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CD8+ T cell-derived IL-13 increases macrophage IL-10 to resolve neuropathic pain.

Abstract
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.
AuthorsSusmita K Singh, Karen Krukowski, Geoffroy O Laumet, Drew Weis, Jenolyn F Alexander, Cobi J Heijnen, Annemieke Kavelaars
JournalJCI insight (JCI Insight) Vol. 7 Issue 5 (03 08 2022) ISSN: 2379-3708 [Electronic] United States
PMID35260535 (Publication Type: Journal Article)
Chemical References
  • Hepatitis A Virus Cellular Receptor 2
  • IL10 protein, mouse
  • Interleukin-13
  • Interleukin-10
  • Cisplatin
Topics
  • Animals
  • CD8-Positive T-Lymphocytes (metabolism)
  • Chronic Pain
  • Cisplatin
  • Hepatitis A Virus Cellular Receptor 2 (metabolism)
  • Hyperalgesia (chemically induced)
  • Interleukin-10 (metabolism)
  • Interleukin-13 (metabolism)
  • Macrophages (metabolism)
  • Mice
  • Neuralgia (complications)

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