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Publication : The fibroblast-derived protein PI16 controls neuropathic pain.

First Author  Singhmar P Year  2020
Journal  Proc Natl Acad Sci U S A Volume  117
Issue  10 Pages  5463-5471
PubMed ID  32079726 Mgi Jnum  J:286743
Mgi Id  MGI:6401784 Doi  10.1073/pnas.1913444117
Citation  Singhmar P, et al. (2020) The fibroblast-derived protein PI16 controls neuropathic pain. Proc Natl Acad Sci U S A 117(10):5463-5471
abstractText  Chronic pain is a major clinical problem of which the mechanisms are incompletely understood. Here, we describe the concept that PI16, a protein of unknown function mainly produced by fibroblasts, controls neuropathic pain. The spared nerve injury (SNI) model of neuropathic pain increases PI16 protein levels in fibroblasts in dorsal root ganglia (DRG) meninges and in the epi/perineurium of the sciatic nerve. We did not detect PI16 expression in neurons or glia in spinal cord, DRG, and nerve. Mice deficient in PI16 are protected against neuropathic pain. In vitro, PI16 promotes transendothelial leukocyte migration. In vivo, Pi16 (-/-) mice show reduced endothelial barrier permeability, lower leukocyte infiltration and reduced activation of the endothelial barrier regulator MLCK, and reduced phosphorylation of its substrate MLC2 in response to SNI. In summary, our findings support a model in which PI16 promotes neuropathic pain by mediating a cross-talk between fibroblasts and the endothelial barrier leading to barrier opening, cellular influx, and increased pain. Its key role in neuropathic pain and its limited cellular and tissue distribution makes PI16 an attractive target for pain management.
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