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. 2021 Jan-Dec:17:17448069211011313.
doi: 10.1177/17448069211011313.

Sexual dimorphic role of the glucocorticoid receptor in chronic muscle pain produced by early-life stress

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Sexual dimorphic role of the glucocorticoid receptor in chronic muscle pain produced by early-life stress

Paul G Green et al. Mol Pain. 2021 Jan-Dec.

Abstract

Fibromyalgia and other chronic musculoskeletal pain syndromes are associated with stressful early life events, which can produce a persistent dysregulation in the hypothalamic-pituitary adrenal (HPA) stress axis function, associated with elevated plasm levels of corticosterone in adults. To determine the contribution of the HPA axis to persistent muscle hyperalgesia in adult rats that had experienced neonatal limited bedding (NLB), a form of early-life stress, we evaluated the role of glucocorticoid receptors on muscle nociceptors in adult NLB rats. In adult male and female NLB rats, mechanical nociceptive threshold in skeletal muscle was significantly lower than in adult control (neonatal standard bedding) rats. Furthermore, adult males and females that received exogenous corticosterone (via dams' milk) during postnatal days 2-9, displayed a similar lowered mechanical nociceptive threshold. To test the hypothesis that persistent glucocorticoid receptor signaling in the adult contributes to muscle hyperalgesia in NLB rats, nociceptor expression of glucocorticoid receptor (GR) was attenuated by spinal intrathecal administration of an oligodeoxynucleotide (ODN) antisense to GR mRNA. In adult NLB rats, GR antisense markedly attenuated muscle hyperalgesia in males, but not in females. These findings indicate that increased corticosterone levels during a critical developmental period (postnatal days 2-9) produced by NLB stress induces chronic mechanical hyperalgesia in male and female rats that persists in adulthood, and that this chronic muscle hyperalgesia is mediated, at least in part, by persistent stimulation of glucocorticoid receptors on sensory neurons, in the adult male, but not female rat.

Keywords: Early life adverse events; corticosterone; muscle hyperalgesia; neonatal limited bedding; sex differences.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
NLB and neonatal corticosterone produce mechanical hyperalgesia in adult male and female rats. Dams and their pups were either housed in standard cages (Control) or in cages with limited bedding (NLB) during postnatal days 2–9 (and then in standard cages). In a separate group, dams’ drinking water contained 200 µg/ml corticosterone, during postnatal days 2–9. Both NLB and neonatal corticosterone protocols produced a significant decrease in mechanical nociceptive threshold in adult male and female (8 weeks old) rats; (Males: one-way ANOVA F (2, 48) = 44.0, P 
Figure 2
Figure 2
Glucocorticoid receptor (GR) antisense ODN attenuates NLB-induced hyperalgesia in male, but not female, rats. Adult male and female NLB rats received intrathecal injections of antisense or mismatch ODN (40 μg/20 μl, i.t., daily x 3) directed against glucocorticoid receptor mRNA. Adult NLB rats were hyperalgesic (dashed lines indicate muscle mechanical nociceptive threshold in Control, normal bedding rats) prior to receiving ODN. Antisense ODN significantly increased nociceptive threshold in males (Two-way ANOVA, interaction F (1, 10) = 267.3, Šídák's multiple comparisons test: mismatch P=ns, antisense P 

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