Pain and Therapy,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 6, 2024
Pain,
a
complex
symptom
encompassing
both
sensory
and
emotional
dimensions,
constitutes
significant
global
public
health
issue.
Oxidative
stress
is
pivotal
factor
in
the
pathophysiology
of
pain,
with
glutathione
peroxidase
4
(GPX4)
recognized
as
crucial
antioxidant
enzyme
involved
defense
mechanisms
ferroptosis
pathways.
This
review
systematically
explores
GPX4's
functions
across
various
pain
models,
including
neuropathic,
inflammatory,
low
back,
cancer-related
pain.
Specifically,
focus
includes
physiological
roles,
mechanisms,
regulation
ferroptosis,
involvement
signal
transduction
pathways,
metabolic
regulation.
By
summarizing
current
research,
we
highlight
potential
GPX4-targeted
therapies
management.
Chinese Medicine,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: Jan. 4, 2025
Abstract
Objective
Electroacupuncture
has
been
shown
to
play
a
neuroprotective
role
following
ischemic
stroke,
but
the
underlying
mechanism
remains
poorly
understood.
Ferroptosis
key
in
injury
process.
In
present
study,
we
wanted
explore
whether
electroacupuncture
could
inhibit
ferroptosis
by
promoting
nuclear
factor
erythroid-2-related
2
(Nrf2)
translocation.
Methods
The
stroke
model
was
established
middle
cerebral
artery
occlusion/reperfusion
(MCAO/R)
adult
rats.
These
rats
have
randomly
divided
into
EA
+
MCAO/R
group,
Brusatol
group
(the
inhibitor
of
Nrf2),
and
DMSO
Sham
group.
received
intervention
24
h
after
modeling
for
7
consecutive
days.
behavioral
function
evaluated
Neurologic
severity
score
(NSS),
Garcia
score,
Foot-fault
Test,
Rotarod
Test.
infarct
volume
detected
TTC
staining,
neuronal
damage
observed
Nissl
staining.
levels
Fe
2+
,
reactive
oxygen
species
(ROS),
superoxide
dismutase
(SOD),
malondialdehyde
(MDA)
were
measured
ELISA.
immunofluorescence
Western
blotting
used
detect
expression
Total
Nrf2,
p-Nrf2,
Nuclear
Cytoplasmic
essential
proteins,
including
glutathione
peroxidase
4
(GPX4),
solute
carrier
family
member
11
(SLC7A11)
ferritin
heavy
chain
1
(FTH1).
mitochondria
transmission
electron
microscopy
(TEM).
Results
improved
neurological
deficits
MCAO/R,
decreased
brain
volume,
alleviated
damage,
inhibited
ROS,
MDA
accumulation,
increased
SOD
levels,
GPX4,
SLC7A11
FTH1,
rescued
injured
mitochondria.
Especially,
found
that
up-regulated
promoted
phosphorylation
Nrf2
translocation,
However,
reversed
effect
electroacupuncture.
Conclusion
can
alleviate
I/R
injury-induced
It
is
expected
these
data
will
provide
novel
insights
mechanisms
protecting
against
potential
targets
stroke.
Graphical
Journal of Cellular and Molecular Medicine,
Journal Year:
2024,
Volume and Issue:
28(7)
Published: March 20, 2024
Growing
evidence
supports
the
analgesic
efficacy
of
electroacupuncture
(EA)
in
managing
chronic
neuropathic
pain
(NP)
both
patients
and
NP
models
induced
by
peripheral
nerve
injury.
However,
underlying
mechanisms
remain
incompletely
understood.
Ferroptosis,
a
novel
form
programmed
cell
death,
has
been
found
to
be
activated
during
development,
while
EA
shown
potential
promoting
neurological
recovery
following
acute
cerebral
injury
targeting
ferroptosis.
In
this
study,
investigate
detailed
mechanism
intervention
on
NP,
male
Sprague-Dawley
rats
with
constriction
(CCI)-induced
model
received
treatment
at
acupoints
ST36
GV20
for
14
days.
Results
demonstrated
that
effectively
attenuated
CCI-induced
hypersensitivity
mitigated
neuron
damage
loss
spinal
cord
rats.
Moreover,
reversed
oxidative
stress-mediated
ferroptosis
phenotype
upregulating
reduced
expression
xCT,
glutathione
peroxidase
4
(GPX4),
ferritin
heavy
chain
(FTH1)
superoxide
dismutase
(SOD)
levels,
downregulating
increased
acyl-CoA
synthetase
long-chain
family
member
(ACSL4),
malondialdehyde
levels
iron
overload.
Furthermore,
immunofluorescence
co-staining
GPX4
neurons
cells
CCI
Mechanistic
analysis
unveiled
inhibition
antioxidant
pathway
Nrf2
signalling
via
its
specific
inhibitor,
ML385,
significantly
countered
EA's
protective
effect
against
neuronal
marginally
diminishing
effect.
These
findings
suggest
may
protect
inhibiting
cord,
partially
through
activation
signalling.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(12), P. 6716 - 6716
Published: June 18, 2024
Neuropathic
pain,
which
refers
to
pain
caused
by
a
lesion
or
disease
of
the
somatosensory
system,
represents
wide
variety
peripheral
central
disorders.
Treating
neuropathic
is
quite
demanding,
primarily
because
its
intricate
underlying
etiological
mechanisms.
The
nervous
system
relies
on
microglia
maintain
balance,
as
they
are
associated
with
serving
primary
immune
responses
in
brain
next
cell
communication.
Ferroptosis,
driven
phospholipid
peroxidation
and
regulated
iron,
vital
mechanism
death
regulation.
Neuroinflammation
can
be
triggered
ferroptosis
microglia,
contributes
release
inflammatory
cytokines.
Conversely,
neuroinflammation
induce
iron
accumulation
resulting
microglial
ferroptosis.
Accumulating
evidence
suggests
that
neuroinflammation,
characterized
glial
activation
substances,
significantly
exacerbates
development
pain.
By
inhibiting
ferroptosis,
it
may
possible
prevent
subsequently
alleviate
homopentameric
α7
subtype
neuronal
nicotinic
acetylcholine
receptor
(α7nAChR)
has
potential
suppress
activation,
transitioning
M1
an
M2
phenotype,
facilitating
anti-inflammatory
factors,
ultimately
reducing
Recent
years
have
witnessed
growing
recognition
regulatory
role
α7nAChR
could
target
for
treating
This
review
summarizes
mechanisms
related
progress
according
recent
research.
Such
exploration
will
help
elucidate
relationship
between
α7nAChR,
provide
new
insights
into
management.
Journal of Pain Research,
Journal Year:
2025,
Volume and Issue:
Volume 18, P. 1115 - 1129
Published: March 1, 2025
Patients
with
neuropathic
pain
(NP),
caused
by
injury
or
disease
of
the
somatosensory
nervous
system,
usually
suffer
from
severe
pain.
Our
previous
studies
revealed
that
electroacupuncture
(EA)
stimulation
could
effectively
improve
NP.
However,
underlying
mechanisms
EA
have
not
been
fully
clarified.
This
study
aimed
to
investigate
specific
in
alleviating
NP,
focusing
on
pyroptosis.
Chronic
Constriction
Injury
(CCI)
model
was
established
male
Sprague-Dawley
rats.
CCI
rats
were
treated
at
acupoints
GV20
and
ST36
or/with
NOD-like
receptor
protein
3
(NLRP3)
antagonist
MCC950.
treatment
administered
for
successive
14
days
7
after
surgery.
The
mechanical
withdrawal
threshold
(MWT)
paw
latency
(PWL)
performed
during
experiment.
At
end
experiment,
spinal
cord
segments
serum
collected,
ELISA
detected
expression
inflammatory
factors,
immunofluorescence
microglia
neuron
cells
pyroptosis
biomarkers,
Western
blot
NLRP3
pathway.
significantly
alleviated
hypersensitivity
increasing
MWT
PWL.
Moreover,
reduced
levels
pro-inflammatory
cytokines
IL-1β
TNF-α
tissue.
Mechanistically,
pyroptosis-related
proteins,
including
NLRP3,
N-GSDMD,
Cleaved
Caspase-1,
IL-18
as
well
downregulated
EA,
indicating
attenuated
phenotype
NP
In
particular,
co-expression
Caspase-1
N-GSDMD
rather
than
neuronal
astrocytic
within
Pharmacological
inhibition
inflammasome
MCC950
alleviates
CCI-induced
while
blocking
EA's
effect
anti-pyroptosis
These
findings
demonstrate
ameliorates
neuroinflammation
relieve
chronic
suppressing
activation
microglia.
may
serve
a
viable
therapy
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 25, 2025
Introduction
A
combination
of
Corydalis
Rhizoma
(the
dried
tuber
yanhusuo
W.T.
Wang)
and
Paeoniae
Radix
Alba
root
Paeonia
lactiflora
Pall.)
has
been
traditionally
employed
for
analgesia.
However,
the
underlying
pharmacological
mechanisms
have
not
clarified.
The
aim
present
study
was
to
investigate
anti-inflammatory
analgesic
effects
YB60,
60%
ethanol
elution
fraction
derived
from
Alba,
explore
mechanism.
Methods
Lipopolysaccharide-induced
cellular
inflammation
model
chronic
compression
injury
(CCI)
rat
were
used
YB60.
Proteomics
molecular
biology
experiments
applied
potential
mechanism
Results
results
demonstrated
that
YB60
significantly
decreased
inflammatory
cytokine
levels
both
in
models
serum,
while
concurrently
elevating
pain
thresholds
CCI
rats.
Proteomic
analysis
indicated
could
upregulate
expression
Membrane
Bound
O-Acyltransferase
Domain
Containing
2
(Mboat2),
a
newly
confirmed
marker
ferroptosis.
Furthermore,
prevented
ferroptosis
spinal
cords
Western
blotting
immunofluorescent
dual
staining
further
revealed
increased
Mboat2
its
upstream
signaling
molecule
Androgen
receptor
(AR).
PC12
cells
vitro
showed
reversed
downregulation
AR
Mboat2,
ameliorated
induced
by
Erastin,
knockdown
eliminated
above
Conclusion
These
findings
exerted
effect
inhibiting
cord
neurons
via
modulation
AR/Mboat2
pathway.
Pharmaceutics,
Journal Year:
2024,
Volume and Issue:
16(8), P. 1068 - 1068
Published: Aug. 15, 2024
Neuropathic
pain,
a
chronic
condition
resulting
from
nerve
injury
or
dysfunction,
presents
significant
therapeutic
challenges
and
is
closely
associated
with
oxidative
stress
inflammation,
both
of
which
can
lead
to
mitochondrial
dysfunction.
The
nuclear
factor
erythroid
2-related
2
(Nrf2)
pathway,
critical
cellular
defense
mechanism
against
stress,
has
emerged
as
promising
target
for
neuropathic
pain
management.
Nrf2
modulators
enhance
the
expression
antioxidant
cytoprotective
genes,
thereby
reducing
damage,
impairment.
This
review
explores
antinociceptive
effects
Nrf2,
highlighting
how
pharmacological
agents
natural
compounds
may
be
used
potential
strategies
pain.
Although
preclinical
studies
demonstrate
reduction
improved
function
through
activation,
several
clinical
need
addressed.
However,
emerging
evidence
suggests
benefits
in
conditions,
such
diabetic
neuropathy
multiple
sclerosis.
Future
research
should
focus
on
further
elucidating
molecular
role
optimize
its
modulation
efficacy
maximize
utility.
International Journal of Nanomedicine,
Journal Year:
2024,
Volume and Issue:
Volume 19, P. 7851 - 7870
Published: Aug. 1, 2024
Inhibiting
ROS
overproduction
is
considered
a
very
effective
strategy
for
the
treatment
of
peripheral
nerve
injuries,
and
Se
has
remarkable
antioxidant
effect;
however,
since
difference
between
concentration
toxic
dose
not
large,
we
synthesized
nanomaterial
that
can
release
slowly
so
it
be
used
more
effectively.