RETRACTED: Role of Etanercept and Infliximab on Nociceptive Changes Induced by the Experimental Model of Fibromyalgia
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BACKGROUND: Fibromyalgia is a clinical condition that affects 1% to 5% of the population. No proper therapy has been currently found. It has been described that inflammation plays a central role in the nerve sensitizations that characterize the pathology. METHODS: This paper aimed to evaluate the efficacy of etanercept and infliximab in the management of pain sensitization. Fibromyalgia was induced by three injections once a day of reserpine at the dose of 1 mg/kg. Etanercept (3 mg/kg) and infliximab (10 mg/kg) were administered the day after the last reserpine injection and then 5 days after that. Behavioral analyses were conducted once a week, and molecular investigations were performed at the end of the experiment. RESULTS: Our data confirmed the major effect of infliximab administration as compared to etanercept: infliximab administration strongly reduced pain sensitization in thermal hyperalgesia and mechanical allodynia. From the molecular point of view, infliximab reduced the activation of microglia and astrocytes and the expression of the purinergic P2X7 receptor ubiquitously expressed on glia and neurons. Downstream of the P2X7 receptor, infliximab also reduced p38-MAPK overexpression induced by the reserpine administration. CONCLUSION: Etanercept and infliximab treatment caused a significant reduction in pain. In particular, rats that received infliximab showed less pain sensitization. Moreover, infliximab reduced the activation of microglia and astrocytes, reducing the expression of the purinergic receptor P2X7 and p38-MAPK pathway.
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In a reserpine-induced FMS rat model, microglia and astrocytes are concomitantly activated.
“Concomitant activation of microglia and astrocytes observed in a reserpine-induced FMS rat model”
From Nociplastic pain: the prominent role of non-neuronal cells in central and peripheral sensitization (2026) · cites this paper as [117]
Central glial cell activation plays a pivotal role in NPP.
“underscores the pivotal role of central glial cell activation in NPP (117).”
From Nociplastic pain: the prominent role of non-neuronal cells in central and peripheral sensitization (2026) · cites this paper as [117]
Activation of central glial cells plays a critical role in NPP development.
“Collectively, these studies indicate that activation of central glial cells activation plays a critical role in NPP development.”
From Nociplastic pain: the prominent role of non-neuronal cells in central and peripheral sensitization (2026) · cites this paper as [117]
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Nerve Growth Factor Signaling, Neuroprotection, and Neural Repair
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Fibromyalgia: Recent Advances in Diagnosis, Classification, Pharmacotherapy and Alternative Remedies
Maffei, M. E. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21217877 · Cited by 150 · see citing works
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- [80]Di Paola R. Fusco R. Impellizzeri D. Cordaro M. Britti D. Morittu V.M. Evangelista M. Cuzzocrea S. Adelmidrol, in combination with hyaluronic acid, displays increased anti-inflammatory and analgesic effects against monosodium iodoacetate-induced osteoarthritis in rats Arthritis Res. Ther. 2016 18 291 10.1186/s13075-016-1189-5 27955699 PMC5153857 · DOI
- [81]Fusco R. D’Amico R. Cordaro M. Gugliandolo E. Siracusa R. Peritore A.F. Crupi R. Impellizzeri D. Cuzzocrea S. Di Paola R. Absence of formyl peptide receptor 1 causes endometriotic lesion regression in a mouse model of surgically-induced endometriosis Oncotarget 2018 9 31355 31366 10.18632/oncotarget.25823 30140375 PMC6101131 · DOI
Cited by
Sorted by citations
Microglia polarization in nociplastic pain: mechanisms and perspectives
Atta, A. A., Ibrahim, W. W., Mohamed, A. F., & Abdelkader, N. F. (2023) · Inflammopharmacology · doi:10.1007/s10787-023-01216-x · Cited by 178 · see citing works
Nociplastic pain: the prominent role of non-neuronal cells in central and peripheral sensitization
Lai, W., Tang, X., Chen, S., Zhou, Y., Qi, Z., Cao, M., Yuan, C., Yu, J., & Wen, C. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1677310 · Cited by 4 · see citing works
“Concomitant activation of microglia and astrocytes observed in a reserpine-induced FMS rat model underscores the pivotal role of central glial cell activation in NPP (117).”
- Authors
- Cordaro, M., Siracusa, R., D’Amico, R., Genovese, T., Franco, G., Marino, Y., Di Paola, D., Cuzzocrea, S., Impellizzeri, D., Di Paola, R., & Fusco, R.
- Affiliations
- University of Messina (IT)
- Department of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Viale Ferdinando Stagno D’Alcontres 31, 98166 Messina, Italy
- Department of Veterinary Sciences, University of Messina, 98168 Messina, Italy
- Corresponding author
- Cuzzocrea, Salvatore
- Impellizzeri, Daniela
- ORCID
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2022-05-30
- Volume
- 23
- Issue
- 11
- Pages
- 6139
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC9181785
- OpenAlex
- W4281613679
- Cited by
- 29
- References
- 2
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 8 · 2022: 7
- FWCI
- 3.87
- Type
- journal article
- Language
- en
- Status
- Retracted
- Update notices
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- fibromyalgia, etanercept, infliximab, pain sensitization, thermal hyperalgesia, mechanical allodynia, microglial activation, astrocyte activation, P2X7 receptor, p38 MAPK pathway, anti-TNF therapy
- MeSH terms
- Etanercept, Infliximab, Animals, Fibromyalgia, Hyperalgesia, Models, Theoretical, Pain, Reserpine, p38 Mitogen-Activated Protein Kinases, Rats, Nociception
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