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Substance P-neurokinin 1 receptor signal involves the development of osteoarthritis-induced chronic pain in rats
Abstract
Chronic pain is a major symptom of osteoarthritis (OA). Substance P (SP) plays a role in inflammation and nociception, but its role in OA pain chronicity remains unclear. This study investigates whether SP-neurokinin 1 (NK1R) signal mediates the development of chronic pain in monosodium iodoacetate (MIA)-induced OA model rats. GR 82334 (GR), an NK1R antagonist, was injected intra-articularly 30 minutes before (pre-GR) or 1 day after (post-GR) MIA injection to examine the effects of NK1R blocking of early inflammation on chronic pain and neuroimmune interactions in the knee joint, dorsal root ganglion (DRG), and spinal dorsal horn (SDH). GR reduced edema and knee bending scores; post-GR treatment more effectively prevented paw withdrawal threshold reduction than pre-GR treatment. Early NK1R blocking suppressed the expression of CGRP, SP, and pro-inflammatory factors (CCL2, TNFα, IL-1β, and IL-6), and M1 macrophage activation in the knee joints at 14 days post-MIA. GR also reduced the expression of pro-inflammatory factors and M1 macrophage activation in the L3-5 DRGs and decreased the expression of CGRP, SP, and pro-inflammatory factors, and microglial activation in the L3-5 SDHs. These findings suggest that early SP-NK1R signal-mediated inflammation contributes to OA chronic pain progression via neuroimmune interactions.
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“CGRP and SP can directly reprogram synovial macrophages and chondrocytes, promoting proinflammatory transcriptional programs and up-regulating matrix-degrading enzymes [64,65]”
From Interorgan Communications in Skeletal Pathophysiology: From Molecular Pathways to Multidisciplinary Therapies (2026) · cites this paper as [64]
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Gan, D., Qin, L., & Xiao, G. (2026) · Research · doi:10.34133/research.1319 · Cited by 1
“CGRP and SP can directly reprogram synovial macrophages and chondrocytes, promoting proinflammatory transcriptional programs and up-regulating matrix-degrading enzymes [ 64 , 65 ].”
Metadata
- Authors
- Kwon, M., Kim, T., Park, E. H., Song, S., Ok, H., Yoo, H., Nam, D., & Kim, J.
- Affiliations
- Korea University (KR)
- Corresponding author
- Kim, Junesun
- Venue
- Journal of Neuropathology & Experimental Neurology
- Publisher
- Oxford University Press (OUP)
- Published
- 2025-07-04
- Volume
- 84
- Issue
- 10
- Pages
- 879-891
- ISSN
- 0022-3069 (ISSN-L)
- 1554-6578
- OpenAlex
- W4412034164
- Cited by
- 7
- References
- 1
- Citations by year
- 2026: 6 · 2025: 1
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neuropathology & Experimental Neurology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Basic Science Research Program
- National Research Foundation of Korea (RS-2022-NR067566)
- Ministry of Science
- ICT & Future Planning (2019R1I1A2A01060115)
- Pioneer Research Center Program
- Ministry of Education (RS-2024-00412358)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- substance P, neurokinin-1 receptor, osteoarthritis, chronic pain, monosodium iodoacetate, NK1 receptor antagonists, neuroimmune interactions, dorsal root ganglia, dorsal horn, microglial activation, M1 macrophage activation, calcitonin gene-related peptide, inflammatory cytokines, knee joint inflammation, nociception
- MeSH terms
- Animals, Ganglia, Spinal, Male, Osteoarthritis, Substance P, Signal Transduction, Rats, Sprague-Dawley, Receptors, Neurokinin-1, Rats, Chronic Pain, Neurokinin-1 Receptor Antagonists
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- Kwon, M., Kim, T., Park, E. H., Song, S., Ok, H., Yoo, H., Nam, D., & Kim, J. (2025). Substance P-neurokinin 1 receptor signal involves the development of osteoarthritis-induced chronic pain in rats. Journal of Neuropathology & Experimental Neurology. https://doi.org/10.1093/jnen/nlaf063