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Publication : Sex differences in peripheral immune cell activation: Implications for pain and pain resolution.

First Author  Friedman TN Year  2023
Journal  Brain Behav Immun Volume  114
Pages  80-93 PubMed ID  37544463
Mgi Jnum  J:339613 Mgi Id  MGI:7523744
Doi  10.1016/j.bbi.2023.07.029 Citation  Friedman TN, et al. (2023) Sex differences in peripheral immune cell activation: Implications for pain and pain resolution. Brain Behav Immun 114:80-93
abstractText  Decades of research into chronic pain has deepened our understanding of the cellular mechanisms behind this process. However, a failure to consider the biological variable of sex has limited the application of these breakthroughs into clinical application. In the present study, we investigate fundamental differences in chronic pain between male and female mice resulting from inflammatory activation of the innate immune system. We provide evidence that female mice are more sensitive to the effects of macrophages. Injecting small volumes of media conditioned by either unstimulated macrophages or macrophages stimulated by the inflammatory molecule TNFalpha lead to increased pain sensitivity only in females. Interestingly, we find that TNFalpha conditioned media leads to a more rapid resolution of mechanical hypersensitivity and altered immune cell recruitment to sites of injury. Furthermore, male and female macrophages exhibit differential polarization characteristics and motility after TNFalpha stimulation, as well as a different profile of cytokine secretions. Finally, we find that the X-linked gene Tlr7 is critical in the facilitating the adaptive resolution of pain in models of acute and chronic inflammation in both sexes. Altogether, these findings suggest that although the cellular mechanisms of pain resolution may differ between the sexes, the study of these differences may yield more targeted approaches with clinical applications.
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