Understanding the endogenous mechanisms regulating resolution of
pain may identify novel targets for treatment of
chronic pain. Resolution of
chemotherapy-induced
peripheral neuropathy (CIPN)
after treatment completion depends on CD8+ T cells and on
IL-10 produced by other cells. Using Rag2-/- mice lacking T and B cells and adoptive transfer of
Il13-/- CD8+ T cells, we showed that CD8+ T cells producing
IL-13 were required for resolution of CIPN. Intrathecal administration of anti-IL-13 delayed resolution of CIPN and reduced
IL-10 production by dorsal root ganglion macrophages. Depleting local CD206+ macrophages also delayed resolution of CIPN. In vitro, TIM3+CD8+ T cells cultured with
cisplatin, apoptotic cells, or
phosphatidylserine liposomes produced
IL-13, which induced
IL-10 in macrophages. In vivo, resolution of CIPN was delayed by intrathecal administration of anti-TIM3. Resolution was also delayed in Rag2-/- mice reconstituted with Havcr2 (TIM3)-/- CD8+ T cells. Our data indicated that cell damage induced by
cisplatin activated TIM3 on CD8+ T cells, leading to increased
IL-13 production, which in turn induced macrophage
IL-10 production and resolution of CIPN. Development of exogenous activators of the
IL-13/IL-10
pain resolution pathway may provide a way to treat the underlying cause of
chronic pain.