2018
DOI: 10.3389/fphar.2018.00989
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Koumine Decreases Astrocyte-Mediated Neuroinflammation and Enhances Autophagy, Contributing to Neuropathic Pain From Chronic Constriction Injury in Rats

Abstract: Koumine, an indole alkaloid, is a major bioactive component of Gelsemium elegans. Previous studies have demonstrated that koumine has noticeable anti-inflammatory and analgesic effects in inflammatory and neuropathic pain (NP) models, but the mechanisms involved are not well understood. This study was designed to explore the analgesic effect of koumine on chronic constriction injury (CCI)-induced NP in rats and the underlying mechanisms, including astrocyte autophagy and apoptosis in the spinal cord. Rats with… Show more

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Cited by 42 publications
(56 citation statements)
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“…Research studies over the past decade have suggested that proinflammatory cytokines such as Interleukin-1 beta (IL-1b) and tumor necrosis factor alpha (TNF-a) from glial cells (astrocytes and microglia) are responsible for BCP and might augment nociceptive signals in the spinal cord (Chiang et al, 2012;Lu et al, 2015). The activated glial cells release the proinflammatory cytokines that act on their receptors and express on postsynaptic neurons, leading to post-synaptic hyperexcitability and facilitatory pain transmission (Guo et al, 2007;Jin et al, 2018;Wang et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…Research studies over the past decade have suggested that proinflammatory cytokines such as Interleukin-1 beta (IL-1b) and tumor necrosis factor alpha (TNF-a) from glial cells (astrocytes and microglia) are responsible for BCP and might augment nociceptive signals in the spinal cord (Chiang et al, 2012;Lu et al, 2015). The activated glial cells release the proinflammatory cytokines that act on their receptors and express on postsynaptic neurons, leading to post-synaptic hyperexcitability and facilitatory pain transmission (Guo et al, 2007;Jin et al, 2018;Wang et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…Autophagy was impaired in various experimental models of neuropathic pain (NP). 12,19 Enhancement of autophagy can slow the process of NP, including TN. 10,11,20 In this study, we also explored whether the analgesic effect of Gm14461 silencing on TN was related to autophagy regulation.…”
Section: Discussionmentioning
confidence: 99%
“…It has been documented that promotion of autophagy in astrocytes can inhibit the CCI-induced activation of astrocytes and release of proinflammatory cytokines. 12 All these findings prompted us to investigate whether astrocyte activation and autophagy were involved in the analgesic mechanisms of Gm14461 silencing in TN.…”
mentioning
confidence: 99%
“…Spinal cord cell apoptosis reportedly is observed during the development of neuropathic pain [17,18].…”
Section: Discussionmentioning
confidence: 99%
“…In neuropathic pain, spinal cord cells can undergo apoptosis [17,18], and apoptosis is closely related to the p38 MAPK pathway [19,20]. Therefore, we hypothesized that PKA is involved in neuropathic pain by activating the p38MAPK pathway to mediate spinal cord cell apoptosis.…”
Section: Introductionmentioning
confidence: 99%