameliorates LDH-related radicular pain in rats by suppressing microglia activation and TLR4/NLRP3 inflammasome signaling transduction.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:32

Enthalten in:

Journal of orthopaedic surgery (Hong Kong) - 32(2024), 1 vom: 12. Jan., Seite 10225536241238638

Sprache:

Englisch

Beteiligte Personen:

Hu, Yanping [VerfasserIn]
Zhao, Xin [VerfasserIn]
Chen, Mingyang [VerfasserIn]
Zhou, Fan [VerfasserIn]
Zhang, Xuelong [VerfasserIn]
Chen, Changhuan [VerfasserIn]
Wan, Qi [VerfasserIn]
He, Shenghua [VerfasserIn]

Links:

Volltext

Themen:

Ethyl 6-(N-(2-chloro-4-fluorophenyl)sulfamoyl)cyclohex-1-ene-1-carboxylate
Inflammasomes
Intervertebral disc degeneration
Journal Article
Massage
Microglia
NLR Family, Pyrin Domain-Containing 3 Protein
Nucleus pulposus
Research Support, Non-U.S. Gov't
Sulfonamides
TLR4/NLRP3
TLR4 protein, human
Toll-Like Receptor 4

Anmerkungen:

Date Completed 15.03.2024

Date Revised 15.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1177/10225536241238638

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369691458