Ligand-gated ion channel P2X7 regulates NLRP3/Caspase-1-mediated inflammatory pain caused by pulpitis in the trigeminal ganglion and medullary dorsal horn

Brain Res Bull. 2023 Jan:192:1-10. doi: 10.1016/j.brainresbull.2022.10.020. Epub 2022 Oct 31.

Abstract

Emerging research has revealed that the activation of the NLR family pyrin domain containing 3 (NLRP3) inflammasomes contribute to the development of inflammatory and neuropathic pains. In addition, microglia are involved in the central nervous system (CNS) pain conduction. However, the relationship between NLRP3 inflammasome and dental inflammatory pain conduction is yet to be established. Therefore, this study aimed to investigate the roles of P2X7 and NLRP3/Caspase-1 (CASP1) in the inflammatory pain caused by pulpitis using a rat experimental pulpitis model. We discovered that the decreased pain threshold was inversely correlated with the increased expression of NLRP3, Caspase-1, P2X7, interleukin-1β (IL-1β), and IL-18 in the trigeminal ganglion and dorsal horn of the medulla after dental pulp exposure. Furthermore, the pain threshold of rats caused by pulpitis was increased by intraperitoneal injection of Brilliant Blue G (BBG), a P2X7 inhibitor, and the expression levels of NLRP3 and related inflammatory factors IL-1β and IL-18 were decreased. Moreover, treatment with 130 nM KCl, a P2X7 inhibitor, significantly reduced the expression of NLRP3, IL-1β, IL-18, Caspase-1, and P2X7 in microglia after lipopolysaccharide(LPS) stimulation. In conclusion, our findings suggest that NLRP3/ CASP1 plays a vital role in the conduction of dental pain; the P2X7regulates NLRP3 pathway in the context of dental inflammatory pain conduction, and inhibiting P2X7 may be a potential strategy for dental inflammatory pain relief.

Keywords: Inflammatory pain; Microglia; NLRP3; P2X7; Pulpitis model.

MeSH terms

  • Animals
  • Carrier Proteins / metabolism
  • Caspase 1 / metabolism
  • Inflammasomes / metabolism
  • Interleukin-18 / metabolism
  • Interleukin-1beta / metabolism
  • Ligand-Gated Ion Channels*
  • Lipopolysaccharides / toxicity
  • NLR Family, Pyrin Domain-Containing 3 Protein* / metabolism
  • Pain
  • Rats
  • Receptors, Purinergic P2X7
  • Spinal Cord Dorsal Horn / metabolism
  • Trigeminal Ganglion / metabolism

Substances

  • Caspase 1
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Interleukin-18
  • Ligand-Gated Ion Channels
  • Carrier Proteins
  • Inflammasomes
  • Interleukin-1beta
  • Lipopolysaccharides
  • Receptors, Purinergic P2X7
  • Nlrp3 protein, rat