Q1 · MEDICINE
Article
Author: Catroli, Glaucilene F. ; Durant, Christopher P. ; Xia, Yining ; Ghosheh, Yanal ; Kufareva, Irina ; Agatisa-Boyle, Colin ; Lu, Jenny W. ; Navia-Pelaez, Juliana M. ; Saylor, Benjamin ; Beaton, Graham ; Yaksh, Tony L. ; Miller, Yury I. ; Winkels, Holger ; Corr, Maripat ; dos Santos Aggum Capettini, Luciano ; Kim, Jungsu ; Choi, Soo-Ho ; Gonçalves dos Santos, Gilson ; Gonen, Ayelet ; Ley, Klaus ; Delay, Lauriane
Neuroinflammation is a major component in the transition to and perpetuation of neuropathic pain states. Spinal neuroinflammation involves activation of TLR4, localized to enlarged, cholesterol-enriched lipid rafts, designated here as inflammarafts. Conditional deletion of cholesterol transporters ABCA1 and ABCG1 in microglia, leading to inflammaraft formation, induced tactile allodynia in naive mice. The apoA-I binding protein (AIBP) facilitated cholesterol depletion from inflammarafts and reversed neuropathic pain in a model of chemotherapy-induced peripheral neuropathy (CIPN) in wild-type mice, but AIBP failed to reverse allodynia in mice with ABCA1/ABCG1–deficient microglia, suggesting a cholesterol-dependent mechanism. An AIBP mutant lacking the TLR4-binding domain did not bind microglia or reverse CIPN allodynia. The long-lasting therapeutic effect of a single AIBP dose in CIPN was associated with anti-inflammatory and cholesterol metabolism reprogramming and reduced accumulation of lipid droplets in microglia. These results suggest a cholesterol-driven mechanism of regulation of neuropathic pain by controlling the TLR4 inflammarafts and gene expression program in microglia and blocking the perpetuation of neuroinflammation.