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Macrophage-P2X4 receptors pathway is essential to persistent inflammatory muscle hyperalgesia onset, and is prevented by physical exercise

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Author(s):
de Azambuja, Graciana ; Simabuco, Fernando Moreira ; de Oliveira, Maria Claudia Goncalves
Total Authors: 3
Document type: Journal article
Source: PLoS One; v. 20, n. 2, p. 20-pg., 2025-02-11.
Abstract

Peripheral inflammation may lead to severe inflammatory painful conditions. Macrophages are critical for inflammation; modulating related pathways could be an essential therapeutic strategy for chronic pain diseases. Here we hypothesized that 1) Macrophage-P2X4 receptors are involved in the transition from acute to persistent inflammatory muscle hyperalgesia and that 2) P2X4 activation triggers a pro-inflammatory phenotype leading to Interleukin-1 beta (IL-1 beta) increase. Once physical exercise prevents exacerbated inflammatory processes related to chronic diseases including chronic muscle pain, we also hypothesized that 3) physical exercise, through PPAR gamma receptors, prevents P2X4 receptors activation. With pharmacological behaviour, biomolecular analysis and swimming physical exercise in a mouse model of persistent inflammatory muscle hyperalgesia we demonstrated that P2X4 receptors are essential for transitioning from acute to persistent inflammatory muscle hyperalgesia; Phosphorylation of p38MAPK indicated P2X4 signalling activation associated with inflammatory macrophage and an increase of IL-1 beta expression in skeletal muscle; Exercise-PPAR gamma receptors prevented phosphorylation of p38MAPK in muscle tissue. Our findings suggest that exercise-PPAR gamma modulates the acute inflammatory phase of developing persistent muscle hyperalgesia by controlling p38MAPK-related P2X4 signalling. These highlight the great potential of modulating macrophage phenotypes and P2X4 receptors to prevent pain conditions and the ability of physical exercise to prevent inflammatory processes related to chronic muscle pain. (AU)

FAPESP's process: 18/13599-1 - Inflammatory mechanisms underlying muscle pain chronification and its prevention by physical exercise: study of macrophages, PPAR gamma and P2X4 receptors involvment
Grantee:Graciana de Azambuja
Support Opportunities: Scholarships in Brazil - Doctorate
FAPESP's process: 21/02921-2 - Chronic pain and its prevention by physical exercise: cellular signaling mechanisms involving muscular, immunological and nervous system
Grantee:Maria Cláudia Gonçalves de Oliveira
Support Opportunities: Regular Research Grants
FAPESP's process: 20/10585-0 - Investigation of a crosstalk pathway between skeletal muscle and sensory neurons: effects of physical exercise-induced PGC-1a1 in skeletal muscle on dorsal roots ganglion activation and metabolism
Grantee:Graciana de Azambuja
Support Opportunities: Scholarships abroad - Research Internship - Doctorate