A shed form of LDL receptor-related protein-1 regulates peripheral nerve injury and neuropathic pain in rodents

J Clin Invest. 2008 Jan;118(1):161-72. doi: 10.1172/JCI32371.

Abstract

Injury to the peripheral nervous system (PNS) initiates a response controlled by multiple extracellular mediators, many of which contribute to the development of neuropathic pain. Schwann cells in an injured nerve demonstrate increased expression of LDL receptor-related protein-1 (LRP1), an endocytic receptor for diverse ligands and a cell survival factor. Here we report that a fragment of LRP1, in which a soluble or shed form of LRP1 with an intact alpha-chain (sLRP-alpha), was shed by Schwann cells in vitro and in the PNS after injury. Injection of purified sLRP-alpha into mouse sciatic nerves prior to chronic constriction injury (CCI) inhibited p38 MAPK activation (P-p38) and decreased expression of TNF-alpha and IL-1beta locally. sLRP-alpha also inhibited CCI-induced spontaneous neuropathic pain and decreased inflammatory cytokine expression in the spinal dorsal horn, where neuropathic pain processing occurs. In cultures of Schwann cells, astrocytes, and microglia, sLRP-alpha inhibited TNF-alpha-induced activation of p38 MAPK and ERK/MAPK. The activity of sLRP-alpha did not involve TNF-alpha binding, but rather glial cell preconditioning, so that the subsequent response to TNF-alpha was inhibited. Our results show that sLRP-alpha is biologically active and may attenuate neuropathic pain. In the PNS, the function of LRP1 may reflect the integrated activities of the membrane-anchored and shed forms of LRP1.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Astrocytes / metabolism
  • Astrocytes / pathology
  • Cells, Cultured
  • Chronic Disease
  • Constriction
  • Endocytosis / drug effects
  • Enzyme Activation / drug effects
  • Gene Expression Regulation / drug effects
  • Humans
  • Interleukin-1beta / biosynthesis
  • Ligands
  • Low Density Lipoprotein Receptor-Related Protein-1 / isolation & purification
  • Low Density Lipoprotein Receptor-Related Protein-1 / metabolism
  • Low Density Lipoprotein Receptor-Related Protein-1 / therapeutic use*
  • MAP Kinase Signaling System / drug effects*
  • Male
  • Mice
  • Microglia / metabolism
  • Microglia / pathology
  • Pain / metabolism
  • Pain / pathology
  • Pain / prevention & control*
  • Posterior Horn Cells / metabolism
  • Posterior Horn Cells / pathology
  • Rats
  • Rats, Sprague-Dawley
  • Schwann Cells / metabolism
  • Schwann Cells / pathology
  • Sciatic Nerve / injuries*
  • Sciatic Nerve / metabolism
  • Sciatic Nerve / pathology
  • Tumor Necrosis Factor-alpha / biosynthesis
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Interleukin-1beta
  • Ligands
  • Low Density Lipoprotein Receptor-Related Protein-1
  • Tumor Necrosis Factor-alpha
  • p38 Mitogen-Activated Protein Kinases