4.4 Article

Astrocytic ERK/STAT1 Signaling Contributes to Maintenance of Stress-Related Visceral Hypersensitivity in Rats

Journal

JOURNAL OF PAIN
Volume 23, Issue 11, Pages 1973-1988

Publisher

CHURCHILL LIVINGSTONE
DOI: 10.1016/j.jpain.2022.07.006

Keywords

Psychological stress; visceral hypersensitivity; anterior cingulate cortex; astrocyte; MAPK; ERK signaling

Funding

  1. National Natural Science Foundation of China [81974067]
  2. Shanghai Informatization Development Special project [202001003]
  3. Psychosomatic Medicine Project of Key Developing Disciplines of Shanghai Municipal Health Commission [2019ZB0202]

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The rostral anterior cingulate cortex (rACC) and astrocytes play crucial roles in mediating visceral hypersensitivity induced by stress. The activation of astrocytes through the ERK/STAT1 signaling pathway contributes to the maintenance of stress-related visceral hypersensitivity.
The rostral anterior cingulate cortex (rACC) has been found to be an important brain region in mediating visceral hypersensitivity. However, the underlying mechanisms remain unclear. This study aimed to explore the role of astrocytes in the maintenance of visceral hyper-sensitivity induced by chronic water avoidance stress (WAS) as well as the potential signaling pathway that activates astrocytes in the rACC. We found that ACC-reactive astrogliosis resulted in the overexpression of c-fos, TSP-1, and BDNF in stress-related visceral hypersensitivity rats. Visceral hypersensitivity was reversed by pharmacological inhibition of astrocytic activation after WAS, as were the overexpression of c-fos, TSP-1 and BDNF. Activation of the astrocytic Gi-path-way increased the visceral sensitivity and expression of c-fos, TSP-1, and BDNF. Visceral hyper-sensitivity was also ameliorated by the pharmacological inhibition of ERK and STAT1 phosphorylation after WAS. Furthermore, inhibition of the ERK-STAT1 cascade reduced astrocytic activation. These findings suggest that astrocytic ERK/STAT1 signaling in the rACC contributes to the maintenance of stress-related visceral hypersensitivity.Perspective: Visceral hypersensitivity is a key factor in the pathophysiology of irritable bowel syn-drome. This study highlights the important role of astrocytic ERK/STAT1 signaling in activating astro-cytes in the rostral anterior cingulate cortex, which contributes to visceral hypersensitivity.(c) 2022 by United States Association for the Study of Pain, Inc.

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