期刊论文详细信息
Biology of Sex Differences
Sex differences in a mouse model of multiple sclerosis: neuropathic pain behavior in females but not males and protection from neurological deficits during proestrus
Elizabeth J Rahn2  Tommaso Iannitti1  Renee R Donahue3  Bradley K Taylor3 
[1] Present Address: School of Biomedical Sciences, University of Leeds, Leeds LS2 9JT, UK
[2] Present Address: Department of Neurobiology, University of Alabama at Birmingham, 1825 University Blvd. SHEL 1070C, Birmingham, AL 35294, USA
[3] Department of Physiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, USA
关键词: Proestrus;    MOG35-55;    Estrous;    Experimental autoimmune encephalomyelitis;   
Others  :  792886
DOI  :  10.1186/2042-6410-5-4
 received in 2013-08-20, accepted in 2014-01-31,  发布年份 2014
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【 摘 要 】

Background

Multiple sclerosis (MS), a demyelinating disease of the central nervous system, is one of the most prevalent neurological disorders in the industrialized world. This disease afflicts more than two million people worldwide, over two thirds of which are women. MS is typically diagnosed between the ages of 20–40 and can produce debilitating neurological impairments including muscle spasticity, muscle paralysis, and chronic pain. Despite the large sex disparity in MS prevalence, clinical and basic research investigations of how sex and estrous cycle impact development, duration, and severity of neurological impairments and pain symptoms are limited. To help address these questions, we evaluated behavioral signs of sensory and motor functions in one of the most widely characterized animal models of MS, the experimental autoimmune encephalomyelitis (EAE) model.

Methods

C57BL/6 male and female mice received flank injection of complete Freund’s adjuvant (CFA) or CFA plus myelin oligodendrocyte glycoprotein 35-55 (MOG35-55) to induce EAE. Experiment 1 evaluated sex differences of EAE-induced neurological motor deficits and neuropathic pain-like behavior over 3 weeks, while experiment 2 evaluated the effect of estrous phase in female mice on the same behavioral measures for 3 months. EAE-induced neurological motor deficits including gait analysis and forelimb grip strength were assessed. Neuropathic pain-like behaviors evaluated included sensitivity to mechanical, cold, and heat stimulations. Estrous cycle was determined daily via vaginal lavage.

Results

MOG35-55-induced EAE produced neurological impairments (i.e., motor dysfunction) including mild paralysis and decreases in grip strength in both females and males. MOG35-55 produced behavioral signs of neuropathic pain—mechanical and cold hypersensitivity—in females, but not males. MOG35-55 did not change cutaneous heat sensitivity in either sex. Administration of CFA or CFA + MOG35-55 prolonged the time spent in diestrus for 2 weeks, after which normal cycling returned. MOG35-55 produced fewer neurological motor deficits when mice were in proestrus relative to non-proestrus phases.

Conclusions

We conclude that female mice are superior to males for the study of neuropathic pain-like behaviors associated with MOG35-55-induced EAE. Further, proestrus may be protective against EAE-induced neurological deficits, thus necessitating further investigation into the impact that estrous cycle exerts on MS symptoms.

【 授权许可】

   
2014 Rahn et al.; licensee BioMed Central Ltd.

【 预 览 】
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【 参考文献 】
  • [1]El-Etr M, Vukusic S, Gignoux L, Durand-Dubief F, Achiti I, Baulieu EE, Confavreux C: Steroid hormones in multiple sclerosis. J Neurol Sci 2005, 233:49-54.
  • [2]Voskuhl RR, Gold SM: Sex-related factors in multiple sclerosis susceptibility and progression. Nat Rev Neurol 2012, 8:255-263.
  • [3]Holmqvist P, Hammar M, Landtblom AM, Brynhildsen J: Symptoms of multiple sclerosis in women in relation to cyclical hormone changes. Eur J Contracept Reprod Health Care 2009, 14:365-370.
  • [4]Holmqvist P, Wallberg M, Hammar M, Landtblom AM, Brynhildsen J: Symptoms of multiple sclerosis in women in relation to sex steroid exposure. Maturitas 2006, 54:149-153.
  • [5]Zorgdrager A, De Keyser J: Menstrually related worsening of symptoms in multiple sclerosis. J Neurol Sci 1997, 149:95-97.
  • [6]Confavreux C, Hutchinson M, Hours MM, Cortinovis-Tourniaire P, Moreau T: Rate of pregnancy-related relapse in multiple sclerosis. Pregnancy in Multiple Sclerosis Group. N Engl J Med 1998, 339:285-291.
  • [7]Zhu WH, Lu CZ, Huang YM, Link H, Xiao BG: A putative mechanism on remission of multiple sclerosis during pregnancy: estrogen-induced indoleamine 2,3-dioxygenase by dendritic cells. Mult Scler 2007, 13:33-40.
  • [8]Nurmikko TJ, Gupta S, Maclver K: Multiple sclerosis-related central pain disorders. Curr Pain Headache Rep 2010, 14:189-195.
  • [9]O’Connor AB, Schwid SR, Herrmann DN, Markman JD, Dworkin RH: Pain associated with multiple sclerosis: systematic review and proposed classification. Pain 2008, 137:96-111.
  • [10]Truini A, Barbanti P, Pozzilli C, Cruccu G: A mechanism-based classification of pain in multiple sclerosis. J Neurol 2012, 260(2):351-367.
  • [11]Foley PL, Vesterinen HM, Laird BJ, Sena ES, Colvin LA, Chandran S, Macleod MR, Fallon MT: Prevalence and natural history of pain in adults with multiple sclerosis: systematic review and meta-analysis. Pain 2013, 154:632-642.
  • [12]Osterberg A, Boivie J, Thuomas KA: Central pain in multiple sclerosis—prevalence and clinical characteristics. Eur J Pain 2005, 9:531-542.
  • [13]Truini A, Galeotti F, Cruccu G: Treating pain in multiple sclerosis. Expert Opin Pharmacother 2011, 12:2355-2368.
  • [14]Svendsen KB, Jensen TS, Overvad K, Hansen HJ, Koch-Henriksen N, Bach FW: Pain in patients with multiple sclerosis: a population-based study. Arch Neur 2003, 60:1089-1094.
  • [15]Buchanan RJ, Wang S, Ju H: Gender analyses of nursing home residents with multiple sclerosis. J Gend Spec Med 2003, 6:35-46.
  • [16]Warnell P: The pain experience of a multiple sclerosis population: a descriptive study. Axone 1991, 13:26-28.
  • [17]Beiske AG, Pedersen ED, Czujko B, Myhr KM: Pain and sensory complaints in multiple sclerosis. Eur J Neurol 2004, 11:479-482.
  • [18]Casetta I, Riise T, Wamme Nortvedt M, Economou NT, De Gennaro R, Fazio P, Cesnik E, Govoni V, Granieri E: Gender differences in health-related quality of life in multiple sclerosis. Mult Scler 2009, 15:1339-1346.
  • [19]Archibald CJ, McGrath PJ, Ritvo PG, Fisk JD, Bhan V, Maxner CE, Murray TJ: Pain prevalence, severity and impact in a clinic sample of multiple sclerosis patients. Pain 1994, 58:89-93.
  • [20]Okuda Y, Okuda M, Bernard CC: Gender does not influence the susceptibility of C57BL/6 mice to develop chronic experimental autoimmune encephalomyelitis induced by myelin oligodendrocyte glycoprotein. Immunol Lett 2002, 81:25-29.
  • [21]Papenfuss TL, Rogers CJ, Gienapp I, Yurrita M, McClain M, Damico N, Valo J, Song F, Whitacre CC: Sex differences in experimental autoimmune encephalomyelitis in multiple murine strains. J Neuroimmun 2004, 150:59-69.
  • [22]Lynch JL, Gallus NJ, Ericson ME, Beitz AJ: Analysis of nociception, sex and peripheral nerve innervation in the TMEV animal model of multiple sclerosis. Pain 2008, 136:293-304.
  • [23]Lu J, Kurejova M, Wirotanseng LN, Linker RA, Kuner R, Tappe-Theodor A: Pain in experimental autoimmune encephalitis: a comparative study between different mouse models. J Neuroinflammation 2012, 9:233. BioMed Central Full Text
  • [24]Aicher SA, Silverman MB, Winkler CW, Bebo BF Jr: Hyperalgesia in an animal model of multiple sclerosis. Pain 2004, 110:560-570.
  • [25]Constantinescu CS, Farooqi N, O’Brien K, Gran B: Experimental autoimmune encephalomyelitis (EAE) as a model for multiple sclerosis (MS). Brit J Pharmacol 2011, 164:1079-1106.
  • [26]Berard JL, Wolak K, Fournier S, David S: Characterization of relapsing-remitting and chronic forms of experimental autoimmune encephalomyelitis in C57BL/6 mice. Glia 2010, 58:434-445.
  • [27]Kuerten S, Gruppe TL, Laurentius LM, Kirch C, Tary-Lehmann M, Lehmann PV, Addicks K: Differential patterns of spinal cord pathology induced by MP4, MOG peptide 35–55, and PLP peptide 178–191 in C57BL/6 mice. APMIS 2011, 119:336-346.
  • [28]Olechowski CJ, Truong JJ, Kerr BJ: Neuropathic pain behaviours in a chronic-relapsing model of experimental autoimmune encephalomyelitis (EAE). Pain 2009, 141:156-164.
  • [29]Whitten WK: Modification of the oestrous cycle of the mouse by external stimuli associated with the male. J Endocrinol 1956, 13:399-404.
  • [30]Whitten WK: Occurrence of anoestrus in mice caged in groups. J Endocrinol 1959, 18:102-107.
  • [31]Lisi L, Navarra P, Cirocchi R, Sharp A, Stigliano E, Feinstein DL, Dello Russo C: Rapamycin reduces clinical signs and neuropathic pain in a chronic model of experimental autoimmune encephalomyelitis. J Neuroimmunol 2012, 243:43-51.
  • [32]Rangachari M, Kuchroo VK: Using EAE to better understand principles of immune function and autoimmune pathology. J Autoimmun 2013, 45:31-39.
  • [33]Jones MV, Nguyen TT, Deboy CA, Griffin JW, Whartenby KA, Kerr DA, Calabresi PA: Behavioral and pathological outcomes in MOG 35–55 experimental autoimmune encephalomyelitis. J Neuroimmunol 2008, 199:83-93.
  • [34]Choi Y, Yoon YW, Na HS, Kim SH, Chung JM: Behavioral signs of ongoing pain and cold allodynia in a rat model of neuropathic pain. Pain 1994, 59:369-376.
  • [35]Hargreaves K, Dubner R, Brown F, Flores C, Joris J: A new and sensitive method for measuring thermal nociception in cutaneous hyperalgesia. Pain 1988, 32:77-88.
  • [36]Goldman JM, Murr AS, Cooper RL: The rodent estrous cycle: characterization of vaginal cytology and its utility in toxicological studies. Birth Defects Res B Dev Reprod Toxicol 2007, 80:84-97.
  • [37]Byers SL, Wiles MV, Dunn SL, Taft RA: Mouse estrous cycle identification tool and images. PloS One 2012, 7:e35538.
  • [38]Glenmark B, Nilsson M, Gao H, Gustafsson JA, Dahlman-Wright K, Westerblad H: Difference in skeletal muscle function in males vs. females: role of estrogen receptor-beta. Am J Physiol Endocrinol Metab 2004, 287:E1125-E1131.
  • [39]Battisto JR, Pinto M, Joseph S: Disturbance of oestrous cycles in rats following administration of Freund’s complete adjuvant. J Reprod Fertil 1967, 14:147-150.
  • [40]Lin F, Kaminski HJ, Conti-Fine BM, Wang W, Richmonds C, Medof ME: Markedly enhanced susceptibility to experimental autoimmune myasthenia gravis in the absence of decay-accelerating factor protection. J Clin Inves 2002, 110:1269-1274.
  • [41]Truini A, Barbanti P, Pozzilli C, Cruccu G: A mechanism-based classification of pain in multiple sclerosis. J Neurol 2013, 260:351-367.
  • [42]Mogil JS, Bailey AL: Sex and gender differences in pain and analgesia. Prog Brain Res 2010, 186:141-157.
  • [43]Lynch JL, Alley JF, Wellman L, Beitz AJ: Decreased spinal cord opioid receptor mRNA expression and antinociception in a Theiler’s murine encephalomyelitis virus model of multiple sclerosis. Brain Res 2008, 1191:180-191.
  • [44]Smith MS, Freeman ME, Neill JD: The control of progesterone secretion during the estrous cycle and early pseudopregnancy in the rat: prolactin, gonadotropin and steroid levels associated with rescue of the corpus luteum of pseudopregnancy. Endocrinology 1975, 96:219-226.
  • [45]de Graaf KL, Wallstrom E, Muhallab S, Wiesmuller KH, Olsson T, Weissert R: MHC and non-MHC gene regulation of disease susceptibility and disease course in experimental inflammatory peripheral neuropathy. J Neuroimmunol 2004, 155:73-84.
  • [46]Garay LI, Gonzalez Deniselle MC, Brocca ME, Lima A, Roig P, De Nicola AF: Progesterone down-regulates spinal cord inflammatory mediators and increases myelination in experimental autoimmune encephalomyelitis. Neuroscience 2012, 226:40-50.
  • [47]Yu HJ, Fei J, Chen XS, Cai QY, Liu HL, Liu GD, Yao ZX: Progesterone attenuates neurological behavioral deficits of experimental autoimmune encephalomyelitis through remyelination with nucleus-sublocalized Olig1 protein. Neurosci Lett 2010, 476:42-45.
  • [48]Kumar S, Patel R, Moore S, Crawford DK, Suwanna N, Mangiardi M, Tiwari-Woodruff SK: Estrogen receptor beta ligand therapy activates PI3K/Akt/mTOR signaling in oligodendrocytes and promotes remyelination in a mouse model of multiple sclerosis. Neurobiol Dis 2013, 56C:131-144.
  • [49]Ito A, Buenafe AC, Matejuk A, Zamora A, Silverman M, Dwyer J, Vandenbark AA, Offner H: Estrogen inhibits systemic T cell expression of TNF-alpha and recruitment of TNF-alpha(+) T cells and macrophages into the CNS of mice developing experimental encephalomyelitis. Clin Immunol 2002, 102:275-282.
  • [50]De Nicola AF, Gonzalez-Deniselle MC, Garay L, Meyer M, Gargiulo-Monachelli G, Guennoun R, Schumacher M, Carreras MC, Poderoso JJ: Progesterone protective effects in neurodegeneration and neuroinflammation. J Neuroendocrinol 2013. doi: 10.1111/jne.12043
  • [51]Bradshaw H, Miller J, Ling Q, Malsnee K, Ruda MA: Sex differences and phases of the estrous cycle alter the response of spinal cord dynorphin neurons to peripheral inflammation and hyperalgesia. Pain 2000, 85:93-99.
  • [52]Cook CD, Nickerson MD: Nociceptive sensitivity and opioid antinociception and antihyperalgesia in Freund’s adjuvant-induced arthritic male and female rats. J Pharmacol Exp Ther 2005, 313:449-459.
  • [53]Carmichael NM, Charlton MP, Dostrovsky JO: Sex differences in inflammation evoked by noxious chemical, heat and electrical stimulation. Brain Res 2009, 1276:103-111.
  • [54]Gaumond I, Arsenault P, Marchand S: Specificity of female and male sex hormones on excitatory and inhibitory phases of formalin-induced nociceptive responses. Brain Res 2005, 1052:105-111.
  • [55]Kuba T, Wu HB, Nazarian A, Festa ED, Barr GA, Jenab S, Inturrisi CE, Quinones-Jenab V: Estradiol and progesterone differentially regulate formalin-induced nociception in ovariectomized female rats. Horm Behav 2006, 49:441-449.
  • [56]Mannino CA, South SM, Quinones-Jenab V, Inturrisi CE: Estradiol replacement in ovariectomized rats is antihyperalgesic in the formalin test. J Pain 2007, 8:334-342.
  • [57]Farage MA, Neill S, MacLean AB: Physiological changes associated with the menstrual cycle: a review. Obstet Gynecol Surv 2009, 64:58-72.
  • [58]Vukusic S, Hutchinson M, Hours M, Moreau T, Cortinovis-Tourniaire P, Adeleine P, Confavreux C, The Pregnancy In Multiple Sclerosis Group: Pregnancy and multiple sclerosis (the PRIMS study): clinical predictors of post-partum relapse. Brain 2004, 127:1353-1360.
  • [59]Vukusic S, Ionescu I, El-Etr M, Schumacher M, Baulieu EE, Cornu C, Confavreux C: The Prevention of Post-Partum Relapses with Progestin and Estradiol in Multiple Sclerosis (POPART’MUS) trial: rationale, objectives and state of advancement. J Neurol Sci 2009, 286:114-118.
  • [60]Spence RD, Voskuhl RR: Neuroprotective effects of estrogens and androgens in CNS inflammation and neurodegeneration. Front Neuroendocrinol 2012, 33:105-115.
  • [61]Sicotte NL, Liva SM, Klutch R, Pfeiffer P, Bouvier S, Odesa S, Wu TC, Voskuhl RR: Treatment of multiple sclerosis with the pregnancy hormone estriol. Ann Neurol 2002, 52:421-428.
  • [62]Kim S, Liva SM, Dalal MA, Verity MA, Voskuhl RR: Estriol ameliorates autoimmune demyelinating disease: implications for multiple sclerosis. Neurology 1999, 52:1230-1238.
  • [63]Palaszynski KM, Liu H, Loo KK, Voskuhl RR: Estriol treatment ameliorates disease in males with experimental autoimmune encephalomyelitis: implications for multiple sclerosis. J Neuroimmunol 2004, 149:84-89.
  • [64]Tian DH, Perera CJ, Moalem-Taylor G: Neuropathic pain in animal models of nervous system autoimmune diseases. Mediators Inflamm 2013, 2013:298326.
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