Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.

Chronic pelvic pain conditions such as interstitial cystitis/bladder pain syndrome (IC/BPS) remain clinical and mechanistic enigmas. Microglia are resident immune cells of the central nervous system (CNS) that respond to changes in the gut microbiome, and studies have linked microglial activation to...

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Main Authors: Afrida Rahman-Enyart, Ryan E Yaggie, Justin L Bollinger, Constadina Arvanitis, Deborah R Winter, Anthony J Schaeffer, David J Klumpp
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0269140
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author Afrida Rahman-Enyart
Ryan E Yaggie
Justin L Bollinger
Constadina Arvanitis
Deborah R Winter
Anthony J Schaeffer
David J Klumpp
author_facet Afrida Rahman-Enyart
Ryan E Yaggie
Justin L Bollinger
Constadina Arvanitis
Deborah R Winter
Anthony J Schaeffer
David J Klumpp
author_sort Afrida Rahman-Enyart
collection DOAJ
description Chronic pelvic pain conditions such as interstitial cystitis/bladder pain syndrome (IC/BPS) remain clinical and mechanistic enigmas. Microglia are resident immune cells of the central nervous system (CNS) that respond to changes in the gut microbiome, and studies have linked microglial activation to acute and chronic pain in a variety of models, including pelvic pain. We have previously reported that mice deficient for the lipase acyloxyacyl hydrolase (AOAH) develop pelvic allodynia and exhibit symptoms, comorbidities, and gut dysbiosis mimicking IC/BPS. Here, we assessed the role of AOAH in microglial activation and pelvic pain. RNAseq analyses using the ARCHS4 database and confocal microscopy revealed that AOAH is highly expressed in wild type microglia but at low levels in astrocytes, suggesting a functional role for AOAH in microglia. Pharmacologic ablation of CNS microglia with PLX5622 resulted in decreased pelvic allodynia in AOAH-deficient mice and resurgence of pelvic pain upon drug washout. Skeletal analyses revealed that AOAH-deficient mice have an activated microglia morphology in the medial prefrontal cortex and paraventricular nucleus, brain regions associated with pain modulation. Because microglia express Toll-like receptors and respond to microbial components, we also examine the potential role of dysbiosis in microglial activation. Consistent with our hypothesis of microglia activation by leakage of gut microbes, we observed increased serum endotoxins in AOAH-deficient mice and increased activation of cultured BV2 microglial cells by stool of AOAH-deficient mice. Together, these findings demonstrate a role for AOAH in microglial modulation of pelvic pain and thus identify a novel therapeutic target for IC/BPS.
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spelling doaj.art-b798923e975d4b64b7385bedc6ffb3842022-12-22T03:07:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e026914010.1371/journal.pone.0269140Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.Afrida Rahman-EnyartRyan E YaggieJustin L BollingerConstadina ArvanitisDeborah R WinterAnthony J SchaefferDavid J KlumppChronic pelvic pain conditions such as interstitial cystitis/bladder pain syndrome (IC/BPS) remain clinical and mechanistic enigmas. Microglia are resident immune cells of the central nervous system (CNS) that respond to changes in the gut microbiome, and studies have linked microglial activation to acute and chronic pain in a variety of models, including pelvic pain. We have previously reported that mice deficient for the lipase acyloxyacyl hydrolase (AOAH) develop pelvic allodynia and exhibit symptoms, comorbidities, and gut dysbiosis mimicking IC/BPS. Here, we assessed the role of AOAH in microglial activation and pelvic pain. RNAseq analyses using the ARCHS4 database and confocal microscopy revealed that AOAH is highly expressed in wild type microglia but at low levels in astrocytes, suggesting a functional role for AOAH in microglia. Pharmacologic ablation of CNS microglia with PLX5622 resulted in decreased pelvic allodynia in AOAH-deficient mice and resurgence of pelvic pain upon drug washout. Skeletal analyses revealed that AOAH-deficient mice have an activated microglia morphology in the medial prefrontal cortex and paraventricular nucleus, brain regions associated with pain modulation. Because microglia express Toll-like receptors and respond to microbial components, we also examine the potential role of dysbiosis in microglial activation. Consistent with our hypothesis of microglia activation by leakage of gut microbes, we observed increased serum endotoxins in AOAH-deficient mice and increased activation of cultured BV2 microglial cells by stool of AOAH-deficient mice. Together, these findings demonstrate a role for AOAH in microglial modulation of pelvic pain and thus identify a novel therapeutic target for IC/BPS.https://doi.org/10.1371/journal.pone.0269140
spellingShingle Afrida Rahman-Enyart
Ryan E Yaggie
Justin L Bollinger
Constadina Arvanitis
Deborah R Winter
Anthony J Schaeffer
David J Klumpp
Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.
PLoS ONE
title Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.
title_full Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.
title_fullStr Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.
title_full_unstemmed Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.
title_short Acyloxyacyl hydrolase regulates microglia-mediated pelvic pain.
title_sort acyloxyacyl hydrolase regulates microglia mediated pelvic pain
url https://doi.org/10.1371/journal.pone.0269140
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