Eukaryotic initiation factor 4 gamma 2 contributes to neuropathic pain through down-regulation of Kv1.2 and the mu opioid receptor in mouse primary sensory neurones

Br J Anaesth. 2021 Mar;126(3):706-719. doi: 10.1016/j.bja.2020.10.032. Epub 2020 Dec 7.

Abstract

Background: Nerve injury-induced changes in gene expression in the dorsal root ganglion (DRG) contribute to neuropathic pain genesis. Eukaryotic initiation factor 4 gamma 2 (eIF4G2) is a general repressor of cap-dependent mRNA translation. Whether DRG eIF4G2 participates in nerve injury-induced alternations in gene expression and nociceptive hypersensitivity is unknown.

Methods: The expression and distribution of eIF4G2 mRNA and protein in mouse DRG after spinal nerve ligation (SNL) were assessed. Effects of eIF4G2 siRNA microinjected through a glass micropipette into the injured DRG on the SNL-induced DRG mu opioid receptor (MOR) and Kv1.2 downregulation and nociceptive hypersensitivity were examined. In addition, effects of DRG microinjection of adeno-associated virus 5-expressing eIF4G2 (AAV5-eIF4G2) on basal DRG MOR and Kv1.2 expression and nociceptive thresholds were analysed.

Results: eIF4G2 protein co-expressed with Kv1.2 and MOR in DRG neurones. Levels of eIF4G2 mRNA (1.7 [0.24] to 2.3 [0.14]-fold of sham, P<0.01) and protein (1.6 [0.14] to 2.5 [0.22]-fold of sham, P<0.01) in injured DRG were time-dependently increased on days 3-14 after SNL. Blocking increased eIF4G2 through microinjection of eIF4G2 siRNA into the injured DRG attenuated SNL-induced downregulation of DRG MOR and Kv1.2 and development and maintenance of nociceptive hypersensitivities. DRG microinjection of AAV5-eIF4G2 reduced DRG MOR and Kv1.2 expression and elicited hypersensitivities to mechanical, heat and cold stimuli in naïve mice.

Conclusions: eIF4G2 contributes to neuropathic pain through participation in downregulation of Kv1.2 and MOR in injured DRG and is a potential target for treatment of this disorder.

Keywords: Kv1.2; dorsal root ganglion; eIF4G2; mu opioid receptor; neuropathic pain.

MeSH terms

  • Animals
  • Cells, Cultured
  • Disease Models, Animal
  • Down-Regulation
  • Eukaryotic Initiation Factor-4G / genetics*
  • Ganglia, Spinal / metabolism*
  • Gene Expression Regulation*
  • Kv1.2 Potassium Channel / genetics*
  • Male
  • Mice
  • Neuralgia / genetics*
  • Neuralgia / metabolism
  • Neurons / metabolism
  • Pain Measurement
  • Receptors, Opioid, mu / genetics*

Substances

  • Eif4g2 protein, mouse
  • Eukaryotic Initiation Factor-4G
  • Kv1.2 Potassium Channel
  • Receptors, Opioid, mu