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Paeonol ameliorates CFA-induced inflammatory pain by inhibiting HMGB1/TLR4/NF-κB p65 pathway.

Abstract
The enhanced release of inflammatory cytokines mediated by high mobility group box1 (HMGB1) leads to pain sensation, and has been implicated in the etiology of inflammatory pain. Paeonol (PAE), a major active phenolic component in Cortex Moutan, provides neuroprotective efficacy via exerting anti-inflammatory effect. However, the role and mechanism of PAE in inflammatory pain remain to be fully clarified. In this study, we showed that PAE treatment significantly ameliorated mechanical and thermal hyperalgesia of mice induced by complete Freund's adjuvant (CFA). The analgesic effect of PAE administration was associated with suppressing the enhanced expression of HMGB1 as well as the downstream signaling molecules including toll-like receptor 4 (TLR4), the nuclear NF-κB p65, TNF-α and IL-1β after CFA insult in the anterior cingulate cortex (ACC), a key brain region responsible for pain processing. Furthermore, inhibition of HMGB1 activity by glycyrrhizin (GLY), an HMGB1 inhibitor, alleviated CFA-induced pain and also facilitated PAE-mediated analgesic effect in mice along with the decreased expression of TLR4, NF-κB p65, TNF-α and IL-1β upon CFA injury. Collectively, we showed PAE exerted analgesic effect through inhibiting the HMGB1/TLR4/NF-κB p65 pathway and subsequent generation of cytokines TNF-α and IL-1β in the ACC.
AuthorsChen Qiu, Liu-Di Yang, Wen Yu, Dan-Dan Tian, Mei-Rong Gao, Wen-Ju Wang, Xu-Bo Li, Yu-Mei Wu, Min Wang
JournalMetabolic brain disease (Metab Brain Dis) Vol. 36 Issue 2 Pg. 273-283 (02 2021) ISSN: 1573-7365 [Electronic] United States
PMID33180213 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Acetophenones
  • HMGB1 Protein
  • NF-kappa B
  • Toll-Like Receptor 4
  • paeonol
Topics
  • Acetophenones (pharmacology, therapeutic use)
  • Animals
  • HMGB1 Protein (metabolism)
  • Hyperalgesia (drug therapy, metabolism)
  • Inflammation (drug therapy, metabolism)
  • Male
  • Mice
  • NF-kappa B (metabolism)
  • Pain Threshold (drug effects)
  • Signal Transduction (drug effects)
  • Toll-Like Receptor 4 (metabolism)

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