ObjectivePrevious studies of neuropathic pain have suggested that the P2X4
purinoceptor (P2X4R) in spinal microglia is essential for
maintaining allodynia following nerve injury. However, little is
known about its role in inflammatory soup-induced trigeminal
allodynia, which closely mimics chronic migraine status. Here,
we determined the contributions of P2X4R and related signaling
pathways in an inflammatory soup-induced trigeminal allodynia
model.MethodsP2X4R gene and protein levels in the trigeminal nucleus caudalis
were analyzed following repeated dural inflammatory soup
infusions. p38, brain-derived neurotrophic factor, excitatory
amino acid transporter 3, c-Fos, and calcitonin gene-related
peptide protein levels in the trigeminal nucleus caudalis, as
well as trigeminal sensitivity, were assessed among the
different groups. Immunofluorescence staining was used to detect
protein localization and expression in the trigeminal nucleus
caudalis.ResultsRepeated inflammatory dural stimulation induced trigeminal
hyperalgesia and the upregulation of P2X4R. Immunofluorescence
revealed that P2X4R was expressed in trigeminal nucleus caudalis
microglial cells. Blockage of P2X4R produced an anti-nociceptive
effect, which was associated with an inhibition of inflammatory
soup-induced increases in p38, brain-derived neurotrophic
factor, excitatory amino acid transporter 3, c-Fos, and
calcitonin gene-related peptide protein levels. The tyrosine
receptor kinase B antagonist ANA-12 reversed trigeminal
allodynia and the upregulation of excitatory amino acid
transporter 3, c-Fos, and calcitonin gene-related peptide,
whereas the agonist 7,8-dihydroxyflavone exacerbated these
effects. Double immunostaining indicated that p38 and
brain-derived neurotrophic factor were mainly expressed in
microglial cells, whereas excitatory amino acid transporter 3
was primarily expressed in trigeminal nucleus caudalis
neurons.ConclusionsThese data indicate that microglial P2X4R is involved in the
regulation of excitatory amino acid transporter 3 via
brain-derived neurotrophic factor-tyrosine receptor kinase B
signaling following repeated inflammatory dural stimulation.
Microglial P2X4R activation and microglia–neuron interactions in
the trigeminal nucleus caudalis may play a role in the
pathogenesis of migraine chronicity, and the modulation of P2X4R
activation might be a potential therapeutic strategy.