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  4. Soluble Epoxide Hydrolase Inhibitor TPPU Alleviates Nab-Paclitaxel-Induced Peripheral Neuropathic Pain via Suppressing NF-κB Signalling in the Spinal Cord of a Rat

Soluble Epoxide Hydrolase Inhibitor TPPU Alleviates Nab-Paclitaxel-Induced Peripheral Neuropathic Pain via Suppressing NF-κB Signalling in the Spinal Cord of a Rat

Pain Research and Management, 2023 · DOI: https://doi.org/10.1155/2023/9058774 · Published: February 8, 2023

PharmacologyImmunologyPain Management

Simple Explanation

This study investigates the role of soluble epoxide hydrolase (sEH) inhibition in paclitaxel-induced peripheral neuropathy (PIPN) in rats. It explores whether the sEH inhibitor TPPU can alleviate PIPN symptoms. The research involves creating a rat model of PIPN using nab-paclitaxel and then administering TPPU to assess its effects on various factors like pain thresholds, apoptosis, glial activation, axonal injury, and blood-spinal cord barrier permeability. The findings suggest that TPPU can relieve PIPN by inhibiting the activation of the sEH and NF-κB signaling pathways, reducing inflammation, and decreasing oxidative stress in the spinal cord.

Study Duration
15 days
Participants
108 Sprague–Dawley male rats
Evidence Level
Not specified

Key Findings

  • 1
    TPPU restored mechanical and thermal thresholds in rats treated with nab-paclitaxel, indicating pain relief.
  • 2
    TPPU decreased cell apoptosis, alleviated axonal injury and glial responses, and protected vascular permeability in the spinal cord.
  • 3
    TPPU relieved PIPN by inhibiting the activation of the sEH and NF-κB signalling pathways by decreasing the levels of infammatory cytokines and oxidative stress.

Research Summary

This study investigates the potential of sEH inhibition, using TPPU, as a therapeutic target for paclitaxel-induced peripheral neuropathy (PIPN) in rats. The research aims to determine if TPPU can alleviate PIPN symptoms by influencing the integrity of the blood-spinal cord barrier (BSCB). The results indicate that TPPU alleviates mechanical and thermal pain, improves vascular permeability, and reduces spinal cord apoptosis, glial response, and axonal damage. These protective effects are associated with decreased inflammation and oxidative stress by inhibiting the sEH and NF-κB signaling pathways. The conclusion supports the role of sEH in PIPN and suggests that inhibiting sEH with TPPU could be a potential therapeutic strategy for PIPN, offering a new avenue for treatment.

Practical Implications

Therapeutic Target for PIPN

Inhibition of sEH represents a potential new therapeutic target for PIPN.

Drug Development

TPPU can serve as a potential drug target for the treatment of PINP.

Clinical Applications

The sEH inhibitor TPPU can serve as a potential drug target for the treatment of PINP.

Study Limitations

  • 1
    Study conducted only on male rats; sex differences not explored.
  • 2
    The age of young adult rats used in many animal experiments is contradicted by epidemiological evidence of humans.
  • 3
    Specific mechanisms of action for TPPU still require further elucidation.

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