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Gene & Protein in Disease                                               GPER1 in brain and heart diseases



            and neuroinflammation responses in neuropathic     Activation of GPER1 through G-1 significantly reduced
            pain.  In a previous study, GPER1 was expressed in the   the anxiety-like behavior but did not alter thermal
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            anterior cingulate cortex where it mediated exacerbated   hyperalgesia or mechanical allodynia. Mechanistically,
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            neuropathic pain in an OVX female mouse model  and   this study revealed a role of GPER1 in maintaining the
            induced estrogen-mediated visceral hypersensitivity in a   balance between excitatory and inhibitory transmissions
            stressed rat model.  In another study, although estrogen   in  the  basolateral  amygdala  synapses  of  OVX  female
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            levels were higher in females, GPER1 was expressed   mice suffering from chronic pain.  Liverman  et al.
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            in  the  dorsal  root  ganglia  and  afferent  terminals  in   showed that GPER1 expression is upregulated through
            the dorsal horn of male and female rats.  Araldi  et al.   inflammatory processes, suggesting that GPER1 is also
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            investigated the side effects of triptans, which are widely   upregulated during a migraine attack. Moreover, they
            used as therapeutics for migraine but are often negatively   revealed an increase in orofacial sensitivity in OVX female
            accompanied  with injection-site pain  in patients. They   rats with induced trigeminal inflammatory pain using the
            showed significant sex-specific differences in the complex   GPER1 agonist G-1.  A study using a multibehavioral rat
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            dose dependence for  sumatriptan-induced mechanical   model of migraine revealed an equivalent enhancement
            hyperalgesia in male and female rats. Interestingly,   of migraine-like behavior in female OVX rats through
            1  ng of sumatriptan revealed hyperalgesia in male rats   treatment with the xenoestrogen BPA. Moreover, they
            implanted with estrogen and in female rats but not in   reported an increase in the mRNA levels of ERa, GPER1,
            untreated male rats or OVX female rats, highlighting   ERK1/2, and Na 1.8 (SCN10A) in the trigeminal neurons
                                                                            V
            the role of estrogen. Investigations on the responsible   of BPA-treated rats, further suggesting a role of GPER1
            ER  revealed  a  significant  involvement  of  GPER1  in   in migraine and pain.  Analysis of GPER1 involvement
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            sumatriptan-induced mechanical hyperalgesia in female   in OVX female rats with pre-operative anxiety-induced
            rats. Moreover, the serotonin receptors 5-HT  and   post-operative hyperalgesia revealed a role of GPER1
                                                    1D
            5-HT  participate in sumatriptan-induced hyperalgesia,   in this process, because the application of the GPER1
                1B
            while 5-HT  is crucial in the induction of hyperalgesia in   antagonist G-15 reduced post-operative hyperalgesia.
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                     1D
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            female and 5-HT in male rats.  Another study revealed   Another study by Lu  et al. demonstrated the opposite
                          1B
            an important role of GPER1 in mechanical hyperalgesia,   effect of GPER1 on pain induced by α, β-methylene ATP,
            as  high  estrogen  levels  exacerbated  postoperative   activating the purinergic receptors P2X 1 and P2X 3 in
            allodynia in OVX female rats through GPER1 and matrix   OVX female rats. They showed that estrogen inhibited
            metallopeptidase 9. Mechanical hyperalgesia increased   the pain induced by  α,  β-methylene ATP, whereas an
            with the use of the GPER1 agonist G-1 and equivalently   ERα agonist and the GPER1 agonist G-1 mimicked the
            decreased with the use of the GPER1 antagonist G-15,   reduction in nociception, emphasizing a nocifensive role
            emphasizing the role of GPER1 in vivo.  However, in a   of GPER1 in this context. At the molecular signaling level,
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            mouse model of arthritis, the opposite effect of GPER1   cAMP-PKA and ERK1/2 play crucial roles in mediating
            inhibition was observed, as biochanin treatment resulted   the  E2-based  reduction  in  pain  threshold.   Regarding
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            in decreased production of proinflammatory cytokines   the epigenetic regulation of  GPER1 or the impact of
            and reduced hypernociception via GPER1. This is because   nutraceuticals on GPER1 activity in the process of pain,
            G-15  treatment  reversed  this  positive  effect  in  mice   no specific data are available. Conclusively, there are
            with antigen-induced arthritis.  Accordingly, Liu and   several studies confirming a relevant role of GPER1 in
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            Duan investigated the role of progesterone in trigeminal   modulating migraine-associated pain; however, the results
            neurons of female rats and showed that progesterone-  are controversial because some studies report an increase,
            mediated neuroexcitation is dependent on cAMP and   whereas others describe a decrease in nociception by
            GPER1, because the application of the GPER1 antagonist   GPER1 activation (Figure 1). These discrepancies may be
            G-15 reversed the progesterone-induced enhancement in   attributed to the different models used as well as the high
            the excitability of Ah-type trigeminal neurons of female   number of downstream signaling cascades activated by
            rats. Conversely, a single application of the GPER1   GPER1.
            agonist G-1 resulted in an increase in the action potential
            frequency of Ah-type trigeminal neurons of female   2.8. Multiple sclerosis (MS)
            rats.  Investigations on two different mouse models of   MS is a chronic inflammatory autoimmune disease of the
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            pain, reflecting chronic inflammatory and neuropathic   CNS, which is accompanied with inflammatory infiltration
            pain, revealed anxiety-like behavior in OVX female mice   and subsequent impairment  of oligodendrocytes,
            suffering from both types of pain, which was accompanied   resulting in the destruction of myelin sheaths.  Similar
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            with high GPER1 expression in the basolateral amygdala.   to the sex-specific prevalence of the previously discussed

            Volume 4 Issue 1 (2025)                         11                              doi: 10.36922/gpd.4632
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