Gut microbiota is critical for the induction of chemotherapy-induced pain

被引:229
作者
Shen, Shiqian [1 ]
Lim, Grewo [1 ]
You, Zerong [1 ]
Ding, Weihua [2 ]
Huang, Peigen [3 ,4 ]
Ran, Chongzhao [5 ]
Doheny, Jason [1 ]
Caravan, Peter [5 ]
Tate, Samuel [1 ]
Hu, Kun [1 ]
Kim, Hyangin [1 ]
McCabe, Michael [1 ]
Huang, Bo [6 ]
Xie, Zhongcong [7 ]
Kwon, Douglas [4 ,8 ,9 ]
Chen, Lucy [1 ]
Mao, Jianren [1 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, MGH Ctr Translat Pain Res, Boston, MA 02115 USA
[2] Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Anesthesia & Pain Med, Hangzhou, Zhejiang, Peoples R China
[3] Massachusetts Gen Hosp, Dept Radiat Oncol, Boston, MA 02114 USA
[4] Harvard Med Sch, Boston, MA USA
[5] Harvard Med Sch, Massachusetts Gen Hosp, MGH HST Athinoula A Martinos Ctr Biomed Imaging, Boston, MA USA
[6] Chinese Acad Med Sci, Basic Sci Inst, Beijing, Peoples R China
[7] Harvard Med Sch, Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Geriatr Anesthesia Res Unit, Boston, MA USA
[8] Ragon Inst MGH MIT & Harvard, Cambridge, MA USA
[9] Massachusetts Gen Hosp, Div Infect Dis, Boston, MA 02114 USA
关键词
PERIPHERAL MONONEUROPATHY; PACLITAXEL; CONTRIBUTES; HYPERALGESIA; RESPONSES; THERAPY; RATS;
D O I
10.1038/nn.4606
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Chemotherapy-induced pain is a dose-limiting condition that affects 30% of patients undergoing chemotherapy. We found that gut microbiota promotes the development of chemotherapy-induced mechanical hyperalgesia. Oxaliplatin-induced mechanical hyperalgesia was reduced in germ-free mice and in mice pretreated with antibiotics. Restoring the microbiota of germ-free mice abrogated this protection. These effects appear to be mediated, in part, by TLR4 expressed on hematopoietic cells, including macrophages.
引用
收藏
页码:1213 / +
页数:6
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