2014
DOI: 10.1007/s12035-014-8790-x
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IL-10 Cytokine Released from M2 Macrophages Is Crucial for Analgesic and Anti-inflammatory Effects of Acupuncture in a Model of Inflammatory Muscle Pain

Abstract: Muscle pain is a common medical problem that is difficult to treat. One nonpharmacological treatment used is acupuncture, a procedure in which fine needles are inserted into body points with the intent of relieving pain and other symptoms. Here we investigated the effects of manual acu-puncture (MA) on modulating macrophage phenotype and interleukin-10 (IL-10) concentrations in animals with muscle inflammation. Carrageenan, injected in the gastrocnemius muscle of mice, induces an inflammatory response characte… Show more

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Cited by 133 publications
(99 citation statements)
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“…Specifically we show the following findings: (1) depletion of resident macrophages and blockade of TLR4 receptors in muscle attenuated the development of bilateral mechanical hyperalgesia induced by repeated acid saline injection; (2) replacement of a one acid injection by LPS to directly activate resident macrophages, or the inflammatory cytokine IL-6 to mimic macrophage activation, induces bilateral mechanical hyperalgesia in a dose-dependent manner mimicking the effect of repeated acid injections; (3) Acidic pH, LPS and IL-6 increase the number of macrophages in muscle tissue, and acidic pH and LPS induce release of cytokines from peritoneal macrophages. Thus, these data extend prior studies which macrophages are important in fatigue-induced and inflammatory muscle pain [10;18], and suggest that acidic saline in muscle activates macrophages involving TLR4 receptors, and induces release of inflammatory cytokines to produce hyperalgesia.…”
Section: Discussionsupporting
confidence: 87%
“…Specifically we show the following findings: (1) depletion of resident macrophages and blockade of TLR4 receptors in muscle attenuated the development of bilateral mechanical hyperalgesia induced by repeated acid saline injection; (2) replacement of a one acid injection by LPS to directly activate resident macrophages, or the inflammatory cytokine IL-6 to mimic macrophage activation, induces bilateral mechanical hyperalgesia in a dose-dependent manner mimicking the effect of repeated acid injections; (3) Acidic pH, LPS and IL-6 increase the number of macrophages in muscle tissue, and acidic pH and LPS induce release of cytokines from peritoneal macrophages. Thus, these data extend prior studies which macrophages are important in fatigue-induced and inflammatory muscle pain [10;18], and suggest that acidic saline in muscle activates macrophages involving TLR4 receptors, and induces release of inflammatory cytokines to produce hyperalgesia.…”
Section: Discussionsupporting
confidence: 87%
“…This is consistent with the lack of changes on baseline mechanical nociceptive threshold in skin [47] or muscle [15] in IL-10 knockout mice, or after administration of IL-10R blocking antibodies to control mice [27]. Conversely, administration of systemic recombinant IL-10 [27] or intrathecal viral vectors encoding IL-10 [33,34] do not change baseline nociceptive mechanical threshold in control rodents, nor the mechanosensitivity of C-fibers from mice recorded in vitro [22].…”
Section: Discussionsupporting
confidence: 85%
“…These M2 macrophages, in turn, reduce muscle pain and inflammation induced by carrageenan in an IL‐10‐dependent manner (da Silva et al . ).…”
Section: Discussionmentioning
confidence: 97%