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Li J, Ruan S, Jia J, Li Q, Jia R, Wan L, Yang X, Teng P, Peng Q, Shi YD, Yu P, Pan Y, Duan ML, Liu WT, Zhang L, Hu L. Hydrogen attenuates postoperative pain through Trx1/ASK1/MMP9 signaling pathway. J Neuroinflammation 2023; 20:22. [PMID: 36737785 PMCID: PMC9896749 DOI: 10.1186/s12974-022-02670-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 12/12/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Postoperative pain is a serious clinical problem with a poorly understood mechanism, and lacks effective treatment. Hydrogen (H2) can reduce neuroinflammation; therefore, we hypothesize that H2 may alleviate postoperative pain, and aimed to investigate the underlying mechanism. METHODS Mice were used to establish a postoperative pain model using plantar incision surgery. Mechanical allodynia was measured using the von Frey test. Cell signaling was assayed using gelatin zymography, western blotting, immunohistochemistry, and immunofluorescence staining. Animals or BV-2 cells were received with/without ASK1 and Trx1 inhibitors to investigate the effects of H2 on microglia. RESULTS Plantar incision surgery increased MMP-9 activity and ASK1 phosphorylation in the spinal cord of mice. MMP-9 knockout and the ASK1 inhibitor, NQDI-1, attenuated postoperative pain. H2 increased the expression of Trx1 in the spinal cord and in BV-2 cells. H2 treatment mimicked NQDI1 in decreasing the phosphorylation of ASK1, p38 and JNK. It also reduced MMP-9 activity, downregulated pro-IL-1β maturation and IBA-1 expression in the spinal cord of mice, and ameliorated postoperative pain. The protective effects of H2 were abolished by the Trx1 inhibitor, PX12. In vitro, in BV-2 cells, H2 also mimicked NQDI1 in inhibiting the phosphorylation of ASK1, p38, and JNK, and also reduced MMP-9 activity and decreased IBA-1 expression induced by LPS. The Trx1 inhibitor, PX12, abolished the protective effects of H2 in BV-2 cells. CONCLUSIONS For the first time, the results of our study confirm that H2 can be used as a therapeutic agent to alleviate postoperative pain through the Trx1/ASK1/MMP9 signaling pathway. MMP-9 and ASK1 may be the target molecules for relieving postoperative pain.
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Affiliation(s)
- Juan Li
- grid.89957.3a0000 0000 9255 8984Department of Anesthesiology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, 210019 Jiangsu China ,grid.41156.370000 0001 2314 964XDepartment of Anesthesiology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002 Jiangsu China ,grid.41156.370000 0001 2314 964XState Key Laboratory of Pharmaceutical Biotechnology, Nanjing University, Nanjing, 210002 Jiangsu China
| | - Shirong Ruan
- grid.89957.3a0000 0000 9255 8984Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029 Jiangsu China
| | - Jinhui Jia
- grid.412676.00000 0004 1799 0784Department of Orthopedics, Jiangsu Province Hospital of Integration of Chinese and Western Medicine, Nanjing, 210029 Jiangsu China
| | - Qian Li
- grid.89957.3a0000 0000 9255 8984Department of Anesthesiology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100 Jiangsu China
| | - Rumeng Jia
- grid.89957.3a0000 0000 9255 8984Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029 Jiangsu China
| | - Li Wan
- grid.89957.3a0000 0000 9255 8984Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029 Jiangsu China
| | - Xing Yang
- grid.89957.3a0000 0000 9255 8984Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029 Jiangsu China
| | - Peng Teng
- grid.89957.3a0000 0000 9255 8984Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029 Jiangsu China
| | - Qilin Peng
- grid.89957.3a0000 0000 9255 8984Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029 Jiangsu China
| | - Ya-dan Shi
- grid.89957.3a0000 0000 9255 8984Department of Pathology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100 Jiangsu China
| | - Pan Yu
- grid.41156.370000 0001 2314 964XDepartment of Burn and Plastic, Jingling Hospital, School of Medicine, Nanjing University, Nanjing, 210002 Jiangsu China
| | - Yinbing Pan
- grid.412676.00000 0004 1799 0784Department of Anesthesiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029 China
| | - Man-lin Duan
- grid.89957.3a0000 0000 9255 8984Department of Anesthesiology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, 210019 Jiangsu China ,grid.41156.370000 0001 2314 964XDepartment of Anesthesiology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002 Jiangsu China ,grid.41156.370000 0001 2314 964XState Key Laboratory of Pharmaceutical Biotechnology, Nanjing University, Nanjing, 210002 Jiangsu China
| | - Wen-Tao Liu
- Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
| | - Li Zhang
- Department of Anesthesiology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, Jiangsu, China.
| | - Liang Hu
- Department of Pharmacology, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
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Fu Z, Zhang J, Zhang Y, Mouithys Mickalad A. Role of Molecular Hydrogen in Ageing and Ageing-Related Diseases. Oxidative Medicine and Cellular Longevity 2022; 2022:1-17. [PMID: 35340218 PMCID: PMC8956398 DOI: 10.1155/2022/2249749] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 02/10/2022] [Accepted: 03/03/2022] [Indexed: 12/17/2022]
Abstract
Ageing is a physiological process of progressive decline in the organism function over time. It affects every organ in the body and is a significant risk for chronic diseases. Molecular hydrogen has therapeutic and preventive effects on various organs. It has antioxidative properties as it directly neutralizes hydroxyl radicals and reduces peroxynitrite level. It also activates Nrf2 and HO-1, which regulate many antioxidant enzymes and proteasomes. Through its antioxidative effect, hydrogen maintains genomic stability, mitigates cellular senescence, and takes part in histone modification, telomere maintenance, and proteostasis. In addition, hydrogen may prevent inflammation and regulate the nutrient-sensing mTOR system, autophagy, apoptosis, and mitochondria, which are all factors related to ageing. Hydrogen can also be used for prevention and treatment of various ageing-related diseases, such as neurodegenerative disorders, cardiovascular disease, pulmonary disease, diabetes, and cancer. This paper reviews the basic research and recent application of hydrogen in order to support hydrogen use in medicine for ageing prevention and ageing-related disease therapy.
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Abstract
Acute lung injury (ALI) and acute respiratory distress syndrome, which is a more severe form of ALI, are life-threatening clinical syndromes observed in critically ill patients. Treatment methods to alleviate the pathogenesis of ALI have improved to a great extent at present. Although the efficacy of these therapies is limited, their relevance has increased remarkably with the ongoing pandemic caused by the novel coronavirus disease 2019 (COVID-19), which causes severe respiratory distress syndrome. Several studies have demonstrated the preventive and therapeutic effects of molecular hydrogen in the various diseases. The biological effects of molecular hydrogen mainly involve anti-inflammation, antioxidation, and autophagy and cell death modulation. This review focuses on the potential therapeutic effects of molecular hydrogen on ALI and its underlying mechanisms and aims to provide a theoretical basis for the clinical treatment of ALI and COVID-19.
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Affiliation(s)
- Yan Zhang
- Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China
| | - Jin Zhang
- Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China
| | - Zhiling Fu
- Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.
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