長引く神経障害性疼痛に新たな治療の可能性ー神経損傷から3週間後のFas–FasL阻害でも、マウスの痛みに対する過敏反応が軽減ー

ad

2026-11-02 東京科学大学

東京科学大学の研究グループは、神経損傷後に長期間続く神経障害性疼痛について、神経細胞を取り囲む衛星グリア細胞と免疫・炎症シグナルの関係を明らかにした。マウスの後根神経節を解析した結果、衛星グリア細胞では炎症関連遺伝子やIL-6受容体の発現が変化し、Fas–FasLを介した細胞間シグナル伝達が痛みの持続に関与する可能性が示された。さらに、神経損傷から3週間が経過した慢性疼痛の段階で、Fas–FasL阻害物質KP7-6を投与したところ、触刺激や冷刺激に対する過敏反応が軽減し、炎症・細胞死に関連する反応や免疫細胞の集積も減少した。神経細胞と周囲のグリア細胞との相互作用を標的とすることで、既存治療では十分な効果が得られない慢性神経障害性疼痛に対する新しい治療法につながる可能性がある。ただし、現段階では雌マウスを用いた基礎研究であり、ヒトでの有効性や安全性は未確認である。

<関連情報>

IL-6関連Fas-FasLシグナル伝達に伴う衛星グリア細胞のリモデリングは、神経損傷後の慢性神経因性疼痛の一因となる Satellite glial cell remodeling associated with IL-6-associated Fas–FasL signaling contributes to chronic neuropathic pain after nerve injury

Chen Su, Fan Yang, Mengmeng Yan, Mitsuhiro Enomoto, Jingquan Chen, Wenchao Gu, Kunikazu Tsuji, Shingo Sato, Chihiro Akazawa, Toshitaka Yoshii & Takashi Hirai
Scientific Reports  Published:29 September 2026
DOI:https://doi.org/10.1038/s41598-026-73640-2  Early provide

長引く神経障害性疼痛に新たな治療の可能性ー神経損傷から3週間後のFas–FasL阻害でも、マウスの痛みに対する過敏反応が軽減ー

Fig. 1 Establishment of a chronic neuropathic pain model following spared nerve injury (SNI).

Abstract

Neuropathic pain after peripheral nerve injury is associated with sustained remodeling of the dorsal root ganglion (DRG) microenvironment. Although the neuronal mechanisms have been extensively studied, how neuron–glia–immune interactions contribute to chronic pain maintenance remains unclear. We investigated whether persistent interleukin-6 (IL-6) signaling is linked to Fas–Fas ligand (FasL)-associated satellite glial cell (SGC) remodeling during chronic neuropathic pain. Chronic neuropathic pain-like behavior was investigated using a spared nerve injury (SNI) mouse model in female mice. Chronic-phase DRG changes were examined using single-cell RNA-seq reanalysis, bulk transcriptomics, Sox10-Venus SGC-enriched RNA sequencing, reverse transcription quantitative PCR, immunofluorescence staining, western blotting, enzyme-linked immunosorbent assay, and terminal deoxynucleotidyl transferase dUTP nick-end labeling assays. Responses associated with IL-6 and Fas–FasL were evaluated using in vivo Fas–FasL blockade with KP7-6 and in vitro IL-6 stimulation assays. SNI induced persistent mechanical and cold hypersensitivity with chronic-phase DRG remodeling. Transcriptomic analyses revealed immune-like remodeling of SGC-enriched cells, enhanced IL-6 responsiveness, and upregulation of Fas–FasL-associated molecules. IL-6 expression was enriched mainly in neuronal populations, whereas Il6ra expression and IL-6 response signatures were increased in SGCs. FasL immunoreactivity was predominantly observed in SGCs, whereas Fas immunoreactivity was detected in SGCs and Iba1+ immune-related cells. KP7-6 treatment attenuated chronic pain-like behaviors, reduced inflammatory and apoptotic responses, decreased Iba1+ cell accumulation, and partially restored Kir4.1 expression. In vitro, IL-6 stimulate FasL expression and inflammatory responses in peripheral glial cells, which were attenuated by Fas–FasL blockade. These findings suggest that SGC remodeling through IL-6-associated Fas–FasL signaling may contribute to neuroinflammatory remodeling and chronic neuropathic pain maintenance after nerve injury.

医療・健康
ad
ad
ad
タイトルとURLをコピーしました