Focal peripheral nerve injury induces leukocyte trafficking into the central nervous system: potential relationship to neuropathic pain

Pain. 2002 Nov;100(1-2):163-70. doi: 10.1016/s0304-3959(02)00257-9.

Abstract

The present study was undertaken to determine whether leukocytes are recruited into the spinal cord following a peripheral L5 spinal nerve transection that results in mechanical allodynia (increased tactile sensitivity behavior correlates with neuropathic pain). In rats subjected to bone marrow irradiation, donor-specific major histocompatibility complex (MHC) class I (I1-69) positive peripheral immune cells trafficked to the L5 spinal cord in response to an L5 spinal nerve injury. The number of I1-69 positive cell profiles increased over time and correlated with increased mechanical allodynia. At early time points following injury, I1-69 positive immune cells co-regionalized with the expression of the macrophage marker ED2. At later time points following injury, some of the infiltrating immune cells did not co-regionalize with the macrophage marker ED2. At no time did the infiltrating cells co-regionalize with the neuronal marker (NeuN). Both macrophage-like morphology and T cell-like morphology were observed in the I1-69 positive cellular infiltrate. Conversely, animals that underwent sham surgery demonstrated little mechanical allodynia and a minimal number of infiltrating peripheral immune cells. In a separate group of rats, infiltration of CD3+ T-lymphocytes was confirmed at 14 days post-nerve transection. This study demonstrates trafficking of leukocytes into the lumbar spinal cord at time points that correlate with mechanical allodynia suggesting a role of central neuroinflammation in persistent neuropathic pain.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Cell Movement / immunology
  • Denervation
  • Histocompatibility Antigens Class I / immunology
  • Macrophages / immunology*
  • Male
  • Neuralgia / immunology*
  • Neuroimmunomodulation / immunology
  • Radiation Chimera
  • Radiculopathy / immunology
  • Rats
  • Rats, Inbred BN
  • Rats, Inbred Lew
  • Rats, Sprague-Dawley
  • Spinal Cord / cytology
  • Spinal Cord / immunology*
  • Spinal Nerves / immunology
  • Spinal Nerves / injuries*
  • T-Lymphocytes / immunology*

Substances

  • Histocompatibility Antigens Class I