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  4. Exercise training modulates glutamic acid decarboxylase-65/67 expression through TrkB signaling to ameliorate neuropathic pain in rats with spinal cord injury

Exercise training modulates glutamic acid decarboxylase-65/67 expression through TrkB signaling to ameliorate neuropathic pain in rats with spinal cord injury

Molecular Pain, 2020 · DOI: 10.1177/1744806920924511 · Published: April 3, 2020

Spinal Cord InjuryPain ManagementRehabilitation

Simple Explanation

This study investigates whether exercise training can alleviate neuropathic pain after spinal cord injury (SCI) in rats. The researchers focused on the role of glutamic acid decarboxylase (GAD), an enzyme involved in the synthesis of GABA, a neurotransmitter that inhibits pain signals. The study examined whether exercise training could increase GAD expression in the spinal cord through tropomyosin-related kinase B (TrkB) signaling, a pathway activated by brain-derived neurotrophic factor (BDNF). The results suggest that exercise training does increase GAD expression via TrkB signaling, which helps to relieve neuropathic pain in rats with SCI. Blocking TrkB signaling eliminated the pain-relieving effects of exercise.

Study Duration
5 Weeks
Participants
64 adult female Sprague–Dawley rats
Evidence Level
Level 2; Animal study

Key Findings

  • 1
    Spinal cord injury leads to mechanical allodynia and thermal hyperalgesia and altered BDNF expression in rats.
  • 2
    Exercise training increases the synthesis of BDNF, TrkB, CREB, p-CREB, GAD-65, and GAD-67 within the distal spinal cord of rats with SCI, and improves the mechanical withdrawal thresholds (MWTs) and thermal withdrawal latencies (TWLs).
  • 3
    Blocking TrkB signaling inhibits the effects of exercise training, reducing the synthesis of CREB, p-CREB, GAD-65, and GAD-67 and the analgesic effect of exercise training was significantly inhibited.

Research Summary

The study investigates the effect of exercise training on neuropathic pain (NPP) after spinal cord injury (SCI) in rats, focusing on the role of glutamic acid decarboxylase (GAD) and tropomyosin-related kinase B (TrkB) signaling. The results demonstrate that exercise training can alleviate mechanical allodynia and thermal hyperalgesia, increase the synthesis of BDNF, TrkB, CREB, p-CREB, GAD-65, and GAD-67 within the distal spinal cord. Blocking the TrkB signaling pathway significantly reduces the beneficial effects of exercise, inhibiting the synthesis of CREB, p-CREB, GAD-65, and GAD-67 and the analgesic effect of exercise training was significantly inhibited.

Practical Implications

Therapeutic Potential

Activity-based exercise training can be considered as a therapeutic intervention to alleviate neuropathic pain in individuals with spinal cord injury.

Mechanism Understanding

Understanding the role of TrkB signaling and GAD expression helps in designing targeted treatments for neuropathic pain.

Rehabilitation Strategies

The study supports the integration of exercise training into rehabilitation programs for spinal cord injury patients to improve pain management.

Study Limitations

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